Triadic dynamics of clinical decisions in apical surgery based on Neutrosophic N- Alectic

This study explored the creation of a clinical decision-making model in apical surgery via Neutrosophic N-Alectic, blending affirmative (operate), negative (observe), and neutral (retry conventional endodontics) based on equivocal findings to offer potential solutions to the presentation of periapical lesions. The methodology consisted of dialectic considerations of previous surgeries retrospectively, meaning attributable elements such as lesion severity and response to previous treatment were assessed via a neutrosophic approach to assess the degree of truth, degree of falsity and degree of indeterminacy across all treatment options. The main findings are the neutrosophic model assists in determining the best decisions based on a conglomeration of clinical perspectives simultaneously, when a traditional yes/no determination can lead to unnecessary procedures and less effective diagnosis. Findings are applicable that Neutrosophic N-Alectic is a successful strategy for navigating complexity and equivocation of the decision-making arena, which fosters a more individualized approach to endodontics with potential for further interdisciplinary application.