Root Canal Stripping: Malpractice or Common Procedural Accident—An Ethical Dilemma in Endodontics

Root canal stripping is defined as an oblong, vertical perforation that appears especially in the middle section of curved root canals during endodontic treatments with nickel-titanium (Ni-Ti) instruments. Its occurrence may drastically affect the outcome of the treatment, transforming a common othe...

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Main Authors: Ionela Elisabeta Ciobanu, Darian Rusu, Stefan-Ioan Stratul, Andreea Cristina Didilescu, Corina Marilena Cristache
Format: Article
Language:English
Published: Wiley 2016-01-01
Series:Case Reports in Dentistry
Online Access:http://dx.doi.org/10.1155/2016/4841090
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author Ionela Elisabeta Ciobanu
Darian Rusu
Stefan-Ioan Stratul
Andreea Cristina Didilescu
Corina Marilena Cristache
author_facet Ionela Elisabeta Ciobanu
Darian Rusu
Stefan-Ioan Stratul
Andreea Cristina Didilescu
Corina Marilena Cristache
author_sort Ionela Elisabeta Ciobanu
collection DOAJ
description Root canal stripping is defined as an oblong, vertical perforation that appears especially in the middle section of curved root canals during endodontic treatments with nickel-titanium (Ni-Ti) instruments. Its occurrence may drastically affect the outcome of the treatment, transforming a common otherwise efficient endodontic procedure into a complication such as tooth extraction. In order to discuss the ethical and legal consequences, two cases of dental strip perforations are herewith presented. Due to the existence of risk factors for dental strip perforation, experience of the clinician and the use of magnification and modern imagistic methods (CBCT) may avoid or reduce the frequency of this type of accidents. Under correct working circumstances, dental stripping should not be regarded as a malpractice but as a procedural accident. However, the patient must always be informed, before and during the endodontic procedure, about the event and the possible complications that may occur.
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publishDate 2016-01-01
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series Case Reports in Dentistry
spelling doaj-art-b3c9e6c855bf48a4a1df35d667aef74c2025-02-03T05:47:53ZengWileyCase Reports in Dentistry2090-64472090-64552016-01-01201610.1155/2016/48410904841090Root Canal Stripping: Malpractice or Common Procedural Accident—An Ethical Dilemma in EndodonticsIonela Elisabeta Ciobanu0Darian Rusu1Stefan-Ioan Stratul2Andreea Cristina Didilescu3Corina Marilena Cristache4Department of Orthodontics and Paedodontics, Faculty of Dental Medicine, University of Medicine and Pharmacy, Craiova, RomaniaDepartment of Periodontology, Faculty of Dental Medicine, Victor Babes University of Medicine and Pharmacy, Timisoara, RomaniaDepartment of Periodontology, Faculty of Dental Medicine, Victor Babes University of Medicine and Pharmacy, Timisoara, RomaniaDivision of Embryology, Faculty of Dental Medicine, “Carol Davila” University of Medicine and Pharmacy, Bucharest, RomaniaFaculty of Midwifery and Medical Assisting, “Carol Davila” University of Medicine and Pharmacy, Bucharest, RomaniaRoot canal stripping is defined as an oblong, vertical perforation that appears especially in the middle section of curved root canals during endodontic treatments with nickel-titanium (Ni-Ti) instruments. Its occurrence may drastically affect the outcome of the treatment, transforming a common otherwise efficient endodontic procedure into a complication such as tooth extraction. In order to discuss the ethical and legal consequences, two cases of dental strip perforations are herewith presented. Due to the existence of risk factors for dental strip perforation, experience of the clinician and the use of magnification and modern imagistic methods (CBCT) may avoid or reduce the frequency of this type of accidents. Under correct working circumstances, dental stripping should not be regarded as a malpractice but as a procedural accident. However, the patient must always be informed, before and during the endodontic procedure, about the event and the possible complications that may occur.http://dx.doi.org/10.1155/2016/4841090
spellingShingle Ionela Elisabeta Ciobanu
Darian Rusu
Stefan-Ioan Stratul
Andreea Cristina Didilescu
Corina Marilena Cristache
Root Canal Stripping: Malpractice or Common Procedural Accident—An Ethical Dilemma in Endodontics
Case Reports in Dentistry
title Root Canal Stripping: Malpractice or Common Procedural Accident—An Ethical Dilemma in Endodontics
title_full Root Canal Stripping: Malpractice or Common Procedural Accident—An Ethical Dilemma in Endodontics
title_fullStr Root Canal Stripping: Malpractice or Common Procedural Accident—An Ethical Dilemma in Endodontics
title_full_unstemmed Root Canal Stripping: Malpractice or Common Procedural Accident—An Ethical Dilemma in Endodontics
title_short Root Canal Stripping: Malpractice or Common Procedural Accident—An Ethical Dilemma in Endodontics
title_sort root canal stripping malpractice or common procedural accident an ethical dilemma in endodontics
url http://dx.doi.org/10.1155/2016/4841090
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