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 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.
Department of Orthodontics and Paedodontics, Faculty of Dental Medicine, University of Medicine and Pharmacy, Craiova, Romania.
Ionela Elisabeta
IE
Ciobanu
Department of Periodontology, Faculty of Dental Medicine, Victor Babes University of Medicine and Pharmacy, Timisoara, Romania.
Darian
D
Rusu
Department of Periodontology, Faculty of Dental Medicine, Victor Babes University of Medicine and Pharmacy, Timisoara, Romania.
Stefan-Ioan
0000-0002-9154-9511
SI
Stratul
Division of Embryology, Faculty of Dental Medicine, "Carol Davila" University of Medicine and Pharmacy, Bucharest, Romania.
Andreea Cristina
AC
Didilescu
Faculty of Midwifery and Medical Assisting, "Carol Davila" University of Medicine and Pharmacy, Bucharest, Romania.
Corina Marilena
0000-0001-6635-6091
CM
Cristache
J Endod. 1993 Dec;19(12):591-5
8151252
Dent Clin North Am. 1974 Apr;18(2):269-96
4522570
Rom J Morphol Embryol. 2011;52(1):145-51
21424046
J Can Dent Assoc. 2009 Jun;75(5):369-72
19531333
J Endod. 1998 Aug;24(8):543-7
9759017
Dent Mater. 2008 Feb;24(2):149-64
17586038
J Endod. 2011 Nov;37(11):1512-5
22000453
J Conserv Dent. 2010 Apr;13(2):97-101
20859484
Int Endod J. 2003 Sep;36(9):636-42
12950579
J Endod. 2007 Oct;33(10):1155-62
17889681
Aust Endod J. 1998 Dec;24(3):111-4
11431825
J Endod. 1988 Jul;14 (7):346-51
3251996
J Endod. 1996 Dec;22(12):699-702
9220760
Int Endod J. 2006 Dec;39(12):921-30
17180780
Oral Surg Oral Med Oral Pathol Oral Radiol Endod. 2009 Apr;107(4):590-6
19201220
J Endod. 2004 Aug;30(8):559-67
15273636
J Am Dent Assoc. 1980 Nov;101(5):792-4
6935269