Author/Authors :
Elisabeta Ciobanu, Ionela Department of Orthodontics and Paedodontics - Faculty of Dental Medicine - University of Medicine and Pharmacy, Craiova, Romania , Rusu, Darian Department of Periodontology - Faculty of Dental Medicine - Victor Babes University of Medicine and Pharmacy, Timisoara, Romania , Stratul, Stefan-Ioan Department of Periodontology - Faculty of Dental Medicine - Victor Babes University of Medicine and Pharmacy, Timisoara, Romania , Cristina Didilescu, Andreea Division of Embryology - Faculty of Dental Medicine - “Carol Davila” University of Medicine and Pharmacy, Bucharest, Romania , Marilena Cristache, Corina Faculty of Midwifery and Medical Assisting - “Carol Davila” University of Medicine and Pharmacy, Bucharest, Romania
Abstract :
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.
