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Case Reports in Dentistry
Volume 2016, Article ID 4841090, 5 pages
Case Report

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

1Department of Orthodontics and Paedodontics, Faculty of Dental Medicine, University of Medicine and Pharmacy, Craiova, Romania
2Department of Periodontology, Faculty of Dental Medicine, Victor Babes University of Medicine and Pharmacy, Timisoara, Romania
3Division of Embryology, Faculty of Dental Medicine, “Carol Davila” University of Medicine and Pharmacy, Bucharest, Romania
4Faculty of Midwifery and Medical Assisting, “Carol Davila” University of Medicine and Pharmacy, Bucharest, Romania

Received 4 July 2016; Revised 20 August 2016; Accepted 22 August 2016

Academic Editor: Sukumaran Anil

Copyright © 2016 Ionela Elisabeta Ciobanu et al. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.


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.