All surgical or pharmacological interventions which can induce profound histological changes have safety considerations associated with them, and electrosurgery is no exception.
The means of avoiding pitfalls along with alternate approaches are given in the unit Owner’s Manual. These strongly reflect those given in IEC 60601-2-2 which are the result of decades of cumulative clinical experience and known to be effective.
Tissue injury in incision or excision is most likely from too low a dose setting or poor technique than any other factor, reinforcing the need for training and practice. Injuries to pulp, bone, or tissue arising from excessively high dose settings or accidental contact are rare but not unknown with ground referenced units.