It can do any and all of bent rods, crapped heads and holes in pistons. HOWEVER some engines were designed with this problem in mind, and have the valve recesses cut in the piston, with sufficient clearance. My mazda was the same way, I started jumping teeth on the right side because of a faulty tensioner and the engine ran on the left bank while the right bank's cam just did it's thing. New tensioner, idler pulleys and belt and the car ran great.