Wiped a Cam Lobe. Total rebuild??

If you want to be sure, you gotta pull the bottom end apart; anything else is rolling the dice; "Do you feel lucky today ?!?". It's 99% likely to be metal bits in most or all the passages, like in the block and yes, inside the crank passages, an maybe even in piston oiling holes. All oil gallery plugs should come out and everthing meticulously scrubbed. That future engine destroying particle could be lurking anywhere.