Explain the indications and contraindications to a coronal polish.
The correct answer and explanation is :
Indications and Contraindications for Coronal Polishing
Indications for Coronal Polishing:
Coronal polishing is a dental procedure performed to remove extrinsic stains and plaque from the coronal surfaces of the teeth using a rubber cup, polishing paste, or air polishing system. It is typically indicated for:
- Extrinsic Stains: Stains from coffee, tea, tobacco, red wine, or chlorhexidine that are removable without damaging enamel.
- Plaque Removal: Aids in removing soft plaque deposits before fluoride application.
- Pre-Procedural Cleaning: Used before sealant placement, orthodontic bonding, or whitening treatments to enhance adhesion.
- Aesthetic Concerns: Patients with visible stains or discoloration benefit from a polished appearance.
- Routine Hygiene Appointments: Often part of professional cleanings to maintain oral hygiene.
Contraindications for Coronal Polishing:
While generally safe, coronal polishing is contraindicated in certain cases to prevent unnecessary enamel wear or damage to oral tissues. Contraindications include:
- Intrinsic Stains: Stains embedded within the tooth structure, such as tetracycline stains or fluorosis, which cannot be removed by polishing.
- Newly Erupted Teeth: Primary teeth and newly erupted permanent teeth have softer enamel that may be susceptible to damage.
- Demineralized Areas: Polishing can exacerbate enamel loss in areas of demineralization or early carious lesions.
- Patients with High Caries Risk: Excessive polishing can remove the fluoride-rich outer enamel, increasing susceptibility to decay.
- Sensitive Teeth: Patients with hypersensitivity or exposed dentin should avoid polishing as it may cause discomfort.
- Respiratory Issues: Air polishing methods are contraindicated in patients with asthma or chronic obstructive pulmonary disease (COPD) due to aerosolized particles.
- Gingival Inflammation: Patients with severe gingivitis or periodontal disease should avoid polishing as it may irritate inflamed tissues.
Conclusion:
Coronal polishing is a valuable procedure for removing extrinsic stains and enhancing oral hygiene. However, it should be performed selectively, considering contraindications to prevent unnecessary enamel wear and oral tissue damage. Proper assessment of patient needs ensures safe and effective treatment.