In which type of patients should coronal polishing be avoided?

Coronal polishing should be avoided in patients with certain medical conditions, particularly those that involve infectious diseases or a high risk of caries. This is because the procedure can generate aerosols and may increase the risk of transmitting infections, especially in patients with compromised immune systems or systemic health issues. Additionally, individuals with high caries risk may be more susceptible to dental problems, and performing coronal polishing could potentially worsen their condition since it may remove protective enamel and expose more vulnerable areas of the teeth.

In contrast, while patients with existing dental restorations or those who have undergone orthodontic treatment may require special considerations, these are not absolute contraindications for coronal polishing. Similarly, patients undergoing cosmetic procedures might be closely monitored, but this does not inherently make coronal polishing inappropriate for them either. Therefore, the focus on specific medical conditions makes this the most compelling reason to avoid the procedure in certain patients.