What communicable diseases could be a concern during coronal polishing?

The concern during coronal polishing primarily involves diseases that can be transmitted through blood and other body fluids, which is why Hepatitis B, HIV, and other bloodborne pathogens are highlighted as significant risks. These diseases can be transmitted from an infected patient to a dental professional or between patients through exposure to blood, saliva, or other bodily fluids during the procedure.

When coronal polishing is performed, there is a potential for aerosolization of saliva and blood, especially if the patient's tissues are affected. This creates a critical point of transmission where bloodborne pathogens can be transferred. It is essential for dental professionals to follow strict infection control protocols such as the use of PPE (personal protective equipment), sterile instruments, and proper sanitization procedures to mitigate this risk.

In contrast, while the flu, common cold, measles, mumps, chickenpox, and shingles are communicable diseases, they are typically spread through respiratory droplets or direct contact and do not primarily involve the concern of bloodborne transmission during dental procedures. Therefore, while they are relevant in broader public health contexts, they are less critical when considering the specific risks associated with coronal polishing.