What health condition may necessitate avoiding coronal polishing altogether?

Active periodontal disease is a significant condition that may require the complete avoidance of coronal polishing. This is due to the fact that coronal polishing can potentially exacerbate the inflammation present in the periodontal tissues. The goal of coronal polishing is to create a smooth tooth surface and remove plaque or stain from the coronal aspect of the tooth, but during active periodontal disease, the gums are already inflamed and sensitive.

Performing coronal polishing on teeth that are affected by active periodontal disease can increase the risk of introducing bacteria into the periodontal pockets, which can lead to further complications. This practice would not only fail to address the underlying issues of the periodontal disease but could also aggravate the condition, making it essential to avoid coronal polishing until the periodontal health has improved.

Other options like dental caries, hypersensitivity, or cavity fillings may present considerations during treatment, but they do not necessitate the complete avoidance of coronal polishing in the same definitive manner as active periodontal disease. For instance, dental caries would typically be addressed ahead of any polishing, while hypersensitivity might require care in technique rather than outright avoidance. Similarly, cavity fillings can be polished as part of routine dental care once they have stabilized.