What type of patient should generally avoid coronal polishing?

Coronal polishing is a procedure primarily aimed at removing plaque and stains from the tooth surfaces, but it's not appropriate for all patients, particularly those with active periodontal disease. In patients with this condition, there is inflammation and potential destruction of the supporting structures of the teeth. Polishing can further irritate the gums and potentially exacerbate the periodontal issues. It is essential to address the underlying periodontal disease first through appropriate treatment, which may include scaling and root planing, before considering coronal polishing.

For patients with good oral hygiene, there is no significant accumulation of plaque or stains, meaning that coronal polishing might not provide any substantial benefit. Similarly, patients undergoing orthodontic treatment often require special care regarding their oral health, but polishes can still be utilized cautiously and may even be beneficial in removing plaque around brackets, depending on their situation. Thus, the option stating that patients with active periodontal disease should generally avoid coronal polishing is the most accurate response.