In what circumstances should a dental professional consider alternative methods to coronal polishing?

In cases of extensive decay or other contraindications, a dental professional must consider alternative methods to coronal polishing because the primary goal is to avoid causing further damage to the tooth structure or introducing complications. When there is extensive decay, the tooth may be weakened and vulnerable; performing coronal polishing could exacerbate the situation and lead to pain or additional dental issues.

Moreover, if there are contraindications, such as certain medical conditions or treatments that could lead to complications during polishing, alternative methods may be safer and more appropriate. This ensures that the dental professional prioritizes the patient's overall health and safety, making informed decisions that align with best practices in dental care.

In contrast, while perfect oral health and visible stain accumulation may suggest that coronal polishing is appropriate, they do not present the same level of risk as issues related to extensive decay or specific contraindications. Routine checkups are an opportunity to assess oral health but do not inherently require caution in polishing unless decay or contraindications are present.