In what scenarios might coronal polishing be deemed unnecessary?

Coronal polishing may be deemed unnecessary when a patient maintains excellent oral hygiene. Individuals who consistently adhere to proper brushing, flossing, and regular dental visits generally have minimal plaque accumulation and staining on their teeth. In such cases, the purpose of coronal polishing—removing plaque, biofilm, and extrinsic stains—may not be warranted. Excellent oral hygiene practices result in the maintenance of a healthy and clean tooth surface, reducing the need for additional polishing procedures.

While there are other situations, such as during orthodontic treatment or for very young patients, where coronal polishing may be less common or approached differently, the most straightforward reasoning lies in the patient's oral hygiene status. If they are taking care of their teeth effectively, this proactive maintenance diminishes the necessity for additional polishing interventions. Personal preference is also a valid consideration, but it is more subjective compared to the clear indication of good oral hygiene. Thus, a patient with excellent oral hygiene would make coronal polishing largely unnecessary.