Excessive cementum removal during periodontal debridement could result in which of the following?

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Ultrasonic instrumentation and hand instrumentation both can create dentinal sensitivity if too much root surface, or cementum, is removed. This surface could be located subgingivally or be supragingival if recession has occurred. Caries is an infectious disease process that is not initiated by instrumentation. Cementum could be removed evenly, even with overinstrumentation, and root surface damage usually refers to striations or defects. Pulpitis is inflammation in the pulp of the tooth for various reasons. The immature pulp of children is cited as one reason that ultrasonic instruments are sometimes contraindicated in this age group of clients. The heat generated could negatively affect the pulp, although cases of pulpits have not been reported in recent literature. Enamel is not lost with periodontal debridement with hand or ultrasonic instruments provided it is a healthy tooth structure of sufficient hardness. Dental hygienists do not instrument compromised enamel (demineralized).

Excessive Cementum Removal During Periodontal Debridement Could Result in Which