Which of the following necessitate precautions when mechanized instrumentation is used?

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Each of these factors is an indication for caution during use of mechanized instruments. None of these factors always absolutely contraindicates the use of mechanized instruments. Instead, pacemakers may be disrupted by external electric fields. Consultation with the medical provider should be initiated if the need for ultrasonic instrumentation outweighs the risks. Consultation with a cardiologist of record will provide information on the pacemaker type and recommendations for use of ultrasonic instrumentation. Demineralized tooth surfaces are avoided with mechanized instrumentation. Mechanized instrumentation can occur adjacent to demineralized areas. Use of mechanized instrumentation with children is a concern because vibrations might negatively affect young growing tissue. Primary and newly erupted teeth have large pulp chambers that are more susceptible to heat generated by dental instruments. If mechanized instruments are used, the lowest possible power setting and adequate water flow for cooling are recommended. Precautions are not indicated with tobacco stain, orthodontic cement, and pericoronitis, although the dental hygienist needs to select the correct working end design to achieve the desired outcome. Ultrasonic instrumentation is indicated in necrotizing ulcerative gingivitis. Clients with communicable diseases that are controlled are indicated for NSPT and standard universal precautions are used. Immunosuppression could be a contraindication or precaution, but it depends on the health status of the client. Periodontal debridement is an indication, dysphasia is a contraindication, and so is intrinsic tooth stain. Restorations do represent a precaution and ultrasonic instruments can be used for periodontal debridement in the case, while not instrumenting the restoration itself with the activated working end. Extrinsic coffee staining is an indication.

Which of the Following Necessitate Precautions When Mechanized Instrumentation Is