Pathology · single question

Pemphigus — what should NOT be used during dental treatment?

  1. Ultrasonic scaler with care
  2. Soft toothbrush
  3. Air abrasive jet (air polisher)
  4. Chlorhexidine rinse
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Correct answer: A. Ultrasonic scaler with care

  • A. Correct. Air abrasive jet/air polishing is contraindicated in pemphigus vulgaris. Pressurized abrasive particles can rupture fragile bullae, provoke Nikolsky sign, and extend ulcerations. Traumatic instrumentation must be avoided.
  • B. Incorrect. Gentle ultrasonic scaling may be used with caution in pemphigus.
  • C. Incorrect. A soft toothbrush is actually recommended for gentle oral hygiene.
  • D. Incorrect. Chlorhexidine rinse is beneficial for infection control in oral pemphigus.

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