Pathology · single question

What should NOT be done when treating a patient with Mucous Membrane Pemphigoid?

  1. Prophy jet (air polishing)
  2. Topical anesthetics before treatment
  3. Gentle scaling
  4. Topical corticosteroids
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Correct answer: A. Prophy jet (air polishing)

Prophy jet should NOT be used — the high-pressure air-powder can traumatize fragile blistered mucosa and trigger new lesions (Koebner phenomenon).
  • A. ✅ CORRECT – Prophy jet is contraindicated; mechanical trauma induces new blister formation.
  • B. ❌ Topical anesthetics are appropriate for pain management.
  • C. ❌ Gentle scaling can be performed carefully.
  • D. ❌ Topical corticosteroids are a mainstay of MMP treatment.

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