Which scenario would require immediate referral to a dentist in Direct Access?

Which scenario would require immediate referral to a dentist in Direct Access?

• A. Routine cleaning with no signs of disease.
• B. The patient with a strong gag reflex.
• C. Suspected periodontal disease with systemic involvement, suspicious oral lesions, or conditions requiring restoration beyond the hygienist’s scope.
• D. A patient requesting sealants.

Answer: (C)