{Class II?}

I was pretty nervous for today.  It was my first day of seeing somebody I don't know yet, and he was a NP.  Well, I got to clinic early and got all set up, and by 8:00, he wasn't there yet.  So, by 8:10, I went up front, and he was just getting done checked in.  Phew!  So, I brought him back and did HHX and asked him if he wanted x-rays today.  I told him the price, and he said he didn't bring any money with him today.  Aaaah!  So, I told him that we would at least do the part of the appointment that doesn't cost anything.  I figured he was most likely a 1B because he is young, and I wouldn't be lucky enough to get anything more than that.  Well, as I was doing his exam, I noticed his extremely swollen, and red gums and heavy plaque and calculus.  Wow!  I haven't seen that yet!  He had hardly any dental charting, which was SO nice and no lesions.  Loved that!  So, I started probing, and had to stop after doing about 4 teeth because I couldn't read the probe because of the amount of plaque.  So, I stopped and did a little OHI with toothbrushing.  That helped a little.  As I was going, I could definitely feel lots of buildup subgingivally, and was getting a lot of 4 mm pockets.  I felt bad because it was definitely painful for him.  He kept wincing and jumping.  Well, after that got done, I decided I was going to need some x-rays to classify him, so I offered to pay for them.  He agreed, and I went and got all set up.  When I came back in to get him, he told me that his work just called him and needed him to come in as soon as possible.  Ugh!  So, Instructor Demmings was so great and came right over and did the OD check as fast as she could.  She was really great about helping me to identify things that I wasn't quite sure about.  She also was great about educating the pt. and reiterating everything that I told him.  So, Inst. Demmings told me that she thinks that he is most likely a Class II, and will have to be numb for his scaling because of how sensitive he is.  She let the pt. know that he will need at least two more appointments.  And I get to use the Ultrasonic!  So, overall, it was a good day!  I just hope he will come back and be cooperative with the information I gave him today.  I also hopes he brings money next time!