10/23/12

Today I had my first clas IV pt. He had 9-10 mm pocketing. The first quad was the lr, which I felt I had an easier time at then on the ur. Access and using indirect vision made it harder to scale. I used my ultrasonic a lot, along with files. This was a good experience. Completely different when they have such deep and easy access pockets compared with a class II. His next visit I plan to place arestin to help with healing in these pockets. Instrumentation is difficult when it is that deep, due to lack of vision, and crown/root access. The crowns feel like they are in the way to place the instrument sometimes. Good experience, as now I see the difference, and severity of this classification.