/ Classification: CL_ II Pain Scale: /10 Dental Prostheses at intake: Yes No Type: Age: Condition: Firs: .17 ova / m I it ce SS/ on bi,SeitiLe, - .14,--Xes- C-'. Act( oar Calallini Iota 49 SCA4 intia-oral Pholos Tama Yes 0 Radiographs Taken: (Document findings on A8.0 Yes 9 r) last