Referral Letter to a Specialist Dentist

Referral Letter to Specialist Dr. Emily Carter BDS, MSc (Dentistry) Bright Smiles Dental Clinic 123 Dental Avenue, London, UK +44 20 7946 0958 emily.carter@brightsmiles.co.uk Date: 1 March 2025 **To:** Dr. John Smith Oral Surgery Specialists 456 Specialist Road, London, UK +44 20 7946 1234 john.smith@oralsurgeryspecialists.co.uk Re: Mr. James Anderson Date of Birth: 15 March 1985 Dear Dr. John Smith, I am referring Mr. James Anderson to you for specialist assessment and management regarding a suspected impacted third molar. The patient presented to our clinic with severe pain and swelling in the lower right quadrant, and after a thorough examination, I believe specialist intervention is required for optimal care. **Reason for Referral** The primary reason for referral is the suspected impaction of the lower right third molar, causing significant pain and swelling. The referral is urgent due to the risk of infection and further complications. **Clinical History** - History of Presenting Complaint: Mr. Anderson has experienced severe pain and swelling in the lower right jaw for the past two weeks, with symptoms progressively worsening. - Relevant Medical History: No known allergies. Currently taking ibuprofen for pain management. No significant past illnesses or surgeries. - Dental History: Previous restorations and routine cleanings. No history of extractions or orthodontic treatment. - Previous Interventions: Attempted pain management with over-the-counter analgesics. **Clinical Findings** - Extraoral Examination (E/O): Notable facial swelling on the right side, tenderness upon palpation. - Intraoral Examination (I/O): Swelling and tenderness in the lower right quadrant, partially erupted third molar visible. - Periodontal Status: Mild gingival inflammation around the affected area. **Radiographic & Diagnostic Findings** - Radiographs Taken: OPG showing impacted lower right third molar with potential periapical pathology. - Other Tests Conducted: Pulp vitality testing indicates non-vital tooth. **Diagnosis & Provisional Assessment** - Diagnosis: Impacted lower right third molar with associated periapical pathology. - Provisional Assessment: Suspected infection requiring surgical intervention. **Requested Specialist Intervention** Surgical extraction of the impacted third molar and management of any associated infection. **Urgency of Referral** Urgent referral due to risk of infection and severe pain. **Attachments** OPG radiograph and clinical notes attached. Thank you for your assistance in managing this case. Please feel free to contact me if you require further details or clarification regarding this referral. Kind Regards, Dr. Emily Carter BDS, MSc (Dentistry) Bright Smiles Dental Clinic +44 20 7946 0958 emily.carter@brightsmiles.co.uk