Response Letter to Referring Clinician

Response Letter to Referring Clinician Dr. Emily Carter Bright Smiles Dental Clinic 123 Dental Avenue, London, UK 020 7946 0958 info@brightsmiles.co.uk Date: 1 November 2024 To: Dr. Thomas Kelly Greenfield Health Centre 456 Health Street, London, UK 020 7946 1234 contact@greenfieldhealth.co.uk Re: John Doe Date of Birth: 15 March 1985 Dear Dr. Thomas Kelly, Thank you for referring John Doe to our practice for evaluation of persistent dental pain. The patient was seen on 28 October 2024, and I have completed the initial specialist assessment and management plan as follows: **Summary of Consultation** John presented with a primary complaint of severe pain in the lower right molar region, exacerbated by chewing. His medical history includes hypertension, managed with lisinopril, and no known allergies. He reported a history of root canal treatment on the affected tooth two years ago. Clinical Examination: Extraoral Findings: No significant extraoral abnormalities were noted. Intraoral Findings: The lower right first molar exhibited tenderness on percussion and a fractured restoration. Radiographic & Diagnostic Findings: A periapical radiograph revealed a periapical radiolucency suggestive of a failed root canal treatment. Diagnosis: Chronic apical periodontitis of the lower right first molar. **Management Plan** The recommended treatment plan includes retreatment of the root canal to address the infection. During this visit, the existing restoration was removed, and the canal was accessed and cleaned. A temporary filling was placed, and the patient was advised on post-treatment care. Ongoing Treatment Required: The patient is scheduled for a follow-up appointment in two weeks for completion of the root canal retreatment and placement of a permanent restoration. Patient Education & Preventative Advice: John was advised on maintaining oral hygiene, including regular brushing and flossing, and the importance of follow-up visits. **Follow-Up & Referral Back** Patient to Continue Care with Referring Clinician: Once the root canal retreatment is completed, John will be referred back to you for ongoing maintenance and any further restorative work. Specialist Follow-Up Required: A follow-up appointment is scheduled for 14 November 2024 to complete the treatment. Referral to Another Specialist: No additional referrals are necessary at this time. **Attachments** Attached are the radiographs and clinical photos taken during the consultation for your records. Thank you for your referral and collaboration in the care of John Doe. Please feel free to contact me should you require any further details or discussion regarding this case. Kind Regards, Dr. Emily Carter BDS, MSc Endodontics Bright Smiles Dental Clinic info@brightsmiles.co.uk 020 7946 0958