Dr.Periodontist
6817 N. Cedar
Spokane, WA 99208
Dear Dr. Perio:
I have referred [patient name] to you for grafting evaluation. I am forwarding duplicate bitewing x-rays (4/18/97) and panorex (6/16/97) taken at Dr. Olddentist's office.
Jim came to me as a new patient yesterday for a consultation. I spent time discussing his recession, and grafting procedures. Tooth #6 is the only sensitive area, and this is only to touch.
We reviewed a more gentle brushing technique. I also recommended a Sonicare.
Jim uses chewing tobacco; I discussed the detrimental effects of this to his oral health. I informed him that you might not do any grafting until he quits the habit.
I have also recommended a nightguard for him, as he has noticed himself clenching and grinding his teeth.
Let me know if I may supply any more information.
Sincerely,
Randy Otterholt, D.D.S.