Dr. Endodontist
701 W. 7th
Spokane, WA 99204
Dear Dr. Endo:
I have referred [patient name] to you for evaluation and treatment. His father has referral and x-rays, and should be calling for appointment.
I saw Joe on 9/13/99. He said he was in a go-kart accident on 9/11/99. He has lots of scrapes and bruises. He fractured #6, 7, 8, & 9. I noted:
- 6—facial enamel sheared off.
- 7—fractured almost entirely at gumline; a little facial enamel sticking up; pinpoint vital pulpal exposure.
- 8—fractured horizontally; about 3mm of enamel left on facial and lingual; dentin was discolored very deep purple, typical of internal hemorrhage; close to pulp, but no exposure noted.
- 9—oblique fracture; no indication of pulp proximity.
My initial impressions:
- 7 will need root canal treatment due to pulpal exposure and for restorative purposes.
- 8 probably should be treated also for restorative purposes; given the color of the dentin, I wouldn’t bet on long-term pulpal health anyway.
- 6 & 9 – see how they test.
I took intraoral photos before I restored them; I will send you a copy when I get them back.
I plan to crown 7, 8, & 9 after endodontic treatment; possibly splinting together 7 & 8.
Sincerely,
Randy Otterholt, D.D.S.