11/9/1999
re: claim # 123456789
J. Doe, 455888887
DENTAL CONSULTANT: Please review the claim, with the following additional information.
Patient has fixed bridge 18-X-20 replacing missing 19. 18 has recurrent distal caries under abutment crown. She is missing 1, 2, 14, 16, 17, 19, 30, 31, 32.
Rather than allowing a new fixed bridge, you are allowing alternative treatment of removable partial denture.
This still does not address the original problem, which is recurrent caries on #18. Even with a removable partial denture, a new crown would still be needed on 18.
Also, she is missing #2, so making a removable partial denture to replace lower right molars would not be indicated unless you plan to cover removable partial denture on the upper arch as well.
Please call me personally if you still feel it is appropriate to reduce her benefits to a single removable prosthesis rather than a fixed 3-unit bridge.
Respectfully,
Randy Otterholt, D.D.S.