Contributing Writer 
Referral To Periodontist For Crown Lengthening Surgery
Dr. Name
Office address
City, State ZIP
(or preferably print on letterhead)
Date
Dr. Periodontist
Address
City, State Zip
Dear Dr. Periodontist:
I have referred [patient name] to you for crown lengthening surgery around #19. I am sending bitewings and a periapical from 8/13/96.
Jane was a new patient to us last week. She was a previous patient of [Dr. _____]. She has a good dentition; #19 build-up and crown is the only restorative work we have planned. I did note generalized gingivitis, but the pocket probings were good.
She remembers being advised of having the caries on #19 treated after she had her baby 2 years ago, but she never followed through with treatment.
I have referred her to [Dr. Endo] for endodontic treatment of 19, and will steer her your way after completion of the root canal work.
Let me know if you need any more information.
Sincerely,
Dr. _______
