Contributing Writer 
Letter #3 Referral To Periodontist For Implant Consultation
Dr. Name
Office address
City, State ZIP
(or preferably print on letterhead)
Date
Dr. Periodontist
Address
City, State Zip
Dear Dr. Perio:
I have re-referred [patient] to you for implant consultation. She didn’t follow through with her original Feb 2010 referral.
I saw Jane today with #4-x-6 bridge off. Most of #4 fractured inside the crown; #6 had ¾-coverage.
I recemented it with Rely-X (a permanent cement); informed her that it is a temporary repair, and will probably not hold long.
Before implant surgery, I could cut the bridge between 5-6, leaving gold on 6. She says she would be okay without a temporary.
She still doesn’t seem to know whether she wants to do implants only to replace 4 & 5, or if she should replace all possible missing teeth.
Sincerely,
Dr. ______
