Contributing Writer 
Referral To Endodontist For Internal Bleaching
Dr. Name
Office address
City, State ZIP
(or preferably print on letterhead)
Date
Dr. Endodontist
Address
City, State Zip
Dear Dr. Endo:
I have referred [patient name] to you for evaluation of #9. She has a current periapical x-ray with her referral slip.
Kathy is a new patient to me; she came in yesterday for a consultation. Her chief complaint was dark tooth #9. She was also concerned about linguoverted #10.
The only history of trauma to this area was a bike accident when she was in first grade. It occasionally has a dull ache.
The tooth is quite opaque when transilluminated. On the x-ray, the pulp chamber and canal appears much larger than #8.
I discussed porcelain facing; full crown; possible need for RCT depending on pulpal status.
The more I think about it, however, the more I would like to see the darkening treated via endodontics and internal bleaching if possible. I think this would give more satisfactory esthetic results; it might still need porcelain facing sometime in future however.
I have recommended orthodontic treatment to correct #10, as there isn’t enough space to simply tip it forward with a retainer.
Let me know if you need any more information.
Sincerely,
Dr. ______
