17 Longview Road
Newtown
15 December 2018
Dear Dr O’Malley,
Re: Mrs Joyce Williams
DOB: 9 May 1966
Thank you for seeing Mrs Joyce Williams, a 41-year-old smoker, whose root canal treatment could not be completed today. I would be grateful if you could provide further management of this case.
On 2.5.17, Mrs Williams was first advised she might require RCT of tooth 37 after a DO tunnel restoration. Due to financial constraints, she was initially reluctant to undergo RCT, but she agreed to proceed once the tooth became painful on 4.4.18. The initial appointment to begin treatment was cancelled by the patient as the tooth had become asymptomatic.
On 23.11.18, Mrs Williams presented with a non-vital and painful 37. Two days later, root canal treatment was initiated on 37. However, profound analgesia was difficult to achieve.
Today, the tooth was asymptomatic. Debridement and instrumentation were performed on the D and MLi canals, but instrumentation beyond 8mm was not possible. A peri-apical radiograph showed no clear reason for the obstruction. I would appreciate if you would assess and treat as necessary.
Mrs Williams has a history of myocardial infarction (2007), takes aspirin (Cartia) 100mg daily and is allergic to penicillin.
Please do not hesitate to contact me if you require any further information.
Yours sincerely,
Dentist