Read the case notes and complete the writing task which follows.

Notes:

Assume that today's date is 10 February 2019
You are a dentist in a private practice. A regular patient of yours, Ms Taylor Hawking, requests referral to
an orthodontist.

Patient:  Ms Taylor Hawking (DOB: 24 Mar 1999)

Reason for Presenting:

• Dissatisfied with appearance
• Rotation of 13 and 23
• Left drifting of lower midline

Medical History:

• Allergic to penicillin, allergic to peanuts, asthma

Current Medication:

• Ventolin inhaler p.r.n.
• Carries EpiPen
  

Family and Social History:

• University student
• Lives at home with parents, 2 siblings

Examination:

• All teeth present in both arches
• DI composite 23
• MO amalgams 16, 17
• Occ amalgam 25
  

Treatment Record:
31 Mar 2016            

• Exam: L & R bite-wing (BW) radiographs & OPG. Digital photographs.
• Occlusal caries detected on BW 26, 27, 36, 37, 46 & 47. Calculus lower anterior teeth.
• Treatment required: restoration of teeth 26, 27, 36, 37, 46 & 47 and prophylaxis.
• Appointments scheduled.

08 Apr 2016            

• LA right mandibular block lignocaine with adrenaline 2%
• 2ml. 47 Occ and 46 Occ very deep caries.Fuji VII base & composite Heliomolar shade A3.

15 Apr 2016            

• LA left mandibular block lignocaine
• 2% with adrenaline 2.2 ml. 36 Occ and 37 Occ deep cavities.Fuji VII base & composite Heliomolar shade A3.

22 Apr 2016            

• LA buccal infiltration lignocaine 2% with adrenaline 2.2 ml. 26 Occ and 27 Occ cavity within enamel bonded composite A3 & scale with ultrasonic and hand scalers lower ant teeth.

09 Dec 2016          

• Exam: no obvious caries Soft tissue exam OK. Minimal recession. Small amount lower
• lingual anterior calculus.
• Treatment: scale, clean, floss & polish.

05 Jul 2017           

• Exam: no obvious decay. Soft tissue exam OK. Minimal recession. Small amount lower lingual anterior calculus.
• Treatment: scale & clean, floss & polish.

27 Jul 2017            

• Emergency exam: 38, erupting pericoronitis.
• Irrigate hydrogen peroxide.
• Refer for OPG.
• Prescribed Erythromycin 250mg q.i.d. and Metronidazole tab 200mg t.i.d.
• Chlorhexidine mouth wash (antibacterial mouthwash). Review condition in 2 weeks. Reassess
• status of wisdom teeth as to whether they require extraction.
  

09 Jul 2017           

• Reviewed 38, pericoronitis resolved. Arrange convenient time to have wisdom teeth extracted.

01 May 2018        

• Recall examination.
• No obvious caries. Wisdom teeth settled no further problems.
• Soft tissue exam OK.
• Minimal recession detected. Calculus lower lingual anterior.
•   Treatment: oral hygiene instruction and showed how to effectively use floss. Scale, (ultra sonic and hand), floss and prophy.

10 Feb 2019         

• Recall examination.
• Patient concerned about “ugly appearance” of smile.
• O/E: teeth 13 and 23 rotated. Crowding: upper - severe (9mm), lower - moderate (6mm).
• Lower midline displaced to left 5mm.
• Refer for OPG.
• Treatment: refer to orthodontic assessment before definitive treatment (inc. fixed appliance therapy).
• To write referral letter to orthodontist. Patient to take OPG.
  

Writing Task:

Using the information given in the case notes, write a letter of referral to the orthodontist, Dr Peter Rosenberg, 48
Crown Avenue, Stillwater.

In your answer:

• Expand the relevant notes into complete sentences
• Do not use note form
• Use letter format

The body of the letter should be approximately 180–200 words.