Dr. Name
Office address
City, State ZIP
(or preferably print on letterhead)

Date

Dr. Endodontist
Address
City, State  Zip

Dear Dr. Endodontist:

We have referred [patient name] to you for treatment of #29.

XXXX was a new patient to us this month.  He needs extensive crown work.  The caries on 29 extends far subgingivally.  I have referred him to Dr. Periodontist for crown lengthening surgery, and comprehensive perio evaluation.  I told Dr. Perio that you might prefer to have the crown lengthening done prior to your completion of RCT.

Also, could you evaluate #2?  It has caries that also extends far subgingivally; it has a periapical abscess, and the canals appear quite calcified.  This tooth might be better treated with removal.

Let me know if you need any more information.

Sincerely,

Dr. ______