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15 December, 2018

Dr. Paul Nelson

17 Longview Road
Newton

Re: Mrs. Rachel Johns, D.O.B: 09 May, 1966

Dear Dr. Nelson,

I am writing to refer Mrs. Johns, a 52-year-old smoker, who needs root canal treatment
of her lower left second molar. Her root canal treatment was performed one month ago
that was difficult due to obstruction in the mesio buccal canal.
Mrs. Johns was diagnosed with myocardial infarction one year ago, for which she takes Commented [DR1]: Is taking
aspirin 100mg daily. She is also allergic to penicillin.

An initial examination revealed that Mrs. Johns is a regular attender and has missing Commented [DR2]: was
some of her teeth. She has had RCT’s and amalgam fillings in her teeth. She was
presented with complaints of pain and abscess in the lower left second molar. After an
examination, root canal treatment was planned. During root canal treatment mesio
buccal, mesio lingual, and distal canal were located and prepared, but mesio buccal
canal was unable to instrument beyond 8mm. A periapical radiograph was performed, Commented [DR3]: could not be instrumented beyond
but the cause of obstruction remained unknown. Local anaesthesia was given, but it 8mm.

was difficult to attain the expected results. Commented [DR4]: remained

It would be appreciated, if you could assess and manage Mrs. Johns as you think
appropriate.
Do not hesitate to contact me, if you have any further queries.

Yours sincerely,
Dentist

Report
Word Length 181
Comments 1. The purpose is apparent in the introduction, and is clearly
explained in the conclusion.
2. The letter tries to include relevant case notes, but some
required information is missing.
3. An attempt to organize the content logically is seen, but
order of information and paragraphing need a little bit
improvement in places.
4. In addition, there are minor inaccuracies related to
vocabulary, basic grammar and sentence structure.
5. Overall, the letter needs improvement.
Estimated Grade B
Estimated Score 350/500
Advice 1. Convey the purpose of the document generally in the
introduction.
2. Always read and select case notes carefully.
3. Avoid basic grammar errors.
4. Improve choice of words.
5. Improve the structure of sentences.
6. Improve coherence/paragraphing.
7. Always proofread the letter after finishing it.
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