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Date

Alex's Dentist
418 Massachusetts Avenue
Acton, MA 01720

RE: Alex Berko

Dear Alex's Dentist,

Alex was recently seen for an orthodontic consultation and was found to have a Class I malocclusion with the following findings:

OVERJET:

moderate

OVERBITE:

deep

CROSS BITE:

UR molar

ARCH DISCREPANCY:

slight

SKELETAL PROBLEMS:

premaxillary protrusion

SPECIAL PROBLEMS:

watch oral hygiene
early mixed dentition
maxillary distema/frenum
cuspid impaction

Treatment time is estimated at 24 months and will require the following:

EXTRACTIONS:

not at this time

FIXED APPLIANCES:

full bonding

In this section, Dr. Berko writes in more detail about your individual diagnosis and treatment plan.

We stressed the importance of Alex returning to your office for regular dental checkups and cleanings.

If you have any questions regarding Alex’s treatment we are always available to discuss it with you.

I have enclosed a copy of Alex‘s panorex for your records and will send a copy of this letter to Dr. & Mrs. Berko.

Thanks again for the privilege of working with you and your patients.

 

Sincerely,

 

Dr. Alan Berko

 

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