Dentistry · Referral letter · Task 3

Dental anxiety and an unrestorable molar

You are a dentist. The case notes below record your work on 3 September 2026. Write to Dr Sara Iqbal, Special Care Dentist, Special Care Dental Service, 14 Oak Street, Brookfield. Arrange a supported special-care dental assessment using the consent and communication information. Select the information this recipient needs and write approximately 180-200 words in the body.

Patient: Daniel Reed

Case notes

• N01Date: 3 September 2026. Patient: Daniel Reed.
• N02Dental history: lower right first molar extensive recurrent decay; unrestorable on clinical/radiographic assessment; intermittent discomfort.
• N03Today: no facial swelling, fever or restricted mouth opening.
• N04Anxiety history: distressing childhood dental experience. Two general-practice visits stopped because of severe anxiety; extraction not attempted.
• N05Most recent visit: explanation, stop signal and short visit enabled surgery entry; preparation for local anaesthesia not tolerated.
• N06After visit: willing to discuss further care.
• N07Medical: obstructive sleep apnoea; prescribed nocturnal airway support.
• N08Patient preference: partner at initial discussion; consent given.
• N09Social: restores old radios; works part-time; lives with partner.
• N10Enclosures: radiograph, treatment record, current medical summary.
• N11Plan: Dr Sara Iqbal, Special Care Dentist; assess support, approach and treatment setting; no sedation promised/technique selected; send agreed plan before further operative appointment.