| September 9, 2010 
 Dear Doctor, Michelle Knowles was seen on Monday, September 9, 2010 for the post-treatment evaluation. This most recent examination reveals the following: | |||
| 
 | DIAGNOSIS: | Periodontitis | |
| 
 | GINGIVA: | ||
| 
 | 
 | Color: | Pink | 
| 
 | 
 | Texture: | Glossy | 
| 
 | 
 | Margins: | Clefts | 
| 
 | 
 | Attachment: | Recession | 
| 
 | 
 | Papillae: | Blunted | 
| 
 | 
 | Sulcus: | Blood | 
| 
 | 
 | Contour: | Irregular | 
| 
 | X-RAY: | ||
| 
 | 
 | Bone Loss: | Moderate | 
| 
 | 
 | Bone Defects: | Craters | 
| 
 | ORAL HYGIENE: | ||
| 
 | 
 | Plaque: | Light | 
| 
 | 
 | Calculus: | Light | 
| 
 | 
 | Stain: | Light | 
| Because the patient has responded so well, I have asked him to return to your office for continued dental care. Any restorative treatment plans you might have could well be done at this time, and I encourage it. Since the coming year is such a critical time in the healing process and an essential time for continued maintenance of superior oral hygiene and plaque control, I have suggested that the patient visit you on a very regular basis. Please make contact and establish a regular recall schedule. We would appreciate any further communications you may have concerning this patient. Feel free to contact me at anytime. Sincerely, Dennis D. Smith, D.D.S. | |||