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TMJ Surgery The pain never stopped, it got worse.

I am asking this for my son who is 20 y/o. Last June he fractured his jaw, it was nondisplaced, & we were referred to an oral surgeon. My son had his jaw wired for 4-5 weeks, the whole time he complained of severe pain, almost seemed atypical. I took him back & fourth each way 70 miles every week, due to pain, brackets breaking, although he followed the diet. We went down at about 4-5 weeks, once again complaing of severe pain, he had x-rays done, & then the surgeon took the wires off, saying he was "fine". The pain never stopped, it got worse & went into his neck, shoulders, & back. He saw his MD multiple times, had an MRI of his C spine with neurosurgical follow up, & saw two separte dentist who claimed to be TMJ specialist. It was the second dentist who was very alarmed, sent us to an oral surgeon about 60 miles away. This oral surgeon was excellent, he said our son had RSD, or what they call now CRPS, he also has a malocculsion that was not there before. My son wore braces for 4 years, never complained of TMJ symptoms prior to this. This surgeon felt he would absolutey need surgical intervention for optimal outcome. He did not feel qualified enough, & sent us to the state of Flordia, we live in PA. The consult was 1800.00 upfront, & due to my son smoking ciggerattes could not do surgical intervention. We went home had a splint made by the oral surgeon who sent us to Flordia, & in 6 weeks were to have a conferance call after my son stopped smoking.There has been no positive channges, his pain is severe & chronic he is on narcotics daily, & missed his college year. We are now told he will need fat graphs, & rubber banding in Flordia by the surgeon we consulted. He only takes cashier checks for surgery, we paid 1800.00 for the consult which I did get 80% back, & will get 80% back of the surgerey. The hospitalization is covered. Does this seem to anyone to be a malpractice issue from the orginal surgeon who wired him? The fracture had healed fine, it was not displaced. Does anyone have any idea how much the surgery cost could be? They are emailing me a fee sheet, & I do not now how we will come up with the money, we have 3 daughters all teenagers, I am very chronically ill due to a work injury while working as an RN in a trauma center, the case is over 8 years old & we have never settled due to the multiple complications from surgery. Anyone who has any experiance with the outcome, or the cost, & any advice would be appreciated
Thank you,
Tina
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replied June 23rd, 2012
Long-term ongoing TMJ problems for a young man
Hi Ms. Tina and family,

I am truly sorry to hear of the difficulties that your son has had to undergo because of these problems.

My advice is always to have a second or third opinion when complications are present the way you described them for your son.

It is not important that I know who the other doctors are who have seen your son. Our main task at hand is to appropriately diagnose his condition as it is today and recommended treatment to help him recover and reclaim his life again.

It is my pleasure to be in practice with three talented and experienced oral and maxillofacial surgeons. Their reputation is impeccable. If your son was my son, these are the doctors I would send him to see.

If it is possible for you to do so, please call upon us. It will be our pleasure to see your son. I also will be present at the examination appointment.

Dr. Paul
Specializing in facial injuries and pain, corrective jaw surgery, wisdom tooth removal, dental implants, bone grafting, and TMJ
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