Matt Green worked as tree cutter. Unfortunately, he fell from a tree and injured his back and neck. He had to undergo multiple surgeries and suffered from chronic pain, which led to stress, financial hardship and depression. Matt began to take medicine to alleviate these conditions. The medications he was taking caused dry mouth and bruxism which led to tooth loss and cavities. We created a report that outlined the connection between his dental injury (missing teeth, cavities, gum disease) and the industrial orthopedic injury, citing literature to support the connection. When the insurance carrier denied our work, Matt’s attorney requested a QME in dentistry. The QME agreed with our assessment and recommendation and authorized the treatment. The patient had full dental reconstruction with dental implants and crowns, covered by the workers' comp insurance carrier.

Sylvia Wyatt loved her job as a horse groomer, until the day a horse reared its head, kicked backward, and knocked out most of her teeth. The work comp carrier authorized removable dentures, but wouldn’t authorize dental implants. Over a 2 year period, we composed four in-depth reports stating our case, and as a result, they ultimately authorized reconstruction with dental implants.