P.J. is an 18 year old who was playing soccer when she fell and was kicked in the right side of her jaw.

P.J. had seen two oral dental surgeons who tried pain meds, anti-inflammatories and bite plates. Nothing helped. 

Rupert Case Management Inc. (RCM) was retained by the family.  

P.J. had a MRI of her right TMJ which showed that the disc or meniscus was torn and displaced.

RCM found two oral surgeons with the expertise required to fix the problem.  She saw them for opinions.

One of the oral surgeons suggested that P.J. have another MRI of the right jaw with a neuro-radiologist expert in vascular malformations.

The MRI showed that P.J. had developed a venous malformation.

This had resulted from the trauma. 

One of the oral surgeons did arthroscopic surgery (minimally invasive surgery) to fix the problem.

The venous malformation did not require treatment.

P.J. could happily go out for pizza with her friends and not have pain.

It all starts with a conversation.  We are always pleased to help.