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  1. #1
    Join Date
    Feb 2014

    Default Is a Loss of Teeth Considered to be a Permanent Scar

    I lost 14 teeth total due to a car accident while working. I am in the process of trying to settle the WC claim. My teeth have been replaced with partial dentures and I have been released by the dentist.

    I had to contact the WC insurer to inform them that they owed me PPD for the loss of 14 teeth. I also feel that they owe for permanent scarring, I am missing all front teeth in my upper and lower jaw.

    They finally offered me around $6000 dollar for the loss of teeth and their attorney told me that a hearing judge wasn't going to consider payment for permanent scarring above the neck unless it was keloid or burn scars since they would be paying PPD for the loss of teeth. I would consider loss of all of your front teeth as permanent scarring.

    I live in SC. Has anyone else dealt with this?

    They also offered about $3600 for future replacement of my partials if I would settle the claim for good. I was under the impression that WC covered replacement of partials for life. $3600 would only cover one replacement of my partials that cost around $2800 at present day cost. I am 50 years old and hope to live past the 5 to 10 years my first set will last.

    I am not represented by an attorney in the WC claim. I do have a legal suit against the individual who T-boned me and caused the injury. That attorney isn't interested in the WC claim because I only missed about a week of work.

    The settlement offer was sent to me about a week ago. I haven't had a hearing yet. I would prefer to have them pay for the loss of teeth and still be responsible for future dental treatment instead of getting money for future treatment.

    Most of all, I feel they owe me for the permanent scarring. I may have partials but when they aren't in my mouth, you can see scarring. I don't have any front teeth at all.

    If anyone else has dealt with this please respond. The WC insurer has been trying to low ball me since the accident.


  2. #2
    Join Date
    Feb 2007
    831 East Morehead St., Ste 355, Charlotte, NC 28202

    Default Re: Is Loss of Teeth That is Covered by PPD Also Eligible for Payment for Permanent S

    A workers' comp lawyer (not a "personal injury" lawyer) will give you a free consultation. You should call around and get one so that you can have some idea what you are doing. In the meantime, find out from your dentist some realistic numbers about what future replacements will actually cost during your life expectancy. A 50 year old can expect to live another 35 years or so on average.
    The North Carolina Court of Appeals has held that "In contested Workers' Compensation cases today, access to competent legal counsel is a virtual necessity." Church v. Baxter Travenol Labs, Inc., and American Motorists Insurance Company, 104 N.C. App. 411, 416 (1991).

    Bob Bollinger, Attorney and Board Certified Specialist in NC Workers' Compensation Law

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