This case takes place in Delaware and involves a teenage patient who suffers from Temporomandibular Joint Disorder following an orthodontic procedure. In February 2007, the patient began treatment with the defending orthodontist. In early 2011, the patient had a left canine tooth impaction (tooth #11) and underwent treatment to attempt to foster the eruption and descent of tooth #11. The patient was referred to the defending oral surgeon for surgical exposure of tooth #11 to attempt to promote the descent of that tooth on the left side. Orthodontic structures were then placed to apply tension on the tooth in an attempt to get the tooth to descend. On July 2, 2012, the orthodontist ordered the oral surgeon to perform another surgical procedure to attempt to descend tooth #11, to be followed by additional orthodontic pressure and tension on the left side of the patient’s mouth by the orthodontist. There has been no follow-up by the defendant following the procedure, and the patient suffered significant bone loss and severe angulations and deformity of his bite and jaw alignment. The patient had to undergo multiple dental procedures to graft bone to replace the bone lost and it is reported that the patient’s bite and jaw disfigurements cannot be repaired such that he is destined to suffer from worsening TMJ and its sequella for the rest of his life.