Code of Federal Regulations Title 38. Pensions, Bonuses, and Veterans' Relief § 38.4.150 Schedule of ratings—dental and oral conditions

Note (1): For VA compensation purposes, diagnostic imaging studies include, but are not limited to, conventional radiography (X-ray), computed tomography (CT), magnetic resonance imaging (MRI), positron emission tomography (PET), radionuclide bone scanning, or ultrasonography

Note (2): Separately evaluate loss of vocal articulation, loss of smell, loss of taste, neurological impairment, respiratory dysfunction, and other impairments under the appropriate diagnostic code and combine under § 4.25 for each separately rated condition

9900

Maxilla or mandible, chronic osteomyelitis, osteonecrosis or osteoradionecrosis of:

Rate as osteomyelitis, chronic under diagnostic code 5000.

9901

Mandible, loss of, complete, between angles

100

9902

Mandible, loss of, including ramus, unilaterally or bilaterally:

Loss of one-half or more,

Involving temporomandibular articulation

Not replaceable by prosthesis

70

Replaceable by prosthesis

50

Not involving temporomandibular articulation.

Not replaceable by prosthesis

40

Replaceable by prosthesis

30

Loss of less than one-half,

Involving temporomandibular articulation.

Not replaceable by prosthesis

70

Replaceable by prosthesis

50

Not involving temporomandibular articulation.

Not replaceable by prosthesis

20

Replaceable by prosthesis

10

9903

Mandible, nonunion of, confirmed by diagnostic imaging studies:

Severe, with false motion

30

Moderate, without false motion

10

9904

Mandible, malunion of:

Displacement, causing severe anterior or posterior open bite

20

Displacement, causing moderate anterior or posterior open bite

10

Displacement, not causing anterior or posterior open bite

0

9905

Temporomandibular disorder (TMD):

Interincisal range:

0 to 10 millimeters (mm) of maximum unassisted vertical opening.

With dietary restrictions to all mechanically altered foods

50

Without dietary restrictions to mechanically altered foods

40

11 to 20 mm of maximum unassisted vertical opening.

With dietary restrictions to all mechanically altered foods

40

Without dietary restrictions to mechanically altered foods

30

21 to 29 mm of maximum unassisted vertical opening.

With dietary restrictions to full liquid and pureed foods

40

With dietary restrictions to soft and semi-solid foods

30

Without dietary restrictions to mechanically altered foods

20

30 to 34 mm of maximum unassisted vertical opening.

With dietary restrictions to full liquid and pureed foods

30

With dietary restrictions to soft and semi-solid foods

20

Without dietary restrictions to mechanically altered foods

10

Lateral excursion range of motion:

0 to 4 mm

10

Note (1): Ratings for limited interincisal movement shall not be combined with ratings for limited lateral excursion

Note (2): For VA compensation purposes, the normal maximum unassisted range of vertical jaw opening is from 35 to 50 mm

Note (3): For VA compensation purposes, mechanically altered foods are defined as altered by blending, chopping, grinding or mashing so that they are easy to chew and swallow. There are four levels of mechanically altered foods: full liquid, puree, soft, and semisolid foods. To warrant elevation based on mechanically altered foods, the use of texture-modified diets must be recorded or verified by a physician

9908

Condyloid process, loss of, one or both sides

30

9909

Coronoid process, loss of:

Bilateral

20

Unilateral

10

9911

Hard palate, loss of:

Loss of half or more, not replaceable by prosthesis

30

Loss of less than half, not replaceable by prosthesis

20

Loss of half or more, replaceable by prosthesis

10

Loss of less than half, replaceable by prosthesis

0

9913

Teeth, loss of, due to loss of substance of body of maxilla or mandible without loss of continuity:

Where the lost masticatory surface cannot be restored by suitable prosthesis:

Loss of all teeth

40

Loss of all upper teeth

30

Loss of all lower teeth

30

All upper and lower posterior teeth missing

20

All upper and lower anterior teeth missing

20

All upper anterior teeth missing

10

All lower anterior teeth missing

10

All upper and lower teeth on one side missing

10

Where the loss of masticatory surface can be restored by suitable prosthesis

0

Note—These ratings apply only to bone loss through trauma or disease such as osteomyelitis, and not to the loss of the alveolar process as a result of periodontal disease, since such loss is not considered disabling

9914

Maxilla, loss of more than half:

Not replaceable by prosthesis

100

Replaceable by prosthesis

50

9915

Maxilla, loss of half or less:

Loss of 25 to 50 percent:

Not replaceable by prosthesis

40

Replaceable by prosthesis

30

Loss of less than 25 percent:

Not replaceable by prosthesis

20

Replaceable by prosthesis

0

9916

Maxilla, malunion or nonunion of:

Nonunion,

With false motion

30

Without false motion

10

Malunion,

With displacement, causing severe anterior or posterior open bite

30

With displacement, causing moderate anterior or posterior open bite

10

With displacement, causing mild anterior or posterior open bite

0

Note: For VA compensation purposes, the severity of maxillary nonunion is dependent upon the degree of abnormal mobility of maxilla fragments following treatment (i.e., presence or absence of false motion), and maxillary nonunion must be confirmed by diagnostic imaging studies

9917

Neoplasm, hard and soft tissue, benign:

Rate as loss of supporting structures (bone or teeth) and/or functional impairment due to scarring.

9918

Neoplasm, hard and soft tissue, malignant

100

Note: A rating of 100 percent shall continue beyond the cessation of any surgical, radiation, antineoplastic chemotherapy or other therapeutic procedure. Six months after discontinuance of such treatment, the appropriate disability rating shall be determined by mandatory VA examination. Any change in evaluation based upon that or any subsequent examination shall be subject to the provisions of § 3.105(e) of this chapter. If there has been no local recurrence or metastasis, rate on residuals such as loss of supporting structures (bone or teeth) and/or functional impairment due to scarring