Reference: 38 CFR 4.150

Sources & Related Guides

What is the VA rating for Dental and Oral Conditions?

Review Dental and Oral Conditions guidance covering all 15 live diagnostic codes under DC 9900-9918, including the prosthesis-replaceability axis shared across DC 9902/9911/9913/9914/9915, and DC 9905's dual-axis temporomandibular disorder ladder.

Condition Overview & Clinical Scope

VA rates dental and oral conditions under 38 CFR 4.150, DC 9900-9918 -- 15 live diagnostic codes covering mandible and maxilla loss, nonunion and malunion, temporomandibular disorder (TMD), tooth loss due to bone loss, palate loss, and oral neoplasms. Five of these codes (DC 9902, 9911, 9913, 9914, 9915) share a real, distinct rating mechanic: whether the lost structure can be restored by a suitable prosthesis, which directly changes the assigned percentage within that code's own ladder.

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Overview

About this condition

VA rates dental and oral conditions under 38 CFR 4.150, DC 9900-9918 -- 15 live diagnostic codes covering mandible and maxilla loss, nonunion and malunion, temporomandibular disorder (TMD), tooth loss due to bone loss, palate loss, and oral neoplasms. Five of these codes (DC 9902, 9911, 9913, 9914, 9915) share a real, distinct rating mechanic: whether the lost structure can be restored by a suitable prosthesis, which directly changes the assigned percentage within that code's own ladder.

Regulatory authority: 38 CFR 4.150, Diagnostic Codes 9900-9918

This hub explains the published DC 9900-9918 schedule and common record language. It does not diagnose a condition, determine service connection, infer undocumented findings, estimate an outcome, or replace medical care or accredited representation. IMPORTANT DISCLOSURES: (1) The prosthesis-replaceability axis (DC 9902, 9911, 9913, 9914, 9915) is a real rating mechanic -- being able to replace a lost structure with a prosthesis lowers the assigned percentage within the same code, it is not simply a compensable-or-not gate. (2) DC 9900 (osteomyelitis, osteonecrosis, or osteoradionecrosis of the maxilla or mandible) has no rating criteria of its own -- it directs evaluation under DC 5000 (chronic osteomyelitis, 38 CFR 4.71a), a musculoskeletal code RatingScope does not currently build; disclosed as a cross-reference to review separately. (3) DC 9917 (benign neoplasm) directs evaluation as loss of supporting structures and/or scarring-related functional impairment, but names no specific destination diagnostic code -- a genuinely open-ended dispatch, in tension with this section's own Note (2), disclosed for separate review rather than guessed. (4) DC 9905 (temporomandibular disorder) has no explicit 0 percent row, and carries a second independent measurement axis (lateral excursion range of motion) that its own Note (1) says cannot be combined with the interincisal-range tiers -- but the regulation does not state which axis controls when both are documented. RatingScope evaluates whichever axis produces the higher tier, disclosed here as an interpretive choice, not a stated regulatory rule. (5) IMPORTANT: the distinction between a compensable dental disability (rated under this section) and eligibility for VA dental TREATMENT (governed entirely by 38 CFR 3.381 and 38 CFR 17.161, outside Part 4's rating schedule) is not modeled anywhere in this hub. Common dental conditions such as replaceable missing teeth, carious teeth, or periodontal disease may return a 0 percent or no-qualifying-criterion result here while still potentially qualifying for VA dental treatment under that separate authority -- RatingScope does not determine or estimate treatment eligibility.

Percentage Guides

Understanding Your Percentage

Select a pathway to see what the published criteria ask about, what records may clarify it, and what should not be assumed.

100% (DC 9901/9914/9918)

Highest listed pathway

Complete loss of the mandible between the angles (DC 9901); loss of more than half the maxilla, not replaceable by prosthesis (DC 9914); or a malignant oral neoplasm (DC 9918).

What separates the next level: DC 9914's 100 percent tier drops to 50 percent if the same extent of maxilla loss is replaceable by prosthesis -- the prosthesis-replaceability axis directly changes the percentage.

Review CFR criteria, examples, and evidence
Official CFR language
9901 Mandible, loss of, complete, between angles -- 100. 9914 Maxilla, loss of more than half: Not replaceable by prosthesis -- 100. 9918 Neoplasm, hard and soft tissue, malignant -- 100.
Qualification explanation
Three independent codes each reach the range's 100 percent ceiling through entirely different findings -- complete mandible loss, non-replaceable extensive maxilla loss, or a malignant diagnosis.
Examples
Records document complete loss of the mandible between the angles following traumatic injury.; Records document a confirmed malignant neoplasm of the oral hard or soft tissue.
Medical evidence
Dental and Oral Conditions DBQ; Surgical or oncology records confirming the diagnosis and extent
Functional impact examples
Complete loss of mandible structure, extensive non-replaceable maxilla loss, or a malignant oral diagnosis.
Common misconceptions
DC 9918 is the only malignancy code in this range, and its ceiling -- there is no separate scale for oral malignancy severity.; DC 9918's own Note states the 100 percent rating is not simply permanent: it continues through treatment, and a mandatory VA examination six months after treatment ends determines the disability rating going forward (any resulting change is subject to 38 CFR 3.105(e) due-process protections). If there has been no local recurrence or metastasis, the veteran is then rated on residuals such as loss of supporting structures or scarring.
Related topics
prosthesis-axis
Source context
38 CFR 4.150; 9901/9914/9918; Current DC 9900-9918 educational pathway. No pending rulemaking touches 38 CFR 4.150 (RSCH-047, confirmed via fresh verbatim fetch during this build).

70% (DC 9902, TMJ involved)

Highest listed pathway

Loss of the mandible including the ramus, involving the temporomandibular articulation, not replaceable by prosthesis.

What separates the next level: If the same TMJ-involving loss is replaceable by prosthesis, the tier drops to 50 percent. If the TMJ is not involved, the tier depends on loss extent instead (40/30 or 20/10 percent).

Review CFR criteria, examples, and evidence
Official CFR language
9902 Mandible, loss of, including ramus, unilaterally or bilaterally: Involving the temporomandibular articulation: Not replaceable by prosthesis -- 70.
Qualification explanation
Reached whenever the temporomandibular articulation is involved and the loss is not replaceable by prosthesis -- confirmed via two independent primary sources that this 70 percent figure applies regardless of whether the loss extent is one-half or more, or less than one-half.
Examples
Records document mandible loss including the ramus, with confirmed temporomandibular articulation involvement, not replaceable by any prosthesis.
Medical evidence
Dental and Oral Conditions DBQ; Surgical or examination records documenting loss extent, TMJ involvement, and prosthesis status
Functional impact examples
Mandible loss involving the jaw joint itself.
Common misconceptions
The loss-extent axis (one-half or more vs. less than one-half) only matters when the TMJ is NOT involved -- when it is involved, both extents reach the same 70/50 percentages.
Related topics
prosthesis-axis
Source context
38 CFR 4.150; 9902; Current DC 9902 educational pathway.

50% (DC 9905, TMD 0-10mm with dietary restriction)

Highest listed pathway

Temporomandibular disorder (TMD) with a maximum unassisted vertical jaw opening of 0 to 10mm, with physician-recorded or physician-verified dietary restriction to mechanically altered foods.

What separates the next level: Without the dietary restriction, the same 0-10mm opening reaches 40 percent instead.

Review CFR criteria, examples, and evidence
Official CFR language
9905 Temporomandibular disorder (TMD). Interincisal range: 0 to 10mm maximum unassisted vertical opening, with dietary restrictions to all mechanically altered foods -- 50.
Qualification explanation
DC 9905's highest tier, reached via the interincisal-range axis at its most restrictive band with a documented dietary restriction.
Examples
Records document a maximum unassisted vertical jaw opening of 8mm, with a physician-recorded diet restricted to pureed foods.
Medical evidence
Dental and Oral Conditions DBQ; Physician records documenting dietary restriction
Functional impact examples
Severe jaw-opening restriction requiring a significantly altered diet.
Common misconceptions
DC 9905 has a second, independent axis (lateral excursion range of motion) that cannot be combined with this interincisal-range tier -- see the dual-axis topic below.
Related topics
9905-dual-axis
Source context
38 CFR 4.150; 9905; Current DC 9905 educational pathway.

40% (DC 9913, teeth loss, all teeth, not restorable)

Highest listed pathway

Loss of all teeth due to loss of substance of the body of the maxilla or mandible, where the lost masticatory surface cannot be restored by suitable prosthesis.

What separates the next level: The same total tooth loss, if restorable by suitable prosthesis, resolves to a flat 0 percent instead -- the prosthesis-replaceability axis is the gate for this entire code.

Review CFR criteria, examples, and evidence
Official CFR language
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: All teeth lost -- 40.
Qualification explanation
DC 9913's highest not-restorable tier -- the loss must stem from loss of substance of the maxilla or mandible bone itself, not ordinary tooth loss.
Examples
Records document loss of all teeth resulting from bone loss in the maxilla or mandible, with no prosthesis able to restore the masticatory surface.
Medical evidence
Dental and Oral Conditions DBQ; Surgical or prosthodontic records documenting whether restoration is possible
Functional impact examples
Total loss of chewing surface due to underlying bone loss.
Common misconceptions
This code requires the tooth loss to result from maxilla/mandible substance loss specifically -- ordinary dental tooth loss or periodontal disease is not rated under DC 9913 at all, and instead falls under the separate compensation-versus-treatment boundary (see below).
Related topics
prosthesis-axis; treatment-boundary
Source context
38 CFR 4.150; 9913; Current DC 9913 educational pathway.

0% (DC 9904/9911/9913/9915/9916, real explicit tiers)

Next: 10% (varies by code)

Several codes in this range have a real, explicitly stated 0 percent tier -- for example, mandible malunion causing no open bite, or hard palate loss replaceable by prosthesis.

What separates the next level: Each of these codes' next tier up requires a specific additional finding (some degree of open bite, non-replaceability, or greater loss extent).

Review CFR criteria, examples, and evidence
Official CFR language
9904 Mandible, malunion of: Displacement, not causing anterior or posterior open bite -- 0. (Similar explicit 0 percent tiers appear under DC 9911, 9913, 9915, and 9916.)
Qualification explanation
These are genuine, stated regulatory outcomes, distinct from DC 9905's situation (below), which has no 0 percent instruction of any kind.
Examples
Records document mandible malunion with displacement, but no resulting open bite.
Medical evidence
Dental and Oral Conditions DBQ
Functional impact examples
Findings that fall within this code's own explicitly stated non-compensable range.
Common misconceptions
Not every 0 percent outcome in this hub means the same thing -- these are real, stated regulatory rows, unlike DC 9905's genuine absence of any 0 percent instruction (see the 9905 topic).
Related topics
9905-dual-axis
Source context
38 CFR 4.150; 9904/9911/9913/9915/9916; Current DC 9900-9918 educational pathway.

Learn

Understand the details behind the criteria

Use these short guides to connect published terms with the records and observations that may clarify them.

The prosthesis-replaceability axis: a real rating mechanic

Across DC 9902, 9911, 9913, 9914, and 9915, whether a lost structure (mandible, hard palate, teeth, or maxilla) can be restored by a suitable prosthesis directly changes the assigned percentage within that same code's own ladder -- confirmed as a real rating mechanic, not a simple compensable-only/percentage-only split.

  • For example, DC 9914 (maxilla loss of more than half) is 100 percent if not replaceable by prosthesis, but only 50 percent for the identical anatomical loss if it is replaceable.
  • This axis is directly corroborated by the Oral and Dental DBQ's own examination item, which asks this exact question.
  • Being replaceable by prosthesis does not mean the veteran has no functional impact -- it is a regulatory distinction within the rating schedule, not a statement about how the veteran actually functions day to day.

Records to review: Dental and Oral Conditions DBQ; Surgical or prosthodontic records documenting whether restoration is possible.

DC 9900: a pure cross-reference to DC 5000

DC 9900 (osteomyelitis, osteonecrosis, or osteoradionecrosis of the maxilla or mandible) has no rating criteria of its own -- its entire text directs evaluation as chronic osteomyelitis under DC 5000 (38 CFR 4.71a), a musculoskeletal code RatingScope does not currently build.

  • This is the range's only osteoradionecrosis code, not a low-traffic edge case -- a documented diagnosis under DC 9900 will always require review under a separate, currently unbuilt code.
  • RatingScope discloses this cross-reference rather than guessing at DC 5000's own criteria or silently returning an unrelated result.

Records to review: Dental and Oral Conditions DBQ; Imaging records confirming osteomyelitis, osteonecrosis, or osteoradionecrosis.

DC 9917: an open-ended dispatch with no named destination

DC 9917 (benign neoplasm, hard and soft tissue) directs evaluation as "loss of supporting structures (bone or teeth) and/or functional impairment due to scarring," but names no specific destination diagnostic code -- unlike a standard predominant-disability deferral with a fixed, closed list.

  • This open-endedness is in genuine tension with this section's own Note (2), which separately lists six impairments requiring their own evaluation (vocal articulation, smell, taste, neurological impairment, respiratory dysfunction, and other impairments) -- scarring is not among those six. See the Loss of Smell and Taste (Anosmia and Ageusia) guide for how smell and taste impairments are rated under DC 6275/6276.
  • RatingScope discloses this as an unresolved dispatch for separate review, rather than guessing which of this hub's other codes, or the Scars hub, applies.
  • DC 9918 (malignant neoplasm), by contrast, is a flat 100 percent with no such ambiguity -- the open-ended dispatch is unique to the benign code.

Records to review: Dental and Oral Conditions DBQ; Pathology records confirming the neoplasm and any associated bone, tooth, or scarring findings.

DC 9905's two independent measurement axes

Temporomandibular disorder (TMD) is rated on two separate axes -- interincisal range (maximum unassisted vertical jaw opening, with dietary-restriction sub-tiers) and lateral excursion range of motion (0-4mm = 10 percent) -- confirmed via two independent primary sources during this build's fresh verbatim fetch.

  • DC 9905's own Note (1) states that ratings for limited interincisal movement and limited lateral excursion "shall not be combined." The regulation does not say which axis controls when both are documented.
  • RatingScope evaluates whichever axis produces the higher tier -- disclosed here as an interpretive choice, consistent with how this repository handles other unresolved-tiebreaker situations, not as a stated regulatory rule.
  • The normal maximum jaw opening range (35 to 50mm, per Note 2) sits entirely above the table's highest band (30-34mm) -- confirmed via fresh verbatim fetch that DC 9905 has no 0 percent row and no instruction for this normal range at all, a genuine textual gap disclosed here, not silently resolved.

Records to review: Dental and Oral Conditions DBQ; Examination records documenting both interincisal range and lateral excursion.

Compensation versus treatment eligibility: a boundary this hub does not cross

The distinction between a compensable dental disability (rated here, under 38 CFR 4.150) and eligibility for VA dental TREATMENT (governed entirely by 38 CFR 3.381 and 38 CFR 17.161, both outside Part 4's rating schedule) is confirmed to live entirely outside this section -- RatingScope does not model dental treatment eligibility anywhere in this hub.

  • Common dental conditions such as replaceable missing teeth, carious (decayed) teeth, or periodontal disease are not compensable disabilities under DC 9900-9918 at all -- a hub built from 38 CFR 4.150 alone will correctly return a $0 or no-qualifying-criterion result for these findings.
  • Those same conditions may still qualify the veteran for VA dental TREATMENT under the separate Part 3/Part 17 authority -- a $0 compensation result here says nothing about treatment eligibility.
  • RatingScope does not determine, estimate, or infer treatment eligibility under §3.381 or §17.161 -- veterans with dental conditions not rated here should still inquire separately about VA dental treatment eligibility.

Records to review: VA dental treatment eligibility determinations are made under a separate authority this hub does not model.

Evidence

Evidence that may clarify the published criteria

Surgical or examination records documenting loss extent and prosthesis status

Establishes the prosthesis-replaceability axis across DC 9902, 9911, 9913, 9914, and 9915 -- the load-bearing distinction in five of this range's fifteen codes.

Only relevant to the five codes carrying this axis; DC 9901, 9903, 9904, 9905, 9908, 9909, 9916, 9918 do not use it.

Physician-recorded or physician-verified dietary restriction records

Required for DC 9905's interincisal-range dietary-restriction sub-tiers.

Only relevant to a TMD diagnosis; not required for any other code in this range.

Dental and Oral Conditions Disability Benefits Questionnaire

The standardized VA exam form covering DC 9900-9918's diagnoses and rating criteria, including the prosthesis-replaceability finding.

A DBQ is one common evidence source, not the only way to document these findings.

Official VA Forms & DBQs

Downloadable DBQs & Supporting Claim Forms

Take the public DBQ to your private physician or review it prior to your C&P examination.

Terminology

Plain-English terms

Interincisal range

How wide a person can open their mouth, measured in millimeters.

The primary measurement axis for DC 9905's temporomandibular disorder ladder.

Dental and Oral Conditions DBQ; 9905-dual-axis

Prosthesis-replaceable

Whether an artificial replacement can substitute for the lost body part.

Directly lowers the assigned percentage within the same code across DC 9902, 9911, 9913, 9914, and 9915 -- confirmed as a real rating mechanic.

Surgical or prosthodontic records; prosthesis-axis

TDIU

Even if the schedular rating for Dental and Oral Conditions does not reach 100 percent, TDIU may still provide a pathway to compensation at the 100 percent rate, based on unemployability from this and/or other service-connected disabilities combined.

A lower schedular percentage does not by itself foreclose TDIU eligibility -- this hub computes only the schedular percentage for this specific condition and does not determine TDIU eligibility.

Employment history; vocational impact documentation; occupational impairment

Common Questions

Questions veterans commonly ask

How does VA rate mandible or maxilla loss?

Through several codes (DC 9901, 9902, 9914, 9915, 9916) covering complete loss, partial loss, nonunion, and malunion, several of which use the prosthesis-replaceability axis to set the percentage within their own ladder.

What does prosthesis-replaceable mean for a rating?

Across DC 9902, 9911, 9913, 9914, and 9915, whether the lost structure can be restored by a suitable prosthesis directly changes the assigned percentage within that code's own ladder -- for example, DC 9914 drops from 100 percent (not replaceable) to 50 percent (replaceable) for the same extent of maxilla loss.

What happened to DC 9900?

DC 9900 (osteomyelitis, osteonecrosis, or osteoradionecrosis) has no criteria of its own -- it directs evaluation under DC 5000 (chronic osteomyelitis), a musculoskeletal code RatingScope does not currently build. This is disclosed as a cross-reference to review separately.

How is a benign oral neoplasm rated?

DC 9917 directs evaluation as loss of supporting structures and/or scarring-related functional impairment, but names no specific destination code -- a genuinely open-ended dispatch, disclosed for separate review rather than guessed.

How does VA rate TMJ or jaw movement restriction?

Under DC 9905, on two independent axes -- interincisal range (with dietary-restriction sub-tiers) and lateral excursion range of motion. These cannot be combined per DC 9905's own Note, and RatingScope evaluates whichever axis produces the higher tier, since the regulation itself does not specify a tiebreaker.

Does a $0 rating mean I get no dental care from VA?

No. A $0 compensation result under this hub says nothing about VA dental treatment eligibility, which is governed entirely by a separate authority (38 CFR 3.381 and 38 CFR 17.161) that this hub does not model. Common conditions like replaceable missing teeth or periodontal disease may still qualify for VA dental treatment separately.

If my schedular rating for Dental and Oral Conditions is below 100%, can I still be compensated at the 100% rate?

Possibly, through TDIU (Total Disability rating based on Individual Unemployability, 38 CFR 4.16) -- a separate pathway to 100 percent compensation based on unemployability, from this and/or other service-connected disabilities combined, independent of whether the schedular rating itself reaches 100 percent. This hub computes only the schedular percentage and does not determine TDIU eligibility.

What separates the 100% (DC 9901/9914/9918) rating from adjacent levels?

DC 9914's 100 percent tier drops to 50 percent if the same extent of maxilla loss is replaceable by prosthesis -- the prosthesis-replaceability axis directly changes the percentage.

What separates the 70% (DC 9902, TMJ involved) rating from adjacent levels?

If the same TMJ-involving loss is replaceable by prosthesis, the tier drops to 50 percent. If the TMJ is not involved, the tier depends on loss extent instead (40/30 or 20/10 percent).

What separates the 50% (DC 9905, TMD 0-10mm with dietary restriction) rating from adjacent levels?

Without the dietary restriction, the same 0-10mm opening reaches 40 percent instead.

What separates the 40% (DC 9913, teeth loss, all teeth, not restorable) rating from adjacent levels?

The same total tooth loss, if restorable by suitable prosthesis, resolves to a flat 0 percent instead -- the prosthesis-replaceability axis is the gate for this entire code.

What separates the 0% (DC 9904/9911/9913/9915/9916, real explicit tiers) rating from adjacent levels?

Each of these codes' next tier up requires a specific additional finding (some degree of open bite, non-replaceability, or greater loss extent).

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Informational guidance only. RatingScope does not predict, decide, or guarantee VA outcomes.

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