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9915
§ 4.150 Schedule of ratings—dental and oral conditions.

Loss of half or less of upper jaw

Loss of half or less of the upper jawbone, which forms the upper jaw and supports the upper teeth.

What the rating means

VA rates loss of half or less of the upper jaw (maxilla) under diagnostic code 9915. The rating depends on two things: how much of the jaw was lost, and whether a prosthesis can replace what was lost.

If you lost between 25 and 50 percent of the maxilla and it cannot be replaced by a prosthesis, the rating is 40 percent. If that same amount of loss can be replaced by a prosthesis, the rating is 30 percent.

If you lost less than 25 percent and it cannot be replaced by a prosthesis, the rating is 20 percent. If that smaller loss can be replaced by a prosthesis, the rating is 0 percent.

Any related problems — such as changes in speech, loss of smell or taste, nerve damage, breathing problems, or other impairments — are rated separately under their own diagnostic codes and then combined with this rating.

Evidence that helps

Diagnostic imaging is central to showing how much of the maxilla was lost. VA recognizes several types: conventional X-rays, CT scans, MRI, PET scans, radionuclide bone scans, and ultrasound. Records showing the extent of surgical removal or bone loss — such as operative reports, pathology reports, and imaging studies — help establish whether the loss falls below 25 percent or between 25 and 50 percent.

Evidence about whether a prosthesis can replace the lost tissue matters just as much. Treatment records, dental or maxillofacial specialist notes, and prosthetic fitting records can show whether a prosthesis was attempted, prescribed, or deemed not feasible for your situation.

If you also experience changes in speech, smell, taste, nerve function, or breathing as a result of the jaw loss, records documenting those problems support separate ratings for each. Statements from you or people who know you about how daily activities — eating, speaking, and breathing — are affected can add important context to the clinical findings.

Secondary conditions

Conditions that are often caused or made worse by this one. If you have any of these, they may be claimable as secondary service connection.