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9913
§ 4.150 Schedule of ratings—dental and oral conditions.

Loss of teeth due to jaw bone loss

Loss of teeth caused by deterioration or loss of the upper or lower jawbone itself.

What the rating means

VA rates tooth loss under diagnostic code 9913 only when the teeth were lost because of bone loss in the jaw — specifically, loss of substance of the body of the upper jaw (maxilla) or lower jaw (mandible) caused by trauma or disease such as osteomyelitis. Tooth loss from periodontal disease alone does not qualify under this code.

The central question is whether a suitable prosthesis can restore your ability to chew. If it can, the rating is 0%. If it cannot, the rating depends on which teeth are missing. Loss of all teeth rates 40%. Loss of all upper teeth or all lower teeth each rate 30%. All upper and lower posterior teeth missing, or all upper and lower anterior teeth missing, each rate 20%. All upper anterior teeth missing, or all lower anterior teeth missing, each rate 10%. All upper and lower teeth on one side missing also rates 10%.

If you also experience problems with speech, smell, taste, nerve function, or breathing related to the jaw injury, those conditions are evaluated separately under their own diagnostic codes and then combined.

Evidence that helps

Because the rating turns on jaw bone loss, diagnostic imaging is central to your claim. X-rays, CT scans, MRI, PET scans, radionuclide bone scans, or ultrasound can all document the extent of bone loss in the maxilla or mandible. Records showing the cause — such as treatment notes for osteomyelitis, a documented jaw fracture, or another traumatic or disease process — help establish that the tooth loss meets the code's requirement.

Dental records showing which specific teeth are missing matter because the rating percentage depends on exactly which teeth are absent. Records or a VA examination addressing whether a suitable prosthesis can restore your chewing function are equally important, since that finding determines whether you receive 0% or a higher rating.

If a prosthesis has been tried and failed, or if a dentist or oral surgeon has documented why one cannot be used, that evidence directly supports a rating above 0%. Statements from you describing difficulty chewing and how that affects your daily life can add 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.