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9903
§ 4.150 Schedule of ratings—dental and oral conditions.

Lower jaw fracture that never healed

A broken lower jawbone that has not healed together, confirmed by imaging such as X-rays or CT scans.

What the rating means

This condition is a lower jaw fracture that has not fully healed and the bones have not fused back together, called nonunion. VA rates it under Diagnostic Code 9903, but only when the nonunion is confirmed by a diagnostic imaging study such as an X-ray, CT scan, MRI, PET scan, radionuclide bone scan, or ultrasound.

There are two possible ratings. A 30% rating applies when the nonunion is severe and produces false motion, meaning the jaw moves in an abnormal way at the fracture site. A 10% rating applies when the nonunion is moderate but does not produce false motion.

If you also experience problems with speech, smell, taste, nerve damage, breathing, or other related impairments, VA rates those conditions separately under their own diagnostic codes and then combines all of the ratings together under the combining formula at § 4.25.

Evidence that helps

Diagnostic imaging is required for this rating, so records showing an X-ray, CT scan, MRI, PET scan, radionuclide bone scan, or ultrasound that confirms the fracture has not healed are essential. The imaging report should clearly state that the bone ends have not fused.

To support the 30% level, evidence would need to show false motion at the fracture site. Examination findings from a dentist, oral surgeon, or other provider documenting abnormal movement of the jaw at the fracture location would speak directly to that criterion. To support the 10% level, records showing moderate nonunion without that abnormal movement would be relevant.

Your own statements, or statements from people who know you, describing how jaw instability or pain affects eating, speaking, and daily activities can help give VA a full picture of how the condition affects you. Similar statements about how it affects your ability to work may also be relevant.

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.