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9905
§ 4.150 Schedule of ratings—dental and oral conditions.

Temporomandibular disorder (TMD)

A disorder affecting the jaw joint and muscles that control jaw movement, which may cause pain or limited motion.

What the rating means

VA rates temporomandibular disorder (TMD) under diagnostic code 9905 based on how far you can open your jaw and whether your condition requires you to eat modified-texture foods. Two separate movement measures can produce a rating: how wide you can open your mouth vertically (the interincisal range), and how far your jaw moves sideways (lateral excursion). These two measures cannot be combined with each other for a higher rating.

For vertical opening, the possible ratings are 50%, 40%, 30%, 20%, or 10%, depending on your maximum unassisted opening in millimeters and whether a physician has recorded that you must eat foods altered by blending, chopping, grinding, or mashing. The regulation defines four levels of dietary restriction — full liquid, puree, soft, and semisolid — and the stricter your required diet, the higher the potential rating within each range. For lateral excursion of 0 to 4 mm, the rating is 10%. VA defines a normal vertical opening as 35 to 50 mm.

Evidence that helps

Medical records that document your measured maximum unassisted vertical jaw opening in millimeters are central to any rating. Examination findings from a dentist, oral surgeon, or other treating provider showing precise measurements carry direct weight. For the higher ratings within each opening range, a physician must record or verify that you are required to follow a texture-modified diet; a physician's documentation of that dietary restriction — and which level applies, such as full liquid, puree, soft, or semisolid — is necessary to support elevation based on diet.

Diagnostic imaging such as X-rays, CT scans, or MRI studies of the jaw joint can help establish the underlying condition and severity. If your jaw movement is also limited side to side, records measuring lateral excursion in millimeters are relevant. Statements from you or your family describing how jaw pain or limited opening affects eating, speaking, and daily activities can help show the practical impact of your symptoms, particularly when paired with physician-documented dietary restrictions.

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.