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9916
§ 4.150 Schedule of ratings—dental and oral conditions.

Upper jaw fracture healed improperly or never healed

An upper jawbone fracture that either healed in an incorrect position or has not healed together.

What the rating means

VA rates an upper jaw (maxilla) fracture that healed improperly or never healed under diagnostic code 9916. There are two categories: nonunion, meaning the bone never healed together, and malunion, meaning it healed in the wrong position.

For nonunion, the key question is whether there is false motion — abnormal movement between bone fragments. Nonunion with false motion is rated at 30%. Nonunion without false motion is rated at 10%. VA requires diagnostic imaging to confirm a nonunion diagnosis.

For malunion, the key question is how severely the misaligned bone has shifted your bite. A severe anterior or posterior open bite is rated at 30%. A moderate open bite is rated at 10%. A mild open bite is rated at 0%, meaning no compensation for that finding alone.

If your condition also causes problems such as loss of smell, loss of taste, speech changes, nerve damage, or breathing difficulty, those are rated separately under other diagnostic codes and then combined.

Evidence that helps

For a nonunion claim, diagnostic imaging is required — X-rays, CT scans, MRI, PET scans, bone scans, or ultrasound can all serve this purpose. The imaging needs to show that the bone fragments have not fused. To support the higher 30% rating, records or exam findings documenting false motion — meaning a provider can demonstrate abnormal movement at the fracture site — are important. An examiner's clinical findings describing the presence or absence of that mobility directly address what separates the two nonunion ratings.

For a malunion claim, dental or medical records showing how far your bite has been affected matter most. Measurements of the open bite and a provider's characterization of it as mild, moderate, or severe tie directly to the three rating levels. Your own statements describing difficulty chewing, speaking, or eating because of how your teeth meet can help a provider assess severity. If you also have smell, taste, speech, nerve, or breathing problems, separate medical records documenting those conditions support additional ratings.

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.