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Va Full Dental C&p Jan 9, 2012

Full Dental C and P 1/9/12

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#1 Maurice

 
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Posted 14 March 2012 - 08:48 PM

I was not told by the DCVAMC that I was having a Full Dental C and P exam in Jan.12. I told that I was to have a TMJ C and P exam. I received a copy of the Exam and wrote to the Baltimore VARO that the Dental provider didn't asked me any questions why I had so many silver fillings and missing teeth. I Inform the VARO that the Base Mess Hall serve me boneless steak that had bones in the meat. I crack all the teeth in my mouth and receive treatment at the Base Dental Clinic.. This was a important issue that would have cause my rating to be rated 0%.....Veterans always request a copy of the C & P exam after the exam from the Medical Record Department. Read the report. If the Doctor missed something. Write the VARO to correct your exam if need to......Good Luck to all my Disable Veterans Friends. I wonder what my rating will be now?

Edited by Maurice, 14 March 2012 - 08:51 PM.


#2 Vync

 
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Posted 15 March 2012 - 09:34 AM

Hi Maurice,
I am service connected for TMJ that was caused by botched oral surgery. The TMJ C&P exam is actually a Dental C&P exam. I have included links to the C&P exam worksheet and rating criteria for dental. Compare it against your exam notes to see if everything matches up.

Dental C&P Exam Worksheet
http://www.vba.va.go...ms/disexm12.pdf


4.150 Schedule of ratings—dental and oral conditions
http://edocket.acces.../38cfr4.150.htm

I copied/pasted the details below. I am rated under 9905, but every situation is unique.

[Code of Federal Regulations]
[Title 38, Volume 1]
[Revised as of July 1, 2008]
From the U.S. Government Printing Office via GPO Access
[CITE: 38CFR4.150]

[Page 451]

TITLE 38--PENSIONS, BONUSES, AND VETERANS' RELIEF

CHAPTER I--DEPARTMENT OF VETERANS AFFAIRS

PART 4_SCHEDULE FOR RATING DISABILITIES--Table of Contents

Subpart B_Disability Ratings

Sec. 4.150 Schedule of ratings--dental and oral conditions.

------------------------------------------------------------------------
Rating
------------------------------------------------------------------------
9900 Maxilla or mandible, chronic osteomyelitis or
osteoradionecrosis of:
Rate as osteomyelitis, chronic under diagnostic code 5000...
9901 Mandible, loss of, complete, between angles................ 100
9902 Mandible, loss of approximately one-half:
Involving temporomandibular articulation.................... 50
Not involving temporomandibular articulation................ 30
9903 Mandible, nonunion of:
Severe...................................................... 30
Moderate.................................................... 10
Note--Dependent upon degree of motion and relative loss of
masticatory function.......................................
9904 Mandible, malunion of:
Severe displacement......................................... 20
Moderate displacement....................................... 10
Slight displacement......................................... 0
Note--Dependent upon degree of motion and relative loss of
masticatory function.......................................
9905 Temporomandibular articulation, limited motion of:
Inter-incisal range:
0 to 10 mm.............................................. 40
11 to 20 mm............................................. 30
21 to 30 mm............................................. 20
31 to 40 mm............................................. 10
Range of lateral excursion:
0 to 4 mm............................................... 10
Note--Ratings for limited inter-incisal movement shall not
be combined with ratings for limited lateral excursion.....
9906 Ramus, loss of whole or part of:
Involving loss of temporomandibular articulation
Bilateral............................................... 50
Unilateral.............................................. 30
Not involving loss of temporomandibular articulation
Bilateral............................................... 30
Unilateral.............................................. 20
9907 Ramus, loss of less than one-half the substance of, not
involving loss of continuity:
Bilateral................................................... 20
Unilateral.................................................. 10
9908 Condyloid process, loss of, one or both sides.............. 30
9909 Coronoid process, loss of:
Bilateral................................................... 20
Unilateral.................................................. 10
9911 Hard palate, loss of half or more:
Not replaceable by prosthesis............................... 30
Replaceable by prosthesis................................... 10
9912 Hard palate, loss of less than half of:
Not replaceable by prosthesis............................... 20
Replaceable by prosthesis................................... 0
9913 Teeth, loss of, due to loss of substance of body of maxilla
or mandible without loss of continuity:
Where the lost masticatory surface cannot be restored by
suitable prosthesis:
Loss of all teeth....................................... 40
Loss of all upper teeth................................. 30
Loss of all lower teeth................................. 30
All upper and lower posterior teeth missing............. 20
All upper and lower anterior teeth missing.............. 20
All upper anterior teeth missing........................ 10
All lower anterior teeth missing........................ 10
All upper and lower teeth on one side missing........... 10
Where the loss of masticatory surface can be restored by 0
suitable prosthesis........................................
Note--These ratings apply only to bone loss through trauma
or disease such as osteomyelitis, and not to the loss of
the alveolar process as a result of periodontal disease,
since such loss is not considered disabling................
9914 Maxilla, loss of more than half:
Not replaceable by prosthesis............................... 100
Replaceable by prosthesis................................... 50
9915 Maxilla, loss of half or less:
Loss of 25 to 50 percent:
Not replaceable by prosthesis........................... 40
Replaceable by prosthesis............................... 30
Loss of less than 25 percent:
Not replaceable by prosthesis........................... 20
Replaceable by prosthesis............................... 0
9916 Maxilla, malunion or nonunion of:
Severe displacement......................................... 30
Moderate displacement....................................... 10
Slight displacement......................................... 0
------------------------------------------------------------------------


[59 FR 2530, Jan. 18, 1994]

Edited by Vync, 15 March 2012 - 09:36 AM.


#3 VADDS

 
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Posted 15 March 2012 - 10:26 PM

Missed, decayed teeth, are not considered disabling for compensation purposes. There are two DBQs for the 9900 aka dental rating series. One is for TMJ. The other is for Dental/Oral Conditions, which covers the conditions above. You were not asked about teeth or fillings because they are not disabling or compensable. Breaking a tooth by biting on something does not qualify as service trauma.