Evidence Checklist: Chronic Periodontal Disease

Nexus opinion linking periodontal disease to service ("at least as likely as not")Critical

A medical or dental opinion stating it is "at least as likely as not" (50%+ probability) that your periodontal disease is connected to your military service, including lack of dental care during deployments or medication side effects.

Panoramic dental X-rays showing bone loss

Panoramic radiographs documenting alveolar bone loss, which establishes the severity and extent of periodontal disease.

Dental records showing progression during/after serviceCritical

Comprehensive dental records documenting the onset and worsening of periodontal disease during or shortly after military service.

Documentation of medications causing dry mouth

Pharmacy records showing prescriptions for service-connected conditions (antidepressants for PTSD, pain medications) that cause xerostomia (dry mouth), a known contributor to periodontal disease.

Buddy statement from spouse, family, or fellow service member

A written statement from someone who can describe observable symptoms and how your condition affects daily life.

Personal statement describing symptoms and functional impact

Your own written account of how this condition affects your daily activities, work, and relationships. Describe your worst days.

Completed DBQ Dental and Oral ConditionsCritical

Standardized form capturing periodontal findings, bone loss extent, tooth mobility, and functional impact on chewing.

Documentation of in-service dental care (or lack thereof)Critical

Service records showing gaps in dental treatment during deployments or documentation of limited dental facilities available during service.

Service treatment records (STRs)Critical

Military medical records showing in-service treatment, complaints, or injuries related to this condition.