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Evidence checklist

Loss of Teeth (Due to Bone Loss)

DC 991338 CFR § 4.150Dental/Oral

Evidence strength

Mark what you already have below and your evidence strength appears here.

Target
Saved locally
01

Specialist opinion

Highest value0 of 2 collected
Dental evaluation documenting missing teeth and causeCritical

Dental records documenting which teeth are missing, denture/prosthesis use, and whether the loss is due to non-compensable causes (periodontal disease) or a ratable cause (trauma).

Private provider · independent opinion
Nexus opinion linking tooth loss to in-service trauma or injuryCritical

Medical or dental opinion connecting tooth loss to in-service facial trauma, jaw fracture, or other service event. Note: tooth loss due solely to periodontal disease without trauma is generally non-compensable but may qualify for dental treatment.

Private provider · independent opinion
02

Treatment records

0 of 1 collected
Records documenting denture, bridge, or implant use

Documentation of prosthetic devices used and their adequacy for mastication.

VA or private records · written request
03

Diagnostic tests and lab results

0 of 1 collected
Dental X-rays (periapical, panoramic) documenting tooth lossCritical

Radiographic evidence of tooth loss and surrounding bone.

Imaging or lab facility · records request
04

Lay statements

0 of 2 collected
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.

You or a witness · VA Form 21-4138 or 21-10210How to get this →
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.

You or a witness · VA Form 21-4138 or 21-10210How to get this →
05

Service records

0 of 1 collected
Service treatment records (STRs)Critical

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

NPRC / milConnect · SF-180
Condition guideRating criteria and what VA looks forBuddy statement builderGuided VA Form 21-10210

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