Evidence Checklist: Osteonecrosis of the Jaw
DC 9914
Significant gaps — claim likely to be denied or underrated
Specialist Opinion (Highest Value)
CT scan showing bone involvementCritical
Computed tomography imaging documenting the extent and location of jawbone necrosis, including any sequestration or pathologic fracture.
Nexus opinion linking osteonecrosis of jaw to service ("at least as likely as not")Critical
A medical opinion stating it is "at least as likely as not" (50%+ probability) that your jaw osteonecrosis is connected to your military service, including bisphosphonate use prescribed for a service-connected condition.
Treatment Records
Documentation of bisphosphonate use prescribed for service-connected conditionCritical
Pharmacy records and medical documentation showing bisphosphonate medication was prescribed to treat a service-connected condition, establishing the secondary connection.
Photographs of exposed bone
Clinical photographs documenting exposed necrotic bone in the jaw, which visually establishes the severity of the condition.
Oral surgery records
Operative reports from debridement, sequestrectomy, or reconstructive jaw surgery related to the osteonecrosis.
Dental treatment timeline
Chronological dental records showing the progression of the condition, treatments attempted, and current status.
Lay Statements & Personal Documentation
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.
Disability Benefits Questionnaire (DBQ)
Completed DBQ Dental and Oral ConditionsCritical
Standardized form capturing the extent of bone loss, functional limitations (chewing, speaking), and treatment history.
Service Records
Service treatment records (STRs)Critical
Military medical records showing in-service treatment, complaints, or injuries related to this condition.