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Evidence checklist

Osteonecrosis of the Jaw

DC 990038 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
CT scan showing bone involvementCritical

Computed tomography imaging documenting the extent and location of jawbone necrosis, including any sequestration or pathologic fracture.

Private provider · independent opinion
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.

Private provider · independent opinion
02

Treatment records

0 of 4 collected
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.

VA or private records · written request
Photographs of exposed bone

Clinical photographs documenting exposed necrotic bone in the jaw, which visually establishes the severity of the condition.

VA or private records · written request
Oral surgery records

Operative reports from debridement, sequestrectomy, or reconstructive jaw surgery related to the osteonecrosis.

VA or private records · written request
Dental treatment timeline

Chronological dental records showing the progression of the condition, treatments attempted, and current status.

VA or private records · written request
03

Lay statements

0 of 1 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 →
04

Benefits questionnaire

0 of 1 collected
Completed DBQ Dental and Oral ConditionsCritical

Standardized form capturing the extent of bone loss, functional limitations (chewing, speaking), and treatment history.

Provider-completed · VA DBQ formHow 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

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