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Evidence Checklist: Temporomandibular Joint Disorder (TMJ)

DC 9905

Evidence Strength0% — Red

Significant gaps — claim likely to be denied or underrated

Specialist Opinion (Highest Value)

Oral surgery or dental evaluation documenting TMJ diagnosisCritical

Records from an oral surgeon, maxillofacial specialist, or dentist documenting TMJ disorder type, jaw range of motion, clicking/locking episodes, and pain severity.

Nexus opinion linking TMJ to service (trauma, blast, dental injury)Critical

Medical opinion connecting TMJ disorder to in-service facial/jaw trauma, blast overpressure, vehicular accident, or dental injury during service.

Diagnostic Tests & Lab Results

TMJ MRI or panoramic X-ray documenting joint pathologyCritical

MRI of TMJ showing disc displacement, degeneration, or effusion; or panoramic imaging showing bony changes.

Jaw range of motion measurementsCritical

Objective measurement of maximum jaw opening (normal ~45–55 mm) — the primary basis for VA rating under 38 CFR § 4.150 DC 9905.

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.

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.

Service Records

Service treatment records (STRs)Critical

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

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