TMJ (Temporomandibular Joint Disorder) VA Rating Guide

Overview

Disorders affecting the jaw joint and surrounding muscles, causing pain, clicking, and limited jaw movement. Can result from dental trauma, jaw injuries, or stress-related clenching/grinding common in veterans with PTSD.

• VA Disability Code: 9905
• ICD Code: M26.60
• Category: Dental

Rating Percentages & Criteria

40% Rating

Criteria: Inter-incisal range limited to 10 mm or less.

Examples:

• Severely limited jaw opening
• Cannot eat normally
• Severe functional impairment

30% Rating

Criteria: Inter-incisal range limited to 11 to 20 mm.

Examples:

• Significantly limited jaw opening
• Difficulty eating certain foods

20% Rating

Criteria: Inter-incisal range limited to 21 to 30 mm.

Examples:

• Moderately limited jaw opening
• Pain with wide opening

10% Rating

Criteria: Inter-incisal range limited to 31 to 40 mm.

Examples:

• Mildly limited jaw opening
• Occasional pain or clicking

Symptoms & Functional Impact

Common symptoms associated with this condition:

• Jaw pain or tenderness
• Clicking or popping in the jaw
• Difficulty opening mouth wide
• Locking of the jaw
• Pain when chewing
• Facial pain
• Headaches
• Ear pain or tinnitus

Evidence Requirements for Your Claim

To support your claim, gather the following evidence:

• Dental records and X-rays
• Medical records documenting TMJ diagnosis
• Service records showing dental trauma
• Documentation of teeth grinding (bruxism)
• Buddy statements about observed jaw problems

Secondary Conditions Commonly Connected

This condition often leads to secondary disabilities:

Migraines (Strong Connection)

TMJ dysfunction commonly causes tension headaches and migraines

Tinnitus (Moderate Connection)

TMJ can cause or worsen tinnitus due to proximity of structures

Compensation & Pension (C&P) Exam Tips

Prepare for your C&P exam with these strategic tips:

• Demonstrate your maximum jaw opening
• Describe how TMJ affects eating
• Mention any clicking, popping, or locking
• Explain the connection to service (trauma, stress, etc.)
• Document any teeth grinding from PTSD-related stress

Frequently Asked Questions

Can TMJ be secondary to PTSD?

Yes. Stress-related teeth grinding (bruxism) from PTSD commonly causes or aggravates TMJ disorder.

What measurements are used to rate TMJ?

The VA measures how far you can open your mouth (inter-incisal range) and side-to-side movement (lateral excursion).

Key Points for Your Claim

When filing for TMJ (Temporomandibular Joint Disorder):

1. Document everything - Every medical visit, treatment, and symptom counts
2. Get a nexus letter - A medical opinion linking your condition to service is crucial
3. Be thorough - Don't downplay your symptoms in your claim
4. Track progression - Show how the condition has worsened over time
5. Claim secondary conditions - TMJ (Temporomandibular Joint Disorder) often causes other disabilities

Ready to File Your Claim?

The VA disability system is complex, but you don't have to navigate it alone. We help veterans understand their benefits, gather strong evidence, and maximize their ratings.

Related Rating Guides:

• Migraines VA Rating Guide
• Tinnitus VA Rating Guide