Claiming Mandible Malunion?
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VA Rating Tiers
40%
severe malunion
20%
moderate malunion
10%
mild malunion
0%
Meets minimum criteria
Rating Notes
- ›40%: Mandibular malunion — significant malocclusion or deformity causing marked chewing or speech impairment. DC 9904.
- ›20%: Moderate mandibular malunion — malocclusion or deformity with some functional limitation. DC 9904.
- ›10%: Mild mandibular malunion — minor deformity with minimal functional impact. DC 9904.
- ›0%: Documented but below compensable threshold — service connected but non-compensable.
- ›DC 9904: Mandibular malunion.
- ›Rated 10–40% based on severity of malalignment and functional limitation.
- ›Clinical assessment of bite alignment and jaw function drives the rating.
- ›If jaw did not heal at all (nonunion), file under Mandible Nonunion (DC 9903) instead.
Eligibility Basics
✅
Current symptoms
✅
In-service event
✅
Diagnosis or lay evidence
- •DC 9904 — mandibular malunion, rated 10–40% based on functional limitation.
- •Malunion means the fractured jaw healed but in a misaligned position.
- •This typically causes bite problems, jaw pain, limited motion, or cosmetic deformity.
- •Service connection requires evidence of the in-service jaw fracture.
Evidence to Gather
Service Records
- •records documenting jaw fracture during service
- •treatment records — splinting, wiring, surgery for jaw fracture
Medical Evidence
- •imaging (X-ray or CT) showing healed but misaligned mandible
- •oral surgeon or maxillofacial surgeon documentation of malunion
- •dental records showing bite or occlusion problems
Lay Evidence (Buddy Statements)
- •personal statement describing jaw injury during service and current jaw misalignment
- •statement from spouse or family noting bite change or jaw appearance
Diagnostic Tests
- •panoramic X-ray
- •CT scan of mandible
- •dental occlusion/bite assessment
- •oral surgery evaluation
C&P Exam Preparation
Exam type: Oral Medicine / Maxillofacial Surgery — Mandible Malunion
Be ready to describe
- •when and how the jaw fracture occurred during service
- •how the jaw healed — did teeth come together correctly after healing?
- •current bite problems, pain, and eating difficulty
- •any corrective treatments attempted
Prep notes
- •Bring service records documenting the jaw fracture.
- •Bring imaging (X-ray, CT) showing the healed jaw.
- •Show the examiner your bite — do your teeth come together properly?
- •Describe worst-day symptoms including pain and eating difficulty.
Quick Facts
- Diagnostic Code
- DC 9904
- Category
- Dental / Oral
- Subcategory
- Jaw / Mandible
- Typical Claim Type
- direct
- Rating Range
- 0% – 40%
Also Known As
mandible malunionjaw malunionjaw fracture healed badlymandibular malunionjaw malalignmentjaw healed crooked
Related Conditions
Commonly leads to
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