🦷 Dental / OralJaw / MaxillaDC 9914

Maxilla Loss (More Than Half)

Loss of more than half of the maxilla (upper jawbone), typically from cancer surgery, blast injury, or radiation necrosis. Rated at 50% under DC 9914.

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VA Rating Tiers

50%
major maxilla loss
0%
Meets minimum criteria

Rating Notes

  • 50%: Loss of more than half of the maxilla — fixed 50% rating for major maxillary loss. DC 9914.
  • 0%: Documented but below compensable threshold — service connected but non-compensable.
  • DC 9914: Loss of more than half of the maxilla — fixed rating of 50%.
  • For loss of half or less, DC 9915 applies (30%).
  • Operative report confirming extent of maxilla removed is essential documentation.

Eligibility Basics

Current symptoms
In-service event
Diagnosis or lay evidence
  • DC 9914 — loss of more than half of the maxilla, rated at 50%.
  • For loss of half or less, file under Maxilla Loss (Half or Less) — DC 9915, rated at 30%.
  • Service connection may be direct (trauma) or secondary to a service-connected malignancy or radiation treatment.
  • A nexus letter from an oral surgeon or maxillofacial surgeon is strongly recommended.

Evidence to Gather

Service Records

  • records of facial trauma during service
  • radiation treatment records from service
  • surgery records from during or after service related to service-connected cancer

Medical Evidence

  • maxillofacial surgery operative reports
  • imaging (CT scan, panoramic X-ray) documenting maxilla loss
  • pathology reports if removed due to tumor
  • prosthetic obturator fitting records

Lay Evidence (Buddy Statements)

  • personal statement describing in-service injury or treatment
  • buddy statement confirming injury during service

Diagnostic Tests

  • CT scan of facial bones / maxilla
  • panoramic X-ray
  • operative report documenting extent of maxilla resected

C&P Exam Preparation

Exam type: Oral Medicine / Maxillofacial Surgery — Maxilla Loss

Be ready to describe

  • what caused the maxilla loss and when it occurred
  • how much of the upper jaw was removed
  • any prosthetics, obturators, or reconstruction received
  • current symptoms — eating difficulty, speech, nasal regurgitation

Prep notes

  • Bring the operative report from your maxillectomy surgery.
  • Bring any imaging (CT scan, panoramic X-ray).
  • Bring records of any prosthetic obturator fitting or reconstruction.
  • Describe how eating, speaking, and breathing are affected.

Quick Facts

Diagnostic Code
DC 9914
Category
Dental / Oral
Subcategory
Jaw / Maxilla
Typical Claim Type
direct
Rating Range
0% – 50%

Also Known As

maxilla loss more than halfupper jaw loss majormaxillectomy largepartial maxillectomy more than halfupper jaw removed majority

Related Conditions

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