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Va Dental Eligibility For 0% Means Dental From Va

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Navy4life

Question

The loss of teeth by themselves are not ratable since they are not truly disabling and are easily replaced by false teeth. Teeth also cannot be rated if they are lost from naturally occurring diseases related to ageing. They must be lost as a result of injury, accident, or diseases such as osteomyelitis.

If the loss of teeth is caused by part of either the maxilla or mandible missing, then it can either be rated under the following code or under the codes for the missing maxilla or mandible, whichever code provides the higher rating. If not enough of the mandible or maxilla is missing to qualify for a rating under their codes, then the condition is simply rated here. The condition cannot be rated twice, once for the maxilla or mandible and once for the teeth. Only one or the other.mouth%206.png

Code 9913: Regardless of how many teeth are missing, if they can be replaced by a prosthesis or false teeth, then it is rated 0%. If, however, they cannot be replaced, they are rated as follows:

All teeth missing is rated 40%. The loss of all the upper teeth or all the lower teeth is rated 30%. If all the upper and lower posterior teeth or all the upper and lower anterior teeth are missing, it is rated 20%. If only all the upper anterior teeth or all the lower anterior teeth are missing, it is rated 10%. If all the upper and lower teeth on one side are missing, then it is also rated 10%.

After reading the above I think I am going to be 0% S/C for my Mouth Condition claim secondary to my Anorexia Nervosa. I sure hope so b/c I just found out that if I am even 0% S/C for dental I am eligible for dental at my local VA.

I found this:

Dental Benefits for Veterans Dental benefits are provided by the Department of Veterans Affairs (VA) according to law. In some instances, VA is authorized to provide extensive dental care, while in other cases treatment may be limited. This Fact Sheet describes dental eligibility criteria and contains information to assist Veterans in understanding their eligibility for VA dental care. Outpatient Dental Program The eligibility for outpatient dental care is not the same as for most other VA medical benefits and is categorized into classes. If you are eligible for VA dental care under Class I, IIA, IIC, or IV you are eligible for any necessary dental care to maintain or restore oral health and masticatory function, including repeat care. Other classes have time and/or service limitations.

Have a service-connected compensable dental disability or condition. Any needed dental care Class I (This would be me if I get the above 0%)

Are a former prisoner of war. Any needed dental care. Class IIC

Have service-connected disabilities rated 100% disabling, or are unemployable and paid at the 100% rate due to serviceconnected conditions. Any needed dental care. [Please note: Veterans paid at the 100% rate based on a temporary rating, such as extended hospitalization for a serviceconnected disability, convalescence or pre-stabilization are not eligible for comprehensive outpatient dental services based on this temporary rating]. Class IV

Apply for dental care within 180 days of discharge or release (under conditions other than dishonorable) from a period of active duty of 90 days or more during the Persian Gulf War era. One-time dental care if your DD214 certificate of discharge does not indicate that a complete dental examination and all appropriate dental treatment had been rendered prior to discharge.* Class II

Come on 0% S/C for my teeth!!!!!

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  • HadIt.com Elder
1 hour ago, Buck52 said:

I am not sure the Dallas VA does the implants??

 but what bothers me what if you don't like them or how they feel inside your mouth  or when you have them out   what about them dang implants that you can feel with your tongue  when you have the dentures out eh!

If I don't like the way my partials feel in my mouth I can always take them out...I'm very particular what goes in my mouth and if I can't get rid it  it absolutely drives me crazy.

I keep thinking what if I feel those implants with my tongue and can't stand them?  or do you always have the dentures in and never take them out  even at night?  anybody?

I suppose it depends on the type of implant. Some can be sort of like an abbreviated denture, and can be made to remove. How that works is not something I'm familiar with.

Others are attached to the jawbone. One of the methods used in the past was to have a post or posts that the implants were attached to.

A few years ago, I started looking in to things, due to the unexpected loss of four teeth at about the same time. My local area VAMC dental department has traditionally been known to take the cheapest and easiest way out by recommending pulling all a veteran's teeth at one time, and approving dentures. That was not what I had in mind! I suppose I'm going to have to re-examine options when I end up having to have another tooth pulled. Hopefully not anytime soon.

 

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  • HadIt.com Elder

I have never been around anyone with implants.

so I'm confused still on having implants?, once the implant post are in   that's it  no taking them out...so how does it feel when there out  is my main concern.

I want teeth to be able to eat  not for cosmetic purposes.

I mean a pretty smile is fine  but implants once there in   and your not satisfied...ouch.

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  • HadIt.com Elder

I do have all my front teeth and eat like a squirrel ..and when I smile it shows my front teeth  but also the ones in the back that are not there.  all my back teeth were pulled. 13 of them, I've had 15 total teeth extracted.

so yeah I look like a ugly sob when I laugh.

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For the past 3 years I have used VA supplied dental insurance through Met Life. My spouse and I are covered for around $75 a month. Coverage is for $3000 year in claims. Cleanings, exams, xrays are free, and they pay 50% for crowns, implants, dentures, etc. Better than paying 100% I think. Here is the URL   https://www.metlife.com/vadip/

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I was just awarded 100% P&T and when I got it I was immediately offered dental. I had a new crown put in and cleaning done in three months time and a reminder to see dental office once every year.

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