Jump to content


  • Search

  • 0
Sign in to follow this  

C&p Exam For Tmj


Anyone have any recent experience with the VA performing a C&P TMJ exam?

Will the comprehensive exam performed by a VA Oral Surgeon count the same as a C&P exam?

I am looking to file an increase from 10% to a higher percentage because my ROM has deteriorated significantly. I am hoping they can use my most recent examination instead of putting me to the meat grinder again.

On 12/24/2009, the VA oral surgeon gave me an examination for my TMJ pain. The "completed care:" indicated (D0150) COMPREHENSIVE ORAL EVALUATION. The exam took almost an hour and included a new panorex x-ray. I looked up the VA Dental and Oral C&P exam, but it was lacking in specific details (see below). The doc put me on a soft/no-chew diet for six weeks and gave me anti-inflammatory and muscle relaxer meds.

Here is a snippet of some of the highlights from the Oral Surgery examination:


Pt only opened to 18 mm but no findings


TMJ: Bilateral

Temporalis: Bilateral

Medial Pterygoid: Bilateral

Lateral Pterygoid: Bilateral

Posterior Neck: Bilateral

MIO: 18 mm

MIO (without pain): 10 mm

Right lateral excursion: 0 mm

Left lateral excursion: 3 mm

Protrusive: 1 mm

Deviation on opening: 0 mm

Incisal display (at rest): 3 mm

OB (mm): 0 mm

OJ (mm): 0 mm

Insisial display (smile): 6 mm

Maxillary midline: 0 mm

Mandibular Midline: 3 mm


TMJ exacerbation s/p increased clenching and reported incident of being struck with xray machine boon on chin.

Here is a link the Dental and Oral C&P exam


Here is the text of the exam, which is rather brief.

Dental and Oral Examination

Dental and Oral Syndrome

Name: SSN:

Date of Exam: C-number:

Place of Exam:

Narrative: Regional Office action is required for all dental treatment based on combat wounds, service trauma, prisoner of war or extracted teeth under 38 CFR 17.123.

A. Review of Medical Records:

B. Medical History (Subjective Complaints):

C. Physical Examination (Objective Findings):

Address each of the following and fully describe:

1. Describe extent of functional impairment due to loss of motion and masticatory function loss.

2. Describe the extent and number of missing teeth and whether the masticatory surface can be replaced by a prosthesis.

3. If limitation of inter-incisal range of motion, provide actual range in mm (i.e., 0-Xmm) and also provide lateral excursion (i.e., 0-Xmm).

4. Describe the extent of any bone loss of mandible, maxilla, or hard palate. For hard palate and maxilla bone loss, state whether replaceable by prosthesis.

D. Diagnostic and Clinical Tests:


1. X-ray to determine extent of bone tissue loss.

2. Include results of all diagnostic and clinical tests conducted in the examination report.

E. Diagnosis:

1. Give etiology where there is loss of teeth due to loss of substance of body of maxilla or mandible.

Signature: it says not signed Date: it says not dated

Share this post

Link to post
Share on other sites

0 answers to this question

Recommended Posts

There have been no answers to this question yet

Create an account or sign in to comment

You need to be a member in order to leave a comment

Create an account

Sign up for a new account in our community. It's easy!

Register a new account

Sign in

Already have an account? Sign in here.

Sign In Now
Sign in to follow this  

  • Advertisemnt

  • Most Common VA Disabilities Claimed for Compensation:   


  • Latest News
  • Our picks

    • If you are a Veteran, represented by MOPH, you need to know that MOPH is closing down its offices.  This can have a drastic effect on your claim, and it wont be good for you.  You likely need to get a new representative.  

      This station confirms MOPH is closing its doors:


      • 0 replies
    • Retroactive Back Pay.
      Retroactive Back Pay - #1Viewed Post Week of March 19. 2018

      My claim is scheduled to close tomorrow for my backpay.
      Does anyone know if it does close how long till the backpay hits the bank?
      Also does information only get updated on our claims whenever the site is down?
      • 44 replies
    • Examining your service medical records...
      * First thing I do after receiving a service medical record is number each page when I get to the end I go back and add 1 of 100 and so on.

      * Second I then make a copy of my service medical records on a different color paper, yellow or buff something easy to read, but it will distinguish it from the original.

      * I then put my original away and work off the copy.

      * Now if you know the specific date it's fairly easy to find. 

      * If on the other hand you don't know specifically or you had symptoms leading up to it. Well this may take some detective work and so Watson the game is afoot.

      * Let's say it's Irritable Syndrome 

      * I would start page by page from page 1, if the first thing I run across an entry that supports my claim for IBS, I number it #1, I Bracket it in Red, and then on a separate piece of paper I start to compile my medical evidence log. So I would write Page 10 #1 and a brief summary of the evidence, do this has you go through all the your medical records and when you are finished you will have an index and easy way to find your evidence. 

      Study your diagnosis symptoms look them up. Check common medications for your IBS and look for the symptoms noted in your evidence that seem to point to IBS, if your doctor prescribes meds for IBS, but doesn't call it that make those a reference also.
      • 9 replies
    • How to get your questions answered on the forum
      Do not post your question in someone else's thread. If you are reading a topic that sounds similar to your question, start a new topic and post your question. When you add your question to a topic someone else started both your questions get lost in the thread. So best to start your own thread so you can follow your question and the other member can follow theirs.

      All VA Claims questions should be posted on our forums. Read the forums without registering, to post you must register it’s free. Register for a free account.

      Tips on posting on the forums.

      Post a clear title like ‘Need help preparing PTSD claim’ or “VA med center won’t schedule my surgery” instead of ‘I have a question’.

      Knowledgable people who don’t have time to read all posts may skip yours if your need isn’t clear in the title. I don’t read all posts every login and will gravitate towards those I have more info on.

      Use paragraphs instead of one huge, rambling introduction or story. Again – You want to make it easy for others to help. If your question is buried in a monster paragraph there are fewer who will investigate to dig it out.

      Leading to:

      Post clear questions and then give background info on them.


      A. I was previously denied for apnea – Should I refile a claim?

      I was diagnosed with apnea in service and received a CPAP machine but claim was denied in 2008. Should I refile?

      B. I may have PTSD- how can I be sure?

      I was involved in traumatic incident on base in 1974 and have had nightmares ever since, but I did not go to mental health while enlisted. How can I get help?

      This gives members a starting point to ask clarifying questions like “Can you post the Reasons for Denial from your claim?” etc.


      Your firsts posts on the board may be delayed before they show up, as they are reviewed, this process does not take long and the review requirement will be removed usually by the 6th post, though we reserve the right to keep anyone on moderator preview.

      This process allows us to remove spam and other junk posts before they hit the board. We want to keep the focus on VA Claims and this helps us do that.
      • 2 replies
    • I have a 30% hearing loss and 10% Tinnitus rating since 5/17.  I have Meniere's Syndrome which was diagnosed by a VA facility in 2010 yet I never thought to include this in my quest for a rating.  Meniere's is very debilitating for me, but I have not made any noise about it because I could lose my license to drive.  I am thinking of applying for additional compensation as I am unable to work at any meaningful employment as I cannot communicate effectively because of my hearing and comprehension difficulties.  I don't know whether to file for a TDUI, or just ask for additional compensation.  My county Veterans service contact who helped me get my current rating has been totally useless on this when I asked her for help.  Does anyone know which forms I should use?  There are so many different directions to proceed on this that I am confused.  Any help would be appreciated.  Vietnam Vet 64-67. 


How to get your questions answered.

All VA Claims questions should be posted on our forums. Read the forums without registering, to post you must register it’s free. Register for a free account.

Tips on posting on the forums.

  1. Post a clear title like ‘Need help preparing PTSD claim’ ...
  2. Knowledgable people who don’t have time to read all posts may skip yours if your need isn’t clear in the title ... 
  3. Use paragraphs instead of one huge, rambling introduction or story. Again – You want to make it easy for others to help ...
Continue Reading

  • Advertisemnt

  • Advertisemnt

  • Ads

  • 14 Questions about VA Disability Compensation Benefits Claims


    When a Veteran starts considering whether or not to file a VA Disability Claim, there are a lot of questions that he or she tends to ask. Over the last 10 years, the following are the 14 most common basic questions I am asked about ...
    Continue Reading
  • Can a 100 percent Disabled Veteran Work and Earn an Income?

    employment 2.jpeg

    You’ve just been rated 100% disabled by the Veterans Affairs. After the excitement of finally having the rating you deserve wears off, you start asking questions. One of the first questions that you might ask is this: It’s a legitimate question – rare is the Veteran that finds themselves sitting on the couch eating bon-bons … Continue reading


Important Information

{terms] and Guidelines