Jump to content
  • Advertisemnt

  • 14 Questions about VA Disability Compensation Benefits Claims

    questions-001@3x.png

    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
     
  • Ads

  • Most Common VA Disabilities Claimed for Compensation:   

    tinnitus-005.pngptsd-005.pnglumbosacral-005.pngscars-005.pnglimitation-flexion-knee-005.pngdiabetes-005.pnglimitation-motion-ankle-005.pngparalysis-005.pngdegenerative-arthitis-spine-005.pngtbi-traumatic-brain-injury-005.png

  • Advertisemnt

  • VA Watchdog

  • Advertisemnt

  • Ads

  • 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

  • Searches Community Forums, Blog and more

  • Ad Free Subscription.jpgOne Time Financial Gift.jpg

    Subscriptions and Gifts are NOT Tax Deductible. HadIt.com is NOT a Non Profit.

  • 0
68mustang

Depression and TMJ (Temporal Mandibular Joint Dysfunction)

Question

I was diagnosed with TMJ back in 1986 on the outside, not by the VA. I am now being being compensated 50% depression-anxiety and 10% tinnutis by the VA. My TMJ has gotten worse and I am having problem with my jaw on both sides. I recently found out through reading that TMJ can be aggravated by depression and anxiety. I have been thinking of filing a secondary claim for the aggravation of my TMJ due to the depression and anxiety. Anyone out have any input on my filing a secondary claim for the condition I mentioned? And has anyone ever filed a claim for TMJ and a secondary claim for aggravation of it? Thanks for any input you all may have. 

Share this post


Link to post
Share on other sites

5 answers to this question

Recommended Posts

  • 0

Yes, we have had a few vets here file for the TMJ as secondary to ,or aggravated by their MH issues.

If you go to the BVA web site, and to their decicions, and swearch for TMJ and anxiety depression or PTSD you will find how the BVA awarded for the TMJ or why they denied the claim.

Also if you use our hadit search feature discussions on TMJ will pop up.

  • Like 1

Share this post


Link to post
Share on other sites

Ad

  • 0

TMJ can cause depression (i.e. due to chronic pain) or the anxiety/depression can cause TMJ due to bruxism (grinding upper/lower teeth together). A decent night guard/split and NSAID's can help give you relief from the pain, but does not reverse any damage to your teeth or TMJ joints.

My recommendation is to get your doctor or dentist to do an exam, fill out a DBQ, and write a nexus letter connecting the conditions.

I filed initially for TMJ (Army oral surgeon botched wisdom teeth removal). The VA did the normal panorex x-ray, but it showed nothing. When I appealed, the VA did an arthrogram study. The radiologist injects contrast into both TMJ joints and observes movement via flouroscope. The evidence was obvious and the C&P oral surgeon opined in my favor, so I won SC.

Later, I filed for depression as secondary to my SC TMJ. I had a lengthy medical treatment history of acute and chronic pain involving my TMJ. I was granted 10% for anxiety/depression, but got it bumped up to 30% via NOD.

My initial TMJ rating was 10%, then I got it increased to 20%, and later to 30%. From what I have heard, it is one of those conditions that does not tend to improve over time. I qualify for 40% now, but am weighing filing for it because I'm already 100% P&T anyway.

 

My example showed TMJ as primary with MH as secondary, but it can be SC via MH as primary and TMJ as secondary.

If you are not able to get SC via secondary, go through your service treatment and dental records to see if there were any events or injuries which might help provide for direct SC. Examples to look for include head injury, motor vehicle, oral surgery, etc...

 

 

Here's a link to the rating criteria plus the TMJ critera per 9905.

§4.150   Schedule of ratings—dental and oral conditions

Quote

§4.150   Schedule of ratings—dental and oral conditions.

    Rating
Note (1): For VA compensation purposes, diagnostic imaging studies include, but are not limited to, conventional radiography (X-ray), computed tomography (CT), magnetic resonance imaging (MRI), positron emission tomography (PET), radionuclide bone scanning, or ultrasonography  
Note (2): Separately evaluate loss of vocal articulation, loss of smell, loss of taste, neurological impairment, respiratory dysfunction, and other impairments under the appropriate diagnostic code and combine under §4.25 for each separately rated condition  
9905   Temporomandibular disorder (TMD):  
Interincisal range:  
0 to 10 millimeters (mm) of maximum unassisted vertical opening.  
With dietary restrictions to all mechanically altered foods 50
Without dietary restrictions to mechanically altered foods 40
11 to 20 mm of maximum unassisted vertical opening.  
With dietary restrictions to all mechanically altered foods 40
Without dietary restrictions to mechanically altered foods 30
21 to 29 mm of maximum unassisted vertical opening.  
With dietary restrictions to full liquid and pureed foods 40
With dietary restrictions to soft and semi-solid foods 30
Without dietary restrictions to mechanically altered foods 20
30 to 34 mm of maximum unassisted vertical opening.  
With dietary restrictions to full liquid and pureed foods 30
With dietary restrictions to soft and semi-solid foods 20
Without dietary restrictions to mechanically altered foods 10
Lateral excursion range of motion:  
0 to 4 mm 10
Note (1): Ratings for limited interincisal movement shall not be combined with ratings for limited lateral excursion  
Note (2): For VA compensation purposes, the normal maximum unassisted range of vertical jaw opening is from 35 to 50 mm  
Note (3): For VA compensation purposes, mechanically altered foods are defined as altered by blending, chopping, grinding or mashing so that they are easy to chew and swallow. There are four levels of mechanically altered foods: full liquid, puree, soft, and semisolid foods. To warrant elevation based on mechanically altered foods, the use of texture-modified diets must be recorded or verified by a physician  

 

 

 

 

Share this post


Link to post
Share on other sites
  • 0

I humbly suggest you get and read your medical file, and you can answer this question yourself.  

Before you get SC for this, you will need 2 things  (3 if its a new SC, only 2 if its secondary):

1.  Current diagnosis of TMJ.

2.  Nexus, or docs opinion that its "at least as likely as not" that your TMJ is related to your (sc) depression.  

You see, the VA will insist you have a nexus to YOUR depression, not just a general one that depression causes TMJ.  However, it sounds like its likely that a doc would give you a nexus, if you dont already have one.   That is, you will need and IMO/IME if you are lacking your nexus.  

 

Share this post


Link to post
Share on other sites
  • 0
On 4/2/2018 at 5:14 PM, broncovet said:

I humbly suggest you get and read your medical file, and you can answer this question yourself.  

Before you get SC for this, you will need 2 things  (3 if its a new SC, only 2 if its secondary):

1.  Current diagnosis of TMJ.

2.  Nexus, or docs opinion that its "at least as likely as not" that your TMJ is related to your (sc) depression.  

You see, the VA will insist you have a nexus to YOUR depression, not just a general one that depression causes TMJ.  However, it sounds like its likely that a doc would give you a nexus, if you dont already have one.   That is, you will need and IMO/IME if you are lacking your nexus.  

 

Broncovet, Berta, and Vync Thank you all for your helpful response and will take your advice.

Share this post


Link to post
Share on other sites
  • 0

I just put in for Bruxism/TMJ. I have been going to VA Dental for 3 years now. They are aware of the severe teeth grinding and Jaw pain. I was given a new Mouthpiece which will help with grinding but still have pain in jaw. I am TDIU and since depression is my major SC I have now put in for Bruxism secondary to depression. I also put in for Secondary ED from my Anti Depressants and was awarded that last month. Wondering if anyone else has put in for Bruxism secondary to depression? I see most of the Bruxism claims are for secondary to PTSD which I was not awarded but sure the hell should be, but oh well I am TDIU anyways with no future exams. They must have really seen my history of job after job. 

Share this post


Link to post
Share on other sites

Join the conversation

You can post now and register later. If you have an account, sign in now to post with your account.
Note: Your post will require moderator approval before it will be visible.

Guest
Answer this question...

×   Pasted as rich text.   Paste as plain text instead

  Only 75 emoji are allowed.

×   Your link has been automatically embedded.   Display as a link instead

×   Your previous content has been restored.   Clear editor

×   You cannot paste images directly. Upload or insert images from URL.


  • Our picks

    • Type 1 Diabetes recent onset!
      I was diagnosed with Type 1 diabetes in September 2017 OUT OF NOWHERE.

      i am a Navy Reservist and deployed in later 2009 to mid 2010 and again later 2014 to mid 2015; had a 2 year recall between those deployments.  

      Only healthcare received since commissioning in 2008 was from the Navy and no issues EVER.

      insulin dependent and have dietary restrictions and in a non deployable status.

      VA denied initial claim due to Type 1 not showing on active duty and now appealing.

      Anyone with successful experience getting a rating with my circumstances?  I live in Upstate New York.
      • 9 replies
    • Agent Orange Kadena Afb Okinawa
      I am looking for anyone who was on Kadena AFB, Okinawa or .Chanute AFB, IL. My dad was there from Oct. 68-April 70. He has ichemic heart disease, diabetes which has resulted in the amputation of his right leg below the knee and peripheral neuropathy. We were denied in 2002 AMVETS filed a claim on his behalf for heart condition, diabetes and back problems. I refiled in December 2011 and have just received the claim statements and medical release forms. I am familiar with filling out this paper work because my husband is a combat veteran of Iraqi Freedom. I have been reading articles from the Japan times and I am a member of the Agent Orange Okinawa facebook page. Another thing that helps make my dad's case is that he was on Chanute AFB, IL and it is on the EPA Superfund list and has PCBs/Pesticides and Dioxins/Furans listed as ground and water contaminants. I welcome any advice, tips or articles that I may have missed in my own research.
        • Like
      • 15 replies
    • CBO Options for Reducing the Deficit: 2019 to 2028 Published Dec 2018
      CBO Options for Reducing the Deficit: 2019 to 2028 - This CBO Report has been making the news. This post includes parts relevant to veterans. Nothing has been decided as of yet and some seem very unlikely but you never know. Forewarned is Forearmed.

       

      https://www.hadit.com/cbo-options-for-reducing-the-deficit-2019-to-2028-published-dec-2018/
      • 10 replies
    • 2019 Veterans Benefits
      State Benefits, Space A and More ... https://www.hadit.com/2019-changes-to-veterans-benefits-state-and-federal/
      • 2 replies
    • Appeal granted and closed.
      My appeal was granted and closed on November 9.  I got an unofficial notification from the DAV on November 15 stating "appeal granted with an evaluation of 30%" which is great!  My question is this:  How long until I get the official notification from the va? Nothing on ebennies has updated since the appeal closed. Appeal is now in historical and just says complete and at originating va office. I understand no one knows va timelines to a tee but a general timeline would be great.  Thank you all! Hope you have a Merry Christmas!

       

      Edit:  This was my first time appealing and it was a VBA grant. 
        • Like
      • 6 replies
  • Ads

  • Popular Contributors

  • Ad

  • Latest News
×
×
  • Create New...

Important Information

{terms] and Guidelines