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Bruxism


grayling12
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following.

has anyone else filed for this? i never knew this was an actual diagnosis. i just thought it was symptom. i grind constantly and chew on my jaw and tongue too.  i have been meaning to go to dr to get something to sleep with so i dont grind at night but i keep putting it off

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  • Content Curator/HadIt.com Elder

There is not a dedicated rating for bruxism in the VA rating criteria:

https://www.ecfr.gov/cgi-bin/text-idx?SID=bbc63ebff2664bce41d30a3bf505352d&mc=true&node=pt38.1.4&rgn=div5

However, it is possible to get it SC:

https://www.va.gov/vetapp19/files10/19176033.txt

https://www.va.gov/vetapp19/files8/19161358.txt

 

They would rate it by the analogous dental conditions, very likely 9905 (see below). I'm SC for TMJ directly, but have bruxism. All that grinding may cause limited ROM, which is the heart of how they rate 9905. However, it could also be rated under other dental codes depending on the circumstances.

§4.150   Schedule of ratings—dental and oral conditions.

Quote
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

 

 

 

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