Oral And Dental DBQ: Official VA Form

The public Oral and Dental Disability Benefits Questionnaire records medical information for VA evaluation. The form itself provides its current questions, definitions, examination and clinician requirements. A completed form is evidence; it does not establish service connection or guarantee an evaluation.

Related Diagnostic Code Subjects

14 code subjects are associated with this form in this educational directory. These editorial subject associations are not official VA assignments, and the form may not be appropriate for every examination or claim.

• DC 9900: Maxilla or mandible, chronic osteomyelitis, osteonecrosis or osteoradionecrosis of
• DC 9901: Mandible, loss of, complete, between angles
• DC 9902: Mandible, loss of, including ramus, unilaterally or bilaterally
• DC 9903: Mandible, nonunion of, confirmed by diagnostic imaging studies
• DC 9904: Mandible, malunion of
• DC 9908: Condyloid process, loss of, one or both sides
• DC 9909: Coronoid process, loss of
• DC 9911: Hard palate, loss of
• DC 9913: Teeth, loss of, due to loss of substance of body of maxilla or mandible without loss of continuity
• DC 9914: Maxilla, loss of more than half
• DC 9915: Maxilla, loss of half or less
• DC 9916: Maxilla, malunion or nonunion of
• DC 9917: Neoplasm, hard and soft tissue, benign
• DC 9918: Neoplasm, hard and soft tissue, malignant

Read The Form Before Arranging An Examination

Review who may complete the form, which conditions it includes or excludes, and whether testing is required. VA can still request a claim examination. Report actual findings; this reference does not provide suggested answers.

Read The Claim Examination Guide · Return To The Rating Schedule