What can I claim secondary to temporomandibular disorder?
1 condition in the Repatriation Medical Authority's Statements of Principles list temporomandibular disorder as a factor. If DVA has accepted your temporomandibular disorder, each of these has a documented pathway to a further claim.
At a glance
- Accepted conditionTemporomandibular disorder
- Conditions it may open1
- SourceRMA SoPs
- Chart Review$600 + GST
How a secondary claim works
Some Statement of Principles factors are not about service at all — they name another condition. Where DVA has already accepted your temporomandibular disorder, and another condition's SoP lists temporomandibular disorder as a factor, that part of the next claim is already established on your file. How a secondary claim works, in full →
Conditions that list temporomandibular disorder as a factor
Quoted from the instrument. A pathway existing is not the same as a claim succeeding — each factor carries thresholds your record has to satisfy.
Tinnitus
RH No. 84 of 2020 · BoP No. 85 of 2020
Reasonable Hypothesis — factor (22): “having temporomandibular disorder at the time of the clinical onset of tinnitus” [clinical onset] — factor (60): “having temporomandibular disorder at the time of the clinical worsening of tinnitus” [worsening]
Balance of Probabilities — factor (18): “having temporomandibular disorder at the time of the clinical onset of tinnitus” [clinical onset] — factor (49): “having temporomandibular disorder at the time of the clinical worsening of tinnitus” [worsening]
Other accepted conditions that also open tinnitus
If any of these is also on your file, it reaches some of the same conditions temporomandibular disorder does.
What DVA means by temporomandibular disorder
A claim is tested against the definition first. If the diagnosis on your file does not meet this wording, the factors below never get reached — so it is worth checking that what your doctor wrote matches what the instrument requires.
Temporomandibular disorder, for the purposes of the Statement of Principles, for the purposes of this Statement of Principles, temporomandibular disorder: (a) means a heterogeneous group of conditions affecting the anatomical and functional characteristics of the temporomandibular joint, masticatory muscles and associated structures of the masticatory system, with: (i) clinically significant pain localised in the temple, front of ear or jaw, that is modified with jaw movement, and which is experienced on more days than not within a continuous six month period; and (ii) clinically significant distress or substantial impairment of social, occupational, educational or other important areas of functioning due to pain, limitation, deviation or other abnormality of jaw motion; and (iii) clinical signs or imaging evidence of myalgia, arthralgia, or another pathological process affecting the temporomandibular joint, muscles of mastication and/or associated structures; and (b) excludes: (i) orofacial pain of dental origin; (ii) headache or pain better accounted for by another pain or headache disorder; and (iii) congenital or developmental orofacial disorders.
RH No. 47 of 2018 · BoP No. 48 of 2018 · 17 factors
What could support a claim for temporomandibular disorder?
The Statement of Principles for temporomandibular disorder names 1 other condition among its own factors. If any of these is already accepted on your file, it may be the factor that carries a temporomandibular disorder claim — quoted here from the instrument.
Fibromyalgia
Reasonable Hypothesis — factor (8): “having fibromyalgia at the time of the clinical onset of temporomandibular disorder” [clinical onset]
Reasonable Hypothesis — factor (20): “having fibromyalgia at the time of the clinical worsening of temporomandibular disorder” [worsening]
Reviewed by Dr Thomas Perkins
Founding doctor, Veterans Health Centre · former RAAF aviation medical officer · 13 years working exclusively with ADF members and veterans. Full profile →
Temporomandibular disorder accepted?
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