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Board of Veterans' Appeals · AMA series

Service connection for temporomandibular joint disorder (TMJ) is granted.

July 30, 2026Citation Nr. A26069989Docket 250707-562015va.gov source

  • Temporomandibular joint disorder (TMJ)Granted
  • Chronic respiratory disorderDenied
  • Chronic sinusitisDenied
  • Chronic rhinitisDenied
  • Diabetes mellitus type IIDenied
  • HypertensionDenied
  • Renal disabilityRemanded

Board reasoning

The Board found that TMJ has a current diagnosis and, after weighing medical opinions and lay statements, concluded the condition had its onset in service or is etiologically related to service, granting service connection. For chronic respiratory issues, chronic sinusitis, and chronic rhinitis, the Board relied on a January 2025 VA examiner who found no chronic respiratory diagnosis and no sinusitis, and thus denied these claims after noting the lack of a compensable pathology. For DM II and hypertension, the Board found no evidence of onset within one year of service or a nexus to service, weighing the October 2024 examiner’s negative opinions as persuasive. Regarding the renal claim, the Board remanded for an addendum opinion to determine specific renal diagnoses and whether any had onset in service, considering the veteran’s lay statements and post-service records. The opinions ci...

Issues

  • Temporomandibular joint disorder (TMJ)Granted
  • Chronic respiratory disorderDenied
  • Chronic sinusitisDenied
  • Chronic rhinitisDenied
  • Diabetes mellitus type IIDenied
  • HypertensionDenied
  • Renal disabilityRemanded

Authorities

  • Stefl v. Nicholson, 21 Vet. App. 120Referenced as precedent for considering medical explanations and literature in evaluating medical opinion weight.
  • Lynch v. McDonough, 21 F.4th 776Cited regarding the burden of proof and the denial of reasonable doubt when evidence is not evenly balanced.
  • Buchanan v. Nicholson, 451 F.3d 1331Noted for requiring examiners to consider lay statements and etiologies beyond lack of STRs.
  • Nieves-Rodriguez v. Peake, 22 Vet. App. 295Guides assessing medical opinions for adequate medical analysis.

Extracted with gpt-5-nano-2025-08-07. Citations are kept only when they appear in the decision text.