Pine inflammation / NICO (Neuralgia Inducing Cavitational Osteonecrosis)
Inflammations in the jaw area often lead to radiating pain in the jaw and face area in patients.
Depending on whether an acute or chronic course of the jaw inflammation is at the bottom, the symptoms of the patients differ as well. However, nonspecific facial pain can also be induced by chronic softening in the jawbone.
These are grouped under the term NICO – neuralgia-inducing void-forming osteonecroses. They can occur both in the lower jaw and in the upper jaw, often in edentulous portions of the Aleveolar bone.
NICO is a special form of jawbone disease – related to facial pain and trigeminal neuralgia and has consequences on the overall system of the body in the sense of a chronic inflammation.
It seems that this is a deficiency supply in the sense of a metabolic disorder that leads to greasy-degenerative bone dissolution.
In this case, inflammatory messenger substances are found (RANTES), which act on other organs and can be associated there with inflammatory joint complaints, breast cancer, Hashimoto, multiple sclerosis and other tumors.
The diagnosis of NICO requires special imaging techniques, as conventional X-ray imaging only insufficiently illustrates the pathological structural alteration of the jawbone. The then intraoperatively obtained material is examined histopathologically and metal toxically by several special laboratories.
During the removal, various surgical and regeneration procedures are used which accelerate bony wound healing.
Many patients suffer from years of radiating facial pain.
Root canal treatment, root tip resection and finally tooth extraction follows without relieving the symptoms. The search of other specialist colleagues, a computed tomography or a magnetic resonance tomography lead to no clear diagnosis or explanation for the neuralgiform pain.
It is therefore all the more important to inform us about the clinical picture of NICO and to be able to offer our patients therapy to alleviate their symptoms associated with the condition and thus to improve their quality of life.
We work in a large network with excellent colleagues who will assist you therapeutically before and after the removal of NICO.
If you have any questions about NICO / jawbone inflammation, you can reach us in our practice rooms at Stuttgarter Platz 1.