Nico facial pain

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Note that at least 4 lesions are visible. Cavitational lesions are difficult to discover. On most x-rays, unless the doctor is specifically trained, these bony lesions are usually missed. Note the large nerve, the inferior alveolar, as it travels through and between NICO lesions.
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Neuralgia-inducing cavitational osteonecrosis in a patient seeking dental implants

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The Appearance of NICO Lesions - Dr Wesley Shankland

Neuralgia-inducing cavitational osteonecrosis NICO is a controversial diagnosis whereby a putative jawbone cavitation causes chronic facial neuralgia ; this is different from osteonecrosis of the jaw. In NICO the pain is said to result from the degenerating nerve "neuralagia". Also called Ratner's bone cavity, a neuralgia-inducing cavitational osteonecrosis was first described in dental literature by G V Black in The diagnostic criteria for NICO are imprecise, and the research offered to support it is flawed. It has been rejected as quackery by some dentists and maxillofacial surgeons. From Wikipedia, the free encyclopedia. Osteomyelitis in jawbone samples from patients with facial neuralgia".
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NICO Neuralgia-Inducing Cavitational Osteonecrosis is one of the jawbone versions of ischemic osteonecrosis, a common disease affecting any bone but with special affinity for those of the hips, knees and face. By definition, NICO is associated with pain. Osteonecrosis itself may or may not be painful.
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Aetna considers the use of devices to image the jawbones to diagnose NICO or NICO-type conditions experimental and investigational because there is no adequate scientific evidence to support their clinical value. The clinical significance of "neuralgia inducing cavitational osteonecrosis" NICO , or cavitational osteopathosis, has been called into question. Dodes and Schissel reviewed the history of this syndrome.
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Video сomments (1)

  1. Muk
    Muk 1 year ago

    Inside a moving car in the passenger seat is also great...

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