[{"@context":"https:\/\/schema.org\/","@type":"Article","@id":"https:\/\/iaomt.org\/differential-diagnosis-nico-lesions\/#Article","mainEntityOfPage":"https:\/\/iaomt.org\/differential-diagnosis-nico-lesions\/","headline":"Differential Diagnosis of NICO Lesions","name":"Differential Diagnosis of NICO Lesions","description":"Wesley E. Shankland, II, D.D.S., M.S., Ph.D. \u00a0\u00a0 \u00a0TMJ & Facial Pain Center \u00a0\u00a0 \u00a0Columbus, OH Introduction The diagnosis and treatment of orofacial pain are challenges to the clinician as well as frustrating to the one afflicted.\u00a0 At least two reasons account for these observations.\u00a0 Anatomically, the orofacial region is one of the most highly  [...]","datePublished":"1999-04-24","dateModified":"2018-01-22","author":{"@type":"Person","@id":"https:\/\/iaomt.org\/author\/jessica\/#Person","name":"Webmaster","url":"https:\/\/iaomt.org\/author\/jessica\/","identifier":3,"image":{"@type":"ImageObject","@id":"https:\/\/iaomt.org\/wp-content\/litespeed\/avatar\/6aa2b98c8dd5e8c8b24956bfacd0d2ed.jpg?ver=1777407708","url":"https:\/\/iaomt.org\/wp-content\/litespeed\/avatar\/6aa2b98c8dd5e8c8b24956bfacd0d2ed.jpg?ver=1777407708","height":96,"width":96}},"publisher":{"@type":"Organization","name":"The International Academy of Oral Medicine & Toxicology","logo":{"@type":"ImageObject","@id":"https:\/\/iaomt.org\/wp-content\/uploads\/IAOMT-Schema-app-logo.jpg","url":"https:\/\/iaomt.org\/wp-content\/uploads\/IAOMT-Schema-app-logo.jpg","width":120,"height":60}},"image":{"@type":"ImageObject","@id":"https:\/\/iaomt.org\/wp-content\/uploads\/iaomt-logo2.jpg","url":"https:\/\/iaomt.org\/wp-content\/uploads\/iaomt-logo2.jpg","width":100,"height":100},"url":"https:\/\/iaomt.org\/differential-diagnosis-nico-lesions\/","about":["Articles"],"wordCount":223,"keywords":["Jawbone Osteonecrosis (Jawbone Cavitations)"],"articleBody":"Wesley E. Shankland, II, D.D.S., M.S., Ph.D.\u00a0\u00a0 \u00a0TMJ & Facial Pain Center\u00a0\u00a0 \u00a0Columbus, OHIntroductionThe diagnosis and treatment of orofacial pain are challenges to the clinician as well as frustrating to the one afflicted.\u00a0 At least two reasons account for these observations.\u00a0 Anatomically, the orofacial region is one of the most highly innervated areas of the human body, especially the oral cavity.\u00a0 Referred pain patterns, collateral innervation, and multiple innervations of structures all confuse a person\u2019s perception as to the location of the pain generator (i.e., a lesion or injured structure).\u00a0 This honest confusion complicates the doctor\u2019s diagnostic attempts.In addition, the head and face are subject to chronic or recurring pain more than any other portion of the body.1\u00a0 A 1983 study2 revealed that the average facial pain sufferer sought relief from at least six separate practitioners in their quest for an answer to their orofacial pain.\u00a0 Thus, dentists engaged in general practice, treating the numerous, common dental conditions which produce pain, have a difficult task.In this brief treatise, the topic of diagnosing neuralgia inducing cavitational osteonecrosis (NICO) of the jaws will be addressed.\u00a0 However, before that subject is introduced, attention must be given to the differential diagnosis of a common and similar disorder, trigeminal neuralgia.Continue reading the article:\u00a0 Differential Diagnosis of NICO"},{"@context":"https:\/\/schema.org\/","@type":"BreadcrumbList","itemListElement":[{"@type":"ListItem","position":1,"name":"Differential Diagnosis of NICO Lesions","item":"https:\/\/iaomt.org\/differential-diagnosis-nico-lesions\/#breadcrumbitem"}]}]