A NICO (neuralgia-inducing cavitational osteonecrosis) is a hole in the jaw bone, usually in an area where a tooth had previously been extracted and the bone has not filled in properly. If the periodontal ligament is not removed during the tooth extraction process, the site will not heal completely, resulting in a hole or spongy area inside the jaw bone. NICO lesions are regions where bacteria can flourish, the subsequent bacterial waste and toxins can cause an immune challenge to the patient.

Drs. Van Gorden and Steinbach take every precaution to avoid the development of NICO lesions in their patients that need to have one or more teeth removed. They are currently advancing their educations in the identification and management of existing NICO lesions.