NICO: A Hidden Epidemic?
A growing group of dentists and physicians are discovering that what was once thought to be a rare condition might be very common. Many medical professionals however, believe that this problem is overplayed and even be the basis of fraudulent medical practices. This controversial condition is called neuralgia including cavitational oseonecrosis (NICO). In simple terms, cavitational osteonecrosis refers to holes, or cavities, that form in bone as a result of bone cell death. Neuralgia means pain felt along a particular nerve. So, NICO refers to a consistant pain located along the nerve that serves a bone with osteonecrosis. Apparently, the benefits provided by better access to healthcare had a downside: a large body of research shows that frequent dental work can introduce bacteria into the blood and facial bones, causing localized and widespread cavitational osteonecrosis. Cavitational osteonecrosis could also be caused by blood-flow problems and other degenerative changes to the body. Many medical doctors feel that anyone could be a candidate for NICO. They believe that the disease can go undetected until it starts causing intense pain. This is giving the doctors and dentists justification to routine NICO testing on patients who come in for dental and medical visits.
Use the information in this chapter and the websites on the top of page 218 in your book to resolve the issue of NICO. Answer three of the following five questions.
1. After weighing the evidence from different sources is it evident that NICO is a serious concern worthy of more investigation?
2. Should every person be tested for NICO even though it may not be as prevalent as believed?
3. Should dentists and doctors be required to have patients seek a second and third opinions when diagnosed with NICO?
4. Should the government put money into investigating the extent of NICO?
5. Should insurance companies have the right to investigate the validity of a NICO diagnosis and treatment before deciding to pay out benefits?