NICO (Neuralgia-Inducing Cavitational Osteonecrosis) and FDOJ (Fatty Degenerative Osteonecrosis of the Jaws) are terms for areas of unhealed or damaged bone that can develop in the jaw, most often after a tooth extraction.
Hidden jawbone damage can develop silently after extractions — often invisible on a routine X-ray and easy for conventional dentistry to miss entirely. Dr. Suli identifies and treats these conditions, known as NICO, FDOJ, cavitations, or osteonecrosis, using CBCT imaging to uncover what standard imaging can't, within a whole-body care framework that looks beyond the tooth itself.
If you've had a tooth extraction — particularly a wisdom tooth — that didn't heal as expected, or if you're experiencing unexplained facial pain, jaw discomfort, or chronic symptoms your dentist hasn't been able to trace to an obvious cause, jawbone health issues like NICO, FDOJ, or cavitations may be worth investigating. These conditions can also be identified incidentally during a CBCT scan taken for another reason, such as implant planning.
With over a decade of international clinical experience across Germany, Switzerland, China, and the UAE, Dr. Suli's surgical background includes root tip resections and cyst removals as part of his oral surgery practice at Dr. Roze Biohealth Clinics in Dubai, alongside his broader specialist training in oral surgery and implantology through the German Association of Oral Implantology (DGI) and his postgraduate Master of Science in Oral Surgery. He identifies and treats jawbone conditions such as FDOJ and NICOS as part of his whole-body, biologically oriented approach to dentistry.
Diagnosis begins with a CBCT scan, which allows Dr. Suli to see jawbone density and structure in detail that standard X-rays cannot capture. If a chronic inflammatory area is identified, treatment involves a minimally invasive surgical procedure to clean the affected bone, followed by disinfection using ozone therapy as part of Dr. Suli's biological protocol. Learn more about Dr. Suli's approach to ozone therapy. Post-operative care may include lymphatic drainage to support your body's healing response. Follow-up imaging confirms how the area has healed.
Standard 2D dental X-rays don't capture the level of bone density detail needed to identify these conditions. A CBCT scan provides 3D imaging that can reveal jawbone changes conventional X-rays miss.
No — medication-related osteonecrosis of the jaw is a distinct condition with a different cause. NICO, FDOJ, and cavitations relate to jawbone healing after extractions or infections, not medication side effects.
Treatment involves a minimally invasive surgical procedure to clean the affected bone, followed by ozone disinfection as part of Dr. Suli's biological protocol. Recovery is supported with post-operative care such as lymphatic drainage.
Yes — a CBCT scan taken for implant planning or another procedure can sometimes reveal a jawbone issue you weren't aware of. Dr. Suli will discuss any findings and next steps with you directly.
If a past extraction hasn't healed the way it should have, Dr. Suli can help identify what conventional imaging may have missed.