Re: Osteo Necrotic Jaws ... (?)

clintonz_at_prodigy.net
Date: 02/06/05 

Date: 5 Feb 2005 19:43:56 -0800

Joel M. Eichen wrote:
> What do you guys suggest we do?
>
> Make up diseases and treat you for same, just so you will be
> h-a-a-a-a-p-p-p-p-y?
>
> Sounds like redecorating the family room, not anything to do with
> dentistry!
>
>
>
> Joel
>

Where is J Boquot?

Jawbone cavities and trigeminal and atypical facial neuralgias.

Ratner EJ, Person P, Kleinman DJ, Shklar G, Socransky SS.

Oral Surg Oral Med Oral Pathol 1979 Jul;48(1):3-20

http://www.ncbi.nlm.nih.gov/entrez/PubMed&list_uids=287984&dopt=Abstract

The possible role of dental and oral disease in the etiology of
idiopathic trigeminal and atypical facial neuralgias has been examined.

Among thirty-eight patients with idiopathic trigeminal neuralgia and
twenty-three patients with atypical facial neuralgia, there was in
nearly all instances a close relationship between pain experienced and
the existence of cavities in alveolar bone and jawbone of the patients.

The cavities were at the sites of previous tooth extractions and,
although at times more than 1 cm. in a given diameter, were usually not

detectable by x-rays. A new method for their detection and localization

was developed empirically, based on the observation that peripheral
infiltration of local anesthetic into or very close to the bone cavity
rapidly abolished trigger and pain perception by patients during
persistence of the anesthetic action. Histopathologic examination of
bone removed from cavities by curettage revealed, in both idiopathic
trigeminal and atypical facial neuralgias, a similar pattern
characterized by a highly vascular abnormal healing response of bone.
Some lesions presented a mild chronic inflammatory (lymphocytic)
infiltration. Preliminary microbiologic studies of material from the
walls of the cavities showed the existence within them of a complex,
mixed polymicrobial aerobic and anaerobic flora. Treatment consisted of

vigorous curettage of the bone cavities, repeated if necessary, plus
administration of antibiotics to induce healing and filling-in of the
cavities by new bone. Responses of patients to the above treatment
consisted of marked to complete pain remissions, the longest of which
has been for 9 years. Complete healing leads to complete and persistent

pain remissions. It was concluded that in both idiopathic trigeminal
and atypical facial neuralgias, dental and oral pathoses may be major
etiologic factors.

I'd be very interested to hear your scientific respone to this

Relevant Pages

  • Re: Osteo Necrotic Jaws ... (?)
    ... >idiopathic trigeminal and atypical facial neuralgias has been examined. ... >Among thirty-eight patients with idiopathic trigeminal neuralgia and ... >the existence of cavities in alveolar bone and jawbone of the patients. ...
    (sci.med.dentistry)
  • Re: Bacteriophage
    ... I don't have any nerve pain and I don't ... Jawbone cavities and trigeminal and atypical facial neuralgias. ... the existence of cavities in alveolar bone and jawbone of the patients. ...
    (sci.med.dentistry)
  • Re: The dairy debate: Does milk build stronger bones?
    ... >> the body to leach calcium from the bone to correct the condition. ... > Celiac disease manifesting as isolated hypocalcemia. ... > Imbalance of osteoclastogenesis-regulating factors in patients with ... > increased in patients not on the gluten-free diet. ...
    (sci.med.nutrition)
  • Re: The dairy debate: Does milk build stronger bones?
    ... it's the grains that is the cause of low bone mieral density ... Celiac disease manifesting as isolated hypocalcemia. ... The initiation of a gluten-free diet ... Imbalance of osteoclastogenesis-regulating factors in patients with ...
    (sci.med.nutrition)
  • NICO Historical Review
    ... once rare disorder to be one of the most common of bone disorders. ... term, bone marrow edema, and the disease is now known primarily as ... those with single site involvement and the great majority of patients have ... Less severe cases of maxillofacial osteonecrosis were discussed in the ...
    (sci.med.dentistry)