Integrative Medical-Dental position paper: NICO, Cavitations
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- Reynard Sharp
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1 Integrative Medical-Dental position paper: NICO, Cavitations Statement We are dedicated to understanding the clinical significance, assessment and treatment of NICO lesions in the jaw. Furthermore we are involved in clinical outcomes research, effectiveness of assessment and treatment, cost and efficiency of treatment. We recognize the lack of consensus in the patho-physiology, assessment and treatment of NICO lesions and through our empirical observations, clinical achievements, study, networking and researching, we will become a service to our patients, value to our profession and a solution to the clinical and professional understanding of the root causes of health problems. What is a Cavitation (Neurological Inducing Cavitational Osteotis - NICO): Cavitations as the name implies is a hole in the bone in our case the jaw bone, although this lesion is also found in other bones of the body (although less frequently than the jaw). If a biopsy is taken, it reveals itself as boney tissue that is ischemic (almost dead), often with large fatty globules and other characteristic features of not healthy bone and its marrow. Basically and a hole in the bone, which could be round or any shape sometimes with fingerlike projections extending outward (worm-holes). Neurological inducing refers to the potential of this pathology causing neurological disturbance, which originally was understood to be pain in areas away from the NICO site. In fact, these lesions sometimes cause pain with the symptoms manifesting in neurologically referred sites. Now it is widely understood that these neurological inducing lesions (NICO) cause a wide variety of health issues, because they seriously affect the Autonomic Nervous System (ANS). The NICO symptoms where the dysfunction manifests or the general bodily conditions most often referred or not in the immediate vicinity of the NICO lesion, which is the characteristic of neurological inducing lesions.. Controversy: There are three controversies regarding NICO: i. Western school medicine (traditional dental school) while acknowledging NICO lesions for 100 years in its textbooks, minimizes the incidence and the impact on the health of the patient. Those involved in Integrative Medicine (physicians and dentists) disagree. Through testing and empirical observation of the many patients we have treated, we realize that NICO is a major health problem and impediment to many patients healing. ii. NICO lesions have traditionally been treated by surgery only. Most of the clinicians that have historically studied and treated this condition have used a surgical approach to remove the lesion. The 1
2 non-surgical approach to NICO was developed later and the empirical observation in the thousands of patients appears to indicate that the non-surgical treatment is very helpful for some but not all. iii. Assessment of NICO is another controversial issue. The history is only suggestive. The gold standard for assessing pathological lesions is biopsy and/ or imaging. Traditional imaging (a panorex of the jaw) has been hard for the traditional dental establishment to evaluate and often is not detailed enough to visualize the NICO s boarders. Other imaging and sonographic (sound) assessments are employed but not well understood by the Medical and Dental specialists at this point in time. Note since NICO is a strong disturbance of the Autonomic Nervous System (ANS) many biofeedback assessment techniques have been successfully employed, with nearly 100% of accuracy in determining NICO as confirmed by pathologic report after surgery. The controversy is that traditional dentistry and medicine often rejects these very useful and inexpensive assessment tools. Our position: We have over 15 years of assessing and treating patients with NICO lesions. We have been present and participated in the beginning of the understanding of this jaw bone issue. We have the ability to assess NICO using the standard biofeedback assessment tools (i.e. meridian stress testing (MST), Autonomic Response Testing (ART) and Contact Regulation Thermography (CRT). Dr. Weiner, a founding member of the Integrative Medical-Dental team has pioneered the advancement of spiral CT scans in assessing NICO with imaging. He also uses MRI and other imaging techniques along with computerized sonography. We have the ability to treat NICO surgically, with 2 dental surgeons with over 20 years of combined surgical experience in NICO surgical treatment. We have also been in the forefront of the non-surgical treatment of these pathological health issues of the jaw. We have observed the dramatic recovery of patient s health issues over the years from the treatment of NICO (along with other Integrative Medical therapeutics aimed at the root causes of the disease). Some of the health conditions that our patients have had that seemed to have positively responded after the NICO lesions were treated are: pain and TMD dys-function, allergies, autoimmune, cancer, chronic fatigue, heart disease and other generalized and specific health conditions. We at NIHA and the multiple physicians and other informed health professionals that refer to us for this condition have many years of empirical evidence of the great incidence and the importance of NICO treatment in the health and healing of many of our patients. Patho-physiology: what is the causation of NICO and why is it such a problem? There is no consensus in traditional or holistic groups regarding why NICO lesions forms, why it appears to be so prevalent and what are the biological effects and its contribution to the health problems of the patient. We are influences in our opinion by international research, clinical observations regarding assessment and therapeutics, 2
3 Integrative Medical models, good medical judgment and the clinical outcomes of our patients. The following is our best answer to what is the patho-physiology of NICO: 1. NICO appears to be a dump site for heavy metals (mercury, tin, platinum, palladium, nickel and others) that are stored but cannot be removed (detoxed) from the body. The evidence that influences this statement: a. Research by the German toxicologist Daunderer: in 2000 patient NICO surgery samples, he found a very high concentration of these toxic heavy metals that are found in the metal restorations and crowns in the mouth of the patients and are now known to be slowly released into the body. One patient it was reported in Germany had 20 consecutive surgeries, where high amounts of mercury were recovered. b. MST and ART assessments indicate mercury and other heavy metals in all NICO lesions in patients that had mercury fillings present at one time. Note that the mercury fillings could have been removed for many years, but the dump site (NICO lesion) remains because the body can t metabolize and detox the NICO lesion. c. When mercury is present we usually use mercury chelating agents to treat the NICO non-surgically, along with other remedies. For this reason, we strongly suggest that the mercury fillings are removed prior to any surgical or non-surgical NICO therapeutics. Get rid of the source first (the toxic metal fillings) then treat the damage (the NICO lesion). d. Principles of Homotoxicology (man s toxins) state that the body will remove or excrete toxins if it can but if it cannot, the toxins are stored. Mercury and other heavy metals cannot be detoxed easily by the body s natural processes. Therefore storage sites are used to warehouse the mercury, close to the site of toxification (the fillings of the mouth), and often in an active metabolic site the area of the wisdom teeth after their extraction. 2. NICO lesions are Toxic Foci or Interference Fields, which are high charged neuro pathological areas that result in a disturbance at a distal site. The concept of toxic foci is not understood by conventional and some holistic Medical and Dental professionals, because it involves a deeper understanding of how the Autonomic Nervous System (ANS) functions and how it appears to protect us from toxic substances that we continually expose ourselves to on a day by day basis, like the presence of mercury fillings in our mouth. Definitions of Interference Fields: chronically altered tissue which encloses organic and inorganic material that cannot be removed or metabolized, which causes remote disturbances of a general and local kind. Pischinger An Interference Field is where a pathologically charged tissue or region produces a disturbance via the (SNS) nerves not manifested in a remotely located disease. W. Huneke The ANS in general and the sympathetic nervous system in particular functions to maintain the best internal milieu or internal environment. The ANS controls every internal extra cellular bodily function like blood flow, neuropeptide and neurotransmitters, cellular signaling agents, the active transport of all the nutrients and wastes to and from the cells, even the cellular membranes are 3
4 under the partial control of this very active neurological system that functions autonomically, without consciousness. Furthermore, the NICO lesion is an area of scant blood flow and almost no immune system activation, which makes it a great area for chronic infections to hide out, without the immune system to battle The ANS when confronted by a chronically dysfunctional tissue, reacts by creating much sensory neurological activity but on the motor side shuting down the blood flow, immune system and any other healing entities in its arsenal. This is why the NICO lesions can be present for many years (over 40), without healing. So in other words the NICO lesion remains a storage of mercury dump site, with neurological consequences from the toxicity of its contents and the overload of the functional neurological system. All chronic diseases, pain and dys-functions in any tissue, have dys-autonomia, or a dys-regulation in the blood flow and other extra cellular dynamics mentioned above, or else the body- the self healing organism that it is designed to be, would do it job. Since NICO lesions are neurological pathologies, doesn t it make sense to use neurological testing techniques to determine if NICO is present and if healing is taking place or the neurological disturbance is removed. This is why we utilize Meridian Stress Testing (MST) and Autonomic Response Testing (ART) as very precise tools to assess for NICO. Rule in Integrative Medical testing if the lesion is primarily physical assess with physical tools imaging and lab tests; if the lesion is primarily neurological test with neurological biofeedback tools; if the lesion is primarily mental test with neuro-psychobiologic, psychological and brain dynamics tools. 3. Some of the effects of NICO on other diseases a. NICO lesions appear to shut down aerobic metabolism, and switch the body s metabolism to the inefficient anaerobic metabolism. This is a routine finding by Dr. Soloman on her Computron, a MST device. The symptoms of such a condition are chronic fatigue and no energy. When corrected the energy is often restored and the other therapeutic interventions appear to now work. b. The contents of the toxic soup of NICO that have been tested contain potent toxins that poison the Krebs cycle energy producing enzymes. These anti-metabolites can over time overwhelm the detoxifying and transport system to inactivate and carry them out, now adding to general bodily toxicity. This is another reason for the inability to properly utilize oxygen, which is a characteristic in all chronic, degenerative and neoplastic diseases. Dr. Ali, the world famous Integrative Medical physician, refers to this condition as dys-oxygenosis. c. The neurological system is interconnected and linked in a way that is not completely understood. The Chinese have empirically studied this linkage through the meridian system of Traditional Chinese Medicine (TCM), and have linked reflexively the mouth and teeth to meridians, organs, structures and glands. Dead teeth, root canal teeth and NICO all contain these toxic and neurological disturbances, which are linked to these distal structures. The linkage is not well understood at this time, but the result is the shutting down of the blood flow to these structures and / or organs so that the functional capacity is reduced. This chronic condition leaves the 4
5 organ or structure with less (functional) capacity to work and if injured less capacity to heal. i. Consider that many heart attacks or coronary vasoconstrictions occur with little build up of plaque to cause a physical obstruction, therefore the only explanation is a neurological induced vasoconstriction. The NICO of the 3 rd molar of wisdom tooth, the most common site of NICO is on the heart meridian. History: History is very important, but with NICO the history can be allusive because the effects are neurological and toxic overload which have distal and referred symptoms Suspect dys-autonomia Chronic fatigue cellular energy Allergies Multiple health issues that don t seem to respond to therapy, especially other integrative medical therpay Tissue/ organ dys-function, especially if non-resistant to other healing therapies blood flow dys-function, chronic hypo-perfussion; reduces functional capacity to function and to withstand injury, unable to heal if injured Chronic infections: lyme, herpes, candida, - able to hide away from the Immune system, and blood flow and healing or antibiotic therapy. Chronic pain and dys-function is musculo-skeletal system lack of blood flow to heal properly. Neoplastic disease is chronic cellular toxicity, damaging the cellular DNA, lack of immune response killing the neoplastic cells Degenerative disease is cellular toxicity and lack of blood flow to heal and regenerate the tissue Suspect NICO if Chronic problems started after 3 rd molar extractions, either immediately or a couple years later Difficult 3 rd molar extractions, that had a hard time to heal If you had mercury fillings when your 3 rd molars were removed If you have degenerative of neoplastic disease If you have energy problems By Mark McClure, DDS, FAGD, ND, Doctor of Integrative Medicine National Integrated Health Associates, 5225 Wisconsin Ave, Suite 401, Washington DC (202)
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