NICO stands for „Neuralgia inducing cavitational osteonecrosis“.

NICOs mainly develop after removal of wisdom teeth but can occur in every edentulous area. The cause of this is poor nutrition with a lot of sugar, wheat and cow’s milk products as well as a vitamin and nutrient deficiency: Vitamin D3 (lack of sun), zinc, magnesium and omega-3 fatty acids. This deficiency frequently causes the body to become overwhelmed with healing processes – it is almost in a state of “hibernation”. It is not able to build new tissue as the nutrients to do so are simply not there.

Biologische Zahnmedizin: Gesunder Knochen

Healthy bone

Biologische Zahnmedizin: Kranker Knochen

Diseased bone

NICO is therefore a symptom of a nutrient deficiency.

Our bone healing protocol has been proven to support perioperative bone regeneration (BHP according to Dr. Dominik Nischwitz). We use this before all surgical procedures to help the body’s regeneration process.

At least 14 days before the operation, it is crucial to consume the nutrients according to the protocol.

Photos: J Oral Pathol Med 1999; 28:423.


Bone Healing Protocol (BHP n. Dr. Nischwitz)