Letter to editor – oral surgery, oral medicine, oral pathology, oral radiology re: goldblatt li, adams wr, spolnik kj, deardorf ka, parks et. chronic fibrosing osteomyelitis of the jaws: an important cause of recalcitrant facial pain. A clinicopathologic study of 331 cases in 227 patients. oral surg oral med oral pathol oral radiol. 2017 oct;124(4):403-412.

The recent paper by Goldblatt et al. 1 attempts to resurrect an orofacial pain concept that has come and gone several times in the past 30-40 years. As they correctly point out in their first paragraph, this concept has had many different names in the past (ischemic osteonecrosis, bone marrow edema syndrome, neuralgia-inducing cavitational osteonecrosis (NICO), Ratner bone cavity, and alveolar cavitational osteopathosis). Now these authors have presented similar findings under the new name of chronic fibrosing osteomyelitis of the jaws (CFOJ), but clearly they are still invoking a familiar theory that they believe can explain certain cases of orofacial pain.

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