What are dental cavitations?
There’s a lot of misinformation out there about dental cavitations. Some patients have been “led astray” because their doctors have misdiagnosed a dental cavitation.
Also, the fact that two major dental conditions sound similar can be confusing: dental cavitation and dental cavity.
A dental cavitation is a term that is used to describe an area of damage in the jawbone. The dictionary defines a “cavitation” as an empty space formed within a solid object or body.
“Cavitation” is not a medical term, although it is used by dentists and other healthcare professionals.
A dental cavitation is an area of infection, inflammation, or necrosis within the jawbone.
If not treated correctly, it will fester, and toxic elements could spread to other areas of the body.
On the other hand, a dental cavity (known by dentist as “dental caries”) is an area of break down in the structure of a tooth caused by acids produced by specific bacteria. It also is known as tooth decay where infection is eating into the enamel, dentin, or the root structure of a tooth.
If you truly have a “dental cavitation” in your jawbone, this can be a serious problem. Proper treatment could lead to an expensive surgical procedure to “repair” it.
But some patients are misdiagnosed with a dental cavitation. The dentist might see an area of “demineralization” in the jawbone that is not pathologic. If this demineralized area is treated as a true dental cavitation, it could lead to unnecessary surgery and significant expense.
Since “cavitation” is not a recognized dental term or condition, there is much confusion revolving around its diagnosis and treatment. In my opinion, misdiagnosis is an error that may be understandable. Yet, overdiagnosis of dental cavitations is fraud in my opinion and could lead to unnecessary treatment, high cost, and pain.
Let’s take a deeper dive into this area. I’ll describe some facts about “dental cavitations”.
Medical Terminology
The accepted medical term for a dental cavitation is “cavitational osteonecrosis” or “ischemic osteonecrosis”.
Some professionals that are not in the “know” will classify this jawbone disease as a sham. However, it is definitely real and definitely could cause isolated as well as systemic destruction.
This type of lesion may be a hollow space surrounded by dead bone, or it may be filled with various inflammatory, toxic, or infectious elements.
One of the problems with a dental cavitation is that most of these lesions are painless. However, if there is pain, they are usually called “Neuralgia-Inducing Cavitational Osteonecrosis” (NICO).
As I mentioned, these bone lesions must be diagnosed correctly. “Cavitation lesions” that are only areas of demineralization with no pathology rarely need to be treated. A good dentist will not convince you to treat this kind of demineralization if s/he knows there is no pathology.
Diagnosis of Cavitations
As I have suggested, dental cavitations may be difficult to diagnose. It is difficult or impossible to see these lesions when viewing a regular single dental periapical x-ray or a panoramic dental x-ray.
A panoramic x-ray shows the upper and lower jaw, the teeth, and the sinus spaces.
Most dental x-rays are 2-dimensional pictures of specific areas of your jaw and teeth. However, the jaw and teeth are three-dimensional structures. So, a 2-dimensional x-ray flattens the 3-dimensional object into a picture that shows minimal detail. More detail is required to identify potential areas of cavitational osteonecrosis.
To see this lesion in detail, the dentist should have the patient receive a 3-dimensional picture of the jaw. This can be done with a Cone Beam CT Scan (CBCT) of the potential lesion.
But before any x-ray is taken, the dentist must review the dental and medical history of the patient to determine the possible causes of the bone lesion before making the diagnosis.
Causes of Dental Cavitations
Dental cavitations in the jawbone could be the result of a variety of insults to the bone. Here are 5 possible causes:
- Some type of trauma to the bone causing a blockage of blood flow could cause bone cells to die, thereby creating a hollow space within the bone.
- Following an improperly performed procedure to extract a tooth could leave infection or debris in the bone socket, which could result in a dry socket and eventually a dental cavitation.
- Overheating the bone during a dental procedure using cutting drills could cause the bone to die, leading to cavitational osteonecrosis.
- A tooth abscess penetrating into the bone and becoming isolated within the bone could form a bone lesion.
- Continuing infection at the base of a tooth root, which has a failing root canal, could be the culprit.
Linking Dental Cavitations to Chronic Disease
When harmful bacteria and toxic substances accumulate in the hollow space in a bone lesion, the immune system is activated via the mouth-body connection. Various biologically active chemicals are produced which can travel along nerve sheaths, through bone spaces, within lymph, and into the systemic bloodstream.
These biological chemicals and toxic substances can affect other cells and organs in the body — creating chronic systemic inflammation, chronic diseases, and chronic pain.
It is important to realize that pain and chronic disease could occur a distance from the jawbone lesion. This is another reason why it may be difficult to understand that the dental lesion caused an area of pain and chronic disease somewhere else in the body.
Treatment of Dental Cavitations
Dental cavitations, also known as “cavitation lesions” or “NICO” (Neuralgia-Inducing Cavitational Osteonecrosis), are areas of dead or necrotic bone in the jawbone that can be associated with infections and inflammation. Treating dental cavitations typically involves a comprehensive approach that may include the following steps:
- Diagnosis: A thorough evaluation is crucial to diagnose dental cavitations accurately. This may involve a combination of clinical examination, dental imaging (such as panoramic X-rays, cone beam computed tomography), and potentially, other diagnostic tests.
- Surgical intervention: The most common treatment for dental cavitations is surgical debridement. The affected area of necrotic bone is removed to promote healing and prevent further infection. The surgical procedure may be performed by a dentist or oral surgeon who is experienced in this type of treatment. The technique used may vary, but it often involves removing the affected bone, cleaning the area, and promoting proper healing.
- Biopsy and culture: In some cases, a biopsy may be taken during the surgical procedure to examine the tissue and determine if any specific pathogens are present. Culturing the extracted material can help identify the type of bacteria or other microorganisms responsible for the infection, which can guide targeted treatment if necessary.
- Adjunctive therapies: Depending on the specific case, additional therapies may be recommended to support healing and reduce inflammation. These can include the use of antimicrobial rinses or systemic antibiotics, as well as natural remedies to promote tissue healing.
- Follow-up care: After the surgical treatment, proper post-operative care is essential. This typically involves instructions for maintaining oral hygiene, taking any prescribed medications, and scheduling follow-up visits to monitor healing and address any concerns.
It’s important to note that the existence and treatment of dental cavitations can be a controversial topic within the dental community, and not all dentists or oral surgeons may consider them as a valid diagnosis or recommend surgical intervention. It is advisable to seek professional opinions from dentists who are experienced in diagnosing and treating cavitations or consult with a dental professional who specializes in holistic or biological dentistry, as they may have more expertise in this area.
Please note that I am an AI language model and cannot provide personal medical advice or specific treatment recommendations. It’s best to consult with a qualified dental professional for an accurate diagnosis and personalized treatment plan.