Cavitation is the formation of an empty space or a hole within a solid object.
In dentistry, cavitation refers to a hollowed-out space in the jawbone that can be due to necrosis, ischemia or bone infections.
The term NCO (Neuralgia-Inducing Cavitational Osteonecrosis) was coined for a better understanding. It is also known as Avascular necrosis. NICO is the jaw-based variation of osteonecrosis.
Osteonecrosis is bone death ensued by ischemia(loss of blood supply to the bone, resulting in a collapse of the structure. Bone necrosis leaves a hole in the jawbone.
This empty space or hole harbors bacteria which are responsible for the breakdown ofdifferent enzymes responsible for normal cellular functions as well as producing toxins that affect the blood supply of the bone.
There are several causes for cavitation but it is often provoked by a previous dental treatment like dental extractions or chronic infection from failed root canals, impacted wisdom teeth, non-vital teeth. Odontogenic cysts can be one of the causes. Causes & risk factors more specifically associated with jawbone-based osteonecrosis include certain medications, long-term alcohol use, injury or increased bone pressure, gum disease, heavy smoking, and low oral doses of bisphosphonates, which are used in the prevention or treatment of osteoporosis.cavitations can also be related as a risk factor to osteoporosis, bone dysplasia, or after radiotherapy and chemotherapy. The latter being less frequent as compared to the former causes.
Let's take tooth extraction as an example. When a tooth is extracted, periodontal fibers that are responsible for holding the teeth in the socket are now detached. If there was a pre-existing infection & socket debridement was neglected, the result is the incomplete filling of the bone which impedes healing, and leaves an empty space in the bone.
Signs & Symptoms
Acute infections present itself with symptoms like throbbing pain, swelling & extreme discomfort that are hard to miss. The case for chronic pain is completely the opposite. In chronic infections, mild & intermittent pain is experienced & sometimes even that is absent, and the diagnosis is usually accidental & unintentional.
A 3D x-ray is required to assess the tooth in question and the structures surrounding it. A radiolucency or a black area is identified at the site of infection in the x-ray.
Tooth extraction us the last approach & is taken after all other alternatives are exhausted, like Ozone Therapy, Laser treatment, Toxic metal removals from the body.
Foto Radiog ............
The recommended treatment for Dental cavitations in the present is surgical debridement of the area, scraping the site to remove all the unhealthy bone & pathology like cysts & abscesses.
The next step is bone regeneration for successful healing.
At America Dental, we have skilled holistic dentists that are trained in the diagnosis and treatment of these cavitations. If you have any more questions or concerns regarding dental cavitations, you can contact us at (305) 810-4854 US & Canada or by email at Info@americadental.com