Dental Cavitations

This is an example of a patient who presented to Dr. Etess in pain on tooth #15. A regular periapical dental x-ray was taken

A comprehensive intraoral exam revealed tooth #15, the top right 2^nd molar was the offending tooth. The regular 2-dimensional x-ray lacked all the information. This holistic patient wished to do what ever was necessary to save her tooth. The patient realized that losing this molar would have other dental consequeces that would be realized in the future. This patient also understood that NO dental implant, including zirconium implants would ever be as good as the natural tooth the patient was born with. The patient consented to a 3-Dimensional CBCT.

The Pre-operative treatment CBCT of tooth #15 displaying cavitation pathology that ended up in the maxillary sinus. Armed with this information, Dr. Etess was able to tailor a customized treatment plan to treat and save tooth #15.

This was the 1 year CBCT following biological root canal therapy of tooth #15 utilizing the latest technology. Please note the absence of any pathology in the sinus and the remineralization of bone around the tooth. All of the materials used are 100% biocompatible, and tooth #15 was reconstructed with biomimetic dental materials and technique.

Despite some holistic popular belief, not all infected teeth with cavitations require extraction. With the use of strict disinfection protocols utilizing the latest dental technology which includes but not limited to lasers and ozone, specialist biologic root canal therapy can save teeth and restore wellness. This might be a difficult solution for some patients to accept, but be rest assured, Dr. Jeffrey Etess will discuss ALL treatment options with his patients to find a solution to accommodate his patient needs.

Some patients just want their teeth removed and are NOT interested in therapies that could potentially save their natural tooth for whatever reason. Other times, teeth cannot be saved, they are deemed hopeless.

Whatever the reason for the extraction, be certain that the entire tooth root will always be removed. The dental tooth sockets will be thoroughly and completely cleaned out. The ENTIRE periodontal ligament with be properly removed. The dental root socket will be fully disinfected with ozonated water and gas. Finally, the extraction site will be filled with with an proprietary ozonated PRF (platelet Rich Fibrin).

Dr. Etess is a dental surgical endodontic implant specialist with a specialty certification recognized by the Nationally and Globally recognized American Dental Association. This training was achieved after an extensive internship and fellowship programs at ADA accepted University residency training facilities. Dr. Jeffrey Etess takes the utmost care in selecting and performing any type of surgery. All surgical procedures come with risk, and have the potential for unforeseen outcomes and complications, which must be considered and consented by the patient as an associated morbidity and possible mortality risk. All surgical procedures are specifically designed for each patient, and no two surgeries are the same. The use of Platelet Rich Fibrin (PRF) and Ozone disinfection is used for these patients. Other materials might be necessary or required and will be discussed and consented to by the patient prior to surgery.

Treating Dental Cavitations begins with a thorough intraoral exam, with proper 2D peri-apical dental xrays with a 3D CBCT is critical to identifying potential areas of dental cavitations. Without a proper intra oral exam, it is only conjecture.

Both palliative and recommended pre and post operative therapies are essential to success with Dental Cavitations. These therapies include, but are not limited to:

• Anti-inflammatory diet
  • gluten free, dairy free, grain free, processed sugar free, meat free, organic, alkalizing
• Neural Therapies
  • Prolozone injections (Procaine + Ozone)
  • Ozone insufflations (Ozone only)

The empty space of a cavitation can become a hotbed for microorganisms. As long as these pathogens are contained in the local necrotic area, the condition will remain silent and asymptomatic. But over time, as the patient’s natural defenses weaken due to disease, stress, and aging, the immune system can no longer keep the microorganisms contained. These microscopic pathogens include bacteria, viruses, parasites, and fungi (yeast and mold). As a result, the microorganisms and the toxins they produce spread to other areas of the body via the lymphatic, blood and nerve supplies. The end result can be a systemic condition causing pain, weakness, impaired nutrition, and a host of other disease conditions specific to organs and glands throughout the body.

Other dental treatments may unfortunately be a factor in forming a dental cavitation, particularly, if performed below the standard of care or by unforeseen treatment factors which cause trauma to the remaining jawbone and result in bone death, aka, necrosis. Low oral doses of bisphosphonates, which are used in the prevention or treatment of osteoporosis can also lead to osteonecrosis and potential jaw cavitations. Smoking and long-term chronic alcohol use decreases the microcirculation blood supply to the jaw which can lead to osteonecrosis and again the potential for dental cavitations. Large mercury containing dental fillings, and dental metal crowns & bridges made outside the United States can sometimes contain lead, nickel, and cadmium that can be toxic to the jaw and body contributing to cavitations and systemic disfunction. Additionally, periodontal disease, improper gum scaling, and frequent dental injections with too much vasoconstrictor can over time can all reduce the blood supply to the jawbone leading to an ischemic reaction. This diminished blood supply contributes to toxic build up and inhibits nutrients and oxygen from getting into the bone.

Dental Cavitations are most easily described as a hole in the bone, where the bone has not filled in like the normal bone around it, a site of alternative healing which may not be a wanted occurrence. It is classified as an area of dead bone known as osteonecrosis leading to acute osteomyelitis which is a very dangerous medical and dental condition. It is the opinion of some, that cavitations can be formed when a tooth is extracted, the surrounding periodontal ligament is left behind, and incomplete bone healing ensues. Additionally, an abscess that can form from a dead tooth, or from a failed root canal procedure has also been called a cavitation

This is an example of a patient who presented to Dr. Etess in pain on tooth #15. A regular periapical dental x-ray was taken

A comprehensive intraoral exam revealed tooth #15, the top right 2^nd molar was the offending tooth. The regular 2-dimensional x-ray lacked all the information. This holistic patient wished to do what ever was necessary to save her tooth. The patient realized that losing this molar would have other dental consequeces that would be realized in the future. This patient also understood that NO dental implant, including zirconium implants would ever be as good as the natural tooth the patient was born with. The patient consented to a 3-Dimensional CBCT.

The Pre-operative treatment CBCT of tooth #15 displaying cavitation pathology that ended up in the maxillary sinus. Armed with this information, Dr. Etess was able to tailor a customized treatment plan to treat and save tooth #15.

This was the 1 year CBCT following biological root canal therapy of tooth #15 utilizing the latest technology. Please note the absence of any pathology in the sinus and the remineralization of bone around the tooth. All of the materials used are 100% biocompatible, and tooth #15 was reconstructed with biomimetic dental materials and technique.

Despite some holistic popular belief, not all infected teeth with cavitations require extraction. With the use of strict disinfection protocols utilizing the latest dental technology which includes but not limited to lasers and ozone, specialist biologic root canal therapy can save teeth and restore wellness. This might be a difficult solution for some patients to accept, but be rest assured, Dr. Jeffrey Etess will discuss ALL treatment options with his patients to find a solution to accommodate his patient needs.

Some patients just want their teeth removed and are NOT interested in therapies that could potentially save their natural tooth for whatever reason. Other times, teeth cannot be saved, they are deemed hopeless.

Whatever the reason for the extraction, be certain that the entire tooth root will always be removed. The dental tooth sockets will be thoroughly and completely cleaned out. The ENTIRE periodontal ligament with be properly removed. The dental root socket will be fully disinfected with ozonated water and gas. Finally, the extraction site will be filled with with an proprietary ozonated PRF (platelet Rich Fibrin).

Dr. Etess is a dental surgical endodontic implant specialist with a specialty certification recognized by the Nationally and Globally recognized American Dental Association. This training was achieved after an extensive internship and fellowship programs at ADA accepted University residency training facilities. Dr. Jeffrey Etess takes the utmost care in selecting and performing any type of surgery. All surgical procedures come with risk, and have the potential for unforeseen outcomes and complications, which must be considered and consented by the patient as an associated morbidity and possible mortality risk. All surgical procedures are specifically designed for each patient, and no two surgeries are the same. The use of Platelet Rich Fibrin (PRF) and Ozone disinfection is used for these patients. Other materials might be necessary or required and will be discussed and consented to by the patient prior to surgery.

Treating Dental Cavitations begins with a thorough intraoral exam, with proper 2D peri-apical dental xrays with a 3D CBCT is critical to identifying potential areas of dental cavitations. Without a proper intra oral exam, it is only conjecture.

Both palliative and recommended pre and post operative therapies are essential to success with Dental Cavitations. These therapies include, but are not limited to:

• Anti-inflammatory diet
  • gluten free, dairy free, grain free, processed sugar free, meat free, organic, alkalizing
• Neural Therapies
  • Prolozone injections (Procaine + Ozone)
  • Ozone insufflations (Ozone only)

The empty space of a cavitation can become a hotbed for microorganisms. As long as these pathogens are contained in the local necrotic area, the condition will remain silent and asymptomatic. But over time, as the patient’s natural defenses weaken due to disease, stress, and aging, the immune system can no longer keep the microorganisms contained. These microscopic pathogens include bacteria, viruses, parasites, and fungi (yeast and mold). As a result, the microorganisms and the toxins they produce spread to other areas of the body via the lymphatic, blood and nerve supplies. The end result can be a systemic condition causing pain, weakness, impaired nutrition, and a host of other disease conditions specific to organs and glands throughout the body.

Other dental treatments may unfortunately be a factor in forming a dental cavitation, particularly, if performed below the standard of care or by unforeseen treatment factors which cause trauma to the remaining jawbone and result in bone death, aka, necrosis. Low oral doses of bisphosphonates, which are used in the prevention or treatment of osteoporosis can also lead to osteonecrosis and potential jaw cavitations. Smoking and long-term chronic alcohol use decreases the microcirculation blood supply to the jaw which can lead to osteonecrosis and again the potential for dental cavitations. Large mercury containing dental fillings, and dental metal crowns & bridges made outside the United States can sometimes contain lead, nickel, and cadmium that can be toxic to the jaw and body contributing to cavitations and systemic disfunction. Additionally, periodontal disease, improper gum scaling, and frequent dental injections with too much vasoconstrictor can over time can all reduce the blood supply to the jawbone leading to an ischemic reaction. This diminished blood supply contributes to toxic build up and inhibits nutrients and oxygen from getting into the bone.

Dental Cavitations are most easily described as a hole in the bone, where the bone has not filled in like the normal bone around it, a site of alternative healing which may not be a wanted occurrence. It is classified as an area of dead bone known as osteonecrosis leading to acute osteomyelitis which is a very dangerous medical and dental condition. It is the opinion of some, that cavitations can be formed when a tooth is extracted, the surrounding periodontal ligament is left behind, and incomplete bone healing ensues. Additionally, an abscess that can form from a dead tooth, or from a failed root canal procedure has also been called a cavitation