Also known as Chronic Infected holes Left in Jaw Bones after Tooth Extraction.
“Just pulling the tooth is not enough when tooth removal proves necessary.” In the early 1950’s some European physicians and dentists noticed that certain old extraction sites had some tissue sealed over the top, and a hole remained underneath where the roots used to be. By the early 1960’s, articles appeared in dental and medical journals in America describing Alveolar Cavitational Osteopathosis, or “cavitations”; (holes in the bone). In 1993, numerous research studies and reports were presented at a symposium attended by physicians, dentists, and Ph.D.’s from all over the world. This meeting provided an important step forward in the understanding of this little known subject.
Cavitations result from a lack of healing when the lining of the socket has not been properly removed. Between the tooth and the bone, there is a layer of connective tissue called the periodontal ligament. When teeth are removed, dentists normally curette (scrape) away the soft injectd tissues at the end of the roots, however, they do not routinely remove the ligament and part of the bony socket, which may retain bacteria and toxins. If this ligament is not removed and it does not break down in the healing process, the top layer of the socket heals over with a thin layer of bone and new gum tissue and the socket will not fill in with healthy solid bone. This is because new gum tissue and the socket will not fill in with healthy solid bone. This is because the body doesn’t recognize the tooth is gone since the ligament is still present. The resulting void, or hole in the bone, is very unnatural; the ligament, and whatever bacteria and toxins may be residing therein becomes a stress to the immune system.
Microscope biopsies have found lymphocytes (white blood cells) in the area of the periodontal ligament and its adjoining jawbone. The white blood cells are present to control the disease activity that remains from the extraction to stress the patient’s immune system. Biopsies performed on the bone immediately adjacent to root canal-filled teeth have also revealed a great number of lymphocytic cells of chronic, long-term immune challange (suggestive of autoimmune disease). These reports confirm the surgical recommendation of removing at least one millimeter of bone around the extraction site.
To prevent the formation of cavitations, after extracting a tooth, we perform extra surgical procedures to remove the periodontal ligament and infected bone. These extra steps not only help prevent cavitations, but they also help the healing proceed much more rapidly and comfortably. We also use a special surgical procedure to treat existing cavitations. This involves cleaning out the socket of residual ligament and infected tissue as well as stimulating bleeding into the socket to stimulate the normal healing process.
The procedure also involves the use of natural disinfectants to kill off any residual microorganisms (bacteria, viruses, fungus) as well as treating the area with a low level laser. This will stimulate the healing process by increasing the blood flow and reducing inflammation.
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