What Are Cavitations?
A cavitation is a hole in the bone, often where a tooth has been removed and the bone has not filled in properly. In the last several years, the term cavitation has been used to describe various bone lesions which appear both as empty holes in the jawbones and holes filled with dead bone and bone marrow. Dead, cavitational areas, which produce pain, are now called NICO (Neuralgia Inducing Osteonecrosis) lesions. Cavitations are often a result of either ischemic osteonecrosis, due to poor blood flow in the marrow, or a traumatic bone cyst. In his book on oral pathology, Dr. G.V. Black, one of the early experts on cavitations, suggested surgical removal of these dead bone areas. Other less traumatic measures are now first used, and surgery with curetting is used primarily where the patient has significant health effects not resolved by other means. When a tooth is being extracted, in what has been normal dental procedure, the surrounding periodontal membrane is usually left behind. Theoretically, when a tooth has been pulled, the body will eventually fill in the space in the bone where the tooth once was. But when the membrane is left behind, incomplete healing commonly takes place, which leaves a hole or a spongy place inside the jaw bone. Experts speculate that perhaps this is because the bone cells on either side sense the presence of the periodontal membrane and “think” that the tooth is still there. This appears to be one common cause of cavitations.
Ondodontic cysts are also commonly occurring, usually in the gums at the tip of a tooth. These cysts have pockets of bacterial infection that can cause inflammation and pain in some cases similar to cavitations. Bacterial infections are also known to have systemic effects. A cavitation can form in any bone in the body, not just in the jaw bones. There are other reasons that cavitations form, including localized traumas, poor circulation to the area, clotting disorders, and steroid use.
When an x-ray is taken of the extracted tooth site, this membrane can form an image that appears to be a shadow of a tooth. Almost always, this is indicative of a cavitation. Most dentists are aware of this phantom tooth image, but they do not recognize it as a site of potential problems. Other means of locating or identifying cavitational areas include:
- Sonic imaging(CAVITAT).
- Local anesthesia.
- Spect Scan, pressure to determine trigger points.
- Computer Electro Dermal System, etc.
While positive Spect Scans were found in nineteen of twenty patients with jaw pain, several control patients with no pain also had positive scans. Thus, the Spect Scan was not sensitive at differentiating painful from non-painful conditions. Some of the other methods had more success at such differentiation.
What’s Hiding Inside?
Inside a cavitation, bacteria flourish and deviant cells multiply. Cavitations act as a breeding ground for bacteria and their toxins. Research has shown these bacterial waste products to be extremely potent. Cavitations can also cause blockages on the body’s energy meridians and can exert far-reaching impact on the overall system. Investigation has revealed that some cavitations are reservoirs of huge amounts of mercury and other toxic substances. Cavitations may be a source of low level or high level stress on the entire body.
How Toxic Are Cavitations, and What Effects Are Caused by Cavitations?
Dr. Boyd Haley found that all cavitation tissue samples he tested contain toxins, which significantly inhibit one or more of the five basic body enzyme systems necessary in the production of energy. These toxins, which are most likely to be metabolic waste products of anaerobic bacteria (bacteria which don’t live in oxygen), may produce significant systemic effects, as well as play an important role in localized disease processes, which negatively affect the blood supply in the jawbone.
There are indications that other types of toxins also accumulate in cavitations, and when these toxins combine with certain chemicals or heavy metals (for example, mercury), much more potent toxins may form. High levels of mercury are commonly found in some cavitations and in general in the jawbone of those with mercury amalgam fillings and to have significant local and systemic effects. Mercury is known to be extremely toxic and to commonly cause chronic adverse local and systemic health effects. Yeast and fungi have also been found to accumulate in cavitations and to have significant systemic effects. The toxins released by anaerobic bacteria in cavitations have been found to be extremely toxic and to have major effects on necessary body enzymes and the immune system.
Cavitations Are Very Common
One study of cavitation incidence involved an analysis of 112 randomly-selected dental patients’ charts. The patients had been tested for cavitations, with patient age ranging from 19 to 83 years among forty males and 72 females. The cavitations were tested for using exploratory drilling. Cavitations were found at approximately 75% of all extraction sites examined.
The most commonly extracted teeth, the third molars (“wisdom teeth”), produced cavitations (CVs) that were found by clinical exploration in 313 out of 354 extraction sites (88%). Cavitations were found in 35 of 50 second molar extraction sites (70%), and for first molars, 60 of 73 extraction sites showed CVs (82%). CVs were found in 441 of the total number of 517 molar extraction sites explored (85%). For the maxillary non-molars, CVs were found in 72 of 123 extraction sites (58%), and for mandibular non-molars, 23 of 51 extraction sites were affected (45%). For all non-molars, the CV rate was 55%, representing 95 of 174 extraction sites. Note: The cavitations found were not all related to pain or known chronic conditions, and dental patients who had been tested for cavitations is not the same as the general population, so the general population likely has a somewhat lower cavitation incidence.
Bob Jones, the inventor of the CAVITAT—an ultrasound instrument designed to detect and image cavitations that has been approved for testing for cavitations by the FDA after undergoing FDA clinical trials, found cavitations of various sizes and severity in approximately 94% of several thousand wisdom teeth sites scanned. Jones also found cavitations under or located near over 90% of root canal teeth scanned in both males and females of various ages from several different geographic areas of the United States. Note: Again that the population being tested for cavitations in these trials is not the same as the general population, which might have a somewhat lower incidence of cavitations. Nevertheless, it’s clear that the occurrence is very common.
Analysis typically finds clear evidence of chronic intraosseous inflammation—often with dense marrow fibroisis or nonresorbing necrotic bone flakes with very little healing or new bond formation. It has also been found that these lesions often spread to other areas to initiate further cavities.
Root Canals & Cavitations
Research has demonstrated that virtually all root canals result in residual infection due to the imperfect seal that allows bacteria to penetrate. The most commonly used material in root canals is gutta percha, which is soaked with chloroform and heated. When the chloroform evaporates and the gutta percha cools, there is significant shrinkage in all such root canal fillings, which allows entrance of bacteria. A condition that commonly occurs with root-canaled teeth is a radicular or periapical cyst or apical periodontal disease, which is a pocket of bacterial inflammation that often forms in the gums at the tip of root-canaled teeth due to bacteria inhabiting the tooth. These are the most common type of cysts that form in the gums and can also be a factor in formation of cavitations in the neighboring jawbone. Once established, nonmutans streptococci, enterococci, and lactobacilli appear to survive after an endodontic root-canal treatment of teeth with clinical and radiographical signs of apical periodontitis. Large scale tests found cavitations under or located near approximately 90% of root canal teeth scanned in both males and females of various ages from several different geographic areas of the United States. The general population could be somewhat different from this sample as the sample was not a random sample. In tests of 745 randomly chosen root-canaled teeth at a dental school, done at least one year prior to test, 33% were found to have apical periodontitis. The toxins given off by these bacteria are often even more toxic than mercury. The bacterial toxins from root-canaled teeth and associated cavitations can cause systemic diseases of the heart, kidney, uterus, immune, nervous and endocrine systems.
A useful test to assess the cause of toxic-related chronic health conditions is the urinary fractionated porphyrin test, which measures the degree that toxic exposures have blocked digestive enzymatic processes necessary to the function of the body, by looking at the level of various waste porphyrins in the urine caused by these blockages. The level of such toxic-related porphyrins in the urine of people with chronic conditions, including Parkinson’s, has been found to decline in some patients after cavitation treatment (or amalgam removal). This has also been found for many cases of lupus and MS. Lupus symptoms are often associated with blockage and result in high levels of uriporpyrin in in urine, while MS is more commonly associated with high coproporphyrin.
Cavitation Treatment Usually Results in Significant Pain Improvement
Cavitations commonly cause adverse health effects, and many thousands of cavitations have been treated. They are commonly tested or biopsied by labs, and virtually all tested or biopsied have been found to be associated with dead, necrotic tissue and extreme toxicity. The types of conditions that cavitations have been most commonly related to are:
- atypical facial neuralgia,
- trigeminal neuralgia,
- chronic sinusitis,
- phantom toothache pain, and
- headaches, including migraines.
Dr. Breiner, DDS, and others recommend two primary methods of treatment for their patients. First is a procedure where special homeopathic medications called Sanum remedies are injected into the cavitation site, and then a modified form of infrared light or low level laser light therapy is applied to the area. In some cases, the light therapy alone has been sufficient to resolve the problem. This is often successful in cases related to smaller cavitations with primarily poor blood flow or bacterial toxin effects. Cavitations have also been treated successfully using ozone therapy. Although cavitations are very common, they should only be treated surgically if there is indication of a relation to pain or chronic health effects not resolved by other means. There are various ways to assess this.
If this method is not successful, the alternative is to surgically open the area and clean the remaining ligament and resultant debris from the bone. In all studies reviewed, the majority of those undergoing surgery for NICO pain had significant pain relief after surgery. Clinical experience indicates that delays in treatment can lead to further infections, and the majority of patients have long-term pain relief. However, as much as 30% may have reoccurrence or new cavitations that lead to reoccurrence of pain. Prior to bone marrow biopsy, the average NICO patient has been in pain for 6 years (up to 32 years) and was usually diagnosed as atypical facial neuralgia/pain as well as diagnosed with trigeminal neuralgia, chronic sinusitis, phantom toothache/pain, and various headaches, including migraine headaches. However, treatment has also been successful at eliminating rheumatoid arthritis pain. French and German oral surgeons have developed an alternative method of minimally invasive cavitation surgery. Due to the nature of the mechanisms related to cavitation formation, it is not uncommon for cavitation sites that are treated to become re-infected or to accumulate other toxins that can cause a relapse of symptoms. Such cases may require retreatment using either surgery or other options.
Chronic Health Conditions Other Than Pain Related to Cavitations & Oral Bacteria Levels
Many researchers today believe that NICO lesions, like periodontal disease, are the focus of various infections which may spread throughout the body and have systemic effects. Medical research has discovered that oral bacteria appear to be very influential in causing various heart, liver, kidney, and immune problems. Researchers from New York University found that certain bacteria from the mouth may be related to preterm delivery and low birth weight according to a study in the Journal of Periodontology. The presence of specific bacteria and combinations of bacteria in periodontal pockets also appears to be responsible for the relationship between periodontal disease and acute coronary syndrome, according to a new study published in the Journal of Periodontology.
Dr. Weston Price was a prominent dental researcher who led a medical research team to discover the relation between root-canal teeth and chronic health conditions. Through a long series of well documented clinical cases and experiments, Price’s team found that root-canals accumulate bacteria that give off extreme toxins sufficient to cause serious health conditions, including cancer, cardiovascular conditions, arthritis, neurological conditions, kidney conditions, etc. Dr. Meinig, one of the founders of the endodontic association has reviewed the research of Dr. Price and others and is in agreement with their findings.
Many doctors and dentists through their experience with patients have reached similar conclusions. They have had large numbers of patients who have had such health conditions significantly improve after treatment of root canals or cavitations along with other detoxification measures. A collaborative study by the North Carolina Institute of technology, using advanced tests developed by Affinity Laboratory, demonstrated the mechanisms by which cavitations can cause cancer. Modern experiences also support this theory. Dr. Issels, a German physician, recommends extraction of root canal teeth as part of his protocol for terminal cancer patients. Over the last 40 years with 16,000 patients, he has observed a 24% total remission rate. Dr. Florian Kubitzek, a physician and dentist in Munich, Germany, uses the CT scan to study the teeth and jaw. His scanning technique has been invaluable in diagnosing jaw abscesses below the teeth that have been inadequately treated by standard dentistry. Conventional dental x-rays have entirely missed cavitations. Kubitzek treats many cancer patients who have dental cavitations as a collaborative approach in the overall treatment of metastatic and primary cancer. Dr. John Diamond says that all patients with breast cancer that he has tested had root canals on the tooth related to the breast area on the associated energy meridian. Other clinics that treat cancer have similarly found that most of their patients with cancer have root-canaled teeth or cavitations and that treating these is an important part in success at treating cancer.
Research and clinical cases have found cavitations to be related to many chronic health conditions, which have improved after cavitation treatment, including cancer, congestive heart failure and other cardiovascular problems, lupus, rheumatoid arthritis, and autoimmune conditions—perhaps related to cavitations major effects on the immune system. For those with a joint implant or mitral valve prolapse, their dentist must prescribe an antibiotic before any dental treatment. Why? Bacteria from the mouth may spread through the blood, causing serious problems elsewhere in the body. There is growing evidence that the toxins from NICO lesions do the same.
- Huggins HA, Levy TE. Routine dental extractions routinely produce cavitations. J Adv Med. 1996; 9(4).
- Bouquot JE, Roberts,AM Person P, Christian J. Neuralgia-Inducing cavitational osteonecrosis (NICO), osteomyelitis in 224 jawbone samples from patients with facial neuralgia. Oral Surg, Oral Med, Oral Pathol. 1992; 73(3): 307-20.
- Stockton S. Beyond Amalgam: The Health Hazard Posed by Jawbone Cavitations. Aurora, CO: Power of One Publishing; 2000.
- Siervo S, et al. Piezoelectric surgery: An alternative method of minimally invasive surgery. Schweiz Monatsschr Zahnmed. 2004; 114(4): 365-77.
- Breebaart AC, Bijlsma JW, van Eden W. 6-year remission of rheumatoid arthritis after unusually vigorous treatment of closed dental foci. Clin Exp Rheumatol. 2002; 20(4): 555-7.
- Bouquot JE, Christian J. Long-term effects of jawbone curettage on the pain of facial neuralgia. J Oral Maxillofac Surg. 1995; 53(4): 387-97.
- Brisman DL, Brisman AS, Moses MS. Implant failures associated with asymptomatic endodontically treated teeth. JADA. 2001: 191.
- Chavez de Paz LE, Dahlen G, Molander A, Moller A, Bergenholtz G. Bacteria recovered from teeth with apical periodontitis after antimicrobial endodontic treatment. Int Endod J. 2003; 36(7): 500-8.
- Adib V, Spratt D, Ng YL, Gulabivala K. Cultivable microbial flora associated with persistent periapical disease and coronal leakage after root canal treatment. Int Endod J. 2004; 37(8): 542-51.
- Hommez GM, Coppens CR, De Moor RJ. Periapical health related to the quality of coronal restorations and root fillings. Int Endod J. 2002; 35(8): 680-9.
- McGee C. Healing energies of heat and light. MediPress. 2000: 117.
- Brook I. Microbiology and management of deep facial infections and lemierre syndrome. Journal Oto-Rhino-Laryngology. 2003; 65(2).
- Ratner DJ. Jawbone cavities and trigeminal and atypical facial neuralgias. Oral Surg, Oral Med, Oral Pathol. 1979; 48(1): 3-20.
- Shankland WE. Osteocavitation lesions: A case report. Cranio. 1993; 11(3): 232-236.
- Roberts AM, et al. Further observations on dental parameters of trigeminal and atypical facial neuralgias. Oral Surg, Oral Med, Oral Pathol. 1984; 58(2): 121-9.
- Dupont JD. Unhealed extraction sites mimicking TMJ pain. Gen Dent. 2000; 48(1): 82-85.
- Aitasalo K, et al. A modified protocol for early treatment of osteomyelitis and osteoradionecrosis of the mandible. Head Neck. 1998; 20(5): 411-7.
- Laughlin RT, et al. Osteomyelitis. Curr Opin Rheumatol. 1995; 7(4): 315-21.
- Bamberger DM. Osteomyelitis: A commonsense approach to antibiotic and surgical treatment. Postgrad Med. 1993; 94(5): 177-82.
- Tomeo C, Sadowsky D, Friedman JM. Complications of “routine extractions”: Osteomyelitis. NY State Dent J. 1981; 47(7): 399-402.
- Shankland WE. Trigeminal neuralgia: Typical or atypical? Cranio. 1993; 11(2): 108-12.
- Denucci DJ, et al. The use of SPECT bone scans to evaluate patients with idiopathic jaw pain, NIH. Oral Surg, Oral Med, Oral Pathol, Oral Radiol Endod. 2000; 90(6): 750-7.
- Stortebecker P. Chronic dental infections in the etiology of glioblastomas. J Neuropth Exp Neurology. 1987; 37.
- Mollica P, Harris R. Of metalicized mouths, mycotoxicosis, and oxygen. Townsend Letter. 2005.
- Prochazkova J, Sterzl I, Kucerova H, Bartova J, Stejskal VD. The beneficial effect of amalgam replacement on health in patients with autoimmunity. Neuro Endocrinol Lett. 2004; 25(3): 211-8.
Additional comment from Dr. Thomas Rau
Each tooth is connected to an energetic meridian system, a system of energy, which flows over the organism, which has been known for thousands of years. And if you preserve your teeth with root canal treatments, or if you have toxic elements—for example, mercury, in your teeth, that can affect your overall health. And daily we see patients whose sickness was co-caused by dental work, especially root canals, infected teeth and heavy metals from amalgams or crowns and so on. And sometimes it’s like a key—if you remove them, then the patient gets better. For example with arthritis or asthma, or in chronic infections or allergies, very frequently we can make the situation much better by repairing dental work, giving trace elements and draining the toxins— especially mercury, which is very toxic, and affects allergies and immunities.
Over the years, Dr. Rau has compiled a dental chart mapping the precise relationship among teeth, meridians, dental problems, and systemic illnesses. This kind of correlation is highly practical, for example, when it comes to understanding breast cancer or other conditions. Dr. Rau estimates that in 90% of breast cancer patients he has treated there has been a dental infection. As the breast lies on the stomach meridian, if you have a problematic tooth (such as a root canal) situated on this meridian, as it passes through the jaw it blocks the flow of energy and can cause degeneration and eventually cancer, Dr. Rau explains. To a lesser extent, a dental infection is also often involved in the development of prostate cancer.
Regarding cancer, about half of Dr. Rau’s inpatient hospital beds are occupied by patients with cancer. The issue of cellular terrain is particularly crucial with cancer because here you see degenerated tissues that have become highly acidic, says Dr. Rau. Sugars in the diet literally feed the cancer cells, so patients are put on sugar-restricted diets; consumption of animal protein is also curtailed as these substances perpetuate the terrain imbalance.
“Cancer is the final stage in cellular degeneration. Cancer results.” To reverse this, you must profoundly detoxify then rebuild the cellular environment. To do this, the most important element is to balance the acid-base relationship.” The proof of the theory is that Paracelsus Clinic does quite well in cancer reversals. Regarding Class IV, the worst kind of cancer in which it has spread to multiple sites, Dr. Rau’s team gets about a 50% success rate, depending on the type of tumor. If they can begin treatment in the early stages, when a cancer node is first diagnosed, “then our prognosis is very good,” says Dr. Rau. “After 7 years we have not had a patient whose cancer spread after Stage I once we gave treatment.”