Persistent Jaw Pain and Cavitation – When a Past Extraction Still Hurts

Findings:

• A 3-dimensional radiolucent area around site 45, measuring approx. 5mm × 12mm.
• A radiolucent channel extending toward the previous extraction site, suggesting jawbone not healing after tooth extraction.
• Communication with the oral cavity, pointing toward a residual infection or toxic jawbone lesion.

These are classic signs of a dental cavitation, a hidden lesion where the bone hasn’t healed fully. Patients often describe symptoms like lingering pain, fatigue, or unexplained discomfort long after a dental procedure terms they associate with:

• “Dental cavitation symptoms”
• “Toxins in jaw bone”
• “Fatigue and jawbone infection link”

Diagnosis and Differential Considerations:

• Chronic localized osteitis / cavitation (neuralgia-inducing cavitational osteonecrosis – NICO)
• Residual infection from incomplete extraction
• Low-grade chronic osteomyelitis
  These conditions are increasingly searched under terms like:
• “Cavitational osteonecrosis treatment”
• “Osteonecrosis of the jaw”
• “Biological dentist for jawbone issues”

Additional Findings – Tooth UR6

The CBCT scan also revealed a periapical infection involving the mesiobuccal, distobuccal, and palatal roots of tooth 16 (UR6). This has extended into the maxillary sinus, evidenced by thickening of the sinus floor lining, a common sign of odontogenic maxillary sinusitis.

Diagnosis:

1. Chronic apical periodontitis (Tooth 16)
2. Odontogenic sinusitis

Treatment Plan

Region LR6 – Suspected Cavitation Site:

A surgical exploratory procedure was advised to treat the suspected jawbone infection, commonly referred to by patients as:

• “Holistic treatment for dental cavitations”
• “Toxic jawbone infection symptoms”
• “CBCT scan for dental infection”

Procedures Included:

1. Explorative Surgical Access:
   • Full-thickness flap raised.
   • Curettage of necrotic bone using Lucas curettes.
   • Irrigation and removal of infected tissue.
2. Biological Healing Support:
   • Ozonated water (45 γ) applied to the site.
   • Placement of ozonated gauze for 30 minutes.
   • Photobiomodulation laser therapy (SIROLaser, 660 nm, 25mW) administered before and after the procedure to promote healing.
3. Management of the Bony Defect:
   • Consideration of bone graft or antimicrobial placement depending on the size and nature of the lesion.
4. Postoperative Monitoring:
   • Follow-up includes symptom tracking and potential re-imaging.
   • Further testing may be required if infection persists.

Tooth UR6 (Upper Right Molar):

• A biological extraction of tooth 16 was performed to remove the source of infection.
• Healing will be supported with antimicrobial and regenerative therapies.