Cavitation has many different names such as Fatty Degenerative Osteonecrosis of jawbone (FDOJ), Jawbone ostitis, Ratner lesion, Ratner bone cavity, chronic jawbone necrosis, chronic osteomyelitis, osteonecrosis, osteolysis or chronic ischemic bone disease (CIBD), NICO (Neuralgia Inducing Cavitational Osteonecrosis if the infection causes a lot of pain.

You see, there are many different names for the same problem namely a necrotic jawbone with reduced bone density.

The most modern term for cavitation is FDOJ = Fatty Degenerative Osteonecrosis of the Jawbone. This term was created by Dr Johann Lechner, Munich.

Definition of a FDOJ

FDOJ is an encapsulated area of ​​the jawbone with concentrated poisons and dead, inflamed tissue.

Symptoms of FDOJ

Because symptoms are rarely present, FDOJ can be present and spread in the jawbone for many years and decades without being noticed.

This makes them a very insidious disease.

Evidence for FDOJ

Of course, the sceptics asks: Is there any scientific evidence for the existence of the FDOJ?

Almost 150 years before Dr Lechner started to present his ground-breaking research jawbone ostitis was first mentioned in 1848 in an American textbook by Dr Thomas Bond by the title of “A practical treatise on dentistry”

Bond recommended the removal of the diseased jawbone as the treatment of choice for the treatment of jaw ostitis.

Source: Biological Dental Health

The father of modern dentistry G.V. Black has dedicated a separate chapter to this disease in his 1915 book “Work on Special Dental Pathology”.

Black describes the lesion with the name of the jawbone cavity, from which the name “Cavitation” probably arose later.

Back then Black was wondering how a cavitation can destroy so much bone without causing any signs of an infection such as redness, pus or swelling, without increasing body temperature and, in most cases, without causing any kind of pain.

What was his recommended treatment?  Remove the diseased bone.

Further research was carried out at universities in France, US and Denmark in the 1950s and 1960s.

The American doctor Patrick Störtebecker demonstrated in 1986 that root-treated teeth and other tooth-related focal infections can increase diseases such as multiple sclerosis, brain tumours, schizophrenia, epilepsy and other neurological diseases

One of the most distinguished researchers in the field of jawbone ostitis is the American pathologist Professor Jerry Bouquot, who has carried out extensive examinations and has unequivocally demonstrated the existence of cavitations. He coined the phrase NICO

There are now more than 800 publications on the topic of chronic jawbone ostitis and around 50 research projects on the same subject, all published in renowned scientific journals.

In my dental practice I see patients with jawbone necrosis every week.

What causes jawbone necrosis?

It is often claimed that jawbone necrosis is caused by not removing the so-called periodontal ligament. The periodontal ligament is the fibre apparatus that anchors the tooth in the bone.

This is certainly a very decisive factor. However, it is not the only cause.

As is so often the case in nature and in the human organism, the development of a disease is rarely an event that has only one cause.

It is the same with jawbone necrosis. It is the result of many local, systemic and energetic events that ultimately lead to a reduced blood supply, to a dying and rotting bone marrow.

Factors that can contribute and causative for the development of jawbone necrosis:

  • A severe infection in the jawbone
  • Cortisone before or after tooth extraction
  • Long-term use of certain pain killers
  • Bisphosphonates
  • Tobacco or nicotine
  • Malnutrition
  • Osteoporosis
  • Chemotherapy or radiotherapy
  • The presence of heavy metals such as mercury, silver, copper or iron
  • Thyroid malfunction
  • Trauma from dental surgery
  • Chronic of severe trauma, be it spiritual, mental, emotional or physical, from which the patient has not recovered
  • A weakened immune system
  • Chronic diseases
  • Chronic inflammation

What does chronic jawbone necrosis look like?

Source: Biological Dental Health

How to detect chronic jawbone necrosis?

Finding and diagnosing jawbone necrosis, even on x-rays, can be difficult and therefore they often remain undetected.

A great additional evaluation tool is the ultrasound device “CaviTAU”, which simply put, tests for jawbone density and therefore jawbone quality.

Our practice in Southampton was the first private practice worldwide to be trained and certified to offer this fantastic tool to detect cavitations.

Test methods such as Light-Kinesilogy are important to check for other underlying causes such as chronic inflammation, physical, emotional, mental or Ground system blocks or traumas.

It is of utmost importance to detect and remove these blocks if your aim is good and permanent healing after surgery.

How chronic jawbone necrosis affects your overall health

Any illness, especially a chronic illness, can be worsened by a jawbone necrosis and it can prevent the illness from healing

The effects of jawbone necrosis on your health can vary widely. They range from shoulder-arm problems, walking disorders and back pain to facial pain, rheumatism, migraines to chronic fatigue, ME or high blood pressure to name just a few.

Jawbone necrosis are becoming increasingly more common. Therefore, be aware of the possible symptoms and know to whom to turn to if you suspect that you might have a jawbone necrosis.

How common is a chronic jawbone necrosis?

Most commonly jawbone necrosis develops after tooth removal, especially after wisdom teeth have been removed.

An investigation by Dr. Thomas Levy and Dr. Hal Huggins revealed that jawbone necrosis developed in 88% of cases after wisdom tooth removal. And in more than 75% of all other tooth extractions.

They also found that the smaller the tooth, the less likely it is that a jawbone necrosis develops.

How to treat chronic jawbone necrosis successfully?

A successful treatment of chronic jawbone necrosis has so far only been possible by surgical cleaning of the affected bone area.

This is best supported by using ozone gas and the patient’s own blood which is centrifuged and then placed into the hollow jawbone area to fill the hole and more importantly support the healing process

Treatment Protocol

Our treatment protocol starts with addressing the underlying issues, creating a bespoke nutritional supplementation protocol to achieve reduction in chronic gut inflammation, which most patients knowingly or unknowingly suffer, balancing Omega 6 and 3 fatty acids, phyto-nutrients, naturopathic remedies, Vitamin C infusions and our latest addition of a specific amino-acid formulation to repair and support Mitochondrial function.

Success of treatment

Of course, the hoped-for success cannot be guaranteed. Success is crucially dependent on the patient’s cooperation, his lifestyle and the underlying causes.

However, even if the patient does not consciously experience any change, the removal of chronic jawbone necrosis means an enormous relief for the body.

It is often this relief that represents the first step in restoring self-healing powers and thus clears the way for recovery.

For more information visit our website or email us on [email protected]

Dr Elmar Jung

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