Tag Archives: Cavitations

What Are Cavitations?

Most people familiar with holistic or biological dentistry know the problems mercury amalgam fillings can cause. Many also know about the health risks of root canal teeth. But fewer know much about a third major oral issue: cavitations.

So although I’ve posted about them before, I think it’s important to share additional information from time to time so more people become aware of this other potential block to more optimal health.

So just what is a cavitation?

In simplest terms, it’s a hole in the jaw bone that hasn’t healed correctly. There are many causes, including dental trauma, gum disease and toxic assault, but they most commonly follow tooth extraction. (As the title of one research article by Drs. Levy and Huggins put it, “Routine Dental Extractions Routinely Produce Cavitations” [PDF].) For when a tooth is removed, the periodontal ligament and a bit of the bone around the socket must be removed, too. (This ligament is what attaches teeth to the jaw.) Otherwise, remaining bacteria will be effectively sealed into the jaw bone as new tissue grows over the surgical site. The infection continues to destroy tissue, while the waste from that dead and decaying tissues worsens the infection.

This infection doesn’t just stay in the jaw, however. The pathogens have access to the general circulation via blood and lymph vessels. Where they go, what organs they affect and how depend on their type.

Notably, mercury and other toxic heavy metals may also be distributed through the body via cavitations, as evidence suggests they can act as holding tanks of sorts for the vapor released by mercury fillings in the mouth. It is, in short, another route of access for systemic mercury poisoning.

Here’s naturopath Dr. Alison Adams on cavitations and their long-term consequences:



See also “Dental Dangers: Cavitations” and “Oral Obstacles to Optimal Health.”

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Inflammation: A Link Between Dental and Chronic, Systemic Illnesses

When we think of symptoms, we usually do so very subjectively. For symptoms make us feel bad – not just physically, but mentally and spiritually, too, since our physical limitations may keep us from doing the things we want or need to do. Thus, we tend to see symptoms as things that must be stopped. And thus, conventional medicine provides all kinds of symptom-suppressing drugs and therapies. But since they fail to address root causes, illness gets pushed deeper into the body, creating more problems – and more symptoms – in the long run.

Suffice it to say, this is a very limited – and limiting – view of both sickness and health.

When we think about symptoms from a holistic, biological perspective, though, we see them as signs of a body trying to heal itself. For the body is a self-regulating system, always striving for homeostasis – the condition of being the same: normal temperature, normal levels of constituents in the blood, and so on. So when, for instance, a foreign substance enters it – pathogenic (disease-causing) microbes, say – your body's defenses go to work to try to neutralize or remove the invaders. You may run a fever, as heat kills some pathogens. You may sneeze, cough, vomit or get diarrhea as your body attempts to excrete toxins. Your tissues may become red, swollen and tender as lymphocytes battle the foreign element.

Thus, what the holistic practitioner wants to do is not help a patient “manage” an illness by suppressing symptoms but work towards real cure by providing treatment that supports the body in its ability to heal itself.




Inflammation is one of the most common symptoms of all. It is a factor in a whole host of disease processes, from periodontal (gum) disease to cardiovascular disease (CVD, or “heart disease”), diabetes to stroke, arthritis to cancer. It also plays a role across the range of autoimmune disorders, including multiple sclerosis (MS), lupus, Lou Gehrig's disease (ALS) and Crohn's disease, as well as conditions such as fibromyalgia, chronic fatigue and multiple chemical sensitivity (MCS). In all such cases, the inflammation is chronic: ongoing, lasting for years, often before other symptoms are experienced or full-blown illness sets in. The body adapts, and over time, the inflammation becomes destructive. This is in contrast to acute inflammation – the kind that occurs, say, when you cut or burn yourself: an immediate and short term experience that encourages the healing process.

Periodontal Disease

In dentistry, inflammation is most commonly associated with gum disease. Gingivitis and periodontitis have many causes, including genetic predisposition, diet, hygiene, diabetes and stress, and eventually result in “pockets” forming between the teeth and supporting tissues.

When the gums are healthy, this space is less than three millimeters deep. But as inflammation sets in, the gums become red and puffy, and even normal brushing may cause them to bleed. The pockets deepen, becoming ideal homes for the oral bacteria that thrive in such dark, moist places. And as the microbes colonize and multiply, they also generate acidic, metabolic waste that further pollutes the body's biological terrain (internal environment). This, of course, perpetuates the disease which, if left untreated, ultimately leads to tooth and bone loss.

Fortunately, excellent home hygiene combined with regular deep, professional cleanings can stave off, stop or reverse periodontal disease, though in some cases, more extensive treatments such as laser surgery and tissue grafts may be needed to deal with the damage already done.

Over the past decade or so, much research has been done on the relationships between periodontal and other inflammatory diseases, and there are a number of interesting links. Some of the best evidence shows a relation between gum and heart disease, where we see the same pathogenic microbes in both the mouths and hearts of CVD patients. We also know that diabetes raises the risk of periodontal disease, while other links have been found between gum disease and cancer. These connections are recognized by orthodox dental medicine, as well as holistic. Consequently, even conventional dental researchers now acknowledge that good oral health and hygiene may be preventive of at least some systemic, inflammatory diseases.

Toxic Materials and Other Dental Sources of Inflammation

There are other dental conditions that can trigger inflammatory immune responses that can range from mild swelling and soreness to full-blown illnesses, including autoimmune disorders such as MS and lupus, and “enigmatic” illnesses such as chronic fatigue, fibromyalgia and MCS.

In the case of dental materials, the issue is often one of biocompatibility. If a dentist places a filling, crown, bridge or other restoration made of material that is toxic (e.g., dental amalgam) or that the patient is allergic to, the patient may develop symptoms. Their severity and likelihood of progressing to chronic, systemic illness depend, of course, on the material itself and the patient's degree of sensitivity. Much depends, as well, on how effectively the patient can excrete toxins, their ongoing exposure to environmental toxins, their total toxic body burden and healthfulness of lifestyle (e.g., diet, drug use, tobacco use, physical activity).

Yet another issue with metal restorations in particular is oral galvanism: the creation of electrical currents in the mouth when different metals are near each other, close enough to be reactive. The mutual presence of gold and mercury is especially potent. Symptoms of oral galvanism may not be felt by the patient, or manifest merely as a metallic taste in the mouth or general sensitivity. But over time, these electrical fields can create great disturbances in the body, leading eventually to illness or dysfunction.

One other big area of concern is infection, both local and focal. Local dental infections include things like abscesses, which may be noticeable by touch (e.g., you can feel the sore with your tongue), as well as pain, pus or bleeding in the area. Focal infection is when infection in one area of the body, such as the mouth, affects other areas of the body.

Dental foci commonly stem from root canal teeth or cavitations (literally, holes in the jawbone), both of which – like periodontal pockets – are great harbors for pathogenic microbes. Indeed, in these cases, the environment is even more suited to infection, for both root canal teeth and cavitations involve dead tissue. Little oxygen reaches these sites, which is great for anaerobic microbes – organisms that thrive in the absence of oxygen. Their colonization furthers the decay of these tissues. However, because the sites are connected via the various circulatory systems, both microbes and their toxic waste products enter the body's general circulation. From there, they can wreak havoc elsewhere in the body. Indeed, this is a likely mechanism for the relationship between the systemic and oral diseases – gum disease and heart disease, say, or cancer.

The obvious solution, then, is to remove the source of infection. If problematic cavitations or root canal teeth are present, they must be, respectively, cleaned or removed and replaced with nontoxic, biocompatible restorations in order to stop the continuing toxication of the body. Once the source is removed, much more progress may be made in treating the systemic aspects of the disease and returning the body to full health. If mercury or other toxic restorations are the issue, they should be safely removed and replaced for the same reason.

That said, if you have a chronic condition such as CVD, lupus or cancer, you can't just conclude that it's caused by your dental conditions. You don't just rush out and have thousands of dollars of dental work done immediately, and there are no instant cures. Thorough, comprehensive testing must always be done first to pinpoint the precise causes of any illness – or to rule them out. Then treatment must follow in a sensible, logical and scientifically valid way in order to insure that it's done right and helps, not harms. Proper detox protocols must be followed, and often further therapeutic interventions by naturopaths, homeopaths or other holistic healers are needed for full treatment. The dental aspect is just that – an aspect, albeit an important one. And it's rooted in what ties so much illness together: the inflammatory response, your body's attempt to heal.

Read more articles like this at our main office site, drerwin.com.


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Dental Dangers: Cavitations


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Total Dentistry

By P. Vernon Erwin, DDS

Biological dentistry is total dentistry.

A conventional dentist is trained to look at your teeth, gums and oral tissues mainly in isolation. This sort of dentist is a kind of “mouth mechanic.” Every so often, he or she will check the state of things and provide preventive maintenance such as regular cleanings. If something goes wrong – a cavity develops, a tooth breaks – he or she will fix it. For such dentists can be superb technicians. But they are limited in what they can do – precisely because they look at the mouth in isolation.

I’ve always been amazed by otherwise well-trained dentists who can look at a mouth without seeing the person around the mouth. The intricate relationships between the teeth, gums and oral tissues with the rest of the human body, and among the body, mind and soul – these lie at the heart of biological dentistry.

For a simple example, consider what happens to you physically when you’re feeling stressed out. Your jaw, neck and upper body may tighten as your breathing becomes shallow and your body’s hardwiring activates the fight-or-flight response. Here, we see the body following the mind. Similarly, by strengthening the body through exercise or feeding it a nutritionally sound diet, you may find that you feel better mentally – sharper, more alert; calmer, more in control.

In treating the mouth, a biological dentist is acutely aware of how the work may affect other parts of the body, mind and soul. So he or she will do all possible to reduce the risk of creating illness or dysfunction elsewhere in the body. Biological dentists strive to provide the least intrusive, least toxic treatments possible. Biocompatibility of dental materials is a must.

This philosophy is the most complete expression of the first statement in the Hippocratic Oath: First, do no harm.

The Mouth as a Possible Source of Bodily Disease and Dysfunction

Many who seek the services of a biological dentist suffer from chronic or degenerative illnesses that conventional medicine has failed to diagnose, let alone treat, properly – precisely because that kind of medicine ignores the direct link between dental conditions and systemic illness. A biological dentist not only acknowledges the link but is expert in treating those dental conditions that give rise to such illness and paving the way to true healing and real cure.

Over the past century in particular, research has proven repeatedly the relationship between dental conditions and physical illness, which often results from a focal infection – an infection that creates illness or dysfunction far away from its source, much as a stone thrown in a pond will make ripples that extend all the way to the pond’s furthest edge.

One common yet overlooked cause of focal infections is the presence of cavitations. These are literally holes in the jawbone surrounded by dead, decaying tissue. They occur when a tooth has been extracted but the periodontal ligament hasn’t been removed completely or the socket cleaned out thoroughly. This creates a nice, isolated spot for bacteria to multiply and become virulent. But though these microbes are isolated, they are not restricted. They can and do move out to other parts of the body where they may colonize, thrive, wreak havoc and ultimately create illness throughout the body.

Similar situations can arise with broken or infected root canal teeth, as well as periodontal (gum) disease. Indeed, the latter has been linked quite definitively with heart disease, diabetes and other conditions.

In short, local conditions can – and do – have distant effects.

By the same token, whatever is done to or placed in the mouth doesn’t affect just the mouth and oral tissues. This is especially important when it comes to dental materials. Since the 19th century, dentists have placed mercury amalgam fillings in people’s mouths on the mistaken belief that mercury – a poison – becomes inert once placed. In truth, the friction from chewing, clenching and grinding causes mercury vapor to be released and circulated throughout the body, potentially poisoning the whole. The brain is especially vulnerable, due to its being so close to the mouth. The types of illness that can result from mercury poisoning include an array of chronic, degenerative and auto-immune disorders.

Investigate, Teach, Prepare, Treat

Even when toxic dental materials or foci are found, a conscientious biological dentist won’t just rip out the offending substances or naively try to clean out areas of infection. Information-gathering comes first. Through a combination of extensive patient interviews, clinical exams and laboratory testing, a biological dentist aims to get the fullest understanding of the situation as possible. The goal is always to see through the patient’s symptoms – the root meaning of the word “diagnosis” – to their actual cause. Symptoms are never the illness but signs that the body is doing its best to heal itself. For the human body is a self-regulating organism, always striving for the state of balance called homeostasis.

Conventional medicine largely ignores this, too, in part because its practitioners habitually equate the absence of symptoms with health. They act as though to suppress the symptoms is to cure the illness, when in reality it just pushes the symptoms more deeply into the body, priming it for later insult and greater pathology down the road.

In diagnosing root causes, a biological dentist also serves as a teacher. He or she will spend time with you, showing and explaining to you what’s going on and why, entering a dialogue with you about your needs, values and all of your treatment options. For a biological dentist refuses to impose his or her own viewpoint but gives you the information you need to make informed health choices and become the agent of your own wellbeing.

Should you choose to have a biological dentist treat any specific dental or oral conditions that have been found to be interfering with your overall health, he or she will first work with you to help prepare your body to heal. Typically, this involves a combination of nutritional and lifestyle change, supplementation and the use of homeopathics to promote detoxification and drainage. Only then will dental procedures such as materials replacement or cavitational surgery be of maximum benefit to the patient.

Total Health from Total Dentistry

Biological dentistry is a form of holistic medicine. It treats the whole body through natural, nontoxic means. Its practitioners work in conjunction with other holistically-minded practitioners, consulting, sharing information, providing coordinated treatments and the like. They strive to create optimal conditions in the mouth.

In this way, the biological dentist is a key figure in nurturing your complete health and wellbeing – supporting total health through total dentistry.

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