The only available treatment for cavitations at this time is surgical removal. Because of the lack of blood flow inside a cavitation, standard medications or drugs cannot reach these lesions. Even homeopathic remedies will only work best during the healing process once the lesion is removed and the blood flow is re-established.
The surgery basically consists of an incision in the gum to expose the defect in the bone, and then scraping the area clean (debridement) to remove the unhealthy and/or diseased tooth and bone. Very often a biopsy is taken so that the disease process can be documented. Both hand and rotary instruments are used with sterile saline irrigation to remove the diseased tissue from the site. Packing and or grafting material may be placed in the surgical wound, and then it is sutured closed.
Appropriate medications are prescribed, and written post-operative home care instructions are given. Because of the virulence of the disease process in the cavitation areas, it is sometimes necessary to repeat the surgical intervention to completely heal the lesion.