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Jawbone Cavitations: Current Understanding and Conceptual Introduction of Covered Socket Residuum (CSR).
Shahram Ghanaati1,2, Anja Heselich1,2, Johann Lechner3
1Department of Oral, Cranio-Maxillofacial and Facial Plastic Surgery, Goethe University Frankfurt, 60590 Frankfurt am Main, Germany.
Bioengineering (Basel, Switzerland)
|January 28, 2026
Summary
Jawbone cavitations, like NICO and FDOJ, may be physiological Covered Socket Residuum (CSR) rather than pathological. 3D imaging is key for diagnosis and dental implant planning.
Area of Science:
- Oral surgery
- Radiology
- Pathology
Background:
- Jawbone cavitations, including NICO and FDOJ, have controversial biological and clinical significance.
- Existing research relies heavily on observational and retrospective studies with histopathological interpretations.
Purpose of the Study:
- To review current knowledge on jawbone cavitations.
- To identify research gaps and propose unified terminology.
- To differentiate physiological findings from pathological entities.
Main Methods:
- Narrative literature review using PubMed/MEDLINE, Google Scholar, and manual searches.
- Qualitative synthesis of available evidence.
- Introduction of a new radiological descriptive term: Covered Socket Residuum (CSR).
Main Results:
- 3D radiological analyses suggest intraosseous non-mineralized areas are often physiological (CSR) from socket collapse, not pathological.
- CSR differs from NICO and FDOJ.
- CSR recognition is vital for dental implant planning, impacting primary stability.
Conclusions:
- CSR is a proposed radiological term for non-pathological jawbone findings.
- 3D imaging is crucial for diagnosing CSR and planning dental implants.
- Further prospective studies are needed to validate CSR and its clinical relevance, exploring strategies like Guided Open Wound Healing (GOWH™).
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