Removal of a tooth root with a cyst (cystectomy)

A cyst on the root of a tooth is a serious complication that requires professional treatment. If the pathological formation is not eliminated in time, it can cause bone destruction, chronic inflammation and tooth loss. At Oxford Medical Dentistry, we offer a modern method of surgical treatment - cystectomy, which allows you to effectively remove the cyst and preserve the health of the oral cavity.

Make an appointment with a dentist at Oxford Medical to detect the problem in time and avoid complications. Our specialists will help you maintain the health of your teeth without pain and stress.

A root cyst is a pathological cavity in the bone tissue filled with fluid or pus. It is formed as a result of a chronic inflammatory process in the periodontium, the tissues surrounding the root of the tooth. Most often, a cyst occurs against the background of untreated pulpitis, complicated caries or poor-quality endodontic treatment.

Causes of cyst formation:

• deep caries or advanced pulpitis;

• untreated infection in the tooth canals;

• tooth or jaw injuries;

• complications after prosthetics;

• immune disorders that prevent the body from independently coping with the infection.

The inflammatory process triggers the gradual destruction of tissues around the root. To protect the body from the spread of infection, a capsule is formed - a cyst.

The problem with a cyst is that it can remain undetected for a long time. In the early stages, the process may be asymptomatic and be detected by chance during an X-ray. However, as it develops, the patient may experience the following symptoms:

• aching or throbbing pain in the tooth area;

• swelling of the gums;

• the appearance of a "pimple" on the gums (fistula);

• bad breath;

• a feeling of pressure or heaviness near the affected tooth;

• increased body temperature;

• pain when pressing or chewing.

When suppuration occurs, a purulent cyst forms at the root of the tooth, which causes severe pain and requires urgent dental care.

A tooth root cyst is not a formation that can disappear without medical intervention. Once the capsule appears, the body is unable to dissolve it. On the contrary, over time, the cyst increases, destroys bone tissue, causes pain, and in some cases, even jaw deformation.

In the initial stages, conservative treatment is possible, but it is not always effective. If the cyst size exceeds 1 cm or pus has formed in the cavity, the only treatment option is removal of the tooth root cyst.

Ignoring a cyst poses a real threat to health. Without treatment, the cyst grows and provokes a number of serious complications:

• abscess or phlegmon - purulent inflammation of soft tissues;

• osteomyelitis - infectious lesion of bone tissue;

• formation of fistulas through which pus breaks out;

• damage to neighboring teeth;

• facial deformity;

• chronic intoxication of the body.

In some cases, a cyst can become malignant - that is, degenerate into a malignant formation. Therefore, it is not worth delaying treatment.

Cystotomy – is a surgical procedure during which the walls of the cyst are opened, its contents are removed and the capsule is partially removed. The method is used in cases where complete excision of the walls may damage anatomical structures.

The procedure includes several stages:

1. Local anesthesia to ensure painlessness.

2. Formation of access to the cyst through the gums and bone tissue.

3. Removal of the contents of the cyst, preservation of part of the capsule.

4. Wound treatment with antiseptics.

5. Application of a dressing or installation of drainage.

An alternative is cystectomy in dentistry – complete removal of the cyst along with the affected tooth root. The method is used if only one root of a multi-rooted tooth is affected — in this case the tooth can be saved.

In some cases, the tooth itself has to be removed if it cannot be saved. This decision is made only when other options are ineffective.

The cost of the procedure depends on the complexity of the case, the extent of the surgical intervention, as well as the need for additional procedures (diagnosis, drug treatment, implantation).

You can preliminarily familiarize yourself with the prices here. The dentist will inform you of the exact cost of the treatment after the examination and X-ray diagnostics. Make an appointment for a consultation at a convenient time - we will take care of your health.