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Cyst removal.


A tooth cyst is a pathological cavity filled in the majority of cases with liquid. The wall of the cyst (bubble) of the tooth consists of a thin layer of cells that produce fluid and inflate a tooth cyst like a balloon.
Dental cysts are different in origin and causes of their formation, but most often dentists deal with radicular cyst.

Radicular tooth cyst is a cyst that is found at root apices of the involved teeth (radix-root). The causes that lead to a cyst formation are different. It could be an injury, a poorly cured tooth, an improperly sealed root and sometimes a patient's body tendency to cyst formation.

Radicular tooth cyst can be "swelling" for years. A patient is often not even aware of its existence. Sometimes they can reach gigantic proportions. The problems arise when the contents of the cysts of the tooth root, for whatever reasons, starts to suppurate. That is, instead of a serous fluid in the dental root cyst cavity the pus is formed causing further problems. Sometimes a tooth root cyst opens spontaneously, forming a fistulous tract.

A fistulous tract is a canal joining tooth root cyst cavity (not necessarily a cyst alone) with external environment.

Radicular tooth cysts are divided according to their size: a small cyst less than 0.5 cm in diameter is called a granuloma, a cyst exceeding 0.5 cm is an actual cyst.

The main trouble of this formation is that, gradually displacing the surrounding tissue, it leads to a violation of their function. There are many cases when neighboring "innocent" teeth get damaged, too, and they require treatment or even removal.

Tooth cyst treatment

Treatment methodology can be divided into two approaches: radical and conservative.

Radical tooth cyst treatment approach involves removing the whole cystic membrane. Depending on the situation, the tooth, which has caused the cyst formation, is either removed or its top is cut off together with a cyst and the tooth remains in its place.

When a patient is diagnosed with granuloma, an operation is called a root apex resection. To remove a cyst a dentist makes a small incision in the mouth, in the area of the tooth root cyst, and cuts the top of the tooth off using a drill. A doctor then carefully removes the contents of the cyst and its shell. A cavity, which was formed as a result of the procedure, is filled with blood clots or bone material. After that a doctor sutures the wound.

The conservative approach of the tooth root cyst treatment involves the following treatment: the fillings of the tooth root canals are taken away; root canals are then treated with special instruments; a substance that causes a local bone growth, visible on the visiograph in 21 days after the application, is injected through the root canals into the tooth root cyst cavity; if necessary, this treatment is repeated several times; after that the channels are sealed with gutta-percha, and the visible part of the tooth is restored.

If a tooth root cyst is treated properly it can be fully cured.

Prevention involves regular oral care, timely treatment of primary and permanent teeth. It is important to emphasize that the tooth root cyst is not always an indication for the tooth removal.

The things you mustn't do if you have a tooth cyst

If you have a tooth cyst never apply hot compresses, this procedure contributes to the spread of the process!

Never apply bandages to the tooth cyst. Various drawings and cartoons replicated the image of a patient with a cheek bandaged with a handkerchief. It is an utterly bad example. A bandage can only protect you from a cracked head, but it is not a remedy!

If you have a tooth cyst never take antibiotics without consulting a doctor! Antibiotics are taken according to a specific pattern. Their thoughtless use unsupported by knowledge leads to their complete ineffectiveness. Microbes will adapt to this antibiotic and consequently you devoid your doctor of the possibility to ever prescribe this antibiotic to you and in the meantime you will damage your liver and kidneys.

Don't take any painkillers 3 hours prior to visiting a doctor if you have a tooth cyst. You will make it more difficult for a doctor to diagnose you.

If you have had a cut when removing a tooth cyst, do not take aspirin. Aspirin can cause bleeding. Moreover, it is absolutely useless as a painkiller in this case.

If despite the cut made in the process of removing a tooth cyst you do not feel better within 12 hours, call your doctor again!

If you have a tooth cyst do not self-prescribe the medicine to yourself and do not cancel it as you see fit. You should not listen to your friends even if they (as they say) have had the same problem.

What can you expect after visiting a doctor?

As a rule, after a tooth cyst treatment you should not expect that the swelling and infiltration will subside immediately (infiltration is a soft tissue induration in the affected area that can be felt for a long time.) Swelling may even increase slightly, but on the third day after the tooth cyst removal everything should start recovering drastically.

Within several hours after the removal of a tooth cyst an arching pain in the nidus should subside in case of an abscess and periostitis. The temperature should begin to subside as well.

After a tooth cyst removal you can feel a little discomfort in the area of the cut, but you won't feel severe pain.


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