Cystectomy – removing a cyst can save your teeth

Cystectomy - removing a cyst can save your teeth

A cystectomy can save teeth

A jaw cyst is a cavity that is filled with a fluid, usually with dead liquid cell debris or pus, and that may be due to various causes. Often a dead tooth is the cause of a cyst, but also minor injuries to the gums or a disruption during tooth development are possible as a trigger for the formation of a jaw cyst. Over time, this increases due to the accumulating liquid on. At an early stage, a jaw cyst rarely causes pain. Since the pus can not flow off by itself, the cyst increases and can thereby displace the jawbone, the sinus wall or even neighboring teeth and press on nerves. The cyst should therefore be treated regardless of whether a jaw cyst hurts by performing a cystectomy or cystectomy. This term describes the procedure by which the jaw cyst is surgically removed.

Course of a cystectomy

A symptom of the jaw cyst is the throbbing pain caused by the pressure on the surrounding pain-sensitive periosteum. If a cyst is detected on the X-ray image during diagnosis, we plan the further course of the removal in a transparent manner. According to your wishes, our competent team of the practice clinic Nilius in Dortmund will perform the cystectomy in general anesthesia, in double sleep or in local anesthesia. Depending on the size of the jaw cyst, the type of treatment differs.

For small cysts, a cystectomy is performed. This means that the jaw cyst is exposed, peeled and completely removed. The tissue and the cyst secretion are sent to a laboratory for diagnosis to ensure that it is a benign change. The resulting hole in the jaw is now filled with a bone substitute. After the treatment of the cyst, a root filling or a root tip resection is then performed on the tooth, if this has not already been done. If the tooth no longer has sufficient support due to the cyst, especially the size of the resulting cavity, it must be removed. In rare cases, this also affects adjacent teeth.

However, cystectomy is not possible with large cysts. Therefore, it must be prevented in the first step of the treatment that the jaw cyst continues to grow. This is achieved by removing the jawbone in the direction of the oral cavity. This allows direct access to the cyst. A kind of window is now cut into the cyst (cystostomy), so that the pressure is reduced. In addition, the cavity is designed with a disinfecting iodoform strip, which causes a reduction of the cavity of the jaw cyst. In the second step, when the cyst has become smaller, the cyst can be cleared.

Possible complications of cystectomy

Our experienced team works as carefully and cystectomically as possible. However, it is not excluded that, depending on the location of the jaw cyst, nerves and vessels are damaged. A temporary, partial numbness in the mouth area can occur as a result. In very rare cases, teeth must be removed, even a jaw fracture is not completely excluded in very extensive cysts.

So you can prepare for a cystectomy

In an in-depth interview, our Nilius practice clinic team will inform you transparently about the exact course of the cystectomy and how you can best prepare for the procedure. Also hints for the postoperative time, for example, the proper care to complete wound healing, we give you. If you have further questions about the jaw cyst, you are welcome to contact us.

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Christina Cherry
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