What is a tooth cyst?

A tooth root cyst is a round, tumor-like growth attached to the root of a tooth. It has a connective tissue capsule and serous contents with cholesterol crystals and measures 5 mm or more. It results from a chronic infection caused by poor-quality root canal filling, untreated canals, or complications of caries.

A cyst is a benign growth that always requires treatment or removal. A tooth root cyst usually requires the abscess to be opened, after which antibiotic therapy may be needed to achieve long-term remission.

Causes and symptoms

A cyst forms as the body’s defensive response to infection or injury. How can you tell that a tooth cyst has formed? A cyst cannot be detected without an X-ray. See a dentist if you have the following symptoms:

Causes of a cyst:
  • Jaw injuries
  • Complications of caries
  • Untreated or improperly treated root canals
  • Root perforation
  • Eruption of wisdom teeth
  • Infectious ENT diseases
Main symptoms of a cyst:
  • Persistent aching pain
  • Sharp pain
  • Severe discomfort when chewing
  • Enlarged lymph nodes
  • Fistula formation
  • A feeling of pressure

Types of cysts by location

Lateral

A lateral cyst is located on the side of the tooth root. As a rule, with a lateral cyst the tooth is healthy, undamaged, and has a vital pulp; the cyst itself is small and is removed by open curettage.

Apical

An apical (radicular) cyst is located at the tip (apex) of the root. It forms around the tooth root as a result of chronic inflammation. Its size ranges from 2 mm to 3 cm. As a rule, a radicular cyst develops without symptoms.

Apicolateral

An apicolateral (inter-radicular) cyst is located between the roots of a tooth when accessory canals are present.

Nasopalatine duct cyst

It is located in the upper jaw in the incisor area, on the roots of the incisors. It forms from remnants of the nasopalatine duct epithelium.

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Tooth cyst removal methods

Cystotomy

Hemisection

Cystectomy

Resection

Coronoradicular separation

Stages of tooth cyst removal

STAGE 1

Examination and diagnosis

The doctor examines the patient, performs a CT scan, assesses the size, location, and type of the growth on the images, as well as the overall condition of the teeth, and then draws up a treatment plan.
STAGE 2

Professional teeth cleaning

Before planned dental procedures, we schedule a professional teeth cleaning to remove soft and hard dental deposits and relieve gum inflammation (gingivitis).
STAGE 3

Treatment of adjacent teeth

If the diagnosis reveals that teeth adjacent to the affected one have caries and need treatment, the general dentist must treat them 2–3 days before the surgery.
STAGE 4

Endodontic treatment

If cyst removal surgery involves root-end resection, endodontic treatment of the canals is performed beforehand under a microscope.
STAGE 5

Anesthesia

Tooth cyst removal is usually performed under local anesthesia. If indicated, it can be performed under general anesthesia or while the patient is “asleep.”
STAGE 6

Surgery

The doctor creates open access to the cyst and removes the growth intact, without damaging it. The wound is then treated with disinfectant solutions. The surgeon places an anti-inflammatory sponge in the cavity left after removal.
STAGE 7

Suturing the socket

The doctor sutures the wound. After 3 days, the patient is invited back to the clinic for a scheduled checkup.
STAGE 8

Supportive therapy

To ensure fast and safe recovery, the doctor prescribes medication and gives recommendations on oral care.
STAGE 9

Histopathological analysis

The removed growth is sent to the laboratory for histological examination, after which the pathologist’s report is sent to the surgeon.
STAGE 10

Follow-up X-ray

After 6 months, a repeat X-ray is needed to monitor the area where the growth was.

Possible complications after surgery

Pain

Infection

Soft tissue swelling

Fever

Recurrence

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Cost of cyst removal

Cystectomy
from 9,000 UAH
Tooth cyst removal
from 11,500 UAH
The price includes: cyst removal with root-end resection, filling the socket with bone graft material, suturing the socket, a sterile kit, anesthesia, 24/7 postoperative support, and the doctor’s recommendations.

Payment

We have no hidden fees. Payment is made according to the price list and the agreed treatment plan.

You can pay in cash or by card (via a bank terminal).

Treatment can also be covered by your insurance company or provided under a corporate agreement.


Frequently asked questions about tooth cyst removal

What happens if a cyst is not removed and it ruptures?

A cyst can rupture during a flare-up (for example, of periostitis), and this condition is too serious to sit out at home without doing anything.

If flare-ups recur often, a fistula tract forms through which pus drains. In this case, surgery will still be needed, but it will be more complex and more traumatic.

If I have a tooth cyst, is the tooth removed along with it?

No, not always. Besides conservative treatment of cysts, there are tooth-preserving surgeries, such as:

  • cystectomy
  • cystotomy
  • coronoradicular separation
  • root amputation.

Tooth-preserving surgeries are those after which the tooth remains functional.

How long does recovery take after tooth cyst removal?

Sutures are removed 7–10 days after surgery; by then, any unpleasant symptoms have subsided. Complete tissue healing takes 3–4 months.

Can a tooth cyst resolve on its own?

No, cysts do not go away on their own, but there are treatment methods that do not require surgery.

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