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Hi Sanjay,

An enucleation is the surgical removal of a mass or tumor in its entirety and without dissecting. Dental cysts associated with root canaled or infected teeth are usually not just one solid mass. They are multiple fibers of tissue that are attached to each other as well as the tooth, the bone, the oral tissue and whatever other tissue may be in that area.

Irrelevant of what type of sedation you have, you will also be given local anesthetic. Depending on the case, some surgeons will use a long acting local anesthetic which could last for many hours after the procedure is done. You will most likely be given oral pain meds right away or as soon as you can have a little something to eat. Post operative pain is not measurable because everyone has a unique situation and their own pain threshold. I've known patients to have very little to no post op pain. Sometimes the pain comes on day 2, 3 or 4. Everyone is different.

No drills are going be used on your cheek bone. That is not the location of any cysts that you have. Your cheekbone is not involved. I cannot tell you if one or two different type drills will be used because the surgeon will determine that at the time of the surgery. The surgical drills are very similar in size and shape to the drills used to work on teeth when doing a cavity removal, etc. They just have a different air exchange within the drill and special surgical burs are used. A drill is only needed when there is no other means to gain access to the cysts or when the bone is beyond salvageable and it needs to be removed.

Sanjay.... where are you getting your other information from?? Are you under the care of an oral maxillofacial surgeon?

Bryanna

I would extract now rather than go through root canal failure and then extraction. Typically any pain post procedure is medication controllable. Are you in pain now?

Greetings Brianna,

Extremely sorry for being late in reply. Thanks for your well thought-out answer and I consult online with a retired Dentist from here --->

bit.ly/2lOGk15

The X-Ray Panoramic I did was on 13th December, 2016 and please see again, if I will get some time to do the surgery before the Cysts get involved with the Sinus ? I need some time (may be some months). Please tell me if I will re-do the X-Ray Panoramic again for the latest update.

I also got a Cone Beam CT Scan done on my upper-jaw and some soft-tissues were found inside both my right and left Maxillary Sinuses - how can I show you the scan as the maximum attachment size here is a little less ?

Thanks,

Sanjay

Greetings,

No I am not in pain now. But I feel some slight sensation if I touch the teeth's gums.

Thanks.

Sanjay

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Greetings Bryanna,

Here is the Cone Beam CT Scan : bit.ly/2n6JG0w

Thanks,

Sanjay

Are you there Bryanna ?

Hi Sanjay,

I am not able to open the ct scan.

However, as I have stated previously, your teeth are badly infected and it is evident on the panoramic radio-graph that the infection has spread. The likelihood of this infection traveling to the sinus is highly probable especially since the infection has been brewing for a long time. The longer you wait to have these teeth removed, the more widespread the infection will become.

Most likely, the reason you have little pain is because the infection is constantly draining. It is draining from the gum pockets into your mouth, which means you are swallowing it. It is also draining further into your jaw bone and so on. When these areas become overwhelmed with inflammation, you will develop swelling and more pain.

Please understand, this infection is a serious health threat and can cause you to become very ill. It is important to have the oral surgery done as soon as possible.

Bryanna





QUOTE=SJD001;1238094]Are you there Bryanna ?[/QUOTE]

The longer you wait to do anything, the greater chance of life long chronic pain. What does the dentist who took these xrays recommend you do?

[/QUOTE]

Greetings Bryanna,

1. I will upload the CT Scan on my friend's server and send you a direct link to download.

2. How soon can I have the surgery done ? Some weeks or a few months ? The above X-Ray Panoramic shown was done on 13th Dec, 2016 and the Dentist gave me time till 21st Feb, 2017 to do the surgery, but I was scared seeing the 2 very big circles (which now are I know are the Maxillary Sinuses).

I will send you a new, freshly done X-Ray Panoramic to evaluate the time I can have before I do the surgery.

Thanks,

Sanjay

Greetings Cleo,

1. !!!!! Oh !!!!! Life long chronic pain ?
2. The Dentist said seeing the X-Ray that I should do the surgery by 21st Feb, 2017. I showed another Dentist and he said that he can remove the 2 Cysts from the teeth extraction sockets (this I like the best, can it be done ?)

Thanks,

Sanjay

Sanjay,

Removing just the cysts will not cure the infection because it is the teeth that are causing the infection. As long as the teeth are present, the infection will be present. Please reconsider the advice of any dentist who tries to convince you that removing only the cysts is a wise decision. It is not.

An oral surgeon is the ONLY dentist you should be consulting with for this surgery, not a general dentist. An oral surgeon will attempt to remove the cysts through the extraction sites after he extracts the teeth. However, one he is in there, he may find that he needs to gain access to the cysts a different way in order to remove as much of them as possible.

I don't need to see the CT scan.... you should get this oral surgery done as soon as possible.

Bryanna



1. !!!!! Oh !!!!! Life long chronic pain ?
2. The Dentist said seeing the X-Ray that I should do the surgery by 21st Feb, 2017. I showed another Dentist and he said that he can remove the 2 Cysts from the teeth extraction sockets (this I like the best, can it be done ?)

Thanks,

Sanjay[/QUOTE]