Can My Dental Cysts Be Non-Surgically Removed ?
 

Hi,

Here are 2 cysts on my right upper-jaw : **

I am scared of surgical removal. I am looking for non-surgical removal of the 2 cysts. I want teeth be extracted below the two cysts and through those sockets of the teeth-extrcations, the cysts are removed. Is this possible in my case ?

I have gone through the following study by which Cyst-removal was done by most probably RCT : **

Since that was RCT, teeth extractions sockets provide larger openings than RCT so it should be done, I feel.

Please enlighten.

Thanks,

Sanjay

Hi,

Attached is the image of the 2 cysts of my Jaw.

Thanks,

Sanjay

Hi SJD0001,

Thank you for posting the xray.

You have several, possibly all 8, badly infected teeth in your upper right quadrant and several areas of bacterial and cystic infections in the jaw bone in the vicinity of those teeth.

The infected teeth are what is causing the masses to develop and unfortunately the teeth are not salvageable. The infected teeth, the areas of infected bone, and the cysts need to be surgical removed all at the same time to give you the best chance of a positive outcome. If you do not remove all of this infection and infected teeth at the same time, you will need additional surgeries as the infection will continue to be virulent and progressive. It may not be possible to remove the cysts from the extraction openings due to their size and what they may be attached to. The surgeon may need to make an additional entry into the bone or the sinus to remove them. Has your dentist talked to you at all about how the sinus may be involved in this?

Do not see a general dentist for any of this surgery, they are not qualified to take on this case. You need to see an oral maxillofacial surgeon. I sincerely urge you to not wait because based on the severity and size of this infection it has been brewing for a very long time. This type of infection could make you very ill. It needs to be taken care of surgically as soon as possible.

Is the upper left quadrant in the same predicament as this one? If so, then it would be wise to speak to the oral surgeon about that quadrant as well and if needed, remove all of your infected upper teeth and replace them with a full removable denture. Leaving any infected teeth or infected cysts will prevent the jaw from healing properly and new infections will develop. This surgery has to be done extremely well and very thorough.

I'm sorry to give you this news.... but please do not let your fear distract you from getting this taken care of properly. Your health is definitely at risk with this infection.... so please make your health your focus over your fear.

Check back when you can and give us an update on how you're doing.

Bryanna


QUOTE=SJD001;1234927]Hi,

Attached is the image of the 2 cysts of my Jaw.

Thanks,

Sanjay[/QUOTE]

Greetings Bryanna,

Are the 2 cysts into my jaw-bone called "Periapical" cysts ?

Thanks,

Sanjay

Hi Sanjay,

About 50% or so of the cysts found in the jaw bone are Odontogenic cysts. Depending on the location and etiology of the cyst, they are called periapical, radicular, apical periodontal, root end cyst, or residual cysts.

There are different types of growths or masses that can form in the jaw bone that are not cysts but can look similar to a cyst on a radio graph. It is always wise for the oral surgeon to capture a specimen of the cyst(s) or mass(es) during the surgical removal and send it out to an oral pathologist for identification, culture and biopsy. Every oral surgeon has the instruments and materials to carry out this procedure. However, because it is not routinely done in every surgeons office, it should never be assumed that your surgeon will do it. Therefore, it is up to the patient to inform the surgeon, prior to the actual surgery, that they want the culture and biopsy done.


Bryanna

Hello Bryanna,

Thanks for such a thorough answer.

I want Conservative & Non-Surgical Treatment of my Cysts done, so for this RCT is done on the teeth concerned, so if I do RCT on 2 teeth of mine then can my 2 Cysts be treated and healed ?

Thanks,

Sanjay

Hi Sanjay,

I know, you've mentioned that you want conservative treatment previously. If there was such a thing for your case, I would definitely be offering it to you.

However, your infections are severe. The teeth became decayed and infected and the infection has spread into your jaw bone and possibly your sinus. Root canal therapy will not cure the infected teeth and make them healthy again. It would be a waste of your time and money and the teeth will need to be extracted. The cysts can only be removed surgically because they are attached to the teeth and have grown into the tissue and bone. The surgeon needs to remove the teeth to be able to get a clearer view of the severity of the cysts and if there is sinus involvement.

Root canal therapy cannot cure infected teeth because it is not possible to remove all of the infected nerve tissue. The procedure is done to "retain" infected teeth for an uncertain amount of time.

Some dentists will root canal a tooth and then do a surgical procedure called an apicoectomy to clean out some of the cyst from the bone. This combination of treatment still does not cure the infection in the tooth and it does not remove the entire cyst. Again, extraction is inevitable.

Unfortunately, the only way to attempt to cure the infection is to extract the teeth and do a surgical removal of the cysts and all infected bone.

I wish I could give you better news.... I'm sorry, there is no alternative to the oral surgery. Please be sure to see an oral maxillofacial surgeon and not a general dentist for the surgery.

Take care,
Bryanna

Greetings Bryanna,

If I go for enucleation with both General Anesthesia and local anesthesia, then how will be the pain like after I wake up and after the local anesthesia wears-off and when I am under pain medication ?

Also as you can see the image above of the 2 Cysts on my right-upper jaw, the 2nd Cyst is at the posterior and do you think that this will give the surgeon some trouble to operate on ?

Exactly where the drills are done ? And for my 2nd Cyst, the drill seems to be will be on the very thick bone below the eye, is that correct ?

Will there be 2 drills or 1 drill ?

Thanks,

Sanjay

Bryanna please help.

Thanks,

Sanjay

Already searched that.

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

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]

Greetings Bryanna,

I am already concerned that I will be consulting with an Oral & Maxillofacial Surgeon and not with a general dentist.

What if I can persuade an Oral & Maxillofacial Surgeon to remove the teeth and the 2 Cysts through the sockets of the teeth extractions (without surgery) ?

Here is the latest X-Ray Panoramic (where the Cysts are not visible in my eyes though - expert eyes are required) :

Shared album - Electroneez Support - Google Photos

Please click on the image for a larger view.

Please evaluate the X-Ray Panoramic and tell me after how much time I can do the Cyst removal (either through the teeth extraction sockets or by enucleation) ?

Thanks,

Sanjay

Sanjay,

I opened the second panoramic xray that you attached.

Has your dentist informed you about all of your dental problems? This xray shows several areas of severe tooth decay, broken teeth and bone infection in more than just the upper right side. Has your dentist talked to you about all of this? Did he talk to you about replacing the upper teeth with a denture?

The best and only advice that I can offer you is to discuss ALL of your dental problems with your dentist and then consult with an oral surgeon about the oral surgery to remove the problems.

You have serious infection and you're wasting valuable time stressing over how the surgeon is going to perform the oral surgery. You cannot direct the surgeon on how to perform the surgery. You can tell him you want him to be as thorough as possible but as conservative as possible. But that is all you can do.

Please, try to move forward with the oral surgery as soon as possible.

Bryanna











QUOTE=SJD001;1238321]Greetings Bryanna,

I am already concerned that I will be consulting with an Oral & Maxillofacial Surgeon and not with a general dentist.

What if I can persuade an Oral & Maxillofacial Surgeon to remove the teeth and the 2 Cysts through the sockets of the teeth extractions (without surgery) ?

Here is the latest X-Ray Panoramic (where the Cysts are not visible in my eyes though - expert eyes are required) :

Shared album - Electroneez Support - Google Photos

Please click on the image for a larger view.

Please evaluate the X-Ray Panoramic and tell me after how much time I can do the Cyst removal (either through the teeth extraction sockets or by enucleation) ?

Thanks,

Sanjay[/QUOTE]