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