Inflammation of the root of the tooth or cyst how to determine. Change in appearance and sensitivity of teeth

Tooth cyst is an inflammatory cavity filled with fluid, located in the gum around the root of the tooth. It is formed by infection in the root of the tooth. After that, the body tries to isolate the virus from other healthy tissues and creates a special barrier of connective tissues around the infectious cells. If you do not react in time, the cavity can increase to a large size, become inflamed and fester. And, if the cyst is not cured in time, the teeth that have fallen into its cavity will fall out. Sometimes the cyst spontaneously opens, forming a fistulous tract - an exit to the outside

Reasons for the formation of a cyst
Jaw injuries when an infection enters the injured tissue.
deep caries, which reaches the root of the tooth, microbes enter through the carious canal, causing a cyst.
Canal treatment- with improper treatment, an infection can get into the root of the tooth, which causes suppuration.
Sinusitis or chronic runny nose. In this case, microbes enter the bone tissue through the blood, which contains the infection.

Tooth cyst - symptoms
Symptoms of a tooth cyst appear only at a late stage, when the cyst reaches a size of several centimeters, after which the gum begins to ache and swell, until this stage, sometimes when biting on something hard, unpleasant sensations appear. At an early stage, a cyst is easily identified by taking an x-ray, sometimes it happens by accident during the treatment of other teeth.

Tooth cyst - consequences
The cyst undermines the roots of the teeth. The infection hidden in it can sometimes (after hypothermia, stress, hard work, decreased immunity, colds) become more active. Weakness, fever, headache appear, lymph nodes in the neck increase, the gum swells and hurts, a flux appears.

Treatment of a tooth cyst.
The earlier a tooth root cyst is detected, the easier it is to cure. The easiest way to treat is to pull out the damaged tooth and clean the gums. A few years ago this was the only way. There are now several surgical and therapeutic treatments available.
With the surgical method remove the cyst and cut off the top of the tooth root. If it is not possible to save the root, another operation is performed - the cyst is surgically removed, the destroyed root and part of the tooth above it are completely removed, and a crown is placed. If the tooth is completely in the cavity of the cyst, staggers strongly or is destroyed to the ground, such a tooth cannot be saved, it must be removed.

With a therapeutic approach treatment, the diseased tooth is reamed to the base of the root, which abuts against the cyst, and the root canal is cleaned. Through the resulting passage, the contents of the cyst are removed, and antimicrobial drugs are injected into the cyst. After cleaning the cavity from infection, a paste is injected into the cyst, which stimulates the growth of healthy bone tissue. Six months later, an x-ray is taken to check the success of the treatment. This approach gives only 70% success. There is a more complex therapeutic treatment of cysts using depophoresis - 95% success rate. But not all hospitals have the equipment for such treatment.

Folk remedies for the treatment of tooth cysts.
From the foregoing, it can be seen that folk remedies for the treatment of tooth cysts can only be used to relieve the symptoms of the disease. It will not be possible to remove the cyst itself using folk methods, but pain can be alleviated when the infection in the cyst is activated. Folk remedies for treating tooth cysts relieve pain, suppress infection

Salt water treatment.
With a tooth cyst, pain can be relieved by rinsing the teeth with warm salt water, keeping the water in the mouth for as long as possible so that the salt penetrates through the mucous membrane into the blood. Salt has an antimicrobial and analgesic effect, relieves tumors.
This folk remedy will be much more effective if, instead of ordinary water, you take an infusion of herbs that can relieve pain and fight infection: calendula, chamomile, eucalyptus, creeping thyme, medicinal hyssop, sage, horsetail, yarrow. The infusion is made concentrated - 2 tbsp. l. herbs in a glass of boiling water. Rinse as often as possible until the pain subsides.

Vodka and alcohol infusions in folk remedies for the treatment of tooth cysts
Rinse your mouth with vodka and spit it out. The pain quickly passes due to disinfection and anesthesia. It is good for these purposes to use alcohol tincture from horseradish root (fill the jar halfway with horseradish, pour vodka to the top. Infuse for 3 days)

Garlic in the treatment of tooth root cysts
To relieve the pain of a cyst, you need to rub the gum with a clove of garlic. The following method will help well: chop a clove of garlic finely, keep it in your mouth, dissolving for 20-30 minutes. Phytoncides of garlic through the oral mucosa will enter the blood in the area of the cyst and help suppress the infection there.

Honey and a rusty nail
If you did not go to the doctor in time and it came to suppuration, so that the abscess breaks faster, you need to take an old rusty nail and, having heated it red-hot, lower it into honey. A black substance forms around the nail, which should be lubricated around the gum near the diseased tooth.

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What is a tooth cyst and what is it? This is an inflammatory formation, which is an extremely dense capsule.

It is formed to limit the spread of a developing infection. The cyst develops near the root of the tooth in the gum, sometimes near the front upper tooth. Symptoms of a tooth cyst may not be for a long time, but the tooth itself is at risk.

The problem is that the disease is constantly progressing, the cyst is increasing, and normal jaw tissues are dying from inside the tooth. The nature of the disease is much more deplorable in the later stages, so treatment should not be neglected. The diameter of the formation can vary from 5 mm to several centimeters. A cyst smaller than 5 mm is called a granuloma.

Tooth cyst: what is it?

The main reason for the formation of a tooth cyst is infection in the tooth tissue.

Most often, this situation is observed in the absence of timely, as well as in case of improper filling of the dental canals, malformations, trauma or infections of the nasopharynx. Less often, a cyst occurs or some kind of infectious disease, in which harmful microbes are transferred into the gums with the bloodstream.

Depending on the cause of the disease, the following types of tooth cysts are distinguished:

Radicular (tooth root cyst). It develops, as a rule, in chronic.
Follicular. It develops from the shell of the follicle surrounding the crown of the tooth. Its formation occurs when a tooth erupts as a result of infection.
Keratocyst or primary formed from the remnants of dental tissue in violation of its development.
Paradental (retromolar). It can form with difficult eruption of the wisdom tooth through the gum and chronic inflammation. The paradental cyst of the lower wisdom tooth is more common.
Eruption cyst. It is observed in children 7-10 years old during the eruption of permanent teeth.

As a rule, the disease occurs against the background of a chronic inflammatory process. It increases in size due to the accumulation of cystic fluid, the growth of the epithelium and the resorption of bone tissue.

Symptoms

A tooth cyst can develop for a very long time either completely without symptoms, or with minimal signs - there may be periodic minor pain when biting on the causative tooth or slight pain when pressing on the gum in the projection of the cyst. In this case, it is detected, as a rule, by chance - on survey radiographs about the treatment of other teeth.

In the case of a decrease in immunity (for example,) - the infection in the cyst cavity usually worsens, which is accompanied by intense purulent formation. In this case, sharp pains may appear, especially when biting on the causative tooth, swelling and swelling of the gums, cheeks, the temperature may rise and weakness may appear. Basically, the symptoms of a tooth cyst begin to appear when it reaches a large size (from 3 cm).

To avoid serious consequences, do not delay treatment. It is worth noting that the destruction of the root, loosening of the tooth and its loss are not all the consequences that you should beware of, since the presence of a cyst also poses a threat to both the gums and other healthy teeth.

Photo of tooth cyst

To understand what a tooth cyst is and how to treat it, we recommend viewing the following photos:

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Consequences

In advanced cases, a cyst can lead to the following serious consequences:

pathological fractures of the jaw;
abscess;
loss of teeth in the area of the cyst;
phlegmon of the neck and face;
flux or ;
osteomyelitis;
benign tumor;

If you have a toothache, be sure to take an x-ray. This will help identify the cyst at an early stage. Regularly monitor the condition of the oral cavity: brush your teeth thoroughly, remove food debris after eating, rinse your mouth with special antiseptic solutions. Visit the dentist every year, treat your teeth on time.

Tooth cyst treatment

When a tooth cyst is diagnosed, treatment can be carried out in several ways.

All of them are quite effective, and only a dentist can make a choice of a specific method - he will take into account the general health of the patient, the size and localization of the formation.

To date, dental clinics offer us the following treatment options:

Therapeutic Method. The essence of the treatment is to wash the canals of the tooth with drugs, followed by their cementation. These drugs have a neutralizing effect on the cyst. However, its use is justified only for the treatment of formations whose diameter does not exceed 8 mm.
Surgery cysts involves the preservation of the patient's teeth with the removal of only the tops of the roots through an incision in the gum tissue. During the operation, the cyst is cut out, and the removed dental tissues are restored using artificial materials. After the operation, the patient is prescribed a course of antibiotics.

non-surgical method

An indication for the use of this method is a formed cyst no more than 8 mm.

The damaged tooth is opened, under which there is a cyst and the channels expand.
Root canals are thoroughly disinfected with antibacterial agents. The focus of inflammation is blocked.
Dead tissues of the cyst are etched with the help of special medical devices.
The cavity of the cyst is filled with a special solution, which contributes to the disappearance of the pathology and restores bone tissue.
Canal filling.

At the end of treatment after some time, it is important to check the root canals of the cured tooth again in order to exclude the recurrence of the disease. But the treatment of a tooth cyst without surgery is often unsuccessful and is advisable only if it is detected in a timely manner in the early stages of development.

Tooth cyst removal

In cases where therapeutic methods of treatment do not help, it is necessary to apply a radical method, i.e. remove the cyst at the same time as the tooth. The occurrence of this disease on the wisdom tooth is an indication for its removal.

During surgical treatment, the cyst and granuloma are removed, and the apex of the tooth root is resected. If it is impossible to save one root, then the cyst is removed and the damaged root and the tooth fragment above it are resected. This is a less benign method.

Resection of the root apex is one of the surgical methods of treatment. The doctor with a drill cuts off (does a resection) the top of the root from the root itself. Root resection is required for poorly sealed canals or a pin installed in the root canal. The operation to remove a cyst or granuloma is necessarily performed under anesthesia. Root resection takes up to 1 hour.

Laser tooth cyst treatment

How else can you treat a tooth cyst with modern methods - this is laser therapy. This method is the most gentle, it not only allows you to quickly and efficiently remove a benign neoplasm, but also provides complete disinfection of the cavity and tissues around the damaged tooth.

The procedure involves local anesthesia and the introduction of a special thin surgical tube into the cyst cavity. Laser radiation dissolves the surrounding tissues, after which they are removed using a vacuum device. It is noted that laser therapy allows you to completely save the tooth, a distinctive characteristic is the absence of relapses.

Cost of treatment

The cost of cyst removal depends on many factors, including:

the complexity of the disease
the costs of the necessary materials,
duration of the postoperative period,
See also the pricing policy of the dental clinic.

On average, the cost of surgical treatment of a cyst ranges from 4,500 to 10,000 rubles. The cost of therapeutic treatment, without removing the cyst on the root of the tooth, somewhat exceeds these figures, because it requires large manipulations with the tooth and takes a lot of time.

How to treat a cyst with folk remedies

As for folk remedies, there are not so many of them. You can stop the growth of the seal itself, but you should not expect more. Most often, the dental disease itself is treated first, and then the degradation of the cyst is already noted. Emphasis on herbal medicine and natural antibiotics.

At home you can use:

Rinsing with warm saline solution - a teaspoon in a glass of water;
Decoctions of herbs - calendula, sage, chamomile, eucalyptus, yarrow, hyssop, thyme. Horsetail infusion helps especially well. For a glass of water - 2 tablespoons, bring to a boil, cool and rinse every 3-4 hours. Do not swallow!
Infusions of herbal preparations: killer whale (iris) root in half with dry sage - 2 tablespoons per 200 g of water, sweat over a fire in a closed bowl for 15 minutes and cool;
Rinsing with vodka and alcohol tinctures;
Make a slurry of garlic and place on the gum near the inflamed area.

These methods help relieve soreness and acute inflammation, but the cyst itself does not disappear and requires professional treatment.

How to prevent the disease?

For any alarming symptom, gum irritation, aching pain that can be tolerated, you should consult a dentist. Timely diagnosis of cysts is the key to quick and effective treatment of formations without the use of surgical instruments.

Pathological neoplasms in our body can appear in the most unexpected places, including on the teeth. It is at the top of the tooth root that dentists often find a cyst - a benign formation of a round shape. In fact, this is a bubble with a dense shell, filled with purulent contents, dead cells and bacteria. The size of the appeared cyst can reach two or more centimeters in diameter.

Tellingly, a cyst on the root of a tooth may not bother a person for a long time, while being a serious threat to dental health, as the growth progresses, gradually destroying the jaw tissues and filling them with purulent contents. The consequences of such a process can be the most deplorable, and therefore it is very important to detect a cyst in a timely manner and treat it correctly.

Those who care about their own health and, in particular, the condition of their teeth and gums, should know the causes of a cystic vesicle, its symptoms and methods of treatment.

Why does a cyst appear

The main reason for the appearance of a cyst on the tooth is an infection. The penetration of infectious agents can occur for two reasons: due to improper oral care, and also due to a jaw injury.

Insufficient care of the teeth and oral cavity often leads to such unpleasant consequences as:

caries;
periodontitis (inflammation of the periodontium);
periostitis (inflammation of the periosteum);
complicated pulpitis.

If we talk about jaw injuries that can lead to the development of a cyst, they should include:

damage to the jaw and teeth (this condition is often diagnosed in people professionally involved in sports);
improper filling of tooth canals;
teething (primarily molars);
increased load on the teeth (when trying to crack a nut, bite the wire or click hard with your teeth).

Each of these pathological processes or rash actions can lead to inflammation, which is localized at the top of the tooth root and can provoke the appearance of an outgrowth.

Types of cysts

Dentistry knows several types of cysts:

1. Retromolar
Such an outgrowth at the top of the tooth root is the result of inflammation caused by teething. This is usually caused by the eruption of wisdom teeth, especially if the tooth does not grow correctly, and when it appears, an air hood forms.

2. Eruption cyst
This form is very similar to the retromolar, but it appears only in children during the period of change of milk teeth to molars. Even today, doctors cannot name the exact cause of the neoplasm on the first molars. Presumably, a strong weakening of local immunity is to blame. The appearance of such a cyst affects children 7-10 years old.

3. Follicular
Such an outgrowth appears in the process of tooth formation, when the tissues, before they have had time to form a tooth, become infected and inflamed. In this case, particles of dental tissue can be found in the formed bubble.

4. Radicular
This is the most common type of cystic neoplasm that appears due to an inflammatory process in the tooth, for example, due to periodontitis. Sometimes a cyst is the result of an injury.

5. Residual
This outgrowth differs from others in that it is formed at the moment when the surgeon removes the tooth, but part of the root breaks off and remains in the gum. In this case, a purulent vesicle appears at the top of the broken root.

6. Keratocyst
Such a cyst appears as a result of pathological growth of periodontium - tissues located between the cementum of the tooth root and the alveolar plate. That is, the cyst develops from cells that are involved in the formation of periodontal tissues.

7. Cyst on eye teeth
On these teeth, a cyst may appear in a situation where a person has developed sinusitis. In this case, a ball with purulent contents is formed at the top of the root of one of the eye teeth.

How does a cyst manifest itself?

As a rule, the cyst that appears for a long time develops completely without symptoms. A miniature formation that does not manifest itself in any way, and therefore is difficult to diagnose. A dense bubble does not rise above the gum and does not hurt, only sometimes when biting a person can feel pain in the tooth, which, however, is explained by an accidental reaction that is not worth going to the doctor. And even doctors can not always find a small cyst at the top of the tooth root. More often this happens at the moment when the doctor takes an x-ray before treating other teeth.

By the way, a small cyst is often confused with another neoplasm - a granuloma. True, unlike a cyst, a granuloma does not have a capsule, and therefore in the picture its image looks blurry and does not have clear boundaries.

In the later stages, when the cyst begins to grow and the inflammation progresses, obvious signs of the disease appear:

- aching or throbbing pain that does not leave a person alone and intensifies every day. Folk remedies and analgesics do not help relieve pain even for a while, and attempts to chew food provoke bouts of acute pain;

- swelling in the area of the inflamed top of the tooth. At the same time, the gum becomes hyperemic, and the skin begins to rise above it due to the cyst growing inside;

- an increase in temperature is associated with the development of an infectious process. With the growth of the cyst, the number of pathogenic microbes in it also increases. Temperature indicates that the body is trying to cope with pathogenic microflora;

- headache with this disease is rare. As a rule, this symptom accompanies a cyst of the eye teeth.

Possible consequences

If you ignore the manifestations of the disease and do not go to the dentist for a consultation, the accumulated pus will break the cyst, forming a flux, and then a fistula, through the channel of which the purulent contents begin to come out, entering the oral cavity.

By the way, a progressive cyst can not only appear as a result of periodontitis, but also cause the development of this disease. But periodontitis is characterized by an insidious ability to destroy bone tissue, which is why a person is subject to jaw fractures or tooth loss.

Another consequence of the cyst can be phlegmon - diffuse inflammation of fatty tissue with the formation of suppuration. This disease is characterized by rapid development and can lead to blood poisoning (sepsis). And this condition poses a clear threat to the life of the patient. This phenomenon is especially dangerous in pregnant women, who, due to their position, are limited in taking medications.

Finally, a cyst on the root of the tooth must be treated, if only because this growth can develop into a malignant tumor.

How to treat a cyst on the root of a tooth

Radiography is the most reliable way to identify a cyst at the top of the tooth root. Having found an outgrowth, the doctor chooses the tactics of treatment based on the age of the patient, the size of the cyst and the degree of its progression.

For example, at the beginning of development, when the cyst is less than 1 cm in diameter, the specialist prescribes therapeutic treatment. True, such therapy is suitable only in case of good patency of the canals of the tooth, and it is prescribed mainly to young people.

The task of the doctor is to eliminate the causes of the disease, stop the inflammation and prevent the recurrence of the cyst. To do this, the specialist removes the filling or removes the destroyed tissues, thereby providing access to the canals of the tooth. After checking their patency with an X-ray or a special instrument, the doctor may decide to expand them. In the process of opening or expanding the channels, antiseptic drugs such as Chlorhexidine are constantly used.

Next, a drug is injected into the prepared channels. For this, calcium hydroxide can be used, which effectively neutralizes the acidic environment of the neoplasm. Such a medicine dissolves the cystic walls without affecting the bones, destroys microbes and helps to heal soft tissues.

If the cyst was neutralized, the doctor fills the canals, and then, for several months, monitors the healing process of the tissues using x-rays. This is necessary for the timely detection of relapses, because the complete healing of the bones lasts more than a year.

Not so long ago, to eliminate such problems in dentistry, the endodontic method of root canal therapy, depophoresis, began to be used. Such an instrumental approach to the treatment of cysts removes the neoplasm even in hard-to-reach places. The remedy in this case is copper-calcium hydroxide. Using the depophoresis method, which affects the problem area with light electrical discharges, the medicine reaches its target faster and has a better effect on the inflammation site. As a rule, 3 sessions are required to completely eliminate the problem, after which the doctor fills the tooth.

What can a surgeon do

If the cyst has reached a size of more than 1 cm, and also in the case when the tooth is properly sealed, a pin is installed in the root canal or there is a crown, the specialist decides on the surgical removal of the cyst.

In the arsenal of surgeons there are several methods of such intervention. The least traumatic among them is cystectomy - a method of removing one wall of the cyst, followed by the removal of purulent contents and sanitation of the cyst cavity. To do this, the gum in the area of the neoplasm is dissected, and the surgeon gains access to the cyst.

This troubleshooting method is used in the following cases:

the need to save the molar, which replaced the milk one;
the cyst is in close proximity to the jawbone;
the cyst is located near the roots of adjacent teeth;
there are contraindications to the medications or treatments used.

In the process of cystectomy, not only the body of the cyst is removed, but also the accessible part of the root, followed by filling. A medicine is placed inside, which contributes to the speedy restoration of tissues, and the wound is sutured. When it is necessary to remove too large a cyst, the wound is not sutured after it, but an iodoform tampon is inserted into the hole formed.

An alternative to cystectomy can be laser treatment of the cyst. In this case, after cutting the soft tissues, a tube directing the laser beam is brought to the cyst. The radiation dissolves the infected tissues, which are then removed using a vacuum device. In addition to removal, the laser has a complex effect on the affected tissues, due to which their healing is much faster.

In severe cases, when the above methods do not allow to cope with the cyst, doctors decide to perform a hemisection, i.e. to remove the cyst along with part of the root from which it was formed, and part of the crown of the tooth. In some cases, the patient is completely removed the tooth along with the cyst, however, today in the arsenal of doctors there are enough ways to cope with the cyst and at the same time save the affected tooth.

Prevention of the appearance of a cyst

In order not to face such an unpleasant problem as a cyst on the root of a tooth, it is important to follow a number of preventive measures, in particular:

brush your teeth at least 2 times a day and use floss (dental floss) if necessary;
avoid injuries to the jaw and teeth;
maintain immunity and avoid stress;
visit the dentist at least once a year.

All this will allow you to avoid the appearance of a cyst and keep your teeth strong and healthy!

Having heard the diagnosis “tooth cyst” from the doctor, we begin to mentally prepare for the operation. If the dentist found a cyst, you really have to go through a trip to the surgeon, but this does not mean at all that the patient will be left without a tooth. Levin Dmitry Valerievich, chief physician of the Center for Private Dentistry Dr. Levin knows how to carry out the necessary treatment, getting rid of only the cyst, while preserving the tooth itself.

Treatment methods for tooth cysts

Some experts claim that they can treat a tooth cyst without removal - simply by pumping out the purulent fluid from the neoplasm cavity. In one well-known medical institution, they charge from 30,000 rubles for such a procedure and present it all as the latest technique. However, do not believe empty promises! Six months later, pus and inflammation reappear. Thus, it turns out that the patient is again and again forced to pay a lot of money for a dubious service. Understand, it is unprofitable for “specialists” who receive a regular income from this to cure a person, but it is beneficial to treat him endlessly.

Meanwhile, in order to get rid of a tooth cyst once and for all, it is necessary, firstly, to correctly treat the dental canals, and secondly, to remove all infected tissues, and not just pump out the pus. At the same time, only in the most extreme cases, tooth extraction is required! The specialists of our center are able to treat a complex multi-channel tooth in just three visits. Only after the end of endodontic treatment, which is necessarily carried out under a microscope, the patient becomes available to the surgeon. And this whole set of measures, which will save you once and for all from the problem, costs significantly less than one-time dubious procedures.

Treatment of a tooth cyst without extraction

It is not possible to carry out a tooth-preserving removal of a cyst in only one situation - if we are talking about a formation that has formed on the surface of a wisdom tooth. Such complex cases are quite rare and are accompanied by severe pain. Here, the removal of the cyst on the tooth is carried out in a radical way. In other cases, tooth-preserving techniques are used - this is an immutable rule. Therefore, before you go to a doctor who offers to pull out a tooth with a cyst, think a hundred times. Perhaps it is simply beneficial and convenient, since then implantation can be offered. Implant placement is the best method for restoring lost teeth, but all over the world, tooth-preserving principles are dominant in dental treatment. If the doctor can save the tooth, it is his medical duty to do so.

Surgery to remove a tooth cyst

There are three ways to remove a cyst - cystotomy, hemisection and cystectomy.

Cystotomy

Cystotomy is used for large cysts. The doctor removes only those parts of the formation that do not come into contact with the vessels, after which he installs an obturator in the resulting cavity - a device that prevents tissue fusion. After some time, the remaining section of the cyst connects with the epithelium of the oral cavity, changes its structure and ceases to be dangerous to the body.

Hemisection

Removal of the cyst of the tooth root is carried out by means of hemisection. During the operation, the formation, one of the roots and the crown part adjacent to it are removed. The resulting space is restored with an orthopedic structure. However, the above method is quite traumatic, therefore it is considered obsolete.

Cystectomy

In our dentistry, the operation to remove a tooth cyst is carried out using the most modern technique - cystectomy. The method allows once and for all to remove the neoplasm without affecting healthy dental tissues. The operation to remove a tooth cyst takes place under local anesthesia in a surgical room and involves the use of a microscope. First, the specialist determines exactly where the formation is located in the patient, “opens” it, cleans the contents with special tools, leaves an antiseptic inside and sews it up. After some time, the cavity remaining after the operation heals on its own, which does not require additional replanting of bone blocks. Cystectomy takes 15 to 40 minutes, depending on the size of the cyst and the bone structure. An hour after the operation, the patient can go home.

Laser tooth cyst treatment

The laser has only one plus - it perfectly cleans the treated area from infection. However, sterility can be achieved by other less expensive methods - the use of ultrasound and special preparations. Moreover, the removal of a tooth cyst with a laser, given the feedback from patients, is accompanied by a characteristic smell of burnt meat, which is not very pleasant. You also need to consider that there may be burns.

Treatment of cysts with folk remedies

Perhaps some folk poultices help relieve pain, but treating a cyst with folk remedies will not be effective. A tooth cyst cannot be cured - it can only be removed. It's not worth it to be afraid. Removing a tooth cyst is an absolutely painless, quick and uncomplicated procedure, of course, if a professional takes up the matter.

If you do not treat a tooth cyst

An unoperated cyst will first destroy the infected tooth, and then spread to the next. Education can also degenerate into a malignant tumor 15 to 20 years after the appearance. Therefore, you should not think about whether it is necessary to remove a tooth cyst. Instead, you need to urgently consult a doctor for timely treatment, which will relieve unwanted complications.

Where to remove a tooth cyst in Moscow?

If you are concerned about such a problem, then I invite you to visit the Center for Private Dentistry Dr. Levin to remove a tooth cyst. The best specialists in this field, all the necessary modern equipment, low prices and a convenient location in the heart of the capital are at your service. I am absolutely confident in the high quality of the work of the doctors of our center, therefore, as already mentioned, I am not afraid to give a lifetime guarantee for all types of treatment.

The price of surgical removal of a tooth cyst consists of the cost of endodontist and surgeon services. Unlike other clinics, in our dentistry this does not require any impressive costs from patients. Endodontic treatment with the obligatory use of a microscope (do not believe those who offer treatment without it), including anesthesia, materials, etc., costs only 7,000 rubles. Separately, the surgeon's services are paid directly for the removal of the cyst - about 12,000 rubles, which is quite cheap for Moscow. This cost includes all surgical procedures, follow-up visits and medical support. The guarantee for treatment at the "Center for Private Dentistry "Doctor Levin"" is lifetime.

In dental practice, there are such diseases that can be asymptomatic and manifest themselves unexpectedly. One of them is a cyst on the root of the tooth, which the patient may not notice for a long time. However, this is a rather serious disease with difficult treatment.

What is a cyst on the root of a tooth?

The cyst resembles a capsule, because the term itself is translated from Greek as a “bubble”. Inside the capsule is a liquid consisting of epithelial cells and bacteria. If its size is less than 0.5 mm, it is called a granuloma, and it is very difficult to detect a formation at this stage without an x-ray.

The danger of a cyst is that it has a tendency to grow rapidly. This, in turn, will lead to the spread of infection, the development of inflammatory diseases and, ultimately, to tooth loss. The difficulty lies in the fact that the timely detection of a cyst is not an easy task, so it is often necessary to treat it when it has developed to a significant size.

Reasons for the development of pathology

The main cause of a cyst on the root of a tooth is one: an infection in the gum. This can happen as a result of various circumstances:

Stages of the appearance of a cyst on the root of the tooth.

Injuries, and the disease can develop even against the background of a small scratch.
Mistakes, which is carried out with deep caries, pulpitis, periodontitis. If during such treatment the root canal is not sufficiently processed and the infection persists in it, it spreads to the soft tissues.
Errors with and prostheses, first of all - insufficient antiseptic treatment.
Difficult removal, in which the dentist separates the dental tissue or is forced to remove the fragments left from it. Most often, a cyst can occur if an impacted tooth is removed, since this operation involves cutting the gums.
Inflammation that occurs in the maxillary sinus - sinusitis. In this case, the infection spreads to the dental tissue, primarily the upper teeth suffer.

What are the main symptoms?

The initial stages of the development of the disease are most often asymptomatic; which is why it is difficult to diagnose. However, with progression, you can notice some unpleasant symptoms:

pain when chewing and biting;
the appearance of a small tubercle on the gum, which is prone to increase in size;
fistula formation and pain as in pulpitis (in the later stages).

The only reliable method for diagnosing pathology is radiography. It can be considered lucky when the disease is detected by chance - for example, it can be seen on an x-ray taken for another reason. Most often, it can be detected when the cyst is already visible to the naked eye.

How is a cyst treated?

There are two methods of treating cysts - conservative and surgical. The choice depends, first of all, on the size, as well as on the presence or absence of complications.

Conservative treatment

Treatment may be conservative or surgical.

Therapeutic methods are applied only when the formation is detected at the formation stage and has not reached 8 millimeters. It is carried out according to the following algorithm:

The diseased tooth is opened, its canals are expanded, the roots are removed.
The cyst cavity is treated: pus is pumped out, the cavity is treated with an antiseptic and a healing solution that improves blood circulation.
The channels are cleaned and disinfected, and the spread of inflammation is blocked.
A temporary filling is placed.
If at the second appointment the doctor sees that the cavity has healed, a permanent filling is installed.

One of the methods of conservative treatment is depophoresis. It assumes that copper-calcium hydroxide is introduced into the canal, which destroys tissues under the influence of an electric current. Usually, three such procedures are enough for recovery, after which a filling is performed.

Conservative treatment is minimally invasive, but it does not give a 100% result that all tissues are removed and the cyst will not continue to grow. Therefore, doctors resort to it only in cases where education has just begun to develop.

Surgery

The most commonly used method of treatment is surgery. This is due to the fact that the disease often has no symptoms, therefore it is detected already in the later stages, when the use of therapeutic methods is useless. In this case, the removal of a tooth with a cyst at the root is performed in two cases:

In all other cases, tooth-preserving technologies are used:

Cystectomy, complete removal along with the top of the root. In this case, penetration to the cavity is carried out through the lateral gum, and the canal is not affected. Depending on the condition of the tooth and the number of roots, a decision is made to save or remove it, but most often the tooth is saved if it is not completely destroyed. Indications for cystectomy are:

abnormal development of the epithelium, which caused the formation of a cyst;
absence of teeth, in which the formation is large;
the presence of a formation on the upper jaw, but at the same time the absence of its inflammation and the preservation of the bottom of the wall of the nasal cavity.

Cystectomy is considered a rather complicated operation, but only it gives a 100% result. As a rule, it is performed only if the front teeth are affected.

Hemisection applied to teeth with at least two roots, it is usually performed on canines and incisors. The tooth is divided in two by a drill, after which the affected part is removed along with the root. The liquid is pumped out of the opened cavity, then it is treated with an antiseptic, after which the soft tissue is sutured so that the preserved part is covered. Subsequently, in order to hide the defect, the tooth can be covered with a crown.

- one of the minimally invasive and reliable methods of cyst removal, however, it is not carried out in every clinic. In addition, the cost of such treatment can be high. First of all, the dentist opens the cavity and removes the pus, after which the laser comes into play, which plays the role of an antiseptic. It removes bacteria and also has a stimulating effect, promoting tissue healing. In this case, the patient does not experience pain, with the exception of the removal of the pulp.

Treatment with antibiotics and folk remedies

Antibacterial agents play a secondary role: only with their help, without conservative or surgical treatment, one cannot get rid of the pathology. Antibiotics do not treat the cyst itself, but they can minimize the negative consequences of its development. The following are usually prescribed:

amoxicillin;
ciprofloxacin;
azithromycin;
pefloxacin.

Expert opinion. Dentist Oreshkin R.Yu.: “However, it is important to understand that the doctor should choose antibacterial drugs, as well as their dosage. Self-treatment with antibiotics is absolutely meaningless, since the cyst will continue to develop until the doctor removes the fluid contained in its cavity. Even less benefit from folk remedies. You can find a lot of information that the cyst is treated by rinsing with vodka, tinctures of anti-inflammatory plants, lubricating the diseased area with honey. All these measures can relieve the pain for a short time, but they will not lead to a cure, and delaying the visit to the doctor will only aggravate the condition.

What are the possible complications?

If the cyst is not treated, there will be complications.

The consequences of the disease, not cured in time, can be the most serious:

destruction of the roots, and with them the tooth;
, worsening of the general condition;
an abscess threatening to develop into periostitis and phlegmon;
Spontaneous fracture of the jaw, which, fortunately, occurs extremely rarely.

How is a cyst treated during pregnancy?

If a cyst on the root of the tooth is found during pregnancy, the treatment in this case has its own characteristics. They are related to the fact that while waiting for a child, X-rays cannot be performed, and complex operations, including dental ones, are performed only according to strict testimony.