Associated symptoms of a jaw cyst
One of the main symptoms of a jaw cyst is a throbbing pain. This usually occurs when the cyst has already displaced jaw bone. The pain is caused by the pressure that the accumulation of fluid exerts on the sensitive periosteum.
Especially in the early stages of the development of a cyst, it may well be that no pain is felt. This usually occurs as soon as the cyst begins to displace the surrounding bone. Furthermore, the cyst may manifest itself in an unaccustomed feeling of pressure. This is often accompanied by a swelling or protrusion. As soon as this or any of the other symptoms of a cyst are detected, it is very important to consult a doctor to prevent possible secondary damage caused by the cyst.
What is the procedure for a cystectomy on a tooth?
In the course of a cystectomy, i.e. a complete surgical removal of a cyst, the maxillary sinus is first exposed. This means that the cyst can be accessed from the oral cavity or from outside the mouth. After removing the bone above the cyst and exposing the cyst, it is emptied and completely removed.
It is very important that all remains of the cyst are removed here without exception. Remaining cyst remains can lead to the re-growth of a cyst. With small cysts (up to approx.
1cm) the hollow space does not have to be filled up. The bone then grows back into the hollow space. In larger cysts, the cavity must be filled with a bone replacement material.
This can be done using a collagen sponge or autologous bone. A sample is sent to the laboratory to clarify whether the change is benign. The wound is closed and heals within a short time.
A cystectomy is often combined with a root canal treatment or apicoectomy. If the tooth has caused the formation of a cyst during its growth, in most cases it must be extracted (pulled).A cystectomy is one of the routine procedures for the treating specialists. As a rule, cystectomy is performed on an outpatient basis and in most cases does not take more than one hour.
With pre- and post-operative care, 2 – 3 hours should be scheduled. The duration of the entire healing process usually takes about 2 weeks. After 7 – 10 days, the stitches can be removed from the wound without complications.
However, it can take up to several years before the bone defect has finally regenerated completely. However, the bone healing does not mean any impairment for the patient. As a rule, local anesthesia is completely sufficient for performing a cystectomy.
Depending on the patient’s wishes, general anesthesia can be induced or the patient can be put into a kind of twilight sleep by nitrous oxide. General anesthesia is strongly recommended, especially for anxious patients or very sensitive patients. However, in most cases this is not covered by the health insurance, but has to be paid by the patient himself as an additional payment.
