Inflammation after cystostomy of the tooth | Cystostomy of the tooth

Inflammation after cystostomy of the tooth

Inflammation in the affected area after a cystostomy is an undesirable side effect, but does not have serious consequences. The oral cavity contains a great many bacteria. For this reason, inflammation of the exposed and treated area is a common complication of a cystostomy.To prevent inflammation, avoid heavy physical exertion, smoking and excessive heat. Furthermore, rinsing with disinfectant rinsing solutions prescribed by a doctor is suitable. If an inflammation has developed, it may be necessary to combat it with antibiotics to prevent further damage to tissue and nerves.

How long does a cystostomy on a tooth take?

The operation, i.e. the actual cystostomy, takes no more than a few hours, depending on the degree of difficulty. In the follow-up treatment of a cystostomy, the cyst entrance must be kept open for weeks after the operation. The cavity must be rinsed and cleaned again and again. If the lumen of the cyst has narrowed over the weeks, the cyst can either be completely removed by a second operation. The success and thus the duration of a cystostomy depend largely on the patient’s own cooperation and oral hygiene.

What is a radicular cyst?

Radicular cysts are fluid-filled cavities that form only on devitalized (no longer living) teeth and originate from the tooth root. This means that the formation of the cyst must have been preceded by the death of the dental pulp. The cyst originates from an inflammation at the tip of the root, periodontitis apicalis.

This inflammation develops into a radicular cyst. In most cases the development of a radicular cyst is painless. The X-ray image shows a brightening in the area of the cyst.

However, a definite diagnosis can only be made with a histological examination, since a cyst appears in the X-ray image like an apical periodontitis. If an apical brightening is detected in the X-ray image, the teeth will be treated with a root canal treatment. The lightening must have receded in the X-ray image at a follow-up examination. Otherwise it is a radicular cyst.