Procedure of cystostomy

When performing a cystostomy, an incision is usually made in the oral vestibule first. Depending on the extent of the cyst, different nerves can often be visualized. This is the access to the cyst.

A window is made to the cyst. Depending on the thickness of the bone, the thin bone lamella can be opened with a knife or the thicker bone with a chisel or drill. The contents of the cyst, usually a turbid fluid, are removed.

The cyst is opened so far that no areas underneath are left behind. The cyst bellows is left in the remaining cavity. The oral mucosa is sutured to the cyst bellows at the remaining bony edges of the cyst. After some time, the mucosa grows together with the remaining cyst bellows. Depending on the success, the cavity created by the cyst may be completely closed.

Follow-up treatment after a cystostomy on the tooth

In the course of a follow-up treatment, the tamponades must be changed every two to three days. This is done until the cyst bellows has grown together with the oral mucosa. This occurs with an acceptance of the color and texture of the oral mucosa after about two weeks.

After healing, the cavity must be rinsed out after meals. Secondary treatment is often necessary to replace bone material or to perform a cystectomy. Ideally, the cyst cavity gradually flattens out. If the process is very successful, it is also possible that the cavity will be completely filled in again.

Pain after a cystostomy on the tooth

A cystostomy is a surgical procedure and, once performed, it causes the healing pain that is common for this treatment. These often manifest themselves as throbbing or knocking. Furthermore, the affected areas are very sensitive to pressure.

To rule out an inflammatory reaction, heat or excessive physical exertion should be avoided after the operation. Painkillers such as ibuprofen are suitable for relieving the pain associated with the healing of the wound. Painkillers can be prescribed by the treating physician.