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Cyst Operations (Surgery)

A cyst is a pathological space surrounded by a wall that expands from the center to the periphery.

Formation and Harm Caused by Cysts

Cysts can develop from cell residues that settle in the tissues during the embryological development process, as well as pathological changes in the root-end region due to irritation from the infected root canal. They may also occur due to this lesion remaining in the jawbone after teeth extraction with a cystic lesion at the root.

  • Cases of cystic lesions caused by an impacted tooth have been observed.
  •  Cystic lesions cause bone destruction, spontaneous fractures in the jawbone, and displacement or damage to the surrounding teeth. The tooth should be extracted and the cyst cleaned to prevent bone destruction.
  • Rarely, if the cyst spreads to a broad area, it may turn into tumors and cause spontaneous fractures in the jawbone.

Cyst Surgeries

The basic principle in cyst surgeries is to remove the entire cyst with its wall. Neighboring tooth roots not associated with the cyst lesion should be protected, and the apical resection method should be used to ensure that the teeth affected by the cyst will be kept.

In some cyst types, a drain is placed into the cyst to make the impacted teeth emerge with the pressure applied by the cyst itself. This drain is changed weekly to reduce the cyst’s stress, create new bone around the cyst, and maintain the impacted teeth.

Cyst treatment should not cause functional or aesthetic problems. Therefore, reconstruction of large cyst cavities with appropriate bone grafts (bone dust) and membrane (barrier) is required.

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