A small vial with a liquid, covered with a fairly dense membrane - that's what a tooth cyst is, the treatment of which is not as simple as it seems. Despite the fact that the cyst is small (from 0.5 mm to several centimeters), it can bring a lot of suffering to its owner. After all, it is a pathological source of infection, which is not subject to self-healing and has the property of spreading.
Is it necessary to treat a tooth cyst?
The reason for the occurrence of cysts is one - penetration of the infection. But there are several mechanisms and contributing factors:
- complication of periodontitis;
- improper treatment of pulpitis and periodontitis;
- acute and chronic injuries;
- dysplasia of the teeth.
It is worth some of these factors work and a person has pain, swelling of the mucosa, fistulous moves and symptoms of general malaise. What to do if, in response to complaints, the doctor conducts an X-ray study and says that the cyst has a cyst at the root of the tooth? Of course, treat! And what happens if you do not heal? The consequences of cysts in the tooth include:
- inflammation of the periosteum;
- melting with pus of bone tissue and loss of teeth;
- submandibular abscess;
- pathological fracture of the jawbone;
- phlegmon ;
- osteomyelitis;
- sepsis.
How to treat a tooth cyst?
Still recently all methods of treatment of cysts were reduced to one - tooth removal. Effectively, but too radically - the loss of chewing efficiency and non-aesthetics lead the patient to costly orthopedic treatment. Now most doctors are inclined to the teeth-preserving methods of treatment, which allow prolonging the life of the native tooth for many years. Of course the solution is primarily for the doctor. If the treating dentist claims that the tooth should be preserved, then it is worth agreeing to even multi-stage long-term treatment.
Therapeutic treatment of the root of the tooth
Conservative treatment begins with the opening of the cavity of the tooth, root canal rasplombirovaniya. Then, the root canals and the cyst cavity are carefully treated with antiseptic and antimicrobial agents. It is very important to completely clean the tooth of the infectious contents and destroy the cyst shell. Then the doctor fills the root canals with special pastes, whose action is directed to the growth of bone tissue in the cyst area. To do this, the paste is removed by a small amount at the tip of the canal into the cyst cavity. The process of bone growth takes some time and is controlled radiographically. If the process is successful, and the X-ray of the cyst is no longer visible, the dentist seals the root canals with permanent materials and restores the crown of the tooth. If the clinic has an apparatus for physiotherapeutic treatment, the cyst can be cured by the depophoresis method. This method allows you to clear the tooth from infections in a shorter period and begin filling the canals.
Surgical treatment of a tooth cyst
If conservative treatment fails or is not initially recommended by the dentist for various reasons, then surgical tooth-preserving operations are used. Surgical treatment of the tooth cyst involves the use of antibiotics for the speedy removal of inflammation. These include:
- Resection of the apex of the root of the tooth. Under anesthesia, a cut is made on the mucosa, and the cyst is removed along with the cut off root of the tooth root. Channels in this case are sealed from the end, that is, retrograde.
- Hemisection, that is, the removal of half of the tooth (along with the affected root, part of the crown is also removed).
- Amputation of the root of the tooth. In this case, only the root of the tooth is removed, and the crown remains intact.