Cyst teeth - causes, symptoms and modern treatment techniques. Kista tooth - what is it, how to treat? Remove the tooth with a pile in a gaimor sinus

The maxillary sinus (her other name is the Gaimort Obsha) is located in the thickness of the bone tissue of the upper jaw. From oral cavity It separates the alveolar process of the upper jaw, which forms its bottom. The volume of such a sinus is large enough, and in adult people, it can reach 10 centimeters of cubic.

In the photo: the roots of the teeth at the bottom topper-eyed sinus

Such a sinus, or sinus, is not hermetic. It has a message with a nasal cavity by means of a narrow slit.

Usually perforation of the maxillary sinus occurs in its bottom area. This contributes to some of its features:

1. The close location of the roots of molars and premolars. In some cases, the thickness of the bone layer between the dental roots and the bottom of the gaimore sinus can be relatively large - up to 1 cm, but some people have a bone border between these formations is completely thin - no more than 1 mm.
2. Sometimes the roots of the first and second molars are located in the casualties itself, separating from it just a layer of the mucous membrane.
3. Fast thinning of the bone layer in the presence of sharp or chronic inflammatory diseases: periodontitis, periodontitis, cysts.
4. Relatively thin bone trabecules in the tissue of the upper jaw.

All this predisposes to the occurrence of perforation when conducting dental manipulations, even if the treatment technique was not broken, and the doctor did not fit significant traumatic power.

Causes of Perforations of the DNA Gaimor Obsomes

The etiology of perforations of the sinuses of the upper jaw is always associated with carrying out any dental manipulations. Perforation may occur:

• when removing teeth;
• with endodontic treatment;
• with resection of the root.

When removing the teeth, damage to the bottom of the gaimore sinus can be a consequence of both the coarse actions of the dentist or non-compliance with the treatment tactics and the result of the anatomical features of the patient himself (for example, when the dental roots are arranged directly in the sinuse cavity).

In the photo: the dental root is located in the proximity of the bottom of the gaimor sinus, which increases the likelihood of perforation when removing

When carrying out endodontic treatment, one of the complications is the perforation of the dental root, which is often combined with damage and perforation of the Gaimore sinus. This happens with an excessive expansion of the root channels, in the case of the use of coarse force when the pin elements or the sealing of the filling cement is applied. With such an embodiment of the maxillary sinus, almost always the penetration of sealing material or root debris in its cavity.

If the perforation occurs at the time of the introduction of the dental implant (this may be the implant of any brand, for example, MIS, Nobel, Xive, etc.) or when filling root channels, the introduction of pins in the dental root, then it is always an error of therapeutic Doctor's tactics.

Damage to the bottom of the sinus of the upper jaw is a serious complication in implantation of artificial roots into bone tissue when conducting prosthetics. This is due to the fact that after removal of the tooth, bone tissue is very quickly subjected to dystrophy processes. And as a result, a decrease in the height of the alveolar process of jaws occurs. If the doctor does not take into account this moment and incorrectly conducts preparation before implantation, and also incorrectly selects the size of the implant, the risk of perforation of the sinus is very high.

The resection of the dental root is a way of treatment in the presence of a cyst in the region of its top. When the patient's failure to surrender, when the doctor does not know the exact size of the bone plate, separating the bottom of the sneakers from the wall of the cyst, and also if the removal of a large volume of the jaw bone is required - then the perforation of the gaimor sinus phenomenon is not rare.

Symptoms of perforation

If the perforation of the nasal sinus occurred at the time of removal of the tooth, its symptoms will be sufficiently specific:

1. The appearance of in the blood released from the tooth holes, small air bubbles, the number of which increases with a sharp forced exhalation through the nose.
2. Appearance blood discharge From the nose on the side of the perforated gaimore sinus.
3. Changing the voice of the patient's voice, the appearance of "bellows".

Sometimes the patient begins to make complaints about the passage of air through the well after removal of the tooth, as well as the feeling of gravity or pressure in the projection of the sinuses of the upper jaw.

The photo shows a perforation of the bottom of the gaimor sinus after removing the tooth

If the perforation of the maxillary sinus occurs when implantation is carried out or with endodontic treatment, then it can be suspected by:

• the characteristic failure of the instrument or the implantable element after the application of some effort for its promotion;
• change to the position of the instrument in the wound;
• the appearance of small air bubbles in the blood.

If the perforation of the gaimore sinus for any reason was not diagnosed and treated immediately, then it is infected with its cavity with the development of the clinic of acute sinusitis or a sinusitis, for which such symptoms are characteristic as:

• the strongest acute pain in the region of the maxillary sinus;
• swelling of the mucosa of the nasal cavity on the appropriate side with a breakdown of breathing through the nose;
• the appearance of purulent discharge from the nose.

Also characterized by the emergence of general symptoms of intoxication: headaches, chills, high temperature, weakness.

Diagnostics

Diagnosis of perforation of the bottom of the maxillary sinus when removing the tooth is based on a typical clinical picture. In doubtful cases, as well as in suspected such complication during implantation or endodontic manipulations, the use of instrumental diagnostic methods is necessary:

1. Protecting the well of a remote tooth or perforative canal with a thin probe. This allows you to determine that there is no bone bottom in the wound. At the same time, the tool fluently passes through soft tissues and does not meet in its path of obstacles.
2. Radiography of the area of \u200b\u200bthe sinus. In this case, in this case, you can detect both the darkening of the cavity due to the accumulation of blood in it and the debris of the dental roots, implants or sealing material. Sometimes it is advisable to conduct radiography with conservation when the contrast agent is injected into the cavity through perforation fistula.
3. CT scanwhich allows you to determine perforations and the presence of foreign bodies in the sinus with maximum accuracy.
4. In suspected of solar perforations are held general blood testswhose result may indicate the presence of an active focus of infection in the body.

Treatment

Treatment of perforations bottom sinuses of the upper jaw depends on what changes are available in the urvity of the sinuses.

Treatment without surgery is possible only in cases where the perforation occurred at the removal of the tooth and was detected immediately, and according to X-ray data, there are no signs of infection of the sides of the sinus or the presence of minor foreign bodies in it. With this version, the doctor's tactics consists in the most careful preservation of the blood clots formed in the well, as well as in the prevention of its infection. For this B. low part The wells introduced a small gauze tampon, impregnated with iodine solution. Usually it is independently tightly fixed in the wound cavity, but sometimes seams are required for the gum. Such treatment with iodine continues at least 6-7 days - until the formation of full granulation and closure of the defect. At the same time, the tampon is not removed from the wells to not damage the blood cloudy.

It is also possible to temporarily closing a defect with a small plastic plate, which is fixed on the adjacent teeth by the clamps. It dismisses the oral cavity and sinuses, which contributes to the healing of perforations.

At the same time, the course is assigned preventive Merexplorations aimed at preventing the development of inflammatory complications. It includes the reception of antibiotics, anti-inflammatory drugs, drops with a vasoconductive effect. There is such a course of outpatient or at home.

If the perforations occurred penetration of foreign bodies in the sinus (implant, sealing material, dental root fragment), the treatment is carried out only in the hospital. In this case, an operation with the opening of the cavity of the gaimor sinus, the removal of the foreign body and non-viable tissues, followed by plastic closure of the perforative defect.

Alpine perforations

If the perforation of the sinuses of the upper jaw was not timely revealed and eliminated, then after 2-4 weeks stage acute manifestations It will decline, and in the defect area, a fistula that connects the cavity of the sinuses with the surface of the gums is formed.

Such a process is simultaneously accompanied by symptoms of chronic hymorite:

• permanent blunt pain in the area of \u200b\u200bsinuses with irradiation in the eyeboard, temple;
• nasal congestion by defeat;
• purulent discharge from the nasal cavity, as well as from the fiscaset hole;
• sometimes patients swell the cheek on the side of the damaged sinus.

Most patients also have complaints about the feeling of air movement through a fistula when talking or sneezing, difficulties in the pronunciation of some sounds, as well as the nasal cavity from the mouth.

Treatment of such dyeing perforations with fistulas presents some difficulties, since the presence of a chronic focus of inflammation in gaimor Pazukh Significantly reduces the effectiveness of therapy and quite often leads to relapse and re-formation of the fistula.

Such patients showed operational intervention, which includes the autopsy of the maxillary sinus with the removal of all non-viable tissues and foreign bodies from its cavity, excision of the fistula and the plastic closure of the defect. Antibiotics after removing the fistula are assigned to a course of 10-14 days with simultaneous admission of anti-inflammatory and antihistamine drugs, applying physiotherapy treatment methods.

Consequences of perforation

Perforation of the sinus of the upper jaw is quite serious pathology, which is often treated in the hospital. Attempts to independently treating people in the house without medical participation can lead to the development of serious and dangerous consequences:

1. Development expressed inflammatory reaction In the cavity of the sinuses with the transition of infection to the surrounding bone tissues and the formation of osteomyelitis of the upper jaw.
2. The spread of inflammation on other skull sinuses (frontal, wedge-shaped and lattice).
3. Loss of healthy teeth located in the area of \u200b\u200bnon-pepper.
4. Formation of purulent foci (abscesses, phlegmon).

Because of the close location of the maxillary sinus and brain, after perforation it is possible to distribute infection on brain shells with the development of meningitis or meningoencephalite, threatening the patient's life.

Preventive actions

Prevention of perforations of the bottom of the maxillary sinus lies:

• in a full-fledged examination of the patient before carrying out complex dental procedures;
• in the correct assessment of the anatomy-topographic features of each person;
• in accurate observance of the technology of therapeutic manipulations.

Timely detection of signs of perforation and its adequate treatment is a pledge of a favorable outcome for the patient. Wrong therapeutic tactics or self-treatment can aggravate the course of such a complication and cause the development of severe negative consequences.

Good day, dear readers. The topic of our today's article will be such a disease as the cyst of the tooth. We will tell you about what it looks like, why appears, and most importantly - how to deal with this disease. You will also learn about the modern methods of treatment used in the dental clinics of our country and the near abroad.

The word "cyst" sounds like a sentence. So we will try to figure out how bad everything is. This diagnosis is annually put by millions of people around the world. Some of them are treated in a timely manner, others - on the fact of the appearance of unpleasant symptoms. Someone gets "low blood", others lose their teeth. There are more unpleasant consequences. We will also tell about them in this material.

What is the teeth cyst?

So what is it? Pies in this case are called a disease characterized by the appearance in the region of the root of the formation of the formation. It is a selected fragment in a periodontal, having its own walls. Inside such a plot are bacteria, the remains of obscured tissues, individual cells. The wall is usually thin and can be easily damaged. On the cell surface is a layer of cells producing liquid. From this cyst tooth grows. The immune system is trying to deal with what is happening available means. As a result begins inflammatory process, Inside is going to pus. The size of the cyst vary. A small diameter is about 5 mm, the largest can reach multiple centimeters.

The word "cyst" itself has a Greek origin. It is associated with KYSTIS. This is a "bubble" translated from Socrates and Aristotle. It is believed that the formation of up to 5 mm is, and over 5 mm - cysts.

Many patients are interested, whether the tooth cyter will pass, if not treated. There are types of cysts who have small dimensions, do not grow and actually do not pose a threat to human health. But they themselves will not go anywhere, they will not "dissipate."

Tooths of dental cyst

There are several types of cyst. They differ, above all, causes of education. For instance:

• the residual cyst appears as a result of complications when removing the tooth;
• an odontogenic radicular cyst of the tooth appears at various pathological processes (usually infectious nature);
• keratokist. It is also called primary. It is found in a child and appears in the pathologies of the development of teeth back in infancy;
• cyst teething. Characteristic for children who have milk teeth are constantly replaced.

Cysts in kids who have no teeth, are often close to the surface. They are destroyed by friction of the gums and may not require treatment. However, this does not mean that such formations are safe in 100% of cases. Most often in practice there are radicular cysts. Usually the scheme of their appearance is simple - starting with ordinary caries, the infectious process reaches the top of the root. Either the tooth cyst becomes the result of an error when filling the root canal. It can be formed and in the case of perforation of the root and the outlet of the sealing material for the top.

Another unpleasant problem is the wisdom tooth cyst. It is also called retromolar and paradental cyst. Appears with problems. It can also cover this tooth, going from the neighboring. The main problem of this disease is a complete lack of manifestations over a long period. If the Kista "Local", i.e. it was struck by the tooth himself, it is unlikely to save him. When moving from neighboring teeth, there is a chance to save.

Tooth cyst in a gaimor sinus is also a common phenomenon. To detect it is problematic, since on X-ray, education is often not visible. The most reliable way of detection is a computed tomography.

The roots of the front teeth are too close to the gaymorovy sinuses. If a person develops a sinusitis, the infection can go to the tooth, a bag of geek is formed. In most cases, you have to resort to surgical methods Treatment. Cysts are equally characteristic of people of any age. They can be formed under milk and constant teeth.

Why are cysts formed?

The reasons for the appearance of a cyst are different. Sometimes it is a mechanical tooth injury, in other cases - various violations from the doctor when working with root channels. Also, often on the emergence of such formations affects hymorite, chronic rhinitis or tonsillitis in the patient. Some people who put the crown can develop inflammation. Ultimately, they lead to the appearance of cysts on the tooth. Similar problems occur during periodontitis.

In most cases, the problem is in infection. It can get into the near-free space. It can in different ways. But most often everything starts with banal caries. It goes into, then begins periodontitis. The purulent process in periodontal tissues ends in different ways. But often it is the cause of the formation of a cyst near the roots of patients with teeth.

Any infectious causes of cyst formation are closely related to human immunity. Than he is stronger, the less likely to occur such problems.

Table. Diseases in which the cyst of the tooth may occur.

Type of fistula on the gum	Cause of education	As manifest
	The beginning of the formation of pus occurs inside the root of the tooth, passes on the fabric connecting the root with the bone, and then to the bone. As a result, the pus penetrates through the bone in the gum and empties into the oral cavity.	The reason can be a carious tooth or a tooth, which was already treated (put a seal or removed the nerve). It has pain when chewing food, pressing and tapping. After the formation of fistula, pain usually subsides.
	Initially, a pocket is formed in the gum, in which the flap and the bacteria accumulates, then in the depths of the pocket, the pus is formed, which can form a move, leaving the surface of the gums in the form of a fistula.	The bulk of the symptoms will affect the gums - inflammation, bleeding, the separation of gums from the tooth, loosening the teeth. Then in the region of one or several teeth is formed by a fistula on the gum.
	The most rare of fistulas. Forms with improper teething tooth wisdom and infection with the mucous membrane above it.	Pain, redness and swelling in distant areas of jaws for chewing teethaccompanied by fistula on the gum in the same area.

Diagnostic methods

How carried out modern diagnosis? In addition to the classic x-ray, there is a more accurate device - radio composition. In some cases, a computer tomograph is used. Also, experts know how to determine the disease in symptoms.

The main problem of the cyst is that in the early stages they do not show themselves at all. After a while when the disease goes into chronic staging, the tooth can darken, pain occurs when pricked.

Over time, when the purulent process begins, it leads to the following symptoms:

• headaches;
• weakness;
• an increase in temperature to 37.2 and higher;
• an increase and painfulness of lymph nodes;
• sumns edema, flux;
• Through which the pus becomes.

Possible consequences and complications

If not starting treatment on time, the patient is waiting for the unpleasant and very dangerous complications of the cysts of the tooth. First, the tooth under which it was formed, starts to hurt. Then the swelling is formed, which is often confused with flux. If, even at this stage, a person will not take the necessary measures, an abscess is formed, periostitis in the surrounding tissues, phlegmon (common purulent inflammation).

If the infection begins to be further distributed with blood and lymph, it can lead to the affix of the internal organs and even death. Given that everything starts with banal caries, we can only say one thing - go to the doctor on time. Also, do not forget that the pussy gradually destroys the bone of the jaw. The worst thing that can happen - the conversion of cysts in a malignant tumor.

Because earlier you contact a specialist, the more chances to cure the tooth successfully. Perhaps it will not even have to pull out.

Treatment of cyst

Before the patient often there is a question - what to do with a power tooth, delete or treat? But the decision is not always for him. Often, doctors have to take this decision, based on circumstances. Treatment, in turn, can be both surgical and therapeutic.

In what cases is the surgery applied:

• the patient regularly complains of swelling and pain in the field of cyst education;
• the neoplasm has grown to a diameter of more than 1 cm;
• the cyst appeared under the tooth with a crown.

There are three different types of surgical operations that allow you to help the patient. The choice depends on the type of cyst, its size, other concomitant factors.

The procedure is not very complex, both for the doctor and for the patient. However, its use requires a long restoration. The doctor removes the front wall, eliminates the contents of the cyst, uses antiseptics, antibiotics. Apply cystotomy at large diameters of a cyst affecting several neighboring teeth. Also, this method is relevant during operations on the upper jaw or on the bottom, when the base of the jaw is thinned. Another obvious indication is the resolution of the parallery and / or bone bottom of the nasal cavity.

The second type of operations is cystectomy. In this case, the entire cyst is removed, as well as the top of the root of the affected tooth. The wound is sewn, antibiotics are prescribed to the patient. Also used antiseptics for rinsing. Direct testimony for cystectomy:

• the cyst of the upper jaw without concomitant inflammation;
• lack of teeth in the formation of a large diameter cyst;
• violation of the development of the epithelium in the field of cysts.

The third way to remove is hemiscript. It implies removal not only the cyst itself, but also the root, as well as parts of the affected tooth. After that, a crown is installed on it to restore functionality.

Also in many cases, the therapy remains effective. Modern dentistry has many effective tools Cyst treatment without removal.

The classic technique involves cleaning and antiseptic processing of the root canal and the subsequent output of the drug for the top of the tooth root. The channels are then sealing a temporary seal, also containing antiseptics. Cleaning and processing procedures can be repeated until the picture shows that they gave the desired effect. In this case, a constant seal is installed on the channels, and the tooth is closed with a crown.

The second method is called depophoresis. It is used in the treatment of both cysts and the granulomas of the tooth. Plus such a method is that the acting drug (hydroxide of copper calcium) is introduced into one channel, and then with the help of electrotock further extends, including on cyst fabric. Thus, it is possible to eliminate the microbes even where the bormer get to get problematic. Usually three such procedures are enough to get rid of the cyst. After that, you can install a seal. The suspension of medication remains in the channel, counteracting the re-occurrence of infection. The success of the technique is more than 90%. Minus one - not everywhere there is such a wonderful device.

Removal of cyst laser

To date, the removal of the laser is one of the most progressive and effective methods Treatment. Specialists celebrate several advantages. Firstly, laser operation painless. Secondly, the laser copes with an antiseptic function. The beam you will not bring infection. Thirdly, the wound will quickly heal, the recovery process is reduced due to the biostimulating function of the laser.

With such an operation, it is not necessary to remove the tooth. There is also no risk of bleeding. The procedure is simple:

• first, the tooth displays either removed the seal;
• next, the root channels are expanding with special tools;
• the laser instrument is introduced into the extended channels, the beam of which destroys the cyst. In fact, its temperature evaporates these fabrics together with bacteria.

Often patients are interested in whether it hurts to remove the teeth in this way? As already written above - no. If necessary, additional anesthetics are used. Of course, the procedure is more expensive than traditional surgery, but this overpayment with more than the advantages described.

Treatment of tooth cysts during pregnancy

A lot of women are interested in the question of how to treat the teeth cyst during pregnancy. In general, this state imposes a lot of restrictions. Because if the pregnancy was planned, all the procedures are better to conceive. What is the problem? Actually, there are two of them:

• pregnant women undesirable to do x-ray, except for cases of fractures, etc.;
• some funds used for anesthesia and in treatment may be harmful to the future child.

By the way, about x-ray. If the cyst of the tooth does not show itself, the woman is unlikely to be checked on radiographic equipment. Consequently, it learns about the problem only on the fact of the appearance of pain. This is the main trouble. For 9 months, anything can happen. With a significant development of inflammation, the tooth has to be deleted. In other cases, treatment is possible. It can be started no earlier than at the end of the III trimester. At the same time, it is important that the specialist use anesthetic containing the minimum amount of adrenaline.

If the patient is on early and tritely does not know about its pregnancy, there may be situations when it is to be treated according to a standard scheme using conventional drugs for local anesthesia. Is it dangerous? In theory - yes. In practice, among those giving birth, healthy kids there are a lot of moms who are poles with different drugs in the treatment or removal of teeth. Everything is very individual. After all, there are no two absolutely identical pregnant women with the same body reaction (including fetal) to the injection of a drug. Therefore, it is impossible to predict the development of events in such circumstances.

Is it possible to treat at home?

The teeth cyst is one of those dental problems that are not solved by rinsing. Very often you can see a variety folk recipes. They temporarily facilitate the symptoms - take pain, reduce inflammation, but sometimes they can even harm your health. There are several important recommendations:

• do not warm the gum in the area of \u200b\u200bthe sick tooth. This will accelerate the reproduction of bacteria, will strengthen the inflammatory process;
• ice and other cold items can enhance pain. There is also a risk to get up nerve;
• we can use infusions and grain rags. But this is symptomatic means.

If the sick tooth with a pile to overheat, the shell may not withstand. This is due to the fact that the amount of fluid inside increases. If the cyst is bursting, purulent content will begin to distribute infection into the surrounding tissues. Through the blood and lymphatic liquid, the bacteria spread throughout the body. Still want to be treated at home? Are you afraid of the dentist?

The cost of treating the cyst of the tooth

Patients are always interested in the price of treatment. In essence, it depends on the plan. If we are talking about the removal of the tooth with a pile, then in Kiev you will take from 100 to 350 hryvnia ($ 3.7-13.1) for the removal of the tooth. It is more expensive to remove wisdom tooth, including retinated or dystoped, in the area of \u200b\u200bwhich the cyst was formed. If you need to resemion of the top of the tooth root, such a procedure will cost 900-1000 ($ 33.7-37.5) hryvnia. Gemisacing for 1 tooth - 750-850 hryvnia (28-32 dollars). Cystectomy with resection of the root top and subsequent filling costs 2700-3300 hryvnia, depending on the location of the tooth (101.3-123.8 dollars).

If you want to remove the cyst laser, then in one of Kiev dentists, it is proposed to fulfill this procedure for 2000 hryvnia (approximately 75 dollars).

We managed to find prices and Russian clinics. For example, one of them offers to perform cystectomy for 5.6 thousand rubles ($ 93.2) and root gemisation for 4.3 thousand rubles ($ 71.6). Laser removal is on average from 15 to 20 thousand rubles. This amount includes all stages of the procedure, including sealing of channels and anesthesia.

Treatment is not the cheapest. Therefore, it is important to refer to specialists before complications begin. And their elimination, as you understand, will turn into an even more.

A jaw cyst or cyst of the tooth is manifested in the form of inflammatory formation, striking soft rolling fabrics. This formation is a capsule filled with purulent contents.

The disease develops as a result of infection of damaged sections of the gums.

Relatively recently get rid of the jaw cyst, it was possible only by carrying out the operation to remove the tooth. But the development of technologies, including medical, does not stand still and today it became possible cysts treatment without removal.

Tooth cyst: symptoms and causes of appearance

The cyst of the tooth has hidden symptoms and at first does not exhibit itself in any way. However, in most cases the disease is still possible to diagnose in a timely manner.

Primary and secondary symptoms

The tooth cyst arises as a result of infection penetration (for example, with poor-quality sealing of the dental channel) or traumatic exposure. Often the disease develops against the background of periodically repetitive sinusitis and sinusitis. Therefore, the initial stage of the disease can be identified only if the clinic is visited and the radiograph.

First, the patient appears only discomfort when emphasising solid products or fierce food. However, the primary symptoms may not be at all.

After some time, pain in the area of \u200b\u200bthe affected tooth, wearing periodic character. The tooth becomes very sensitive to everything cold and hot. Also pain syndrome appears when used solid food and sweets. However, in the future, pain disappear and the patient calms down, and the disease flows into the last acute stage, often requiring surgical intervention.

Signs of acute stage

The patient has sharp painful sensations, often against the background of weakened immunity. Provoke the development of the inflammatory process, such factors as recurrence of chronic pathologies of internal systems and organs, reception of aggressive drugs, as well as transferred diseases of infectious character.

Among the pronounced characteristic signs of the cyst tooth are allocated as follows:

Such symptoms are already typical for the last stage of the development of cysts.

Is it possible to identify the east of the teeth on your own?

Patients, very rarely visiting the office of the dentist and not want to pass preventive inspection every 3-6 monthsmust carefully monitor the state of the oral cavity. After all, the development of cysts can be provoked by poorly healing or unbearable caries.

Therefore, to prevent the disease should be paid to the following signs:

• Headacles weighing a periodic character;
• easy shift of the affected tooth;
• partial loss of the seal, which is often accompanied by bone filling;
• small discomfort in the process of chewing (especially solid products);
• tooth darkening.

Features of the disease associated with its symptom

The main feature of the appearance of cyst is her slow Rost.. Therefore, initial signs may occur only after the destruction of the root system of the tooth and jaw tissues began. A small displacement of the tooth and its darkening appear already when the size of education will reach 2-3 cm. The more education - the stronger the symptoms are expressed.

Often the patient complains of an increase in lymph nodes, erroneously considering it a sign of any infectious or endocrine disease. Frequent colds, weakness, sleep disorders, chronic fatigue - the presence of these seemingly not related to dentistry, the factors should serve as a basis for visiting the dentist. After all, external signs of the disease - the emergence of fistula, fluxAlso, the edema and suppuration indicate a very large size of education.

If you have found the above signs, do not expect the disease in itself and do not self-medicate. In this case, you should seek a dentist as soon as possible for timely treatment.

The reasons

The cyst of the tooth appears as a result of its injury or infection in root canals. The development of cysts may be due to the following reasons:

• Complication of chronic hymorite;
• bad endodontic treatment;
• complications for teething tooth wisdom;
• chronic periodontitis;
• chronic inflammatory processes under crown;
• effects infectious diseasesIn which malicious microorganisms penetrate the guise together with blood flow.

Tooth cyst: Treatment

Is it possible to cure the cyst without removing the tooth?

Cysts treatment can be carried out in two ways: therapeutic and surgical. Conservative, that is, drug treatment is possible only with timely identification of the disease at an early stage. This method is used for small formation sizes (up to 8 mm.).

Conservative treatment

Therapeutic treatment of cyst is to carry out procedures such as antiseptic treatments, tooth cleaning and its sealing. An alternative option for conservative treatment is the use of depophoresis. In this case, the root canal introduces copper Calcium SuspensionAfter which the dentist with the help of a special apparatus affects the affected tooth with an electric shock (at low power).

In some cases, antibiotics can be appointed in the development of cysts, but only as an auxiliary method of treatment, whose task is to prevent the development of the pathological process and its further propagation. Antibiotics cannot be used as a single and independent method of treatment, since the drug that provides full disposal from the cyst without the participation of the dentist, in principle does not exist.

A small cyst found in the early stages can be cured by conservative way.

The dentist with a special cement composition fills the capsule, and as an additional method of treatment, appoints antibiotics reception, which allows you to stop or prevent the development of the purulent process.

Stages of therapeutic treatment of tooth:

• opening of the affected tooth and expansion of root canals;
• channel processing by disinfectants and blocking the lesion focus;
• etching of cyst fabrics with medical facilities;
• filling the cavity of the formation by a special filler;
• tooth sealing.

Surgical treatment: Is it possible to remove the cyst?

If therapeutic manipulations did not give desired result And education continues to grow and develop, surgical treatment is applied, to refuse which in no case. Is it possible to remove the cyst while retaining the tooth itself?

Upon reaching the cyan significant sizesIt must be deleted. What is noteworthy, it was relatively recently possible only after removing the sick tooth, however, now there are a number of ways to get rid of the cyst without the use of radical methods.

Due to the fact that the removal of cyst is carried out under the influence of local anesthesia, the patient practically does not feel pain. With a complicated flow of the inflammatory process (complete destruction of the tooth, up to the root system or germination of dental roots inside the cyst) is carried out operation to remove education along with the tooth. In the remaining cases, the dentists take attempts to preserve the tooth.

There are the following methods Surgical removal of cysts:

• cystotomy;
• cystectomy;
• hemisection.

Which one of these methods is suitable for a particular patient solves a dentist surgeon.

Cystotomy

This method of treating cysts is applied in dentistry for a long time. To carry out the operation, the doctor gently removes part of the cyst, which is located near the dental root through the root canal. Since the formation is in the depths of soft tissues, the root canal is subject to careful clearance, after which the dental nerve is removed.

Provided open access to education, the dentist pumps all the liquid from the cavity. This method does not allow to completely get rid of malicious microorganisms, which makes it necessary to use antibacterial ointments.

After filling the channel with a special solution, a temporary seal is installed.

After about a week, a repeated inspection of the patient's mouth cavity is made and the purity of the removal of amazed cells is checked, after which a constant seal is placed. The use of cystotomy allows you to keep the tooth.

However, despite the high efficiency of this method, there is a risk of remission. It happens in the case of unfinished treatment.

Cystectomy

Compared to the previous method, this method is more complex, but no less effective. This operation is carried out only in the case of a strongest complication, when there is a huge risk of tooth loss, but there is still a chance to save it.

With cystectomy, along with the removal of the affected fabrics, it is necessary to remove part of the dental root. After the operation, admission of painkillers and anti-inflammatory therapy is assigned.

In the case of joining the fistula, the operation to remove cyst can not be carried out. It will only help only the complete deletion of the whole tooth.

Gemisecting

Gemistion is assigned to preserve at least part of the tooth with extensive infection of soft tissues.

The method is to complete the removal of the cyst of the tooth along with its root. The main condition for using this method is that the inflammatory process concerned only one tooth.

The affected dental root is detected using X-ray. In the absence of contraindications, this sufficiently painful procedure is carried out under general anesthesia.

Formed after the removal of the cyst and the root of the tooth, the emptiness must be filled with artificial bone material, otherwise it will occur to the tissues of the gums. Artificial bone material is created on the basis of a plasma obtained from the patient's blood. This is done in order for the rejection in the future.

Before holding a two-hour operation, a dentist, using special surgical instruments, moves the gum, the integrity of which is restored at the end of the procedure. Then assigned long therapeutic treatment. Fabrics and the rest of the tooth must necessarily take root.

Separately, it is worth talking about the treatment with a laser. In this case, education is removed without any pain and difficulties. In addition, the use of laser therapy allows not only to remove the cyst, but also to disinfect the affected area, which guarantees the cessation of the growth of malicious bacteria and prevent their further distribution.

When symptoms appear, testifying to the development of the tooth cysts, it is necessary urgently contact the dentist for therapeutic activities. Otherwise, you risk losing the tooth, or even a few.

Translated from the Greek word "cyst" denotes a bubble. In fact, this is nothing more than a dense formation, filled with liquid content, mainly dead bacteria and epithelium cells. It can be different sizes - from a few millimeters to several centimeters. A small cyst of the tooth or granuloma usually has dimensions up to 0.5 centimeters. However, if you do not take timely treatment, it begins to grow and rapidly increase in size.

The tooth root cyst occurs most often as a result of infection in the root canals. Inside the sore proceeds the inflammatory process, the spread of which is hampered by the thick walls of cysts. As a result of the constant growth of this tooth, there is a replacement of bone tissue around the root, which seriously threatens the patient's health.

It is erroneous is the assumption that the cyst is not dangerous - in fact, it can cause very serious complications, up to rebirth into the cancer tumor.

Often patients are interested in how the cyst of the tooth is growing rapidly. Hurry to calm down - she does not arise every day, it is formed for a long time, growing, so with a systematic examination of the dentist there is every chance on time to recognize the formation of the disease.

Causes of appearance

Causes of cysts can be the most diverse, ranging from entering the infection channel and ending with an unsuccessful injury to the tooth or jaw.

• due to entering the root channel of infection as a result of poor-quality treatment;
• as a result of unfair endodontic treatment;
• due to the suffering disease in which the pathogenic bacteria fell inside the gums together with blood flow;
• as a complication of chronic hymorite;
• the presence of chronic inflammatory processes under the crown;
• as a result of the presence of chronic periodontitis in a patient;
• after complex teething of wisdom teeth.

However, despite the rather impressive list of reasons, in fact, they all have been reduced to two main - infection of the root canals and injury to the tooth or jaw. Therefore, situations should be avoided at which injury. No one should, for example, turn out the shell of nuts, as frequent microtravums can also provoke the formation of cysts. Trust the treatment of your teeth only with experienced professionals, so as not to become a victim of poor-quality treatment, as a result of which the infection has penetrated into the root channels, causing an inflammatory process, which in time can lead to the disease.

Symptoms

Special cunning and danger of the disease are that the first signs of the cysts of the tooth usually arise when it reaches large sizes. As a rule, in the early stages, the disease proceeds asymptomatic, without showing himself. At the same time, the earlier it will be possible to detect the disease, the easier it is more and more effective for its treatment. Therefore, the patient must carefully monitor the state of his teeth and gums and pay attention to deviations from the norm, at the very first alarming symptoms, recording the reception to the dentist.

Top teeth top or lower jaw It is formed not in one day and not even one week. Therefore, the patient usually has enough time to pay attention to the symptoms of concern. Pay attention to the following signs:

• unpleasant sensations when emphasizing solid food;
• the formation of a tubercle on the gum on the projection of the root of the tooth, which over time increases in size and proceeds;
• pain in the process of meals;
• general weakness and ailments, an increase in body temperature;
• fluice formation or fistula.

Most of the symptoms appear already at the late stage of the formation of the cyst when it reaches quite large sizes and germinates with roots in the gaimor sinus, being the cause of the strongest headaches.

Toothpick with a cyst is usually not so intense as during caries and appears in the later stages of the disease. Inflammation causes more pronounced symptoms - such as severe pain in the affected teeth, the formation of an acute inflammatory process, flux. It is usually precisely when exacerbating cysts pay attention to it.

Highly bored cyst causes pressure on the surrounding tissues, causing unpleasant sensations when pressed on the gum or when the solid food is bonus.

The only reliable way to diagnose is. It often happens that the cyst is randomly detected by making a radiograph and discovering the neoplasm.

Consequences of appearance

The consequences can be the most diverse, ranging from the destruction of the roots of the teeth and ending with the formation of cancer tumors. Periodically, the gantry cyst is activated, it is inflamed, a flux is formed on the cheek, the general condition of the patient deteriorates sharply, strong dental and headaches appear. Moreover, even banal hypoints, transferred cold or severe stress can be the impetus for the exacerbation of the disease.

If the cyst did not discovered in a timely manner and it grumbled a lot, while destroying the jaw, even a spontaneous fracture of jaws can happen. Fortunately, this happens extremely rarely, and it is possible to avoid such consequences by systematically referring to the dentist and checking the condition of its teeth.

If the abnormal bacteria penetrate into the cyst cavity, an acute inflammatory process may occur, which threatens the appearance of osteomyelitis, forms a fistula on the gum or cheek, through which the flutter exudates occurs.

Patients are also interested, whether a malignant cyst of the tooth can arise. In fact, it is a benign education and in itself does not represent a direct threat to the patient's life. But over time, in the absence of treatment, it can provoke oncology. Therefore, it should not be easily refer to the formation of granulomas or cysts.

What the cyst looks like in the picture

As already mentioned, the only reliable method of diagnosing cyst is radiographic research. In the picture, it looks like a dark rounded or oval spot, which is clearly outlined. It is usually located at the top of the root of the tooth. It is simply impossible to make a mistake with the diagnosis, even a novice dentist can easily recognize the disease on an x-ray.

The only exception represents the cyst tooth, which is not visible on x-ray. Usually it happens if not all the root of the tooth fell in the field of visibility of the X-ray, and is partially abandoned by the picture. In this case, if a doctor has suspicions for the presence of cysts or granulomas, a re-image should be made, which would fully display the entire root system of a suspicious tooth, as well as neighboring.

Complications

A timely not discovered cyst eventually grow, destroying bone tissue and replacing it with formations from connective tissue. In this case, complications may result in its loss. Most often, dentists record the following complications:

• melting of bone jaw tissue;
• purulent inflammation of cysts;
• inflammation of lymph nodes;
• chronic hymorite;
• the formation of an abscess on the gum or on the cheek;
• spontaneous fracture of jaws as a result of a strong growing of cysts and thinning of the bone;
• flegmon Neck;
• sepsis.

As you can see, some complications directly threaten the patient's life. Therefore, if your tooth cyst hurts, you should immediately contact the dentist - perhaps you begin purulent inflammation.

If the patient is diagnosed with a tooth cyst, and it complains about the smell of pus in the nose, it may be a sign of both the beginning of the purulent inflammatory process, and the fact that the disease sprouted the sinuses in the Gaimorov. In any case, you should immediately consult a doctor.

Prevention

Unfortunately, in nature there are no specific prophylactic measures, followed by which it might completely secure the patient from the formation of a dental cyst. However, following some advice will still help significantly reduce the risk of disease.

1. We systematically visit the dentist twice a year and do not refuse the x-ray examination if the doctor insists. Remember: the cyst can be detected only with the help of an X-ray.
2. It is necessary to follow the health of your teeth. Do not allow the formation of chronic inflammatory processes.
3. Do not traumatize teeth and jaws.
4. Carefully treat the emergence of any unpleasant mouth sensations, even if the pain is short-term or non-mesmer.
5. Watch out for the state of the teeth that were before depulpted.

The presence of a permanent dentist will also help you protect yourself from the appearance of cysts. The fact is that the doctor engaged in your teeth for many years, knows well the condition of your teeth and gums. It has access to all your X-rays, a medical card with a description of the work performed. The possession of this information will help an experienced doctor to prevent the possibility of the appearance of the disease and diagnose it at an early stage of education.

Never save on the quality of treatment and dental sealing - if it is polished carefully and good materials, it will prevent further penetration of infection inside the tooth.

Some patients are afraid that the cyst is not curable. In fact, it is not. Modern methods Treatment allows not only to completely get rid of the disease, but also to preserve the tooth in the intention and preservation - subject to the timely appeal to the doctor. Timely resection of the cyca of the tooth allows you to forget about the suffering disease forever. After removal, the doctor will tell you how to remove the tumor and pain.

Systematic visit to the doctor, careful oral hygiene, timely treatment of patients with teeth and systematic radiographic examination of the teeth will help you to get rid of fear that the cyst is formed. And even if she is still, in spite of everything, it will appear, early diagnosis will allow the therapeutic way to get rid of it as soon as possible, without removing the tooth and conduct various surgical interventions.

What is a cyst tooth

Cyst after removing the tooth

Symptomatics

Diagnostics

Prevention

What is a cyst tooth

The radicular cyst is a pathological neoplary, covered with fibrous and epithelial cloth, most often is a rounded cavity attached to the top of the tooth root; It is formed as a result of penetration and development in the channels of the tooth infections.

Cyst after removing the tooth

Symptomatics

Diagnostics

Treatment

• cystotomy is applied at large sizes of a cyst, in the presence of an incongent cyst and in the case when the injury of the vital teeth is undesirable. With this operation, the doctor produces a trepanitational window, removes the wrapper of the cyst, pumps the rose from the cystic cavity and clean the oral cavity. After the operation, a reusable antiseptic treatment of the oral cavity with iodoform turf, duration up to 6 months;
• cystectomy, in which the dentist carries out the dissection of the gum, is treated with one of the jaw walls and removes the whole cyst. At the same time, the provision of unhindered formation of a new bone occurs due to the enhancement of the wound.

Cost

Cysts treatment at an early stage can average from $ 24 if it is detected on time. If the cyst requires surgical intervention, the cost of the operation will be significantly higher - from $ 60. In the complex all the treatment of cysts, including diagnostics, surgical intervention, postoperative rehabilitation, elimination of complications increases more than twice. More progressive methods of treating cysts, such as a laser treatment, will cost an order of magnitude more expensive.

stomatologiya.info.

What is the operation

The teeth cyst is a small cavity with a liquid content covered with a shell. The cystic neoplasm is localized, as a rule, on the root or in the field of adhesion. There is a cyst as a result of a unabiliated infectious process. In the cystic education there are pathogenic bacteria and dead tissue structures.

In essence, the cyst is constant, that is, a chronic, focus of infection that requires compulsory surgical removal. Otherwise, there is an active growing and gap of the neoplasm, which is fraught with the lesion of soft and bone fabric structures. In some particularly heavy clinical cases, there is even the likelihood of sepsis, which is already a threat not only to the health, but also the life of the patient!

In addition, the untreated cyst on the tooth can cause the development of the following complications:

• dental loss;
• flux;
• purulent abscesses;
• osteomyelitis;
• schimorite flowing in chronic form.

Kista traumats the root, has an adverse effect on neighboring teeth. In addition, this neoplasm actively distributes infection throughout the body, weakening the patient's immunity and adversely affecting its cardiovascular and circulatory systems, light and other vital organs.

Some experts point to the ability to rebirth cysts in tumor neoplasm of malignant character. Therefore, in order to avoid the development of such adverse effects and minimize possible risks, you need to fight with a pile!

Who needs deletion

At the initial stages of the development of cystic neoplasm, dentists prefer to treat cyst on the tooth with conservative methods. The doctor reveals the dental cavity, clears it, processes with special antibiotic and antiseptic preparations.

Surgical removal of cysts at the root of the tooth is recommended to patients in the presence of the following clinical readings:

1. Increase body temperature.
2. Fellowality.
3. Swipness cheeks.
4. Headaches.
5. Increase and inflammation of lymph nodes.
6. General weakness, malaise.

The problem lies in the fact that cystic neoplasms on the tooth can for a long time Develop in a hidden latent form, without showing itself. As a result, patients appeal for help to the dentist, when swelling appears, and the tooth begins to hurt much. As a rule, in such cases, treatment is possible solely by surgical way.

Also, the operation is necessary in cases where treatment with conservative methods has not brought the expected results, being ineffective.

Types of surgical intervention

How to remove the teeth's cyst? Dental doctor can offer several ways to surgical interventions depending on the characteristics of a particular clinical case. The operation to remove the cyst tooth is carried out using the following techniques:

1. Cystomy. It is a partial resection of tooth cysts. This technique is most effective in the presence of cystic neoplasms of large sizes. During the operation, the specialist partially removes the cyst and leaves the so-called commonwork that prevents the splicing of cystic fabric structures. As a result, over time, the epithelial layers of the oral cavity completely cover the remains of cystic neoplasm, which makes it absolutely safe for the patient's health.
2. Cystectomy. Maloveraumatic surgical intervention, during which healthy tooth fabrics are not damaged at all. The specialist in the course of this operation reveals soft cystic fabrics, pumps the contents of the cyst, processes the root and the gum using antiseptic preparations, and the seams imposes in the completion of the procedure. As a result of the operation carried out, the devastated cystic cavity soon disappears, which is due to the active growth of bone tissues. It occupies this surgical intervention about half an hour. Today, cystectomy is considered the most secure and at the same time effective way Removal cysts on the tooth. According to statistical data, the effectiveness of the cytectomy method is about 100%.
3. Gemection - removal of cysts from the guy and the root of the tooth. In the course of surgical intervention, the dentist, together with the neoplasia itself, excised the dental roots together with the coronal part. After that, to eliminate damage and restore the integrity of the dentition, orthopedic devices are used in the form of crowns or prosthetics. To date, the hemisacing method is used in dental practice extremely rarely, as a rule, only with strong damage to the dental root, eliminating the possibility of its safety.
4. Laser removal is the most modern and extremely safe procedure, during which cystic tissues are excised under the influence of laser radiation. The operation is painless and almost bloodless, is characterized by the lack of possible infectious complications and an accelerated reduction period, because healthy dentals are not completely damaged, due to the most accurate effects of the laser beam. In addition, according to specialists in the field of dentistry, laser radiation, in principle, has a positive effect on the state of the dysen and the patient's dental series.

The optimal method of surgical intervention, aimed at removing the cystic neoplasm of the tooth, is selected by a specialist individually based on the characteristics of a particular clinical case and the results of pre-conducted surveys.

Of course, patients are interested in the question regarding whether it hurts to remove the cyst tooth? It all depends on the type of surgical intervention, the individual characteristics of the patient and the professionalism of the dentist. However, as a rule, this kind of operation is carried out under the action of local anesthesia, which makes it possible to completely eliminate pain during the removal of cysts.

Rehabilitation period

As the actions of the anesthesia are removed, after removal of cysts, a patient has quite strong pain, due to injury to jaw tissues. In addition, the likelihood of the appearance of ethnicity is high. All these signs are considered the norm, so it is not worth worrying.

In the first few hours after the transferred operation, refrain from drinking and eating. Purph cavity Powered carefully and not too intense to avoid possible discrepancies in the seams and the development of bleeding.

On average, the recovery period after the surgical treatment of the tooth cyst is about 3-5 days. At this time, the patient needs to refrain from consuming solid, hot or, on the contrary, too cold food, alcoholic beverages. Besides, in rehabilitation period It is not recommended to smoke.

After the removal of cyst, the dentists necessarily prescribe antiseptic solutions, antibacterial drugs intended for washing the oral cavity in order to prevent the development of infectious complications. In case of severe pain, an anesthetic drug can be accepted.

If the pain and ethnicity do not pass throughout the week, or a patient has a feverish state, then it is necessary to urgently appeal to professionally medical help!

Possible complications

When removing a tooth cyst, it is possible to develop such an unpleasant complication as osteomyelitis. This is an inflammatory lesion of bone tissue. In this case, the patient needs an immediate provision of medical care. Recognize stages Osteomyelitis can be used for excessive and non-passing ethnicity, as well as by the presence of severe pains that are acute.

Another, widespread complication that occurs after this kind of surgical interventions is an alveolite, which is an inflammatory process, localized in the field of adhesion and mucous membranes.

It should be noted that the complications listed above are usually developing as a result of infection of the wound and in non-compliance with the basic rules of the rehabilitation period.

When you have to remove the tooth

In some cases, one only to the surgical removal of cystic neoplasms can not do, so you have to pull the amazed tooth completely. According to dental doctors, the removal of the tooth with a pile is rooted in the following clinical cases:

1. Strong destruction of dental fabric structures.
2. The obstruction of the dental root.
3. The presence of vertical cracks localized in the crown area or dental root.
4. The spread of the infectious process, with a concomitant lesion of periodontal dental channels.
5. The presence of numerous or major perforations in the field of dental root.
6. The cystic neoplasm, localized on the root of the tooth of wisdom.

In addition, the removal of the tooth in the presence of cysts can be recommended for the patient on the basis of orthodontic testimony, for example, when planning the installation of dentures in a short time. Dentists for removal resort to extremely rarely and to the latter seek to preserve the integrity of the patient's dental row. Especially since the removal of teeth requires a long reducing period, often threatens the development of infectious and inflammatory complications, recurrence with repeated formation of cysts in the area of \u200b\u200bneighboring teeth.

With a teeth brush, removal is often the only way to avoid the development of numerous characteristic complications. Modern dental specialists cystic neoplasms at the root of the tooth are removed by small-acting techniques, which are absolutely painless and do not cause the patient or the slightest discomfort.

It is important to pay special attention to the hygiene of the oral cavity after removing cysts to avoid the development of such hazardous complications as osteomyelitis and alveolit.

zub.dental

Cyst after removing the tooth

The cyst after the removal of the tooth is a fairly common and dangerous complication arising from operational intervention. The cyst looks like a capsule, inside which is liquid content, in most cases purulent cysts. Dentists believe that the main reason for the appearance of a cyst is an infection that fell into a wound formed after the removal of the tooth. At the initial (asymptomatic) stage of the development of a cyst in the mouth, after removing the tooth, it does not show itself: it is not visible when an operation is inspected, it does not cause unpleasant sensations. But over time, under the influence of factors such as a cold, the aggravation of chronic diseases, the injury of the cyst's jaw "makes it possible to know about itself": acute pain appears, the body temperature increases, the swelling can be formed, leading to asymmetry of the face. Also, the reasons for the formation of cyst can be untreated deep caries, teeth injuries, chronic runny nose, sinusitis, especially dangerous inflammation of tissues near the tooth, which can lead to the appearance of a gum cyst after removing the tooth.

The dentist cannot diagnose the cyst after the visual inspection, the exception is the cyst located on the gum, in all other cases the doctor will send the patient to make an X-ray jaw image. The picture of the cyst looks like a darkened spot. When diagnosing cysts, it is necessary to urgently take gentle treatments for the disease, and if they do not give the expected result, then carry out an operation to remove cysts. Otherwise, the inflammatory process can spread to nearby fabrics, lead to edema after removing the tooth cysts, and even to sepsis.

ymadam.net

What is a cyst tooth

The cyst of the tooth is a disease and a consequence of chronic inflammation in the region of the root of the tooth. In the emergence and development of the disease, there are no differences in sexual sign - statistics are approximately the same among men and among women, however, you can allocate the most common age boundaries: from 20 to 45 years.

To begin with, consider what is a tooth cyst.

Cyst radicular- It is a pathological neoplasm, covered with fibrous and epithelial cloth, most often is a rounded cavity attached to the top of the tooth root; It is formed as a result of penetration and development in the channels of the tooth infections.

Education is prone to constant increase. At the rate of development of cyst affects the degree of porosity of the jaw bone, so the upper jaws of cysts, as a rule, are developing faster.

The cyst "comes" to the bone with his shell. The structure of the shell can be characterized as the formation of connective tissue, interior which is covered with a multilayer flat epithelial cloth, less randed, cylindrical or cubic. The epithelium coating area is affected by erosion lesions caused by inflammatory processes. The more necrotic lesions, the less the epithelium. Often, cholesterol is found in the cysts.

Cyst after removing the tooth

In fairly rare cases, the cyst may not be formed during development chronic periodontitis, and after removing the tooth. In this case, they are talking about the penetration of infection not through the channels of the affected tooth, but due to the use of non-sterile equipment.

The prevention of the occurrence of the cyst after removing the tooth may be indications for the use of antibiotics, effective to the emergence of infection. However, it is important to take into account that if the development of infection is provoked by the internal factors of the organism, antibiotic therapy may not be enough. Otherwise, after removing the tooth, it is difficult to distinguish from other forms after removing the tooth, and its symptoms may not manifest it for a long time.

It is worth noting that, despite the missing tooth, education can achieve significant sizes and lead to the appearance of a flux. The danger of the cyst after removing the tooth is that it can grow up to the sizes covering several healthy teeth at once. At the same time, the method of treating such education will depend on the specific situation: if it is possible, the doctor can hold surgical surgery Without removal of teeth, limited by the cut of the gums and the elimination of pus.

Symptomatics

The cyst may not be manifolding for a long time or manifest itself with minimal symptoms. Thus, the patient may not pay attention to periodically emerging weak soreness in chewing or random pressure on the gum in the affected cyan area. We discover the cyst or during its exacerbation or during the treatment of other teeth when necessary, for example, an X-ray.

The aggravation occurs along with the activation of infection, if it provoke any internal or external factors, for example, weakening immunity, colds. Processes in the cyst can also exacerbate against the background of strong fatigue or exhaustion of the body. The aggravation is characterized by the active formation of pus in the bag of cysts, so the patient feels strong sharp pain when palpation of the affected area, the gums in the projection of the remote tooth can be swollen, the overall well-being will deteriorate. The patient can feel the swelling in the affected area of \u200b\u200bthe jaw, the dental range can be twisted, the consequences of inflammatory and intoxication processes, the development of hymorite, periostite and osteomyelitis are added to the specified features.

Despite the fact that in the presence of a cyst, there is probably the appearance of anti-lesions and deformation of the tooth row, they rarely lead to the asymmetry of the face. However, there are exceptions, for example, when the growth of cysts is diagnosed towards the pear-shaped hole. The cyst may also cause difficulty breathing, if it germs to the nasal cavity. Right into the cavity of the gaymore sinus, cyst can deform it, gradually destroying the bone layer. If the cause of the development of the cyst was a tooth with the root facing the nebu, the breadless plate may first drop apart, and then dissolved at all.

The growth period of the cyst takes several years, and its size as a result can be up to 5 cm. As the bone structure changes, so that the large cyst, located on the lower jaw, can lead to its transition.

Diagnostics

The main method of diagnosing cysts is a study with radiography. Thanks to the X-ray picture, the specialist can define not only the location of the cyst, but also its size, the presence of pathological changes that it provoked, as well as its interaction with other tissues of the oral cavity, a gaimor sinus or a nasal cavity.

The picture seems that the bone tissue is destroyed, while the rounded cavity formed after the destruction has clear edges. If the root remained after removing the tooth, it is usually not absorbed. If the picture of the X-ray image is unclear, the diagnosis is complemented by a contrasting x-ray, computer tomography, differential diagnostics.

Differential diagnosis allows you to distinguish the cyst from other pathologies due to the analysis of the symptoms of various diseases. A radicular cyst should be distinguished from other types of cyst (for example, follicular) and tumors.

So, follicular cysts Not related to the damage to the caries are characteristic of children, and the X-ray shown shows the presence of a constant tooth in the cyst cavity.

For the kyst of the rubber canal (Naseboy) is characterized by the location in the middle, regardless of the channel department, for nasolabial - location in the zone of the nasomashed groove.

In the case of amueloblast formation is located in the body of the lower jaw, the picture may look like a single cyst or polycystic. Often, when Ameloblast, a specialist can detect a tooth of wisdom that has not yet cut through.

Osteoblastoclastoma differs from cysts covered with a furry surface, a structure in the form of cells and more blurred boundaries. Tumor education Blood, does not contain cholesterol.

Treatment

Treatment of a radicular cyst passes only by a surgical way, this in most cases eliminates the possibility of relapses and leads to positive results. There are two ways of operational intervention:

• cystotomy. It is used for large sizes of the cyst, in the presence of an incongent cyst and in the case when the injury of the vital teeth is undesirable. With this operation, the doctor produces a trepanitational window, removes the wrapper of the cyst, pumps the rose from the cystic cavity and clean the oral cavity. After the operation, a reusable antiseptic treatment of the oral cavity with iodoform turf, duration up to 6 months;
• cystectomy. In which the dentist carries out the dissection of the gum, it treasures one of the jaw walls and removes the whole cyst. At the same time, the provision of unhindered formation of a new bone occurs due to the enhancement of the wound.

Many patients after the diagnosis of "cyst" are interested in whether it is possible to cure a cyst folk remedies. Answer: "No." The most efficient and least safe treatment is surgical in terms of complications. Self-media at home only delay the moment of granting qualified care, exacerbates the situation and on the background with a long missing symptomatomy can lead to tragic consequences.

Surgical treatment of tooth cysts (with resection of the root top):

Cost

Cysts treatment at an early stage can average from $ 24 if it is detected on time. If the cyst requires surgical intervention, the cost of the operation will be significantly higher - from $ 60. In the complex, all treatment of cysts, including diagnostics, surgical intervention, postoperative rehabilitation, elimination of complications increases more than twice. More progressive methods of treating cysts, such as a laser treatment, will cost an order of magnitude more expensive.

Prevention

The very first and important prevention of the formation of the cyst after removing the tooth is the choice of the right specialists. It is from the inattention or negligence of the doctor that such rare, but because not less dangerous diagnoseslike "cyst after removing the tooth."

In the timely diagnosis and treatment of cysts, regular surveys will help you with the help of X-rays and timely appeal to the doctor when the first signs of the disease are detected.

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☆

After removal of the tooth, complications sometimes happen. Among them, one of the most common cyst is considered. On time is recognized and neutralized, it does not carry danger. But delay with diagnostics often entails complications.

What is cyst

The cyst is a closed hollow formation in soft tissues filled with infectious content. Cysts can form in many organs and tissues, and after removing the tooth their location - next to the lie, where she recently had a tooth.

The pathogenic factor in the cyst is concluded in a dense shell. While the capsule is not damaged, nothing threatens the body.

Causes of cysts

The main predisposing factor in the emergence of the problem in the upper or lower jaw - the contact of the microbes into the thickness of soft tissues. But it is not always the only reason. The oral cavity is never sterile, microbes are always present in it, and the mucous membranes are often damaged by microtrams. And this state of affairs does not lead to the formation of a cyst. For the body with the correct reaction of the immune system, the fact of infection is insufficient.

In case of removal of the tooth, additional moments contributing to the consolidation of infection are becoming:

• an extensive insemination of the inflamed root and the high afflicting ability of microbes - it happens when the blood clot is destructed in the well after removal of the tooth;
• incomplete extraction of roots - the presence of debris in the jaw;
• violation of sanitary and epidemic norms during a tooth removal operation;
• reorientation of the body's protective forces on the healing of the wells after removing the tooth.

Important! The infection may fall into the jaw not only an exogenous way - from the outside, but also to do with blood flow from the inflammation already existing in the body - exogenous.

Symptoms and signs

Cyst does not always develop quickly. With a small initial number of pathogens, they encapsulate into a small cavity, and this event does not affect the well-being of the carrier. In most cases, the infectious effect on the body is limited. Without having a sufficient nutrient medium, not too strong microbes cease to multiply, the formation gradually decreases in size, and over time is solved completely.

With the one-time significant number of pathogenic flora and its increased aggressiveness, the spherical body that has entered into infection is gradually increasing in size. At the same time, there is a melting of the walls of cysts, their sprinkling, penetration of the glotter elements in the periosteum of jaws and bone.

These processes show themselves the symptoms of acute odontogenic osteomyelitis:

• pain in the area of \u200b\u200bremote tooth;
• local temperature increase;
• edema and tissue pulsation in the zone of inflammation.

Important! When signs of inflammation, it is necessary to urgently consult a doctor: the lack of treatment and attempt to handle the problem independently aggravate the situation and cause severe complications.

Treatment

It is advisable to contact the doctor even on the anticipation stage, when painless swelling appears on the jaw. At this time, it is possible to cure conservative methods by receiving medicines. But practice shows that a rare patient goes to the doctor in the absence of pain.

First aid

If for any reason, urgent visit to the hospital is impossible, you can take measures to facilitate the state when inflammation:

• rinse the oral cavity with a warm solution of furacin (or soda) several times a day;
• the reception of painkillers - not more than 4 times a day;
• cold on the soreness zone.

Propontential period should be reduced as much as possible. Clear complications of cysts are developing without medical care:

• phlegmon - after melting the walls and penetration of the contents of cysts in the tissue;
• abscess - local suppuration;
• destruction of integrity of jaws, especially lower;
• the spread of infection through the gaymors of the sinuses in the nasopharynk, bronchi, light and inflammation in these organs;
• generative infection - sepsis.

Elimination of pathology

Medical assistance is to determine the focus of infection, which is carried out with the help of X-ray, drug and surgical treatment.

If the cyst does not show signs of inflammation, and its size is small, prescribe antibiotics and physiotics. Often these actions are enough to deactivate microbes and drying of cysts.

In the development of inflammation, and even more so complications, the cyst capsule is subject to autopsy, drainage or complete removal. These are serious dental interventions that stop the process of destruction. Soft fabrics are embedded, and the jaw sometimes has to be restored using the tire superimposition.

Thus, the forecast in the occurrence of the cyst after removing the tooth can be quite favorable if you turn to the doctor in time.

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After removal of the tooth, the cyst is formed due to the hitting of a bacterial infection, which is temporarily cannot neutralize the immune system. A neoplasm is formed around the lesion, containing many pathogenic microorganisms and prevents them from penetration. Cysts are found in x-ray examination and are of different sizes. Indications for the removal of the tooth serve large cysts more than eight millimeters, as well as significant destruction of the tooth and its roots.

If the tooth was removed due to a cyst, and there was a recurrence of the disease in the same place, then with a large probability, it was associated with incomplete surgical extraction of a material containing pathogenic microorganisms. To prevent recurrences, patients who have been detected by cysts are preventive X-ray controls once every six months, while the injury is completely restored. If the cyst's tooth removes was not detected, and after it originated, the following infection penetration paths are possible:

• non-compliance with the sterility of dental instruments during the procedure;
• pollution wounds due to improper care after surgery.

In the first case, the responsibility belongs to the dentist, in the second case - the patient. There is another likelihood that the operation, and the wound care was carried out properly, but due to weakened immunity, protective reactions were reduced, and the infections managed to consolidate on the injured plot of mucous membranes. The development of the disease proceeds asymptomaticly, it is impossible to detect the cyst on their own.

If an increase in the volume of pathogenic microorganisms continues inside the bubble, the cyst begins to grow, is inflamed and creates a serious threat to human life.

Dental cysts and complications

To form a diagnosis, a method of histological examination of fabric samples and inspection using X-ray, on which cyst looks like blackout with clear contours, pale to the center. Usually, medical care is treated when the cyst has already grown and began to manifest itself painful sensations. But with a pile can not be joking. With the following symptoms, you need to urgently contact the dentist:

• sumns swelling;
• pulsating, noving, shooting pain in the destruction of the tooth;
• temperature increase;
• headache, heaviness in the head;
• nausea, weakness;
• the increase and painfulness of the lumph nodes of the throat;
• strong sinusitis.

Dental cysts can develop decades, and even to solve themselves. However, if an acute inflammatory process begins, intoxication occurs, a person needs hospitalization in severe cases. Self dangerous consequences Cysts are phlegmon and sepsis, in which the infection spreads through all the systems of the body along with the bloodstream. These diseases can lead to a fatal outcome.

Other complications of cysts

The neoplasm may increase over the area and capture any neighboring fabric, for example, bone. The replacement of bone tissue of the upper and especially the lower jaw leads to large brittleness of the bones, in adulthood it can provoke a fracture even without additional traumatic exposure. If the cyst affects the cartilage tissues and joints, the patient is carried out a maxillofacial operation under general anesthesia.

In old age, the regeneration of bone and cartilage tissue slows down, so rehabilitation after removing extensive cysts in the upper jaw can take a long time. After the surgical removal of cysts, the extracted fabrics are sent to histological research on the subject of the nature of this neoplasm. Currently, there are no clear data on the transition of a benign cyca tooth in a malignant tumor, but the studies are conducted not so long ago, and official statistics will be known. To prevent all complications, a cyst must be in time to a dentist for a prophylactic inspection, observe the oral hygiene, and when the temperature is raised after the removal of the tooth immediately contact the doctor. On the initial stages Inflammation to make surgical removal of cysts is completely simple, but when the disease is neglected, it can create a lot of difficulties.

Methods of treatment

Operation to remove cysts formed after the removal of the tooth, is considered easy in dentistry. Treatment is carried out by cystotomy. The patient gives local anesthesia, as a rule, this is an injection of ultrakina or similar drug. The oral cavity is treated with antiseptic solution, with a scalpel, an incision of the front wall of the cyst is made. Liquid contents flows out, and the resulting cavity is cleaned by infection.

A yodomorphic tampon is invested in the wound, which is subject to replacement every 6 days. The patient is prescribed antiseptic means for rinsing the mouth, antibacterial toothpastes. An 0.5% chlorhexidine solution can be used to disinfect the oral cavity. Sometimes antiseptic and healing ointments are prescribed, for example, solkozeryl. Caring for an open wound is carried out at home, and the iodomorphic tampon replaces the dentist. At this stage, it is important to monitor the patient's condition. After three or four-fold replacement of the swab wound epithelizes. The cavity in place of the cyst heals completely from one and a half to two years, and during all this time the patient must care for the mucous membrane. After the operation, the patient may return to the usual way of life during the week. There is a method of burning cysts with a laser, but it is only suitable for very small neoplasms. After the removal of the cysts are prescribed a course of antibiotics, because the mouth cavity is a very specific place for open wound. What antibiotics most often prescribe dentists for the postoperative period?

1. Lincomycin in capsules.
2. Metronidazole in tablets.
3. Flexin SOLUTAB.
4. Unidox Solutab.

The advantages of the last two antibiotics are that they are gentle by the intestinal microflora, and can be recommended to patients with gastritis, ulcers and dysbacteriosis. Dosage, duration and multiplicity of reception is calculated based on a particular clinical picture. During the reception of the course of antibiotics, alcoholic beverages cannot be consumed.

How to prevent the appearance of a cyst tooth

It is impossible to completely eliminate the occurrence of cyst, but this risk to a minimum can be reduced. The cyst is formed around the place of penetration of infection, therefore, there is no infection - there is no cyst. What can the prerequisites for entering pathogenic microorganisms?

1. Angina, flu, sinusitis, other colds, during which the balance of microflora of the oral cavity is disturbed, pathogenic viruses and bacteria appear.
2. Damage to the tooth, caries, ripping root, latching the neck of the tooth due to the omission of the gums.
3. Non-sterile surgical instruments when removing nerves.
4. Poorly split and disgraced tooth canals.
5. Periodontal, gingivitis, diseases in which the integrity of the mucous membrane is disturbed.

All damage to the dental enamel is better to heal in the early stages, do not start caries. If the dentist brought the infection while working with the channels of the tooth, the cyst can show itself very soon, and it is impossible to learn about it until it inflates. That is why it is important to select one competent doctor who will lead the history of the disease. A constant appeal to the same doctor has many advantages, the first of which is his awareness of all the procedures and the peculiarities of the patient's health.

Especially often, the cyst occurs on the root of the damaged tooth or the tooth under the crown, so the removal, treatment and prosthetics of the teeth should be entrusted to the conscientious master.

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Indications and contraindications

Modern medicine, and in particular dentistry, have many methods of conservative treatment, but the operation of removal of a tooth with a pile is sometimes the only way out of the conditions created.

The disease often proceeds asymptomatic, the cyst does not hurt, does not make itself felt in any way. Therefore, it is discovered when it is already late to begin treatment, and only a surgical path is possible.

The tooth is removed only for two reasons:

1. when the root of a sprout in the cyst;
2. when the dental root is completely destroyed.

In other cases, the tooth leaves and treat the cyst.

Relative contraindications must be attributed:

1. any infection of the body;
2. insufficient blood clotting (menstruation includes here);
3. the first and last three months of pregnancy (the operation is carried out only in the second trimester);
4. heart disease and vessels, transferred myocardial infarction and strokes;
5. cNS diseases and mental illness.

But, as already mentioned, it is relative testimony and contraindications to the removal of the tooth. After recovery, the patient's planned removal operation will be performed.

Features of the removal of the tooth with a pile

From the foregoing, it is clear that the tooth is not pulled out due to cysts, but far from the complications. In this case, purulent inflammation is only a complicating factor.

The difference between the removal on the topic of this article and the banal removal is that after surgery surgery spends more time to eliminate all traces of infection. First of all, it completely purifies the cavity from the pus, and then processes it with an antiseptic agent.

After such a procedure in the gum remains a hole of large sizes than usual. After that, the patient will have to come to the planned examination and rinse the oral cavity at the soda solution is significantly more often. After all, the infection in the operation may not be deleted.

Types of tooth removal operations with a pile

There are three types of these operations:

• simple;
• complicated;
• partial.

In the surgical dentistry of the operation, in general, they are divided into simple and complex depending on the purpose of the tooth or not. If it is completely intact - this is a simple operation. For her, it is enough just to paink a tooth and ticks to snatch it. After that, the cyst is excised and the place is disinfected with an antiseptic.

Complex deletion is due to the fact that it is necessary to extract tooth parts by sharing it on the section. Partial removal, or hemiscript, refers to complex. This removes part of the tooth, separated by bormer. The purpose of this operation in keeping the tooth for further prosthetics.

Deleting tooth with a pile: consequences

There are two types of complications after removal:

1. Alveolit - This is the most typical complication after a tooth removal operation with a pile. Infection occurs through the open well, it is inflamed and the fitting with a characteristic odor begins. Alveolit \u200b\u200bis accompanied high temperatures, swelling gums and pain in the place of deletion. For treatment it is required to wash the well an antiseptic from a doctor and at home to rinse it with a solution of soda.
2. Ostiomyelitis - This is an inflammatory disease of the periosteum, manifested by strong swelling after removing the tooth. This increases the temperature to febrile values; pressure either grows or falls; Asthenic reactions appear; strong tooth and headache, increasing lymph nodes; Insomney and weakness; Not enough good blood tests and urine. For the treatment of Ostiomyelitis, a doctor should urgently seem. He will care and cleans the hole after which the antibiotics and vitamins will be required.

Prosthetics features after removal

After removing the tooth, the question arises of further prosthetics.

If there is no way the crown, then after removal, the tooth is resorted to implantation, and if partially - to prosthetics.

Implantation is complicated by the fact that in the affected area there can still remain an infection.

Therefore, it is necessary to make sure that all bacteria and microbes were killed and the hole was completely delayed. Implantation continues longer than usual and more stages.

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