Root resection and cystectomy

Pradinis > Oral surgery > Root resection and cystectomy

Šaknų rezekcijos ir cistų šalinimas 1

It is a procedure when the inflammatory focus situated at the apex of the tooth root and the root apex itself are removed. Often radicular cysts arise in the foci of inflammation. Then whole cyst with its capsule is removed.

Cysts’ causes

  • Untreated tooth root canal
  • Inadequate endodontic treatment
  • Dental trauma

Patient can feel no discomfort for a long time. Cysts are often detected by chance when having X-ray or at later stages, when fistula has formed (drainage of pus through the gums). The surgery is performed when conservative treatment (endodontic treatment or retreatment) is ineffective. Procedure volume depends on the size of the cysts. It may include one, two or even four teeth.

Procedure protocol

  • Local anesthesia
  • Suturing
  • Removal of the cyst with its capsule and inflammatory focus
  • Gingival incision, depending on the size of the cyst and the condition of the teeth
  • Removal of root apex, protruding into the cyst capsule or inflammatory focus
  • Filling of the bone defect with artificial bone granules and placement of insulating membrane
  • Sutures removal 7-14 days after the surgery

Surgery is not always successful. Teeth may be removed, due to the high loss of bone. It is often apparent even before the surgery. Buccal swelling lasting 2-4 days can be observed after the procedure. Postoperative pain prevalence is rare. The probability of inflammation recurrence is about 5%.

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D. K.

Google Review left 2023-09-28

I have been visiting Pilėnė for many years. Only the best marks to all the doctors for the quality of their work, thanks to them the fear of dental treatment is reduced, they work gently and the nurses are always supportive. A special hangover for the hygienist Jūrate. Thorough, kind, never in a hurry and always pleasant.

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I. D.

Google Review left 2022-03-02

I would like to thank orthodontist Živilė and her assistant very much for their excellent work and for giving me a smile.I had been having dental complexes for 15 years, and now I can smile with confidence. Questions were always answered during the visit, including quick replies by email. I really recommend it, the visits are short but everything is done precisely. Good luck with your smiles 🙂