Dental Cyst and Infection: Causes, Symptoms, Types and Treatment

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123.1 هزار بار بازدید - 3 سال پیش - Dr Rahul Tripathi (BDS,MDS in
Dr Rahul Tripathi (BDS,MDS in Prosthodontics and Implantology)

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What are dental cysts?
A dental cyst is basically a closed sac of tissues. Some are filled with air, while others are filled with soft material or fluid.
Dental cysts can be found around the roots of dead/infected teeth, within the gums, around impacted wisdom teeth, in your maxillary sinuses or within the jawbone.
They’re usually slow growing It can be months or even years before patients are aware they have dental cysts

The main reasons why dental cysts develop:
Usually cysts begin to form at the tip of the roots of a dead or dying tooth.
Some form because of the improper way a tooth-teeth have grown and positioned themselves in the mouth, others because of the abnormal way a tooth has developed
A root canal which has failed naturally or as a result of a botched procedure
Because of a genetic syndrome (Gorlin’s syndrome), if this is the case there will be other symptoms involved
Cysts can form around the crowns (and roots) of buried teeth. Wisdom teeth that are impacted (buried) are common causes for cyst formation
Because the teeth that are being affected by a cyst have died (trauma or infection), the root of the teeth was not treated or was treated incorrectly.

Common Symptoms
Initially there are no obvious dental cyst symptoms, so most patients are unaware of their presence until they become infected.
pain
Sensitive teeth
Teeth displacement – gaps may appear between teeth
Loose teeth
Swelling of a particular gum area
Discomfort when pressing on a particular area of the gum
Numbness in the face and numbs due to the cyst pressing on a nerve

Types
1) PERIAPICAL CYST (ODONTOGENIC CYST OR RADICULAR CYST)
is the most common odontogenic cyst and has various names, including radicular cyst, apical periodontal cyst, root end cyst, or dental cyst.
The death or necrosis of the pulp tissue inside the tooth, which stems from tooth decay or trauma will cause this type of cyst. The process of pulpal necrosis causes inflammation and the release of toxins at the apex or end of the root tip.
2) FOLLICULAR CYST OR DENTIGEROUS CYST
most commonly found in the area of the lower wisdom teeth or the permanent upper canines, develop around the crown of an unerupted tooth. The pressure exerted by an erupting tooth on the follicle may cause the dentigerous cyst. This pressure can obstruct the blood flow and create an accumulation of fluid between the enamel membrane tissue and the coronal portion of the tooth. Dentigerous cysts usually grow and expand rapidly.
3) KERATOCYSTIC ODONTOGENIC TUMORS (KCOTS)
Keratocystic Odontogenic Tumors are found mostly in the posterior area of the lower jaw or mandible and their characteristics are similar as other types of cysts. An precise diagnosis can be achieved just with biopsy and microscopic analysis, panoramic xray.
Swelling is often the only symptom a patient will experience. There are several theories surrounding the origin of the keratocyst. Some experts believe the cyst develops in the place the tooth should have. Others argue that the tumors arise from the lamina of impacted teeth.
surgical excision is used with additional treatment. The patient is monitored throughout his lifetime to check for evidence of recurrance.

Can Dental Cysts be Treated with Antibiotics?
A very small dental cyst can often be successfully treated with the use of anti-inflammatories and antibiotics.  The body may then absorb the cyst naturally, saving the patient from a dental cyst removal procedure.

Treatment
There are two ways to treat a dental cyst:
Surgery – for the removal of all types of cysts or tumours.
Endodontic Therapy
Dental Cyst Removal Procedure
An oral probiotic is often given at this time to increase the good bacteria in the saliva which will help the healing process.
If a root canal treatment is needed, this procedure is usually done before the dental cyst removal.  The cyst will be removed under local anaesthetic. Many dentists offer the opportunity of being sedated throughout the whole procedure.
It’s quite probable that the dental surgeon will also remove the tooth associated with the dental cyst.  In some cases, bone graft material may be used to fill the empty space left by the cyst removal. The wound site will then be closed with sutures.  

#DentalCyst #Cyst #PeriapicalCyst #DentigerousCyst  #DrRahulTripathi
3 سال پیش در تاریخ 1400/06/08 منتشر شده است.
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