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Dentistry >>>> Cyst at the root of the tooth – signs and treatment

Cyst at the root of the tooth – signs and treatment.

A cyst at the root of a tooth in the medical literature is called "periodontal abscess". Usually a cyst forms at the apex of the tooth root, has a strong connection with the tissues of the tooth root and is a pus-filled sac. In those areas of the jaw where the bone is more porous, the cyst is constantly increasing in size.

The reasons for the formation of a cyst on the root of the tooth are infections that penetrate from untreated (or insufficiently well-treated, poorly sealed root canals) pulpitis and caries, during prosthetics with anchors, intra-root stump tabs. Infectious agents penetrate into the pulp cavity and cause its inflammation and further beyond the root, causing suppuration - an abscess.

Signs of a cyst at the root of a tooth:

  • May be asymptomatic for a long period of time,
  • When biting on a tooth, a painful symptom occurs,
  • Pressure on the gums under the problem tooth causes soreness,
  • Swelling of the gums in the area of the problem tooth,
  • On the X-ray, there is a rounded darkening in the root area.

Treatment of a cyst at the root of a tooth has two directions:

  • Conservative treatment
  • Surgical treatment - root apex resection.

Conservative treatment of a tooth root cyst is based on the introduction into the root canals with the removal of special drugs outside them, which suppress the pyogenic microflora in the cyst. Such treatment is long enough and not always successful.

The most effective way to treat a cyst at the root of a tooth is the root apex resection - removal of the cyst together with the part of the root to which the cyst is attached.

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