Q. What are the treatment options for dental cysts?

Answered by
Dr. Tinu Thampy
and medically reviewed by iCliniq medical review team.
This is a premium question & answer published on Mar 25, 2017 and last reviewed on: Oct 09, 2018

Hello doctor,

I have two cysts in relation to upper right canine and premolar. Since I did not know anything about it, I ignored it. But last year I got an OPG, and I saw the cysts in it. I do not have pain or swelling, but whenever I touch the root of the upper teeth on the gums, I feel a sensation. Can an oral and maxillofacial surgeon extract the two concerned teeth and then remove the cysts? I am scared of an enucleation surgery. I am attaching the OPG.



Welcome to icliniq.com.

The OPG (attachment removed to protect patient identity) shows a cystic lesion extending from your upper right canine to the last molar. Maxillary sinus floor is also involved. Enucleation is a surgical procedure to remove the cystic lesion, depending on the cyst size and location. It can be done under local anesthesia or general anesthesia. The treatment of a cyst involves following steps.

Teeth in the cystic area will be checked for tooth vitality and mobility. If the teeth are not grossly decayed, then root canal treatment will be done for the concerned teeth. If multiple teeth are involved (in your case canine to molar is in the cystic area), splinting will be done to stabilize your teeth during surgery. Then cyst enucleation is done. There are different methods available now for filling the bone cavity after cyst enucleation to improve and accelerate healing. OPG is not conclusive for a maxillary posterior region pathology. CBCT of maxilla gives the best picture regarding the size, location, association with adjacent structures, bone quality, and tooth prognosis. Due to the thickness and curvature of the lower jaw, OPG will not give a clear picture. For that, you have to take an intraoral periapical radiograph (IOPA).

For further queries consult a maxillofacial prosthodontist online --> https://www.icliniq.com/ask-a-doctor-online/maxillofacial-prosthodontist

Hello doctor,

I appreciate your detailed explanation. I will get back to you if needed.



Welcome back to icliniq.com.

You are always welcome. Do not hesitate to get back.

For more information consult a maxillofacial prosthodontist online --> https://www.icliniq.com/ask-a-doctor-online/maxillofacial-prosthodontist

Hi doctor,

Could you please go through the OPGs and the CTBT report and then tell me I have cysts or abscesses on the teeth #3 & #4 on the right-upper jaw? Do you think that the two cysts or abscesses have perforated the maxillary sinus floor? Also, I have soft-tissues formed inside both my right and left maxillary sinuses. Please see the CBCT scan and report. Do you think that I should treat my sinus issue first considering the involvement of the cysts in the sinus and then the dental issue or the vice versa? If I treat the dental issue first, then how much will be the chance in % of a complication like fistula?



Welcome back to icliniq.com.

The OPG radiograph that you have send before was not taken in the proper method. According to that I suspected cystic growth in upper posterior region. The maxillary sinus was overlapped over the tooth extensively due to improper positioning of the x-ray tube or x-ray film or patient angulation, which gave an impression of a large cyst in maxilla.

The CBCT image that you have send now is giving a clear picture. According to this no cystic growth is present in maxilla. Instead periapical (below the root) infection is there in respect to upper right first premolar and upper left second molar. You have to get done root canal treatment for upper right first premolar (14). Upper left second molar is grossly decayed involving root bifurcation. So, RCT cannot be effective and extraction of the tooth is the best option. Upper right central incisor (11), lateral incisor (12),and canine(13) are root stumps. It cannot be saved. So, extraction of 11, 12 and 13 has to be done. Maxillary sinus wall thickening is due to periapical pathology. So, after RCT of 14 & extraction of 27, that will subside. Get the treatment done as early as possible. If delayed, it can progress to cyst and further complications.

For further doubts consult a maxillofacial-prosthodontist online --> https://www.icliniq.com/ask-a-doctor-online/maxillofacial-prosthodontist

Was this answer helpful?



This is a sponsored Ad. icliniq or icliniq doctors do not endorse the content in the Ad.

Also Read Answers From:

Comprehensive Medical Second Opinion.Submit your Case

Related Questions & Answers

Do I need a root canal if there is no pain?

Query: Hello doctor,Approximately one year back, my left chewing tooth got a small hole due to something which I bit. So, that became a tooth decay, over there it looks black. I recently consulted a dentist. So, he suggested a root canal but I do not have any pain nor loose of teeth and also I am afraid of...  Read Full »

Can root canal treatment be done on a small kid?

Query: Hello doctor, My 2-1/2-year-old son has a problem with four teeth (front, above) and doctors are suggesting RCT (root canal treatment). Here are my questions. Can RCT be done for such a small child? Will it affect his next teeth at around 7 years of age? Is there any alternate for RCT ...  Read Full »

How to get a blister in hand removed?

Query: Hi doctor, I have a blister in hand. This was caused because of playing tennis. I initially got this three years back. But, it is still persisting. It does not trouble when I do not play, but is uncomfortable while playing. Since I have it for long, please suggest any ointment. Also, advice if it c...  Read Full »

Also Read

Vitamin D and COVID-19
Did you know COVID-19 patients with vitamin D deficiency are twice as likely to have severe complications, including dea...  Read more»
The New 'Super-Spreader' Strain of Coronavirus
A new variant of SARS-CoV-2, the virus that causes COVID-19, is spreading fast in parts of the UK. Read how this new var...  Read more»
How to treat my mother's sigmoid colon ulcer?
Hi doctor, My mother, who is 45 years old, has ulcers in the sigmoid colon for the last 15 years. The problem got reduce...  Read more»

Ask your health query to a doctor online?

Ask a Maxillofacial Prosthodontist Now

* guaranteed answer within 4 hours.

Disclaimer: All health Q&As published on this website are not intended to be a substitute for professional medical diagnosis, advice or treatment by a trained physician. Seek the advice from your physician or other qualified health-care providers with questions you may have regarding your symptoms and medical condition for a complete medical diagnosis. Do not delay or disregard seeking professional medical advice because of something you have read on this website.