Cyst removal

Tooth or jaw cysts are not only painful, but also dangerous – they can lead to tooth loss and damage to your jawbone.

Cysts can develop in the upper jaw and lower jaw and form cavities that are enclosed by a thin membrane, the epithelium. Cysts are filled with a fluid that can be thin or viscous and is usually sterile to begin with. If bacteria enter, the cyst can become infected and ulcerated. This is called an abscess.

We operate on cysts in a nerve-sparing way and with modern, innovative technology, ultrasound-based Piezosurgery (demonstrated on a raw egg in the video). The procedures are performed painlessly for you and mostly under local anaesthetic. As an alternative to ultrasound bone treatment, we use the microsaw, especially in jaw bone augmentation (right or second video).

Smaller, non-inflammatory cysts can remain undetected for a long time. However, because the fluid in the cyst cannot drain away, it grows larger over time and increasingly presses on the surrounding tissue and bone structures. This causes them to degrade more and more, to the point of risking jawbone fractures, tooth loosening and loss. If a cyst ulcerates, swelling and severe pain quickly develop with it, and the infection can spread to other parts of the body or even cause sepsis (blood poisoning) if left untreated.

Cysts should therefore always be removed quickly, even if they do not yet cause any noticeable problems.

In rare cases, genetic and developmental predispositions can lead to cysts. In most cases, cysts are caused by bacteria that migrate from the root canals of dead teeth into the surrounding gums and jawbone, where they cause inflammation. Bacteria can also remain in the root canal after incomplete or late root canal treatment and then lead to cyst formation (radicular cysts).

Tooth development disorders such as (wisdom) teeth that are not/only partially erupted or transversely positioned are also frequent causes of cysts (follicular cysts). If undetected, these can remain in the jawbone and continue to grow even after teeth have been removed.

Cysts can also form in the gums next to the root apex or between two teeth (periodontal cysts), e.g. due to inflamed tooth pockets or mechanical stimuli, e.g. from dentures or crowns.

In special circumstances or for patients with anxiety, this is certainly possible if there is no medical reason that speaks against it. However, statutory health insurance does not necessarily pay for additional anaesthetic services. Some, but not all, supplementary dental insurers cover these, so please clarify the costs and coverage in good time before treatment.

Following the procedure, be sure to cool the affected area of the jaw well – use moist cold! – ideally with a small towel or flannel moistened in cold water. Please do not use cool packs, cold packs or ice packs!

Taking antibiotics and/or pain-relieving and anti-inflammatory medicinescan
usually prevent complications such as extensive swelling or haematoma. If necessary, we will be happy to prescribe these for you directly after your treatment in our Clinic and Ambulantory Surgery Center.

Plan your meals: eat plenty of food before the operation, because you won’t be able to eat much for the rest of the day. Plan your food for the healing phase after surgery – ideally food that you do not have to chew. It should also not be hard, sharp, very acidic or hot.

Recovery: as bleeding may continue for some time after the operation, you should organise a companion to take you home beforehand. Alternatively, you should order a taxi.

We ask you to keep smoking, exercise and alcohol to a minimum during the first few days after oral surgery.

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