Tooth cyst: what is it and how to treat?

Sometimes patients confuse dental cyst with granuloma, for example, or other similar symptoms in their diseases. So, today, we will explain in detail: what is a tooth cyst and how to treat it?

A cyst is a formation of the tooth root with a liquid or abscess, most often it is formed deep in the gums due to complications of dental disease and is quite painful, sorry for the tautology. Can affect as the primary set of teeth and eights (wisdom teeth).

Why cyst is formed? The main causes of

A cyst on the tooth appearing the result of malicious activities of micro-organisms in closed dental space. Conventionally, the causes of cysts can be divided into several types:

  • after a heavy course of dental illnesses, incorrect treatment or lack thereof (caries, pulpitis, periodontitis);
  • complications after implantation, filling, etc. In such a case, crowns or fillings can be removed to eliminate not only the cysts, but the cause – the accumulation of malicious organisms under the dental insert;
  • complications of teething, particularly in the case of wisdom teeth. The fact that the tooth that is cut, may cause injury to the periodontal tissue, which leads to disease;
  • mechanical damage of the tooth body, as a result, fall into the wound microorganisms;
  • diseases of the nasopharynx (e.g., sinusitis or tonsillitis) which may result in any infection in the oral cavity. In this case, it is necessary to treat the nasal passages and get rid of the resulting cysts.

The occurrence of cysts can contribute to and other factors, or several of the above. Determining the cause will help in the treatment of existing disease, and in the process of prevention of new similar entities.


Dental cysts may be classified according to several, the most typical parameters which can be divided into the following groups or types:

  1. The nature of the disease:
  • Inflammatory:
    a) Residual – after surgery for removal of a tooth are the most common.
    b) Retromolar – with difficult eruption of wisdom teeth.
    C) Radicular — cyst located at the root or near it.
  • Non-inflammatory:
    a) in difficult teething – in contrast to the retromolar cysts these often manifest themselves in childhood.
    b) Follicular cysts — contain the germ of a permanent tooth, they often arise in the course of inadequate or poor-quality medical care for baby teeth.
  1. Origin:
  • odontogenic – cysts, the cause of which was dental disease;
  • neokonchennyi – the cause of the appearance lies in the problems are not related to the teeth or oral cavity.
  1. Location:
  • front teeth;
  • wisdom teeth, etc.;
  • the adjacent teeth roots to the maxillary sinus.

Tooth cyst symptoms and effects

Experts note that the diagnosis of cysts, especially in the early stages of its development – the process is quite complicated. The fact that at first, it actually does not show, and the first feelings of discomfort that come with reaching impressive sizes.

Thus, it should be noted that the formation of cysts is a long process. It conceals both the danger and positive aspects, which are that the patient has the ability to determine the symptoms, heralding the emergence of this disease and the time to go to the dentist, which will greatly facilitate the treatment process.

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The most common symptoms include:

  • gradually increasing swelling on the gums near the tooth root. The process of increase is not usually too fleeting, however, quite noticeable;
  • if the cyst is formed in the area of the maxillary sinus, the patient will feel headache, which often don’t pass even after taking medicines;
  • the occurrence of fistula, which is a certain kind of tunnel that reports the epicenter of the inflammation with the outer surface of the gums;
  • inflammatory process may increase the overall temperature of the whole body, or in the area of education of the cyst.

The symptoms are fairly generic, as you have noticed, we therefore recommend you to frequently visit the dentist who will be able to diagnose the cyst in the early stages using x-ray, the most accurate method of determining disease.

How dangerous is a cyst, so that the patient may for a long time not aware of an existing problem, which it could give great complications that will make more difficult the process of treatment.

Looks like a cyst on the tooth? Photos and x-rays

To the naked eye of an inexperienced person to detect the cyst difficult. When it becomes visually noticeable, it means she is already at the final stage of its development, has a very large size, and the pain from it is becoming intolerable, sharp and noticeable.

The gums in this place can have a noticeable blush, stand out color from healthy areas are much swelling. Inflammatory cyst may look pale yellow or grey, with a red rim on the edges.

For dentists the main method of diagnosis remains x-ray, dental cyst it has the form of roundish dark spots of different sizes, depending on the stage of the disease. Is this stain from the tooth root, to its highest point and has a rather clear contours.

Treatment of cysts of the tooth

Generally, patients who have had discovered a cyst, learn about its presence when it is already inflamed or gave complications in maxillary sinus. At the same time, experiencing pain, severe discomfort in the oral cavity, which encourages people to go to the doctor.

Dentists, however, often can’t say with complete certainty whether a person has a cyst on the tooth and sent to do an x-ray that confirms the diagnosis or refutes it. If the dentist questioned the origin of the cyst, he sends the patient on her puncture and related tests, which should establish whether the disease is a cancer origin.

After all these procedures, the doctor is able to start treatment, it can be both surgical and therapeutic.


Many patients believe that getting rid of the cyst is necessary to remove the tooth on which it appeared, but it is not so. Indeed, a few years ago it was a necessary measure, but now this turn of events could be avoided by resection (removal) of the tooth root, which is a cyst. In this case, the remaining root is sealed, and surgical channel through which the cyst was removed, treated and sutured.

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However, this treatment process does not end because the seams still need to be removed and it is necessary to monitor wound healing. Also need to make sure there are no remnants of cysts in the place of operation, for this you need to make a second x-ray.

The removal of the root together with the cyst is not always possible and is often required complete removal of the tooth, this method is used when the cyst is located in a remote place and the disease is quite difficult. After its removal the patient for a long time, experiencing discomfort, pain, should regularly visit to the doctor.

Therapy, laser

A therapeutic method is the process of affecting the source of the disease without surgery, and with the help of injections and gargles, but this method of treatment is applicable only to small size of the cysts.

  1. In the course of therapy revealed root canal that leads to the cyst and draining out the pus.
  2. The channel is not sealed for up to 10 days, in parallel, the patient should rinse your mouth and affected area with antiseptic tinctures.
  3. After this, the nerve canals are treated with special medications and the tooth is sealed.

Laser removal

In this method of treatment root canal is opened and the location of the cyst is processed by a laser, thus destroyed not only the bubble of the cyst but also of many harmful organisms. The advantages of this method of treatment can be attributed to the fact that the risk of infection in the patient zone is absent, and the healing process is much faster.

Treatment in the home without removal

There is an opinion that the cyst can be remove their own folk remedies without a visit to the dentist, but it can apply only to the granuloma and not to the cyst because, unlike the latter, the granuloma does not have a firm capsule and may disappear by itself. The cyst also can be removed only in the dental office, and without surgery do not succeed.

However, this does not mean that the home cannot contribute to the treatment of the cyst. The fact that the inflammatory process that accompanies this disease, the gums need antiseptic effects. This action is have a tincture of propolis, eucalyptus, calendula. Of course, these measures are purely auxiliary character.

Tinctures and folk remedies with the same antiseptic effect can be effectively used after resection of the tooth root and the tooth to remove the cyst. The fact is that after these operations there is also a significant risk of inflammation and relapse of the disease.

Is it possible to cure a cyst of the tooth with antibiotics?

When therapeutic treatment is often applied broad-spectrum antibiotics. They are AIDS and help to cope with inflammatory processes in soft tissues, facilitate the development of the disease in General.

In the case of cyst making any kind of antibiotics should be prescribed by a doctor and be under his careful supervision. Often use the following drugs:

  • tetracycline – once the most popular antibiotic in the treatment of dental cysts, occur tetracycline group, currently lost dominant position to other products;
  • ciprofloxacin is the most popular after the tetracycline antibiotic;
  • amoxicillin – has a very good antimicrobial action, which greatly facilitates the passage of cysts at any stage of the disease.
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Sometimes used antibiotics and local action, however, the difficulty lies in the impossibility of their uniform application to the diseased surface. In any case, what are antibiotics and how many times to take them a doctor must determine, based on the circumstances of each individual disease.

A cyst under the crown: what to do?

The appearance of the disease under crown – most often the result of improper or incorrect setting of the crown. As a result, the gap between the tooth and the gums begin to actively multiply harmful microorganisms.

What are you doing to prevent the incident?

  • at small dimensions of the cyst to remove the crown is not necessary and the treatment takes place without direct surgical intervention;
  • with sizes from 8 mm there is a risk of tooth loss, however, modern methods of treatment can save the tooth. It is necessary to open the tooth, to handle channels with special drugs that are supposed to eliminate the cyst, some time later, the crown set back;
  • if this treatment doesn’t help, resort to resection;
  • in particularly severe cases, the tooth must be removed.

In order not to lose a tooth along with a crown, you should regularly consult a doctor when the first symptoms to go to the dentist.

Video: how to treat a cyst of the tooth and what is it?


To prevent the occurrence of cyst you must follow the simple but effective guidelines for the care of the oral cavity:

  1. Do not start the disease, such as caries, pulpitis, periodontitis, to treat them systematically and to full recovery.
  2. To prevent the emergence of plaque and turning it into Tartar.
  3. To monitor the status of the oral cavity after operations and injuries.
  4. Regularly visit the dentist, to monitor sealed teeth, implants, etc.

Also, it is possible to regularly do x-rays of teeth, especially in cases where there is a long set fillings and crowns. Over time under them tend to accumulate harmful microorganisms that can cause cysts, which can not always determine even for experienced dentists.