Cysts found in the jawbone are divided into two groups: those associated with teeth or those not associated with teeth. Since epithelial residues are usually found in the jaw, cysts are most commonly encountered in the jaw. It is usually seen in the 20-60
Pathological formations that occur in the gums or jawbone, filled with fluid or semi-fluid and surrounded by soft tissue are called cysts.
Cysts, which often tend to grow silently, do not cause pain. For this reason, they are generally not noticed by patients. However, when they reach a certain size, they cause swelling in the face or cause pain when an infection occurs, in which case patients see a doctor. In addition, they can cause discharge into the mouth, bad taste or problems with teeth and gums. In very advanced cases, it can cause numbness in any area of the jaw, restriction in opening the mouth or pathological fractures.
Jaw cysts are often noticed during routine annual examinations because they grow without symptoms. In patients with certain findings, an intraoral examination is performed and a panoramic x-ray is taken. If deemed necessary by the physician, a tomography may be requested for further examination.
With oral and radiological examinations, a diagnosis is made regarding the size of the cyst, its location, borders, which tissues it damages, how closely it is related to the teeth, and its cause. The type of cyst is determined according to the findings obtained. In cases where diagnosis is difficult, a biopsy of the lesion is often recommended.
Although the treatment methods for jaw cysts are similar when we look at the results, findings such as the preliminary diagnosis of the cyst, its probability of recurrence, location, and size play an important role in the physician's determination of the treatment option.
The most commonly used methods among treatment options are: root canal treatment (applied before surgery for cysts in contact with the tooth), enucleation (complete removal of the cyst), marsupialization (reduction of the cyst before removal), marginal or segmental resection (removal of the cyst from the adjacent bone borders - a certain part of the jaw). After the cyst is completely removed, the resulting space can be left for secondary healing, or the space can be filled with bone powder or PRF in the same session.
These cysts, which tend to grow silently due to increased pressure inside, can reach very large sizes and damage anatomical structures when left untreated. Although rare, some cysts may show signs of malignancy (malignant tumor). Although the treatment methods of these cysts, which need to be removed after diagnosis, vary, the basic principle is the complete removal of the cyst epithelium along with the cyst content and curettage (scraping) of the surrounding bone.
Patients diagnosed with cysts are referred to an Oral, Dental and Maxillofacial Surgery Specialist. Cysts that have been pre-diagnosed by a Maxillofacial Surgery Specialist are removed under local anesthesia. However, if the cyst has reached extremely large sizes, the procedure can be performed under general anesthesia.
During the operation, the gum is lifted from the area closest to the cyst, the cyst is reached, the cyst is cleaned and the area is closed with stitches. The piece taken is sent to the pathology laboratory to confirm the preliminary diagnosis.
Cyst surgery is performed under anesthesia like other surgical procedures and the patient does not feel any pain during the procedure. The patient uses antibiotics, painkillers and antiseptic mouthwashes after the operation. The stitches are removed 7-10 days after the operation.
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Melek RAMOĞLU, who was born in Adana in 1988, completed her education up to university in Adana. She started h...
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