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Abscess in upper tooth
During my childhood, my front tooth (21) got cracked due to a fall. Later, because of an infection, that tooth had to be extracted. Many years later, the adjacent teeth (11 and 22) also became infected. The doctor performed surgery on the upper gums to remove the infection, and after performing Root Canal Treatment (RCT) on teeth 11 and 22, a bridge and crowns were placed to replace the missing tooth (21)."Now after 16 or 17 years ,i have pain on left side by pressing nose but normally there is no pain.Doctor told me for xray and cbct . In arepoer of cbct it's showing that a redicular cyst on left side on tooth root 22 and on tooth 11 there is black area which dont know what it is? It can be either surgery defect or cyst.. but i dont gave oain on right side on tooth 11 . Doctor suggested to do surgery on front upper side abd remove the cyst without doing any re -rct on tooth 11&22 .i want 2nd opinion -what to do? surgery or removing tooth 22 will automatically remove cyst within it.
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Based on CBCT findings, a radicular cyst near tooth 22 is likely. If RCT on 11 and 22 is adequate and there are no active symptoms from tooth 11, surgical cyst removal (apicoectomy) without re-RCT is a reasonable approach.
Extracting tooth 22 alone may not fully remove the cyst, especially if it extends beyond the root tip or involves surrounding bone. Surgery allows complete removal and better healing.
A second opinion from an oral surgeon/endodontist with CBCT review is advisable before deciding.
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A second opinion from an oral surgeon/endodontist with CBCT review is advisable before deciding.
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It is better to get the tooth extracted along with the cyst removal surgery
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Both of your rct treated teeth have periapical lesions along with bone loss. You do not have pain because the teeth are non-vital.If you are not willing to extract the tooth, you can attempt for enucleation of the cyst, but proper healing of bone is also necessary.But according to my opinion, you can have both of your teeth extracted and can go for prosthesis according to your convenience.
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Visit a dentist for proper evaluation.
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Cystic enucleation along with removal of infected teeth is necessary.. or the infection will reccur..
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visit Oral surgeon for the operation... the bone need to be repaired with bone healing material with flap closure..the surgery is only option
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Don't delay .. or the bone of the surroundings will be infected
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Based on your history and the current situation, the preferred approach is to surgically remove the cyst above teeth while aiming to preserve tooth 22, provided the tooth is healthy and restorable. Extraction of 22 is only advised if the cyst has caused severe root damage or the tooth is non‑viable. A CBCT scan and clinical evaluation are essential to decide the best treatment plan.
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clinical evaluation
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don’t delay the treatment
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Surgery can be required… if it reoccurs the. Permanent removal if affected teeth will be required .
Plz take antibiotics for 1 week initially .
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Disclaimer : The content is not intended to be a substitute for professional medical advice, diagnosis, or treatment. Always seek the advice of your physician or other qualified health provider with any questions you may have regarding your medical condition. Never disregard professional medical advice or delay in seeking it because of something you have read on this website.