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.
Next Steps
A second opinion from an oral surgeon/endodontist with CBCT review is advisable before deciding.