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What kind of doctor removes a cyst: Symptoms of a Cyst and Its Treatment by Dermatologists


Symptoms of a Cyst and Its Treatment by Dermatologists

You work hard to take care of your skin. When you go outside, you put on sunscreen to protect your skin from the sun’s harmful rays, and each day, you carefully wash and moisturize your skin. This can make it a little frightening when you notice a new lump or bump.

It might be a skin cyst that can appear anywhere on your skin from your face to your back. When you find one, you have questions. This guide can help you learn more about a cyst and help you make an informed decision about its removal by your dermatologist.

What Is a Cyst?

When you visit your dermatologist, you may hear them refer to it as an epidermal inclusion cyst or sebaceous cyst. Either way, a cyst is an enclosed capsule filled with keratin inside the layers of skin. It’s most common to find a cyst on the neck, shoulders, back, or scalp, although they can appear anywhere on the body.

Most cysts are simply unsightly but not life-threatening. Depending on the location of the cyst, they can cause you pain and discomfort. For example, a cyst on the scalp can become irritated and painful when you brush your hair. A cyst on your back or shoulder might interfere with your daily routine, such as causing pain when you put on your seatbelt.

A cyst can become infected and abscess. It might begin leaking keratin or pus, creating an unpleasant odor, and it also might appear red and inflamed. When this happens, it’s a good idea to let your dermatologist access the cyst and remove it if necessary.

Also, there is a cosmetic component to a cyst. If it’s in a place that’s noticeable, you might want it removed for cosmetic purposes even if it hasn’t become infected. Here’s a closer look at the types of skin cysts:

Epidermal Inclusion Cysts

This type of cyst is extremely common. It’s typically caused by a damaged oil gland or hair follicle. An epidermal inclusion cyst is almost always benign and is a build of Keratin under the skin. If they appear in an exposed site or become irritated, your dermatologist can easily remove them.

Pilar Cysts

A pilar cyst is an epidermal inclusion cyst that forms due to the damage to a hair follicle.  More than 90% of pillar cysts appear on the scalp. This can cause pain and discomfort when you brush, wash, and comb your hair. It’s common to find multiple pilar cysts at one time.

Dermoid Cysts

This type of cyst is a build-up of residual embryonic cells that become trapped during fetal development. These cysts are present at birth and remain until they’re removed. Due to their slow growth, these cysts might not become noticeable until childhood or the early teen years.

Sebaceous Cysts

These cysts are a buildup of sebum in the sebaceous glands, and they aren’t nearly as common as an epidermal inclusion cyst.  It’s common for them to form in a group known as a steatocystoma multiplex, but there might also be instances of a single cyst referred to as a steatocystoma simplex.

Sebaceous cysts typically form in an oil gland or a hair follicle. They most likely appear on the back, face, or scalp. With their composition of sebum and location, these cysts can grow to enormous sizes and become quite painful, leading to removal.

Acne Cysts

These cysts generally form in groups on the face, neck, or back. These cysts are generally formed due to inflamed and clogged oil ducts. Since these cysts are typically filled with pus instead of sebum or keratin, they are considered abscesses.

These aren’t normal pimples. You shouldn’t attempt to pop them as they’ll just refill with pus and continue to hurt. There are a few treatment methods available to eliminate them.

What Are the Causes of Cysts?

One of the first questions that come up when you find a cyst is: what caused it. There are a few causes of cysts, and in some cases, the cause depends on the type of cyst. The most common causes include:

  • Ingrown hairs
  • Genetics
  • Infections
  • Blockage of ducts in the body
  • Parasites
  • Injuries
  • Errors in embryonic development
  • Blocked sebaceous glands
  • High levels of testosterone
  • Androgenic anabolic steroids usage

In most cases, there isn’t a lot that you can do to stop the formation of a cyst. However, if it’s in an easily noticeable location, or the cyst causes pain, your dermatologist can treat or remove it for you.

What Are the Signs and Symptoms of a Cyst?

When a cyst appears, it’s easy to wonder if it’s a cyst or something else. An untreated cyst can leave create permanent scarring and skin discoloration and needs to be removed.

Also, if the cyst breaks open or begins to leak fluid, it can easily become infected and painful. Some cysts are asymptomatic and need to be located through the use of ultrasound, x-ray, medical scans, or a biopsy. Some common signs and symptoms include:

  • Swelling in the skin
  • Redness along with the swelling
  • Painful bump
  • Mass moves easily in the skin
  • A pustule
  • A swollen area that leaks pus or other substance

Anytime, there’s a new lump or bump on the skin, it’s always a good idea to have your dermatologist take a look at it. They can determine if it’s a cyst or some other type of formation and recommend a treatment plan.

How Does a Dermatologist Remove a Cyst?

Most cysts are fairly easy to remove, and your dermatologist can remove them in their office in around 10 minutes. The procedure starts with a little local anesthetic to number the area.

The dermatologist next excises the cyst by cutting into the skin around it and removing the entire cyst, including the sac that surrounds it and holds the fluids inside. If the sac isn’t removed, it can fill again, forming a new cyst. If the site is large enough, your dermatologist might put in a couple of stitches.

At the Dermatology Institute of Southern California, we understand how important it is to safely and as painlessly as possible remove a cyst. Please call us with any additional questions or to schedule an appointment.

What to Expect From A Cyst Removal

Have you ever noticed a little bump under your skin that feels like a ball? Maybe it’s been there a while, but now a stinging pain accompanies it. Or maybe there’s no pain at all, but the bump won’t seem to go away.

Pain or not, you’re probably dealing with a cyst. And your best bet is to visit the dermatologist immediately for a cyst removal.

What Is a Cyst?

A cyst is a sac that forms in the body — it can form in bones, organs, or tissues. The cysts that form in the skin are essentially a pocket that is filled with skin cells, bacteria, and/or pus. They vary dramatically in size and can be found anywhere on the body. As time goes by, more and more skin cells are trapped in the cyst causing the cyst to grow larger.

What Are the Symptoms of a Cyst?

A cyst feels like a little knot or kernel underneath the skin. It may begin as an ingrown hair or acne pore that becomes infected, creating an opportunity for the skin to get turned in on itself. A cyst feels like a bump or a knot in the skin. The cyst may become large enough to drain the rotten skin cells, these cells cause the putrid smell.

What Causes Skin Cysts?

A cyst happens when the skin turns in on itself. Think of the skin like a flat balloon. If the balloon has something inside (like skin cells) to push out, it naturally pushes it out through the opening. But if something plugs that opening, the cells are trapped inside the balloon. The balloon becomes a pocket for these cells that can’t leave.

Types of Cysts

Although there are many types of cysts, there are three common types of cysts in the skin, Pilar Cysts, Sebaceous Cysts, and Digital Mucous Cysts, and each have different characteristics. Different types of cysts occur in different parts of the body for different reasons, so it’s important to have a general understanding of cysts and, if you notice one developing, have it checked by a specialist.

What Type of Doctors Treat Cysts?

While most primary care doctors or surgeons can treat cysts on the skin, dermatologists most commonly treat and remove sebaceous and pilar cysts. Dermatologists are focused on treating the skin — so removing cysts is a natural part of their training and focus.

How Can a Dermatologist Remove a Cyst?

Both of these types of cysts can be removed using out-patient procedures. Dermatologists usually opt for lancing a cyst if it has ruptured. If the cyst is still intact, they typically excise it.

Lancing a Cyst

Lancing a cyst involves using a sharp knife to create a hole in the cyst. The doctor then squeezes and drains the contents. This is what you may see on YouTube cyst-popping videos. But, lancing a cyst isn’t typically the best way to get rid of the cysts permanently. However, if a cyst has already ruptured, this procedure allows us to remove most of the contents. In these cases, it’s important to remove the sack around the contents. If the lining of the cyst wall is not removed, the cyst will eventually reform.

Excising a Cyst

When a cyst is intact, an excision is typically the best removal procedure. We make an elliptical incision around the cyst to take out the entire cyst wall and contents. We stitch it up on the inside and outside and let it heal.

The YouTube Way vs. The Dermatologist Cyst Removal

If you’ve seen the way some doctors on YouTube pop pimples, don’t be fooled. That’s not the best way to deal with your cysts. Don’t punch and squeeze them — the right way is to completely remove the sac, like Epiphany’s Chief Medical Officer, Dr. R. Todd Plott, does in the video below. If you leave the sac in the skin, the cyst will likely come back.

Should You Remove Cysts at Home?

At-home cyst removals do not work. There are plenty of YouTube videos showing home remedies for treating cysts. Do NOT try them. When people mash and lance their cysts, trying to squeeze out the inside, the cysts will just come back.

Remember, a cyst is a pocket in your skin lined with cells. The skin will continue to produce cells and refill the pocket as long as the pocket is there. You’re not treating the problem by squeezing the cyst. The pocket has to be removed.

If you try these DIY cyst-removal strategies, you can make the problem worse. By popping the cyst, you open the sac and make it more susceptible to infection. Plus, you’ve now damaged the skin and increased the likelihood of scarring.

The best way to treat a cyst at home is to keep it clean. Make sure you’re washing it with soap and water. If you want it removed, visit the dermatologist to have it removed professionally.

What To Expect From Cyst Removal

During a cyst removal, the doctor will mark and numb the area around the bump. You’ll get a few Lidocaine injections that may slightly sting, but that’s the worst part. After that, you won’t feel the procedure.

The dermatologist will then remove the pocket of skin cells, and put stitches on the inside and outside of the skin that will last for about two months. The skin will heal from the inside out.

If your doctor repairs your skin correctly, you’ll only have a small, smooth scar.

Make sure your doctor stitches the inside of the pocket or you may be left with a hollow place in your skin where the gap was not closed correctly. A dermatologist is trained to repair skin in a way that will get the skin back to normal. There’s no home remedy that can do that.

Does a Cyst Removal Hurt?

If you can handle the small sting of a shot, you can handle a cyst removal. The doctor first topically numbs the cyst area and then injects Lidocaine. You may feel a slight sting, but that’s the worst part.

How Long Does a Cyst Removal Take?

A cyst removal is a relatively simple procedure. It should take no longer than 30 minutes to remove most cysts.

What To Expect After a Cyst Removal

Your post-treatment options depend on what type of cyst removal your doctor used.

After lancing a cyst, the wound needs to be left open for healing. It will continue to drain after the procedure. Then, it will begin to heal from the inside out. In these cases, watch for the cyst to reform. There’s a higher risk the cyst might come back if the doctor was not able to completely remove the cyst wall.

If you had a cyst excised, you’ll have stitches inside and outside to minimize scarring. Patients may experience tenderness and mild pain after an excision, easily managed with at-home pain medication such as Advil.

Does Insurance Cover Cyst Removal?

Insurance usually covers cyst removals. Since a cyst removal is a medical procedure (not cosmetic), the costs go against your deductible. Exact cyst removal costs depend on your insurance and whether you’ve met your deductible. Remember, you’ll have to pay out-of-pocket if you haven’t met your deductible, but cyst removal costs usually count towards that amount.

What if a Cyst Pops on Its Own?

While people can try to squeeze and drain a cyst that pops on its own, it can be very painful and ineffective. It’s best to seek care from a physician. The doctor will have a better chance of completely removing all the contents from the cyst so that it better heals and has a lower chance of recurrence. They will also be able to provide numbing medication to minimize pain during the lancing procedure.

How to Know if You Have a Cyst

If you feel something hard under your skin, get it checked out as soon as possible. It may be a normal cyst that the doctor can easily remove, but it could also be something different.

Find an Epiphany provider near you to schedule a cyst removal.

Tooth cyst removal – prices for cyst removal in Moscow

  • Anesthesiology

  • Dental implants

  • Dental treatment

  • Dental prosthetics

  • Surgery

A dental cyst is a benign neoplasm near the root of the tooth. Outwardly, it looks like a dense capsule filled with an inflammatory fluid. It occurs as a response of the immune system to the occurrence of inflammation in the root canal, in this way the body blocks the further spread of bacteria.

The development of a dental cyst can be due to various reasons, including:

  • untreated caries;
  • periodontitis, periodontitis;
  • mechanical trauma to the tooth;
  • chronic sinusitis or tonsillitis;
  • immunity disorders;
  • difficult eruption of “eights”.

Another possible reason for the appearance of a cystic capsule is an unprofessional installation of a filling or crown prosthetics.

How does a cystic neoplasm manifest itself?

Identification of this pathology is complicated by the fact that the dental cyst initially develops almost asymptomatically. Few of the patients pay attention to a slight darkening of the enamel or slight discomfort when eating solid foods. In the early stages of development, a neoplasm is most often discovered by chance on x-rays that are taken to treat adjacent teeth.

It is necessary to treat a cyst immediately when it is detected. As the neoplasm grows, the bone tissues will collapse, as a result of which, sooner or later, a serious inflammatory process will develop.

As the tooth cyst grows, it manifests itself with the following symptoms:

  • aching pain in the neoplasm area;
  • occurrence of edema;
  • fever;
  • swollen lymph nodes;
  • disorders of general well-being.

If such problems appear, it is necessary to contact a dentist as soon as possible, who will remove the cyst. It is strongly not recommended to ignore the symptoms of acute inflammation and self-medicate by swallowing painkillers and antibiotics. This can be fraught with serious and very unpleasant complications that threaten health and life.

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What is the danger of a tooth cyst?

If left untreated, the neoplasm not only provokes tooth loss, but also threatens to cause serious complications. If the dental cyst is not removed on time, it may develop:

  • periodontitis – inflammation of the jaw bones;
  • periostitis (flux) – purulent inflammatory process in the periosteum;
  • osteomyelitis is a purulent-necrotic lesion of the jawbone.

In advanced cases, inflammation of the lymph nodes, a purulent abscess and even sepsis develop.

Dental cyst removal methods

Not so long ago, the only way to treat a dental cyst was to remove it along with the tooth. In modern surgical dentistry, priority is given to tooth-preserving techniques when removing a tooth cyst. The doctors of the Spistom Dental Clinic try to use all available options to save the tooth, even if only partially.

To remove the cyst, the following effective tooth-preserving operations are used:

  • hemisection;
  • cystectomy;
  • cystotomy.

Hemisection is an operation during which the doctor removes the neoplasm, and also amputates the root of the tooth and part of the crown affected by the infection. This surgical procedure is used to remove a cyst that affects only one of the roots of a multi-rooted tooth.

Hemisection can be done in two ways. One option involves sawing the crown to the point of division into roots and then removing the cyst with the affected root. The second method of carrying out hemisection is called the “patchwork method”. During the operation, the surgeon exfoliates the mucoperiosteal flap and cuts out the cyst and the affected root.

Cystectomy involves the complete exfoliation of the cyst, the removal of its membrane and part of the tooth root. This technique is used to remove a cyst, which is localized in the region of the apex of the tooth root. Cystectomy allows you to save the tooth and eliminate inflammation, this is the most effective option in terms of tooth preservation. In some cases, a dental surgeon performs a cystectomy with resection (cutting off) of the apex of the tooth root.

Cystotomy of a tooth cyst is a surgical procedure in which the cyst is removed through an incision in the gum. During the operation, the doctor peels off the flap, makes a hole in the bone and removes the tooth cyst by pumping out the purulent contents. This procedure is the least traumatic, but requires more time for rehabilitation after surgery.

The method by which the tooth cyst will be removed is chosen by the dental surgeon. When choosing, many factors are taken into account: the location of the neoplasm, the stage of pathology, the general condition and the individual characteristics of the organism. To clarify the size and position of the cyst, the location of the roots of the tooth, an x-ray and computed tomography are taken.

Painless tooth cyst removal

In the Spistom dental clinic, cyst removal is carried out absolutely painlessly for the patient and in the most comfortable conditions. Most often, the operation is performed under local anesthesia, which can be supplemented with sedation. With a large size of the neoplasm and a complex location, the doctor may recommend removal of the cyst under general anesthesia.

When removing a dental cyst, the doctors of the Spistom clinic will select the best option for anesthesia in accordance with the clinical picture and the general condition of the patient. For anesthesia, only modern safe drugs are used, which have a minimum of side effects and are quickly excreted from the body.

Advice during recovery

After removing the dental cyst, you must strictly follow the recommendations of the doctor, this will avoid complications and speed up the rehabilitation process. In the first 1-2 days, the patient may feel pain and discomfort in the area of ​​the operation, the doctor will prescribe an anesthetic to relieve pain.

To speed up healing, it is necessary to rinse your mouth with antiseptic solutions, and the doctor may also prescribe antibiotics. It is strictly forbidden to put warm compresses or heat the operation site in any other way, excess heat can provoke the development of an inflammatory process.

An increase in temperature, increased edema, a violation of general well-being can be symptoms of the development of complications. In the event of warning signs, it is better not to take risks and consult a doctor as soon as possible.


Contraindications for surgery include:

  • acute diseases of the respiratory system;
  • exacerbation of cardiovascular diseases;
  • malignant tumors;
  • exacerbation of neuropsychiatric diseases;
  • pregnancy in the first and last trimester.

How much does it cost to remove a tooth cyst?

The price of tooth cyst removal depends on the stage of development of the disease and the size of the neoplasm. In Moscow, the Spistom dental clinic offers to remove a dental cyst at reasonable prices. The doctors of the clinic have extensive practical experience in carrying out such operations, therefore, the most appropriate method for removing the neoplasm is selected for each patient.

The sooner you contact a dentist, the cheaper the operation to remove a dental cyst will cost. To identify the problem at an early stage, it is necessary to regularly undergo preventive examinations at the dentist.

When choosing a dental clinic for an operation, the decisive factor is not the cost of removing a tooth cyst, but the professionalism and experience of specialists. Otherwise, you risk that the operation will be performed poorly, resulting in the development of complications.


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Operation video

Cyst removal without tooth extraction

Previously for cyst treatment there was only one protocol – a tooth with a cyst was subject to immediate removal without finding out the cause. Unfortunately, many clinics still adhere to this algorithm, not wanting to waste time on painstaking and effective treatment. In our Center, we adhere to a tooth-preserving policy, and if we remove a tooth cyst, then only with the help of the most atraumatic and painless techniques. We fight for every tooth and use every opportunity to save it from extraction.

What is a cyst on the root of a tooth?

Radicular (basal) cyst of the tooth – a formation on the root of the tooth, has its own shell with purulent contents. It occurs due to infection of the canals as a result of poor-quality previous treatment or no treatment at all.

It develops most often asymptomatically, with an increase in size, it corrodes the surrounding bone tissue and fills the resulting space. When immunity is weakened, it becomes inflamed, a rupture of the membrane is possible with the release of purulent contents to the outside through the fistulous tract, patients call this condition “flux”.

Cyst on the root of the tooth

Removal methods

Cyst treatment should not be delayed due to the unpredictability of formation. A cyst may not bother you for years, but at one moment it can show all its cunning. To get rid of the problem, treatment protocols are used:

  1. Conservative – treatment of cysts through the canals of the tooth
    After the infection in the canals is eliminated, the cyst, without “feeding” by pathogenic microflora, gradually disappears. The method is suitable for education sizes to 5 mm and the possibility of high-quality channeling.
  2. Surgical – removal of the cyst only or together with the tooth
    Radical, but the only method, if the formation of is more than 5 mm and there are aggravating factors – complex localization of the cyst, affects several roots or severe destruction of the tooth crown.

The decision on the effectiveness of one or another method is made jointly by 2 specialists : an endodontist (treats a cyst through the channels) and a dental surgeon (removes only a cyst or a complete tooth).

The choice of a method for solving a problem depends on a combination of factors:

  • the size of the inflammation focus
  • its localization in relation to anatomical formations
  • condition of the root canals and the tooth itself as a whole

Variants of surgical protocols

  1. Removal of the cyst only
    Through microaccess to the bone (a kind of “window”) in the area of ​​the tooth root. It is suitable when high-quality conservative treatment is impossible due to difficult passage of the canals, but the tooth is not destroyed and the inflammation does not affect neighboring roots.
  2. Complete tooth extraction with cyst
    Extraction of tooth with cyst. It is carried out if there is no chance of success of tooth-preserving measures. These are situations when the tooth is destroyed below the gum level, there are fragments of instruments from the previous treatment in the canals, perforations and longitudinal cracks in the root.

Operations in our Center are performed using PiezoSurgery® technology

A low-impact protocol using an ultrasonic scalpel in combination with sedation ensures comfort and safety for the patient even in extremely difficult situations.

Levin Dmitry Valerievich

Chief Physician and Founder of Doctor Levin

Stages of cyst removal with tooth preservation

Surgical removal is performed only after endodontic root canal treatment – this is an important point to prevent cyst recurrence

Consultation and diagnostics

Diagnostic examination on a computed tomography allows you to identify the size of education, its location. An aiming picture is also required to assess the condition of the canals of the tooth. At a joint consultation, the endodontist and the surgeon decide on the choice of the optimal treatment protocol.

Endodontic treatment of root canals

It is extremely important to prepare the root canals before the operation, clean them from infection, so that after the removal of the cyst, nothing enters the bone tissue from the tooth itself and there is no re-infection.

Prepared by an endodontist using a dental microscope. Carries out the removal of old restorations, revision of root canals – removal of old filling material, fragments of instruments (often left over from previous treatment), mechanical and medical treatment. Then the canals are hermetically sealed using 3D technology using the Beefill device.

Surgical stage of cyst removal

The operation to remove a tooth cyst in our Center is carried out according to a modern atraumatic technique – cystectomy. The procedure is painless, performed by ultrasound with a minimal incision under the control of optics.

The surgeon accesses the root of the tooth through a microscopic opening in the bone. “Opens” the cyst, cleans the shell and puts an antiseptic inside. The operation takes no more than 30 minutes, one hour after the operation, you can already go home. Sometimes we have to clean and polish the top of the root, which has previously suffered from inflammation. This is carried out as delicately as possible – without cutting and cutting out the tooth root. The piezo-device works as carefully as possible with hard tissues, delicately softens them. It turns off when approaching the vessels, nerves. Minimal injury !

Bone tissue repair

In some cases, when the size of the cyst is significant, the bone tissue has a serious defect in the shape and size of the removed mass. In such situations, the bone is not able to regenerate itself and requires restoration with the help of osteoplastic materials. You pay only for materials, and we will carry out replanting absolutely free of charge .

Usually cyst removal and bone grafting are performed at the same time. In cases of severe inflammation or a large cyst, the surgeon is forced to carry out the first stage only by opening the cavity of the cyst, removing inflammation, evacuating pus, and removing accessible cyst membranes. After the inflammatory process subsides, the defect is filled with osteomaterial. But in some cases, especially in young patients, natural growth of one’s own bone occurs during this time and no augmentation is required.

Control period

Then we part for half a year for a calm restoration of the lost bone volume, its regeneration and maturation, testing the tooth for strength. After 2-3 months you are invited for a free examination and X-ray to control the restoration of the bone at the root of the tooth. The next similar examination is in 12 months. Then the closure of the treatment case and the execution of warranty documents – we provide an unlimited guarantee for the operation to remove the cyst .

Restoring the shape of the tooth

Immediately after the root canal treatment, you will receive a permanent filling or a long-term temporary crown (depending on the degree of destruction of the upper part of the tooth). 2-3 months after the operation to remove the cyst, during the control examination, the process of bone tissue restoration is assessed. If a positive effect is observed, the temporary crown must be replaced with a permanent to prevent re-infection of the tooth from above through the channels and create a tight crown.

Removal of a cyst in the stage of inflammation

In cases of inflammation, the operation to remove the cyst is somewhat different – it is important to prevent the spread of purulent contents to the surrounding tissues

The steps of the procedure will be as follows:

  1. Aspiration (pumping out the purulent contents of the cyst) Important as much as possible carefully evacuate its contents from the festering cavity of the cyst. It is never possible to carry out interventions in the area of ​​\u200b\u200ba large focus without first removing purulent fluid from it.
  2. Extirpation (extraction of the membranes)
    After the removal of the acute period of exacerbation and the discharge of the entire contents of the cyst cavity, it is possible to prescribe the actual operation of removing the tooth cyst according to the standard protocol.

If there is a volume of pus in the cancellous bone, then the introduction of any osteoplastic preparations into the cyst cavity is ineffective, since they can fester and be rejected, which will only worsen the course of treatment.

There are many cases of experimental injections of bone materials directly into infected bone and observations under long-term cover with strong antibiotics, but in our opinion, the risk is not worth it.

After the exacerbation subsides and self-purification of the cavity in the “former” place of the cyst, all the products of inflammation that have entered the defect from the spongy bone are focused. Cutting out all the “suspicious” areas is no longer required, and a mandatory root resection is not required. This concentrated final element is removed in 10 minutes. At this moment, it is possible to use osteoplastic materials that accelerate bone regeneration. However, if radiologically we see good bone growth, this is not a mandatory measure in the treatment program.

Removal of a cyst with simultaneous tooth extraction

It is psychologically uncomfortable for patients to part with their “native” teeth, but in some cases it is more expedient and really necessary

Why is tooth extraction sometimes the most rational solution?

We are always honest with our patients and do not deceive them for our own benefit. We never persuade long-term and rather expensive tooth-preserving treatment when we know for sure that it is pointless.

In these rather rare situations, we offer a worthy alternative – removal of the cyst along with the tooth, which is replaced with a high-quality implant with a durable and aesthetic crown. This procedure allows you to minimize the number of visits to the doctor and your costs.

The biggest complaint about the specialists who perform these procedures is that doctors cannot honestly announce to the patient about the low probability of success, while continuing to inspire imaginary hope. Time, money, traffic congestion – all this in the event of an unsuccessful outcome of treatment summarizes the negative perception of failed treatment. Even the most flawless treatment technology is useless in the face of the wrong choice of tactics.

At the first sign of uncertainty about the success of treatment with your doctor, we strongly recommend that you seriously think about minimizing unpleasant consequences and costs by conducting a psychologically uncomfortable, but tactically correct procedure for removing the causative tooth.

Operation steps

  1. Tooth extraction
    Accurate extraction of the causative tooth with an ultrasonic scalpel according to the PiezoSurgery® protocol. The mechanism is as gentle as possible to ensure the preservation of the remaining bone architecture surrounding the cyst.
  2. Cleaning of bone tissue
    Ultrasonic cleaning of bone from germinated cysts. Antibacterial and antiseptic treatment of the cellular pattern of the bone, which was previously in contact with the cyst. Inspection with optics.
  3. Filling the cavity in the bone
    In case of slight impregnation of the cellular pattern of the cancellous bone with pus, one-stage injection of a bone stimulator into the cavity formed by the cyst.

In cases of active suppuration from the cells of the bone, even after removal of the cyst membranes, it is sometimes better to leave the defect open and drained without the introduction of any medication. Giving the body the opportunity to get rid of inflammation in a few days, we are guaranteed to reduce the amount of trauma from the necessary deep sawing of the compromised bone.

Why don’t we remove the cyst with a laser?

After analyzing all the long-term results of the postoperative period from our department and partner organizations in Moscow, it was decided to abandon the further use of laser cyst removal.

When analyzing all the results, it turned out that the positive disinfecting effect of the laser was seriously compromised by the longer recovery process. It was determined that during laser cyst removal, high-temperature exposure, forming burn areas, provokes inhibition of tissue repair and prolongation of treatment time with a weak antiseptic advantage.

Business-winning marketing aspects of “laser treatment” were not included in this study. Thus, laser removal of cysts in our Center is no longer performed.

Technologies and standards of our Center

Surgical treatment in our Center is carried out in the LifeTime Warranty format, so we exclude any risks during the removal of a tooth cyst

Peculiarities of the recovery period , which means it involves a rehabilitation period of

Short-term pain, slight bleeding in the area of ​​operation, swelling after removal of a tooth cyst is the norm for this procedure. To alleviate the condition, you will be prescribed home antibiotics and drugs that reduce tissue swelling. Anti-inflammatory rinses and cold compresses will also help to effectively deal with the problem.

For relief of symptoms after cyst removal, follow the recommendations:
  • do not drink hot, carbonated or alcoholic beverages
  • do not use a drinking straw
  • do not visit baths and saunas, do not take hot baths
  • do not chew on the side where the cyst was removed
  • no smoking

You will receive a package with the necessary drugs free of charge after the operation. There are also detailed recommendations.

Please carefully study the memo, follow the doctor’s prescriptions in order to avoid complications. Usually, when all the recommendations are followed, swelling, inflammation and pain begin to decrease significantly after the third day . If this does not happen, you should immediately contact the clinic. The telephone numbers of the Center’s round-the-clock support post are located on the recommendation card.

Accelerated rehabilitation after surgery

For patients who want to survive the recovery process without such consequences, our Center provides an accelerated rehabilitation complex on the day of surgery :

Microcurrent therapy

Acts at the cellular level, improves metabolic processes, lymph and blood circulation. Reduces swelling, pain, relieves muscle spasms.

Lymphatic drainage

A complex of nucleotides with active elements normalizes lymph and blood flow. Injections are carried out on the day of surgery, swelling and bruising are prevented.

PRP Therapy

Platelet-rich plasma triggers the body’s reserve forces. It has an anti-inflammatory effect, tissues heal faster, swelling disappears.


Guarantee for surgery to remove cysts and granulomas in our Center – lifetime . The canals of other teeth that have been in contact with the cyst, prepared according to our technology, also have a lifetime guarantee.

Please note that the Lifetime Guarantee for a tooth cyst removal operation only applies if the tooth canals with a cyst were previously prepared, treated and filled in our Center.

What makes up the cost

Tooth cyst removal includes two stages – endodontic canal preparation and cyst removal surgery, which are calculated separately

Root canal treatment

If you try to plan the preparatory therapeutic stage of treatment, then it is impossible to calculate everything to a penny before opening the tooth and examining it under a microscope. At the initial consultation, a microscopist is present, who draws up his estimate for the preparation of root canals.

The cost of canal treatment depends on their number, the calculation is carried out for each.

Standard price includes:
  • mechanical and drug root canal treatment
  • temporary filling with medicated pastes
  • 3D root canal filling
Default price includes:
  • local anesthesia
  • use of a microscope in treatment
  • application of rubber dam and optagreat
If additional measures are required, the following will be added to the cost:
  • unsealing of canals sealed with the resorcinol-formalin method or cement
  • removal of a pin or foreign body from the canal

Cyst removal

Everything is simple in the surgical department – there is a fixed cost for the operation.

Package price of tooth cyst removal includes:

  • local anesthesia
  • all necessary surgical procedures

The price depends on the complexity of the intervention , which is determined by the anatomical features that lead to the complication of treatment:

  • cyst affecting the roots of several teeth
  • cyst invasion into the neurovascular bundle of the lower jaw
  • finding a cyst in contact with the maxillary sinus

In such cases, please understand that the operation time is lengthened and the cost of treatment increases. In some cases, the cost of the difficulty factor results in a 50 percent increase in cost.

Additional activities are paid separately, but are not always required:
  • Rehabilitation of lost bone volume — the cost of bone grafting of the defect depends on the size of the cavity formed by the cyst and the volume of the injected drug. Bone materials are written off at the purchase cost in a separate act. The procedure is not obligatory, its necessity depends only on the speed of your bone regeneration.
  • Extraction of the tooth itself – the price depends on the complexity of the operation. The removal of wisdom teeth and the use of pre-implantation preparation technology are always more expensive than simple cases.

Frequently Asked Questions

Why are bone restoration materials not included in the cost of cyst removal?

The estimate may not be the same in different clinical situations and is made depending on the amount of bone regeneration stimulant administered.

During the instability of the ruble exchange rate, we do not have the opportunity to use the conveniences of the case pricing system. Due to the constantly floating selling price of suppliers, it is impossible to make a price adjustment that is comfortable for everyone. Therefore, we are forced to optimize the case cost of treatment by dividing the cost of the operation and the cost of osteoplastic materials.

We considered it impossible to covertly switch to other low-cost osteoplastic materials in order to keep the price due to the quality of treatment. You can always check the cost of bone materials used in your operation on the Internet in free access. You will see their names and used volume in your invoices. The clinic writes them off at the purchase price of the suppliers.

Levin Dmitry Valerievich
Oral and maxillofacial surgeon, chief physician of the Center

Is it necessary to use stimulants to restore bone after cyst removal?

It depends on the state of the bone itself:

  • If there is pus in the cells of the bone tissue and it is impossible to wash it off, then one-stage administration of osteoplastic preparations is ineffective. The procedure is planned as a separate stage. And in the case of X-ray confirmation of the restoration of the bone defect after 2-3 months, bone grafting is absolutely not needed and no additional costs will be required.
  • If the surgeon has washed, cleaned and kept the cells of the cancellous bone clean, then the stimulant must be used, even at the risk of losing any of its volume as a result of residual inflammation in the surrounding bone. Even with 50% survival of the material, it will have a powerful effect of accelerating rehabilitation in the “hot period of regeneration”. Even in cases of rejection of some volumes, you should not be afraid for the success of the treatment. In some patients, this decoupling of self-purification of the cystic defect is the norm.

To improve mutual understanding in our clinic, such necessary but unpredictable procedures are paid for at a special price list. You will pay only the purchase price of the drug selected for you by your surgeon. The cost of these medicines can be checked on the Internet in the public domain using your account stickers.

Levin Dmitry Valerievich
Oral and Maxillofacial Surgeon, Head Physician of Center

How is a tooth cyst removed if it has grown into the maxillary sinus?

Due to the fact that cysts during active growth prefer to move to the weakest and most delicate areas, it is quite common to observe the germination of cysts in the maxillary sinuses or in the neurovascular bundle of the lower jaw. The revision of such areas requires certain knowledge and skills in order to avoid unnecessary injuries and the danger of “forgetting an inconspicuous piece of the cyst”, which can cause a recurrence and recurrence of the cyst in the future. It is dangerous to entrust the operation to a conventional dental surgeon. In our Center, operations are performed only by maxillofacial surgeons with impeccable knowledge of the anatomy of the maxillofacial region.

Levin Dmitry Valerievich
Oral and maxillofacial surgeon, chief physician of the Center

Does it hurt to remove a cyst if it has become inflamed and already hurts?

Since usually the exacerbation of the cyst rarely resolves without pain, it is recommended that the procedure for opening the cyst be performed under combined anesthesia. At this stage, preliminary conservative treatment with loading doses of antibiotics is already useless. Of course, classical conduction anesthesia is an ideal method of anesthesia for this manipulation, but we carry it out with a safety net using combined techniques. These are combined drugs that enhance the analgesic effects of each other. This combination allows you to get the optimal degree of pain relief. If there is a financial opportunity, then the best type of pain relief in the treatment of cysts in the stage of active inflammation is sedation. Another name for this procedure is sleep therapy. Since sedation is carried out with propofol, an ultra-short hypnotic effect is formed without the use of narcotic drugs for general anesthesia.

Levin Dmitry Valerievich
Oral and maxillofacial surgeon, chief physician of the Center

They suggested a root resection with a cyst, what is it?

In most clinics in Moscow, the removal of a tooth cyst is carried out by resection, when the root of the tooth is removed along with the cyst attached to it. This previously widespread retro-method is considered quite traumatic and does not fit the definition of “tooth-preserving” in any way. Its essence is as follows: at points that are difficult to see and uncomfortable for the surgeon, the top of the tooth root is simply cut down with a bur to improve the view, arguing that the “root is bad”.

In situations where the cyst cannot be separated from the root, we also have to correct the root apex. But in the case of using modern instruments, ultrasound and microscope optics, traumatic root resection is not needed. We carry out gentle treatment of the root without traumatic sawing.

Levin Dmitry Valerievich
Oral and Maxillofacial Surgeon, Head Physician of Center

If you have to remove a cyst along with a tooth, can you immediately put an implant?

In these situations, we do not recommend immediate implantation. Installing a sterile implant in pus is fraught with its rejection. It is better to wait for the restoration and cleaning of the bone tissue and carry out high-quality implantation with a lifetime guarantee.

Levin Dmitry Valerievich
Oral and maxillofacial surgeon, chief physician of the Center

How to distinguish a cyst from another formation?

Firstly, X-ray diagnostics is carried out – the cyst has clear boundaries (shell) on the pictures. Secondly, purulent contents during inflammation of the cyst is an excellent diagnostic tool for the doctor and the patient. The absence of pus or cystic fluid may indicate the presence of a fibrous or other whole cell formation. There are a lot of cases of masking under the symptoms of cysts of more formidable neoplasms. The absence of purulent contents most likely indicates an erroneous preliminary diagnosis and is an indication for further examination of the patient for neoplasms masquerading as a cyst.

Levin Dmitry Valerievich
Oral and maxillofacial surgeon, chief physician of the Center

I have already had a cyst operated on and it was unsuccessful.