Do You Really Need to Extract Teeth with Dental Cysts?

Is it necessary to extract a tooth with a dental cyst?

Hello, doctor.
I would like to ask a question.
Recently, I went to a dental clinic to replace my existing dental crown on my front tooth with a porcelain crown.
After taking X-rays, the dentist informed me that there is severe decay between my other front tooth and the lateral incisor, and there is also a periapical cyst issue between those two teeth.
The dentist said I need to extract both the front tooth and the lateral incisor and proceed with dental implants.
Additionally, the front tooth that has the crown has been in place for over ten years, and the dentist suggested it might also be damaged inside, recommending that I extract it and get an implant as well.
This is far beyond my initial budget.
The doctor mentioned that my condition is still relatively mild, but if left untreated, it will worsen and spread to adjacent teeth, leading to the need for more extractions.
The more I hear, the more frightening it becomes, and I am worried that the dentist is just pushing for implants.

1.
Is there really no other option for the periapical cyst besides extraction? I found online that some people undergo root canal treatment first.
Why didn't the dentist mention that and instead suggested extraction? Isn't it better to preserve the original teeth?
2.
If I leave it untreated, will it definitely worsen and not heal on its own?

Cora, 30~39 year old female. Ask Date: 2018/03/24

Dr. Huang Tingfang reply Dentistry

Dear Miss Cora,
Hello! (Is it necessary to extract a tooth for a dental cyst?) It depends on the size.
If the cyst is large enough to envelop the tooth root, then extraction is advisable.
However, if it only slightly encases the root, treatment can be very effective, and extraction may not be necessary.
Please communicate more with your dentist! Thank you! Wishing you safety!
Sincerely,
Dr.
Huang Ting-Fang, Dentistry

Reply Date: 2018/03/24

More Info

When it comes to dental health, particularly with issues like dental cysts and severe cavities, it's essential to understand the implications and treatment options available. Your concerns about the recommendations you've received from your dentist are valid, especially when they involve significant procedures like tooth extraction and dental implants.

1. Understanding Dental Cysts: A dental cyst, such as a periapical cyst, often forms at the root of a tooth that has undergone significant decay or trauma. These cysts can be asymptomatic initially, but they can lead to more severe complications if left untreated. The presence of a cyst typically indicates that there is an underlying issue with the tooth, such as infection or significant decay. While extraction is a common treatment, it is not the only option. Root canal therapy can sometimes be performed to remove the infected pulp and clean the area, which may allow you to retain the tooth. However, if the tooth structure is severely compromised or if the infection is extensive, extraction may be the only viable option.

2. The Importance of Timely Treatment: Ignoring dental issues like cavities and cysts can lead to more severe problems. Cavities can progress deeper into the tooth, potentially affecting the nerve and leading to more extensive decay, which may necessitate extraction. Similarly, if a cyst is left untreated, it can grow and cause damage to surrounding teeth and bone, leading to more complex dental issues. Therefore, while it may seem daunting, addressing these problems early on is crucial to prevent further complications.

3. Seeking a Second Opinion: If you feel uncertain about the treatment plan proposed by your dentist, it is entirely reasonable to seek a second opinion. Different dentists may have varying approaches to treatment, and another professional may provide you with alternative options or confirm the necessity of the proposed treatment. This can help you feel more confident in the decisions regarding your dental health.

4. Financial Considerations: Dental treatments can be expensive, especially when they involve procedures like implants. It's important to discuss your financial concerns with your dentist. Many dental offices offer payment plans or financing options that can make these treatments more manageable. Additionally, some dental insurance plans may cover part of the costs associated with extractions and implants, so it’s worth checking with your provider.

5. Maintaining Oral Health: Regardless of the treatment you decide on, maintaining good oral hygiene is crucial. Regular brushing, flossing, and dental check-ups can help prevent further decay and complications. If you have concerns about pain or discomfort during dental procedures, discuss these with your dentist. Options like sedation dentistry can help alleviate anxiety and discomfort during treatment.

In conclusion, while extraction may be necessary in some cases, it is not always the only solution for dental cysts and severe cavities. Root canal therapy may be an option, depending on the extent of the damage. Ignoring dental issues can lead to more severe complications, so timely treatment is essential. If you are unsure about the recommended treatment, seeking a second opinion can provide clarity and confidence in your dental care decisions. Always communicate openly with your dentist about your concerns, both regarding treatment and financial implications, to ensure you receive the best care possible.

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