Dental Pulp Cysts: Treatment Options and Costs Explained - Dentistry

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Dental pulp cyst


Hello Doctor: My lower left second molar has undergone root canal treatment and has had a crown for fifteen years.
However, recently, it has been painful when pressed.
After seeing a doctor and getting an X-ray, I was diagnosed with a periapical cyst.
The doctor mentioned that medication would be used to gradually eliminate the bacteria inside.
After removing the crown and the filling, it was found that the canal was blocked, and I was advised to go to a major hospital to see an endodontist for microscopic treatment.
I would like to ask: 1.
What are the chances of successfully accessing the canal? Should I just have the tooth extracted instead? 2.
Will the cost be very high? The clinic mentioned that the National Health Insurance has already covered it, so I wouldn't need to pay out of pocket, is that correct? 3.
How long will the treatment take before I can have a crown placed again? Thank you, Doctor, for your assistance.
Sincerely, an anxious patient.

Xiao Ru, 30~39 year old female. Ask Date: 2005/12/10

Dr. Chu Boqin reply Dentistry


Hello, Xiao Ru:
1.
The lower left second molar has been painful after 15 years of orthodontic treatment, and the pain is pressure-related.
You might consider trying root canal therapy with a dissolving agent to break down the tissue before proceeding with the treatment.
If the issue persists, we may face two challenges: 1.
difficulties in treatment, and 2.
the time factor, which may lead us to consider extraction.
2.
The Department of Endodontics at Tri-Service General Hospital offers microsurgery for further intervention, which is feasible.
There may be additional costs (though I'm not entirely sure), but the success rate is quite high.
However, you would need to travel to Taipei, so please consider the time and accessibility.
3.
If successful, the root canal treatment could be completed in two weeks.
For more details, please discuss this with them in person.

Reply Date: 2005/12/10

More Info


When dealing with dental pulp cysts, especially in a case like yours where a tooth has undergone root canal treatment and has been capped for many years, there are several important factors to consider regarding treatment options, costs, and timelines.


1. Chances of Successful Treatment
The likelihood of successfully treating a dental pulp cyst largely depends on the extent of the infection and the condition of the tooth. In your case, since the tooth has been treated previously and is now presenting with pain and a cyst, the first step is to assess whether the root canal can be re-treated. The use of a microscope in endodontic procedures significantly enhances the dentist's ability to locate and treat any remaining infected tissue or canals that may not have been adequately addressed during the initial treatment.

If the dentist believes that the cyst can be accessed and treated effectively, the chances of success are generally good, especially with modern techniques. However, if the tooth is severely compromised or if the cyst is extensive, extraction may be a more viable option. It is essential to have a thorough discussion with your endodontist about the specific circumstances of your case to make an informed decision.


2. Cost Considerations
Regarding costs, dental procedures can vary widely based on location, the complexity of the case, and whether you have insurance coverage. In many cases, root canal treatments and associated procedures (like the use of a microscope) are covered by health insurance, particularly if you are referred to a specialist. However, there may be additional costs if further treatments are required, such as surgical intervention or additional imaging.

It is advisable to confirm with your dental office about what is covered under your insurance plan. If your clinic has indicated that you will not incur out-of-pocket expenses due to insurance coverage, that is a positive sign. However, always clarify any potential additional costs that may arise during the treatment process.


3. Treatment Timeline
The duration of treatment can also vary. If the endodontic treatment is straightforward and the cyst can be effectively treated, you might expect the procedure to take a few hours, and you could potentially have the tooth restored with a crown within a couple of weeks. However, if surgery is required to remove the cyst or if there are complications, the timeline could extend significantly.

Typically, after a successful root canal treatment, the tooth can be restored with a crown after a healing period of about two weeks, allowing the inflammation to subside. However, if there are complications or if additional procedures are necessary, this could delay the placement of the crown.


Conclusion
In summary, your situation requires careful evaluation by a dental specialist. The chances of successfully treating the cyst are generally favorable, especially with advanced techniques. Costs may be manageable if covered by insurance, but it is essential to confirm this with your provider. Lastly, the timeline for treatment can vary, but with successful intervention, you could expect to have your tooth restored relatively soon.

Make sure to communicate openly with your dental team about your concerns and preferences, and they will guide you through the process to ensure the best possible outcome for your dental health.

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