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Dental Cyst Removal

in Lviv
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BioClinic

During the Appointment

Dental cyst removal (cystectomy, apicoectomy) is a surgical procedure aimed at eliminating a pathological lesion in the bone tissue while preserving the natural tooth whenever possible. The procedure requires thorough preoperative diagnostics, a high level of clinical expertise, and modern dental equipment.

The doctor performs an examination, assesses the condition of the oral mucosa, the presence of inflammation, the degree of eruption of the impacted tooth, signs of pericoronitis, the condition of adjacent teeth, and surgical accessibility.
A CBCT scan (3D imaging) is обязательно performed to determine the tooth position, depth, root morphology, bone thickness, and proximity to the nerve, maxillary sinus, and adjacent teeth.
Based on the CBCT scan, the scope of the surgery is planned, including gum incision, bone removal, tooth sectioning, and assessment of the risk of nerve or sinus damage. The treatment plan is explained to the patient prior to the procedure.
A surgical strategy is developed to maximize the preservation of bone tissue and, if necessary, fill the socket with osteoplastic material.
The patient is informed about the duration and course of the procedure, the anesthesia method is selected (local anesthesia or sedation), and postoperative recommendations are provided.
After the procedure, medications are prescribed, and guidance is provided on oral hygiene, diet, and daily routine. A follow-up appointment is mandatory within 5–7 days.

Impacted Tooth Removal

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1

Emergency Care for Exacerbations

We see patients experiencing acute pain, swelling, and purulent complications caused by a dental cyst (exacerbation of a radicular cyst, infection) on the same day of their visit, including weekends and holidays.
2

Maximum Preservation of Natural Teeth

Our surgeons are skilled in all modern tooth-preserving techniques (apicoectomy, hemisection, cystectomy). We make every effort to remove the cyst, eliminate the source of infection, and preserve your natural tooth.
3

3D Planning and Microsurgical Precision

Before every procedure, we perform a CT scan to precisely determine the cyst boundaries, its location, relation to the tooth roots, and proximity to the mandibular nerve, maxillary sinus, and nasal cavity.
4

Mandatory Bone Tissue Restoration

After cyst removal, we always fill the cavity with modern osteoplastic materials (bone substitutes) and, if necessary, cover them with protective membranes.
5

Long-Term Monitoring and Recurrence Prevention

After the procedure, the patient remains under the doctor’s dynamic supervision. A mandatory follow-up visit is scheduled for suture removal, and further radiological examinations are conducted at 3, 6, and 12 months to assess bone tissue regeneration.

Indications for Dental Cyst Removal

A dental cyst tends to gradually increase in size, even if it does not cause discomfort to the patient. As it grows, it destroys bone tissue, replacing it with pathological tissue. When it reaches a significant size (over 1–1.5 cm), there is a risk of pathological jaw fracture even under minor stress.
A cyst can become infected, especially when immunity is reduced, in cases of hypothermia, or in the presence of other infection sites. An exacerbation is accompanied by severe throbbing pain, swelling of the gums and cheek, fever, general weakness, and the formation of a fistula with purulent discharge.
If the cyst does not respond to conservative treatment (repeated endodontic therapy with temporary canal fillings using medicated pastes is ineffective, the cyst does not shrink, or continues to grow), surgical intervention is indicated.
Patients come to BIOCLINIC in Lviv when they experience issues caused by a dental cyst, such as chronic discomfort, periodic exacerbations, the appearance of a fistula, or a lesion detected incidentally on a radiograph. During the consultation, the surgeon performs a thorough examination and a mandatory CBCT scan to assess the precise size of the cyst, its location, its relation to the tooth roots, and its proximity to the mandibular nerve, maxillary sinus, and nasal cavity.

Types of Surgical Procedures for Dental Cyst Removal

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Apicoectomy with Cyst Removal

This is the most common tooth-preserving procedure, used for small to medium-sized cysts (up to 1.5 cm) at the root tip. Through a minimal gum incision (up to 5 mm), the surgeon gains access to the root tip, removes it along with the cyst, carefully scrapes out the pathological tissue, and irrigates the cavity with antiseptics.
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Cystectomy (Complete Cyst Removal)

This is a radical procedure in which the cyst is completely removed along with its capsule. The operation is performed for medium to large cysts (over 1.5–2 cm), as well as for cysts with complex structures or those located in close proximity to critical anatomical structures.
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Cystotomy (Partial Cyst Removal)

This method is used for very large cysts (over 3–4 cm) that are adjacent to vital structures (mandibular nerve, maxillary sinus, nasal cavity) or for cysts that have extended into the maxillary sinus. The surgeon removes only the front wall of the cyst and its contents, while the inner lining is either connected to the oral cavity (creating an artificial pouch) or drained.
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Hemisection and Root Amputation

This technique is used on multi-rooted teeth (molars of the upper and lower jaw) when the cyst affects only one root while the other roots remain healthy. The surgeon removes the affected root along with the adjacent cyst and part of the tooth crown (hemisection) or only the root (root amputation), preserving the healthy portion of the tooth.

Reviews

Anhelina Yermilius
11:03 01 Apr 25
Користуюсь послугами клініки вже рік. Завжди дуже приємні лікарі, які готові обслуговувати тривожність перед лікування, та все чітко пояснити.Дуже гарний досвід видалення 8-к попри чутливість до багатьох препаратів та купу страхів.Чістки та лікування також завжди проходило максимально уважно та дбайливо. Лікарка Горбанюк Ірина прибрала чутливість зуба, коли інші стоматологи ,впродовж 2х років, пропонували видалити здоровий нерв.
Дуже дякую пародонтологу Горбанюк Ірині за професійний підхід і турботу! Лікар уважна, все пояснює зрозуміло, лікування пройшло безболісно. Тепер мої ясна в хорошому стані, немає кровоточивості і значно зменшилась чутливість! Рекомендую Bioclinic!
Вже четвертий місяць я регулярно відвідую стоматологію Bioclinic, готуючись до встановлення брекетів)За цей час мені видалили зуби мудрості, пролікували канали та виконали реставрацію передніх зубчиків. Кожен мій візит супроводжувався уважним і турботливим ставленням лікарів-стоматологів, детальним поясненням усіх етапів лікування та відмінною якістю виконаних процедур)Наразі я дуже задоволена сервісом і якістю обслуговування стоматології та можу її сміливо вам рекомендувати👍
Я видаляла зубки мудрості в цій клініці, по рекомендації сестри. І залишилася дуже задоволена, хоча так боялася, мене калатало, бо не люблю стоматологічні процедури. Ми розмовляли з лікарем про весь процес, як все проходитиме, що він робитиме, координував мене у всіх своїх діях, заспокоював своїм спокійним тембром голоса. За годинку у мене вже не стало 2 зубів і стресу, бо після першого зуба, я зрозуміла, що мені взагалі не боляче, і вже тоді заспокоїлася. Все пройшло дуже добре, тому дякую Гедеон Миколі за турботу, і команді асистентів за вашу прекрасну роботу ❤️
Svitlana Stasiuk
09:11 28 Mar 25
Приємно здивована підходом до лікування та спілкування . Лікарі чуйні та уважні до кожної деталі. Чітко все розповідають та розказують про етап лікування . Нічого зайвого ненав'язують .Протягом процедури дуже уважні до пацієнта, все чітко та поетапно розповідають в процесі лікування. Чудова клініка , на найвищому рівні .Дякую , що лікування проходить без стресу та страху ) 😊
Олена Львів
13:04 28 Feb 25
Хочу написати слова вдячності всьому персоналу стоматології BIOCLINIC: дякую Вам за теплий прийом та професіоналізм, тут працюю справжні професіонали своєї справи!Якщо хтось так як і я боїться видаляти зуби мудрості ( я вже не боюсь ☺️) , варто звернутись до Тараса Богдановича - не встигнете порахувати до п'яти, як зуб мудрості вже буде видалено 💪довше доведеться чекати поки подіє анастезія, бо зуб він видаляє на раз-два-три 👌.Щиро вдячна за професіоналізм Любомиру Любомировичу , ох і натерпівся він з моїми каналами ...😅
Дякую клініці Bio clinic за професіоналізм і чудовий сервіс! Окрема подяка лікарю Тарасу Богдановичу за уважність і безболісне лікування, протезування .Сучасне обладнання,чистота та доброзичлива атмосферароблять візит комфортним. Щиро рекомендую всім !
Julia Lyba
15:30 22 Jan 25
Стоматологія «Bioclinic» справляє враження сучасної клініки, де комфорт пацієнта є пріоритетом. Тут панує затишна атмосфера, а привітний персонал одразу викликає довіру. Лікарі – справжні професіонали, які детально пояснюють план лікування, відповідають на всі запитання та пропонують індивідуальний підхід. Особливо приємно, що використовуються сучасні технології та високоякісні матеріали, що гарантує чудовий результат.Відвідування «Bioclinic» залишає лише позитивні враження завдяки уважності, доброзичливості та професіоналізму команди. Рекомендується всім, хто шукає якісне стоматологічне обслуговування на найвищому рівні!
Велика подяка стоматології Bioclinic за професіоналізм і турботу! Лікарі дійсно турбуються про комфорт пацієнтів і детально пояснюють кожен етап лікування. Сучасне обладнання та комфортна атмосфера зробили лікування легким і безболісним.Рекомендую Bioclinic усім, хто цінує якість і хороший сервіс)

Before-and-After Examples

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Stages of Dental Cyst Removal

When you come to BIOCLINIC with a dental cyst detected on a radiograph, causing periodic exacerbations, or threatening the health of adjacent teeth, you will receive professional care and comprehensive treatment. The procedure for dental cyst removal is carried out as follows:
1

3D Diagnostics and Preoperative Planning

A mandatory step is a CT scan (3D imaging), which provides precise information about the cyst: its exact size, shape, location, its relation to the tooth root apices, and its spatial relationship to vital structures — the mandibular canal, mental foramen, maxillary sinus, nasal cavity, and roots of adjacent teeth.
2

Determining the Surgical Approach

Based on the CT scan data, the surgeon selects the optimal surgical approach.
3

Anesthesia and Surgical Procedure

The procedure is performed under local anesthesia with modern agents (for complex, extensive procedures or in patients with high anxiety, sedation may be used). The surgeon makes a gum incision, raises a mucoperiosteal flap to access the bone, and removes the bone overlying the cyst using a surgical bur.
4

Cavity Revision, Sanitation, and Bone Tissue Restoration

After cyst removal, the surgeon carefully inspects the cavity, removes any remaining cyst lining and granulation tissue, and irrigates it with antiseptic solutions. When removing a cyst in the upper jaw, the integrity of the maxillary sinus floor is always checked.
5

Postoperative Care and Long-Term Follow-Up

The patient receives detailed individualized instructions: a mandatory course of antibiotics (to prevent infectious complications after bone surgery), pain relievers, antiseptic rinses (without gargling!), oral hygiene rules in the surgical area, a diet of soft, warm foods, application of cold to the cheek during the first day, and restrictions on physical activity.

Postoperative Care After Dental Cyst Removal

During the first 3–4 days after the procedure, teeth should be brushed with a soft brush, carefully avoiding the sutures and surgical site to prevent tissue trauma, damage to the stitches, displacement of the osteoplastic material, or bleeding.
Vigorous rinsing of the mouth is strictly prohibited during the first days after cyst removal, as it can wash out the protective blood clot and osteoplastic material, disrupt bone healing, and cause alveolitis (“dry socket”) or loss of the bone graft. Instead of rinsing, warm oral baths should be used: hold an antiseptic solution (chlorhexidine, Miramistin, chamomile infusion, or a mild baking soda and salt solution) in the mouth.
Take all medications prescribed by the doctor: antibiotics (a full course is mandatory, as the procedure involves bone tissue that requires reliable protection against infection), anti-inflammatory drugs, and pain relievers. Do not skip antibiotics, even if the pain has subsided, your temperature has returned to normal, and your condition has improved — this is essential to prevent bone tissue inflammation.
To reduce swelling, pain, and prevent hematoma, it is recommended to apply a cold compress to the cheek over the surgical area (not directly on the wound) during the first 12–24 hours after the procedure.
During the healing period (7–10 days), completely avoid hot, spicy, acidic, salty, hard, or coarse foods that could injure the surgical site, worsen inflammation, or displace the osteoplastic material.
Do not miss the scheduled follow-up appointment (usually within 5–7 days). During this visit, the surgeon will assess the condition of the surgical site, remove the sutures, monitor the healing of the soft tissues, and adjust further recommendations. Since bone grafting (osteoplasty) was performed after cyst removal, the doctor will also schedule mandatory follow-up radiological examinations.
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Diagnostic Methods

By scheduling an appointment at the clinic, you can undergo the following examinations
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Visual Examination
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Dental Microscopy
Computed Tomography (CT)
Electromyography (EMG)
X-ray Imaging
Digital 3D Scanning
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Creating a Traditional Dental Impression
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Intraoral Photographs

Advantages of Dental Cyst Removal at BIOCLINIC

Emergency Care for Exacerbations

We see patients experiencing acute pain, swelling, and purulent complications caused by a dental cyst exacerbation (suppuration, abscess) on the same day of their visit, including weekends and holidays.

Maximum Preservation of Natural Teeth

Our surgeons are skilled in all modern tooth-preserving techniques (apicoectomy, hemisection, cystectomy). We make every effort to remove the cyst, eliminate the source of chronic infection, and preserve your natural tooth.

3D Planning and Microsurgical Precision

Before each procedure, we perform a CT scan to precisely determine the cyst boundaries, its location, its relation to the tooth roots, and its proximity to vital structures — the mandibular nerve, maxillary sinus, and nasal cavity.

Mandatory Bone Tissue Restoration (Osteoplasty)

After cyst removal, we always fill the cavity with modern osteoplastic materials (bone substitutes) and, if necessary, cover them with protective membranes to promote guided bone regeneration.

Long-Term Monitoring and Recurrence Prevention

After the procedure, the patient remains under the doctor’s continuous supervision. A mandatory follow-up visit is scheduled within 5–7 days for suture removal, with additional radiological examinations at 3, 6, and 12 months.

Service Prices

  • Primary tooth extraction 800 UAH
  • Single-root tooth extraction 1,200 UAH
  • Multi-root tooth extraction 1,700 UAH
  • Complicated single-root tooth extraction 1,400 UAH
  • Complicated multi-root tooth extraction 1,900 UAH
  • Complexity level 1 (atypical wisdom tooth extraction) 2,400 UAH
  • Complexity level 2 (atypical wisdom tooth extraction) 3,200 UAH
  • Complexity level 3 (atypical wisdom tooth extraction) 4,800 UAH
  • Root apex resection (one tooth) 4,500 UAH
  • Hemostatic sponge 300 UAH
  • Lip/tongue frenuloplasty 3,200 UAH
  • PRF Membrane 900 UAH
  • Bone grafting in the area of one tooth (materials not included) 300 EUR
  • Sinus lift surgery 600 EUR
  • Sinus lift surgery (open )300 EUR
  • Gingivoplasty in the area of 1 implant 100 EUR
  • Gingivoplasty of 1-3 teeth in one area 150 EUR
  • Gingivoplasty of 4-6 teeth 600 EUR
  • Vestibuloplasty of 1 segment 300 EUR
  • Bone augmentation using autogenous bone laminae 800 EUR
  • Benign tumor removal 250 EUR

Our Doctors

Frequently Asked Questions (FAQ)

Заповніть форму і ми передзвонимо для запису на консультацію

Is it always necessary to remove a cyst surgically, or can it be treated conservatively (without surgery)?
Small cysts (up to 5–8 mm) can sometimes be treated conservatively through root canal therapy. The dentist reopens the canals, thoroughly irrigates them with antiseptics, and places special medicated pastes based on calcium hydroxide, which stimulate bone regeneration. This procedure may take several months and requires regular radiographic monitoring. If the cyst does not shrink, is large (over 1–1.5 cm), complicated by inflammation, or causes pain, surgical removal is indicated. The decision is made individually after 3D diagnostics.
Is dental cyst removal painful?
The procedure is performed under local anesthesia with modern agents, so there is no pain during the surgery. You may feel slight pressure or vibration, but not pain. For complex or extensive procedures (large cysts, work near nerves or sinuses) or in patients with high anxiety, we offer sedation (medicated sleep), allowing the patient to be completely relaxed. Postoperative pain is easily managed with prescribed painkillers.
How long does a dental cyst removal take?
The duration of the procedure depends on the size and location of the cyst, as well as the chosen surgical technique. An apicoectomy for a small cyst takes 30–50 minutes. A cystectomy (complete removal) of a medium or large cyst with osteoplasty can take 60–90 minutes. For cystotomy or hemisection, the time also varies depending on complexity. The surgeon always informs the patient of the estimated duration during the planning stage based on the CT scan.
What are the possible risks of dental cyst removal in the upper or lower jaw?
In the lower jaw, the main risk is the proximity of the cyst to the mandibular canal containing the nerve. If the nerve is affected, temporary numbness of the lip and chin may occur. To minimize this risk, we always perform a CT scan and use microsurgical techniques. In the upper jaw, the cyst may be adjacent to or extend into the maxillary sinus. The risk here is perforation of the sinus floor. In such cases, the surgery is carefully planned, and if a perforation occurs, we immediately perform defect repair. Modern diagnostics and the surgeons’ experience help minimize these risks.
Is it possible to preserve a tooth if there is a large cyst at the root?
Yes, in most cases, the tooth can be preserved even with large cysts. Modern techniques — such as cystectomy with apicoectomy or hemisection — allow the removal of the pathological formation, elimination of the infection source, and preservation of the tooth’s functionality. The decision to preserve the tooth is made after thorough analysis of the CT scan, assessing the condition of the root, its canals, the volume of surrounding bone, and proximity to vital structures. If the tooth is severely damaged or preservation is not feasible, the tooth is removed along with the cyst, followed by implantation.
How long does bone take to heal after cyst removal?
Primary healing of the soft tissues (gums) occurs within 7–14 days, with sutures removed after 5–7 days. Bone regeneration in the cyst area is a longer process. The first signs of bone healing are visible on radiographs after 2–3 months. Complete bone restoration, especially when osteoplastic materials are used, takes 6–12 months. Therefore, we schedule follow-up radiographs at 3, 6, and 12 months to monitor healing, assess material integration, and detect any potential recurrence in time. The rate of healing depends on the size of the cyst, the patient’s age, adherence to postoperative instructions, and overall health.