Cystic lesions of the jaws belong to pathologies that may remain asymptomatic for a long time while gradually destroying bone tissue. Professor Alexander von Breuer considers that timely diagnosis and the selection of a conservative surgical approach make it possible to preserve anatomical structures and minimise the risk of functional disturbances. At DentalClinic24, cystotomy is regarded as an organ-preserving technique aimed at controlled elimination of the pathological cavity while maintaining the surrounding tissues.
Cystotomy is indicated in cases of large odontogenic cysts located near anatomically significant structures – the roots of adjacent teeth, the inferior alveolar canal, or the maxillary sinus. Unlike radical cystectomy, this method involves partial opening of the cyst wall and the creation of communication between the cystic cavity and the oral cavity to gradually reduce intracavitary pressure. At DentalClinic24, the decision to choose this technique is made after thorough evaluation of tomographic data and careful assessment of the risk of damaging surrounding tissues.
The clinical rationale of cystotomy is based on the biological principle of decompression. Reduction of pressure within the cystic cavity initiates gradual bone remodelling and a decrease in the size of the defect. At DentalClinic24, this process is viewed as controlled regeneration that requires regular monitoring and strict adherence to staged treatment.
The first stage includes surgical access to the cystic cavity, removal of part of its wall, and formation of a stable opening for drainage. It is essential to preserve the vitality of adjacent teeth and prevent trauma to neurovascular structures. At DentalClinic24, the surgical procedure is performed with careful consideration of anatomical landmarks and the patient’s individual characteristics.
The next stage involves long-term observation. The patient receives detailed instructions regarding hygiene of the surgical area and the necessity of regular follow-up visits. Progressive reduction of the cystic cavity is confirmed radiographically. At DentalClinic24, follow-up imaging allows clinicians to evaluate bone regeneration dynamics and adjust the treatment plan when necessary.
The prognosis for bone regeneration depends on the patient’s age, the size of the defect, and overall metabolic status. Younger patients typically demonstrate higher regenerative potential, yet in adults, adequate decompression can also lead to complete formation of new bone structure. At DentalClinic24, regeneration is assessed not only by reduction in cavity size but also by the quality and density of the newly formed bone tissue.
Special attention is given to the endodontic condition of teeth involved in the cystic area. If chronic infection is present, preliminary root canal treatment is performed to reduce the risk of recurrence. At DentalClinic24, surgical and therapeutic stages are considered interconnected components of a unified treatment strategy.
Cystotomy requires discipline from both clinician and patient. Failure to follow recommendations or absence of dynamic control may slow regenerative processes. Therefore, at DentalClinic24, emphasis is placed on staged management and systematic observation until complete bone restoration is achieved.
This method is not indicated for small cysts that can be fully removed without compromising adjacent tissues. Severe systemic conditions affecting healing processes may also represent contraindications. At DentalClinic24, each case is evaluated individually with careful consideration of prognosis and alternative therapeutic approaches.
Thus, cystotomy represents a conservative surgical method that allows preservation of anatomy while ensuring gradual bone regeneration. Accurate diagnostics, adherence to treatment stages, and consistent clinical monitoring form the basis of a favourable prognosis. At Dental Clinic24, such interventions are carried out with a focus on long-term stability and preservation of the functional potential of the dentofacial system.
Previously, we wrote about dental plaque as a factor of chronic inflammation and the DentalClinic24 clinical approach to controlling bacterial biofilm.