I'm a 23 year old male from India. I have been going through a periapical
cyst nightmare for past 7 years, possibly longer.
I've been told its cause is the trauma (suffered severe blows to the mouth as kid of 6-10 years, twice).
Back in 2008, first time, i went under root canals
involving few lower teeth and right 1 & 2 in upper jaw. Eventually surgery
was performed to remove a cyst above right 1 & 2.
Post that by 2009, we noticed an reoccurrence and saw a different dentist
this time, who informed that previously RC's had not been done properly, which has resulted forming of infection
again. However, due to negligence on my part, nothing was done about it until 2013 December. By then infection had spread significantly and had involved right 1 & 2 and left 1 & 2 in lower jaw, and right 1 & 2 in upper jaw. Root canals was formed in the aforementioned teeths and two cysts of 3mm and 1mm were removed from lower and upper jaw respectively.
However, by next year, Jan 2015, an abscess
was seen again in the gum region above 1 & 2 right upper jaw and it thought to be a minor infection in the huge healing area and it was drained through a minor procedure on LA, in-vainly, as within next few months an abscess was noticed again in the same region. X-ray confirms formation of infection again in the upper jaw. Since there is no abscess, we did not investigate yet, if there's reoccurrence in the lower jaw also.
Now, my current dentist, who was involved in the past two procedures suggest we eliminate the problem by extracting right 2 from upper jaw and see if that helps, before taking a call on extracting right 1 from upper jaw. Second opinion from a different dentist was to perform episiotomy again in the upper jaw.
Should you require, i can upload screenshots of by CBCT and X-rays for your reference.
My general health is decent, with no conditions.