Root Tip Cyst Removal | Periapical Cyst Treatment in Bangalore

About the Condition

What Is a Periapical Cyst?

A periapical cyst is a fluid-filled sac that forms at the tip of a tooth root, most often as a long-term consequence of an infected or dead tooth nerve. It typically appears as a round, dark area at the root tip on a dental X-ray and may go completely unnoticed until a routine scan.

Left untreated, a periapical cyst can slowly grow, damaging the surrounding jawbone and threatening neighbouring teeth. At PRALASH, we diagnose these cysts early with digital X-rays and treat them with the most conservative option possible to preserve your natural tooth.

Step-by-Step

How Periapical Cyst Treatment Works

Diagnosis & X-ray

A digital RVG X-ray (or OPG for larger lesions) confirms the cyst's size, location and involvement with nearby structures.

Source Control

Root canal treatment or retreatment removes the infected nerve tissue that is feeding the cyst — the essential first step in most cases.

Monitoring or Surgery

Small cysts are monitored to heal after RCT. Larger or persistent cysts are treated surgically via apicoectomy or enucleation.

Biopsy (If Needed)

Surgically removed cyst tissue may be sent for biopsy to confirm the diagnosis and rule out other pathology.

Healing Review

Follow-up X-rays over the following months confirm that the bone around the root tip is healing and refilling normally.

Treatment Options

Types of Periapical Cyst Treatment

Non-Surgical (RCT / Retreatment)

Removing the infection source through root canal treatment often allows small cysts to heal on their own over time.

Apicoectomy

A minor surgical procedure to remove the infected root tip and cyst tissue when non-surgical treatment alone isn't enough.

Cyst Enucleation

Complete surgical removal of the cyst lining, typically used for medium to large cysts to prevent recurrence.

Marsupialization

For very large cysts, a small opening is created to decompress the cyst gradually before final removal.

Transparent Pricing

Periapical Cyst Treatment Cost in Bangalore

Cost depends on cyst size, complexity and whether surgery is needed. Full quote after X-ray review.

Non-Surgical (RCT)

₹8,000 – ₹15,000

Root canal treatment or retreatment to eliminate the infection source.

Apicoectomy / Enucleation

₹12,000 – ₹25,000

Minor surgical removal of the cyst and infected root tip.

Biopsy

₹1,500 – ₹3,000

Lab analysis of removed tissue to confirm diagnosis.

Why PRALASH?

Why Choose Us for Cyst Treatment?

Experienced Endodontists

Skilled at diagnosing and treating periapical pathology while prioritising saving your natural tooth.

Precise Digital Imaging

Digital RVG X-rays accurately map cyst size and root anatomy for reliable treatment planning.

Conservative Approach

We always attempt non-surgical resolution first, reserving surgery for cases that truly need it.

Clear Follow-Up Care

Scheduled review X-rays track healing so you know your treatment has genuinely succeeded.

Comparison

Periapical Cyst vs Abscess vs Granuloma

Factor	Periapical Cyst	Dental Abscess	Granuloma
Nature	Fluid-filled sac	Acute pus collection	Chronic inflamed tissue
Pain Level	Often none	Severe	Mild or none
Onset	Slow, months–years	Rapid, days	Slow, chronic
Typical Treatment	RCT ± surgery	Drainage + RCT/antibiotics	RCT, monitored

Cyst treatment is closely linked to Root Canal Treatment and Laser-Assisted RCT — explore these for related endodontic care.

FAQ

Frequently Asked Questions

A periapical cyst is a fluid-filled sac that forms at the tip of a tooth's root, usually as a result of long-standing infection from a dead (necrotic) nerve. It often shows up as a dark, round shadow on a dental X-ray around the root tip.

It develops when bacteria from an untreated cavity, a cracked tooth, or a failed root canal infect and kill the tooth's nerve. The body's chronic inflammatory response to this infection can form a cyst at the root tip over months to years.

Periapical cysts are benign (non-cancerous) and very common. However, if left untreated for a long time, they can slowly enlarge and damage the surrounding jawbone and neighbouring teeth, so timely treatment is important.

Many periapical cysts cause no symptoms and are found incidentally on X-ray. When symptomatic, they may cause mild swelling, tenderness on biting, or a dull ache near the affected tooth. Large cysts can cause visible facial swelling.

Yes, many small to moderate cysts resolve with root canal treatment (or retreatment) alone, once the source of infection is removed. Larger or persistent cysts may require a minor surgical procedure such as apicoectomy or enucleation.

Not necessarily. Most periapical cysts can be treated while saving the natural tooth through root canal treatment or apicoectomy. Extraction is only considered if the tooth itself cannot be saved due to extensive damage.

Non-surgical treatment (RCT/retreatment) ranges from ₹8,000-₹15,000. Surgical options such as apicoectomy or cyst enucleation range from ₹12,000-₹25,000, depending on cyst size and complexity. Call +91 99005 17699 for an evaluation.

Periapical Cyst Treatment in Bangalore