Dr. Mark Irving

Enucleation of Cystic Lesions

Enucleation of cystic lesions is a specialised surgical procedure aimed at the complete removal of abnormal cysts that can develop within the jaws or surrounding oral tissues. These cysts, if left untreated, may cause discomfort, infection, or damage to adjacent teeth and bone. This procedure involves carefully excising the entire cyst to minimise the risk of recurrence and to preserve healthy tissue. We recognise that the discovery of a cyst can be unsettling, which is why our focus is on delivering clear guidance, skilled surgical care, and ongoing support, helping each patient navigate treatment with confidence and ensuring the best possible outcome for their oral health.

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Why is it done?

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After careful assessment, I might recommend enucleation of a cystic lesion when a cyst develops within the jawbone or surrounding oral tissues. Cysts can form for various reasons—including developmental anomalies, infections, or as a response to chronic irritation—and, while many are benign, they can gradually enlarge over time. If left untreated, these lesions can grow and weaken the jaw, exert pressure on nearby teeth, or even cause pain and swelling.

The main reason for performing enucleation is to fully remove the cystic lesion before it causes further issues. As cysts grow, they can displace or loosen teeth, erode bone, and, in some cases, become infected or form abscesses. By surgically removing the entire cyst, I aim to reduce the chance of it coming back and to safeguard the surrounding healthy tissue.

Timely treatment is also vital for maintaining oral function and avoiding the need for more invasive surgery later on. Enucleation is a precise, controlled procedure that allows me to directly and effectively address the issue, often with minimal impact on the surrounding bone and teeth. In most cases, early intervention means quicker recovery and better long-term results.

Above all, my priority is to manage any abnormality within the jaw or oral cavity safely and effectively. I understand that finding a cyst can be worrying, so I am dedicated to providing clear explanations, compassionate support, and the highest standard of care throughout your treatment and recovery.

Key areas of Enucleation of Cystic Lesions include:

Comprehensive Assessment and Diagnosis

Dr Irving begins by conducting a thorough assessment, which typically includes clinical examination and detailed imaging such as X-rays or CT scans. This step is essential for accurately identifying the size, location, and nature of the cystic lesion, as well as planning the most appropriate surgical approach.

Surgical Removal of the Cyst

The core of the procedure involves the complete surgical removal (enucleation) of the cystic lesion from the jawbone or surrounding tissues. Dr Irving carefully excises the entire cyst, ensuring that no residual tissue remains that could contribute to recurrence, while preserving as much healthy bone and adjacent structures as possible.

Management of Surrounding Tissue and Healing

Following cyst removal, Dr Irving inspects the area for any damage or infection and takes measures to support optimal healing. This may include smoothing the bone, cleaning the surgical site, and, in some cases, placing bone graft material to promote regeneration and stability.

Postoperative Care and Monitoring

After the procedure, Dr Irving provides detailed postoperative instructions and schedules follow-up appointments to monitor healing and check for any signs of recurrence or complications. Ongoing care is a vital part of ensuring successful recovery and long-term oral health following enucleation.

Post-Op Care

Please use the following information as a general guideline. If you have any concerns after surgery, please get in touch with Dr. Irving's office at (02) 9890 1822.

Important

You should reach out to your surgeon, general practitioner, or the nearest accident and emergency department if you experience any of the following issues:

  • Severe pain that is not relieved by the recommended medication

  • Ongoing bleeding

  • Any other significant problems following the operation

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