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After taking a radiograph to determine the exact localization and size of the lesion, a trapezoidal flap is created, whose extent must ensure adequate access and visualization of the surgical field After reflection of the mucoperiosteum, the bone covering the lesion is evaluated, which, as mentioned above, may be normal, thinned, or completely destroyed. In normal bone, a round bur is used to remove a portion of the buccal cortical plate covering the cyst, and, depending on its extent, a rongeur may be used to enlarge the osseous window created The osseous window must be large enough so that all parts of the cystic cavity may be accessed and removed without particular difficulty. If the bony wall is thinned or perforated, it is removed peripherally with a rongeur, until it reaches compact bone. A curette is used for enucleation of small cysts, while for larger cysts, the broad end of a periosteal elevator is preferred, which is placed inside the cavity pressing gently between the cystic wall and bone, while the cyst is carefully grasped with forceps After removal of the cysts, a curette is used to inspect the cavity for the presence of remnants of the cyst, and copious irrigation with saline solution and placement of PRF then suturing of the flap follow