(A) Mild swelling in the area of a periapical cyst. (B) A mucoperiosteal f lap is elevated from around the necks of teeth, and a burr is used to remove thinned cortical bone overlying the cyst. Care is taken to prevent rupturing of cystic contents during this and the following steps. (C–D) A spoon-type curette is used to strip the cyst from bone. Note that the concave side of the curette is kept in contact with the bone. The convex surface is the working end of the instrument. (E) Closure.