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A dental cyst is a cavity in the bone at the apex of the tooth root, often without symptoms. The approach is chosen based on imaging: observation, root canal treatment, surgery, or tooth extraction. Diagnosis includes examination and X-ray or CT. The decision is made by the doctor based on the size of the formation, the condition of the root, and the bone tissue.
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What determines the cost
The cost of dental cyst removal depends on the location of the formation, its size, the condition of the root, and the chosen method. Whether the tooth is preserved or removed together with the cyst also matters. The exact amount is given after examination and imaging.
The method determines what happens to the cyst lining and to the tooth itself, so it is discussed before surgery.
The cyst lining is removed entirely along with its contents, while the tooth is preserved; this is often done together with apicoectomy if the cyst is connected to the root apex. Unlike cystotomy, the lining does not remain in the bone. The doctor considers this method when the root can be treated and the size of the formation allows it to be removed in a single procedure.
The cyst is not excised entirely; instead, it is opened and the pressure of its contents is relieved: the cavity communicates with the mouth, and the surrounding bone gradually regenerates while the formation shrinks. This distinguishes the method from cystectomy, in which the lining is removed at once. The doctor considers it for a large cyst near important structures — the mandibular canal or the maxillary sinus.
The tooth is removed together with the cyst, after which the socket is cleaned by curettage, removing remnants of the lining. Unlike the other two methods, the tooth is not preserved here. The doctor considers this option when the root is destroyed, a crack makes it impossible to save, or root canal retreatment offers no hope; the defect is then planned to be restored.
A cyst is a cavity in the jawbone with a dense lining and fluid contents. It grows slowly and often produces no symptoms. The approach depends on the clinical picture, and the dentist makes that decision.
The cyst lining is made of connective tissue and is lined on the inside with epithelium. The cavity is filled with fluid that accumulates gradually. In most cases, the formation is connected to the root apex: it grows from the canal where there was once a focus of inflammation. This connection is not always direct. Sometimes the cavity lies next to the root but does not communicate with it. In that case, a different origin of the formation is considered. As it grows, the cyst presses on the surrounding bone. The bone resorbs, giving way to the cavity. Its walls thicken, forming a clear contour. On an X-ray, this appears as a rounded radiolucency with smooth edges. Sizes vary: from a few millimeters to large cavities that involve neighboring teeth. How the formation behaves further depends on its location and size. The dentist decides from the X-ray whether a CBCT scan is needed to clarify the borders.
All three conditions are associated with inflammation at the root apex, but they behave differently. The difference is visible on an X-ray and affects the choice of treatment.
| Feature | Cyst | Granuloma | Periodontitis |
|---|---|---|---|
| Shape of the focus | rounded, with clear edges | rounded, without a capsule | widening of the periodontal ligament space at the apex |
| Size | usually 5 mm or more | up to 5 mm | ligament space wider than normal |
| Contours | smooth, dense lining | blurred | no clear border |
| Complaints | often none | sometimes a dull ache | pain when biting |
| Reaction to cold | none | none | none |
| Condition of the gum | a fistula is possible | a fistula is possible | swelling, redness |
| What is seen on examination | usually nothing | usually nothing | pain on probing |
| Connection to the canal | focus at the apex | focus at the apex | canal is not filled |
To the naked eye, these conditions are almost indistinguishable. The gum may look normal, the tooth may not hurt, yet bone destruction is already underway at the root apex. That is why imaging is decisive: a CBCT scan shows the size of the lesion, its shape, and its connection to the canal. A cyst cannot be distinguished from a granuloma based on symptoms alone. The dentist also looks at how well the canal is filled and at the condition of the surrounding tissues. Sometimes the picture is mixed, and then the term cystogranuloma is used. Occasionally the lesion is found incidentally during preparation for prosthetics or treatment of an adjacent tooth. The question of whether surgery is needed is a separate matter, but that concerns treatment strategy rather than diagnosis. The diagnosis is made based on the full picture, not a single finding. Sometimes the lesion shrinks after root canal retreatment, and sometimes it does not — this depends on the clinical picture, and the dentist decides based on follow-up imaging.
Yes, recurrence is possible. The outcome depends on the clinical picture: how completely the lining was removed, what caused it, and how healing progresses. Sometimes the process returns in the same place, and sometimes a new cavity forms nearby.
The cyst lining is a connective tissue capsule that lines the cavity. If it is not removed completely, the remaining cells can start growing again. This is especially true when the capsule is fused to the root or the bone wall: the surgeon works through limited access, and some tissue remains. Recurrence is also possible if the underlying cause persists. If the tooth remains a source of infection and the canal is not retreated, the inflammation returns. Sometimes a cyst arises from a cracked root — in that case, removing the lining does not solve the problem. The condition of the surrounding bone also matters: with a significant defect, healing is slower, and the cavity may fill with scar tissue rather than bone. This creates conditions for regrowth. The completeness of removal is assessed on postoperative imaging, but even with careful work the risk is not zero. The dentist decides based on imaging and the clinical picture.
Bone grafting is not a mandatory step after cyst removal. The decision depends on the size of the defect, its location, and whether an implant is planned in that area.
| Situation | What is done | Comment |
|---|---|---|
| Defect larger than 1 cm | Filled with material | The dentist decides based on imaging |
| Implant is planned | Grafting before placement | Timing depends on the picture |
| Cyst at the root apex | Sometimes no material is needed | Depends on the extent |
| Defect near an adjacent tooth | Assessed separately | Risk to the neighboring tooth |
| Multiple cysts | Individual approach | The surgeon decides |
The doctor examines the CT scan: the size of the cavity, the thickness of the walls, and the proximity to adjacent structures are important. If the defect is small and healing proceeds naturally, the material may not be needed. When planning implantation, the void is filled so that there is somewhere to place the screw. Sometimes it is enough to simply suture the socket and observe. The decision is made based on the clinical picture, not a template. The patient is explained the options and possible outcomes. If grafting is needed, it is done immediately or postponed for several weeks — it depends on the condition of the tissues. The general condition is also taken into account: chronic diseases, medication use, smoking. All of this affects how the bone will behave after the intervention. It is separately discussed that the material does not always take the first time. In some cases, it is added again. There are also cases when a small cavity heals on its own, and then unnecessary intervention is not needed. They also assess how convenient it will be to monitor the area: if access to it is difficult, the decision may change. The final choice remains with the doctor and the patient together.
Wisdom teeth are located at the end of the row, often tilted and pressing against their neighbors. Access to them is limited, and the roots can be curved. This is why the surgery has its specific features.
An impacted tooth has not erupted and remains in the jaw. A displaced tooth has erupted but grows at an angle or to the side. A cyst around such a tooth forms from the remnants of the tooth germ tissues or as a consequence of inflammation in the periodontal ligament. Proximity to the mandibular canal, maxillary sinus, and adjacent roots complicates the work: it is difficult to approach the lesion, and the volume of bone tissue around it is limited. From the images, they assess how close important structures pass and where the incision line will go. The CT scanner provides a layered picture, and the microscope helps to see the surgical field magnified. If the lesion is adjacent to a nerve or sinus, planning takes more time, and the course of the intervention depends on the clinical picture. Sometimes the cyst affects neighboring teeth, and then they decide what to do with them. The doctor decides based on the image.
The maxillary sinus is a cavity above the roots of the upper teeth. A cyst here grows in two different layers, and the approach to surgery depends on where exactly it formed.
An odontogenic cyst grows from the root of a tooth. The source is inflammation in the periodontal ligament or remnants of the tooth germ. The wall of such a cavity is connected to the apex of a specific tooth, and the image shows where it originated. A non-odontogenic cyst has nothing to do with teeth. It develops from the epithelium of the mucosal lining of the sinus itself. The causes vary: chronic inflammation, allergic background, impaired drainage from the ostium. The difference is fundamental. In the first case, the surgeon decides the fate of the source tooth: preserve it, treat the canals, or extract it. In the second, the dentition is not involved, and the work is done on the sinus wall. There can also be a mixed picture, when an odontogenic focus maintains inflammation in the sinus, and that in turn allows the cyst to grow. Then the scope of intervention is broader, and the doctor decides based on the image. In search queries, "maxillary sinus cyst" appears — this is the same maxillary sinus, named after the anatomist. It is not a different disease, just an established synonym.
In children, the tactics differ from those in adults. Next to a primary tooth lies the germ of a permanent tooth, and any intervention is planned with it in mind.
The follicle of the permanent tooth is located within the bone, often right next to the roots of the primary tooth. The cyst grows and displaces surrounding tissues, so not only its size but also the distance to the germ is assessed. In the upper jaw, follicles of adjacent teeth pass nearby, and the scope of the operation is kept within the affected area. In the lower jaw, the proximity of the inferior alveolar nerve canal is taken into account. If the cyst wall is adjacent to the germ, the surgeon works carefully, and in some cases chooses a wait-and-see approach: the primary tooth will fall out on its own, and access will become easier. The doctor decides based on the image. Computed tomography shows the spatial relationship of the formation, roots, and follicle, and without it, planning intervention in a child is risky. Sometimes the cyst resolves after treatment of the primary tooth, and surgery is not needed. In other cases, surgery is unavoidable, and then it is important not to damage the follicle membrane. Such damage risks impaired eruption or an enamel defect in the permanent tooth in the future. Therefore, the scope of intervention is always the minimum possible.
Diagnosis of a cyst relies on X-rays and CT, while removal relies on instruments that allow precise work with minimal trauma. Some methods clarify the boundaries of the formation, others help plan access, and the choice depends on the clinical picture.
In cyst surgery the laser is used not instead of the scalpel, but as a supplement. It is used to treat the cavity after removal of the lining: the beam vaporizes remnants of pathological tissue and disinfects the walls. This reduces the risk of regrowth, although the outcome depends on the clinical picture and is decided by the doctor based on the scan. The main work is done by other instruments. Curettes scrape the lining out of the bone cavity. Burs and handpieces are needed to gain access to the root apex. For apicoectomy, surgical burs and ultrasonic tips are used. The microscope and endoscopic optics help to see the surgical field in depth. Some procedures are performed through the root canal — then endodontic instruments and irrigation are used. The set depends on the size of the formation, its location and whether the tooth is being preserved. Sometimes removing the cyst is enough, sometimes apicoectomy is required. The decision is made after CT, not from a single X-ray.
On an X-ray, a cyst appears as a rounded radiolucency with well-defined borders at the root apex. A similar picture can be seen with a granuloma, with periodontitis, and with certain tumors. They cannot be distinguished from a single radiograph. A periapical X-ray is needed, sometimes a CT scan: it shows the volume, the thickness of the walls, and the relationship to adjacent structures. The decision is made by the doctor based on the image, not on the description of symptoms. A patient may feel nothing for months. A complaint of "nothing hurts" does not rule out the diagnosis. And conversely: pain does not prove a cyst. Sometimes the formation is found incidentally during routine diagnostics. That is when the next steps are discussed. The X-ray is repeated over time: sizes are compared, and it is checked whether the picture is changing. Without this, any decision will be a guess.
There is no single scenario. In one patient the tooth is preserved, in another it is removed — and this is not a contradiction, but different baseline data. The size of the formation, the condition of the root, cracks, tooth mobility, and proximity to the sinus or the mandibular canal all play a role. In a child, the buds of permanent teeth are taken into account. In the upper jaw, there is a risk of communication with the sinus. On a wisdom tooth, access and position matter. Sometimes the canal is treated first, then observed. Sometimes bone grafting is needed. Sometimes extraction is inevitable. The doctor decides based on the image and the clinical picture. A follow-up X-ray after some time shows whether healing is progressing. If the picture changes differently than expected, the plan is revised. That is why there is no universal answer to the question "what to do about a cyst."
We see patients daily from 9:00 to 20:00, including weekends. The clinic is in Astana, 11/1 Abay Avenue. Phone for appointments — +7 777 911 07 83. Initial examination and treatment plan — 0 ₸.
Address: Astana, 11/1 Abay Avenue. Parking for patients is free. Phone for appointments — +7 777 911 07 83. Appointments are available daily from 9:00 to 20:00.
Warranty from 3 years. Initial examination and treatment plan — 0 ₸. Appointments are available daily from 9:00 to 20:00.
0% installment plans: from Alatau City Bank for 24 months, from Kaspi for 12 months, and payment from the UAPF is available. Initial examination and treatment plan — 0 ₸. Appointments are available daily from 9:00 to 20:00. Phone for appointments — +7 777 911 07 83.
Initial examination and treatment plan — 0 ₸. There is no separate fee for the first visit. Warranty on the work — from 3 years. 0% installment plan: from Alatau City Bank for 24 months, from Kaspi — for 12 months, and payment from the UAPF is available.
Parking is free. The clinic is in Astana, 11/1 Abay Avenue. Appointments are available daily from 9:00 to 20:00. Phone for booking — +7 777 911 07 83.
The price is made up of the scope of the operation, the access method, the need to fill the canals, and whether the tooth is preserved or removed together with the cyst, as well as additional steps — an X-ray or CT scan, laser treatment, materials for filling the cavity, and, if the tooth is removed, subsequent replacement of the defect. That is why the exact amount is given by the doctor at the examination, after seeing the image and understanding which technique is suitable, and you can find approximate prices for procedures in the price section on this page. At the consultation, ask for a full estimate so there are no unexpected additional charges, and keep in mind that you can pay in installments: there is 0% financing from Alatau City Bank for 24 months and from Kaspi for 12 months, as well as payment from the UAPF. The initial examination and treatment plan cost 0 ₸, so the scope and order of the stages can be discussed before treatment begins.
The price of surgical extraction includes anesthesia, the surgeon's work, treatment of the socket and materials, as well as follow-up in the first days after the operation, and if the tooth is complex — tilted, destroyed, located near a nerve or the sinus — the procedure takes more time and requires additional instruments, which also affects the amount. X-rays and CT scans, if performed before the operation, and medications that the doctor may prescribe afterward are calculated separately. The final cost is given by the doctor at the examination, because it cannot be determined from the name of the procedure alone, and the initial examination and treatment plan cost 0 ₸. See the price section on the page and clarify the estimate at the consultation, where possible financing can also be discussed.
Not always: in many cases the cyst is removed while preserving the tooth itself, and tooth removal becomes a last resort, because the doctor looks at the X-ray or CT data and assesses the size of the formation, its location, the condition of the roots, and the bone tissue around the apex. If the root is passable and the tooth wall is intact, root canal treatment is considered first, followed by removal of the cyst through a small access in the bone, but when the destruction of the root or bone is too extensive, the tooth cannot be saved, and then it is removed together with the cyst lining. The decision is made by the surgeon at the examination, not from a description alone, so at the consultation ask to be shown the image and to explain the possible options. The initial examination and treatment plan cost 0 ₸, and this allows the situation to be discussed before the procedure.
The procedure itself is performed under local anesthesia, so there is no pain during the operation, but discomfort is possible afterward, once the anesthetic wears off. The doctor selects the type of anesthesia based on the scope of the procedure and the patient's condition: for a small incision, infiltration anesthesia is sufficient; for a more extensive procedure, a nerve block may be needed. If the person is anxious or a long procedure is expected, sedation is discussed, but this is a separate matter that the doctor decides based on indications. Inform the doctor in advance about any allergy to anesthetics, pregnancy, or medications that affect blood clotting — this changes the choice of drug and the approach.
You can make an appointment by phone at +7 777 911 07 83; the clinic is open daily from 9:00 to 20:00, and it is convenient to come to 11/1 Abay Avenue — parking is free. The initial examination and treatment plan cost 0 ₸, meaning that at the consultation you already understand what lies ahead and in what order: the doctor examines the oral cavity, refers you for a CT scan if necessary, explains the options — cyst removal with preservation of the tooth or complete tooth extraction — and gives the cost for your situation. Bring any images you have and a list of the medications you take. If you are in acute pain, mention this when booking: they will find you a time sooner.
Surgical treatment at the clinic carries a guarantee of 3 years or more, and this period is recorded in the documents after the procedure; the guarantee covers the doctor's work and the chosen technique, but it does not replace home care and follow-up examinations, because if you do not come in for check-ups and do not follow the instructions, healing may progress differently. Therefore, after the operation the doctor sets a date for an examination, sometimes a repeat image, and based on the results decides whether additional treatment is needed. It is best to clarify the guarantee terms at your appointment and keep the documents you are given. If pain, swelling, or an unpleasant odor from the socket appears, call without waiting for the scheduled visit.
A laser is used in the treatment of cysts, but not as a replacement for all methods: it is convenient for treating the canal and the cavity after removing the cyst lining, disinfecting the tissues and removing infected areas, and in some cases this makes it possible to avoid an incision in the gum, while sometimes the laser complements classic surgery. The advantages are more precise work in a narrow area and less damage to surrounding tissues, but the choice of method depends on the size of the cyst, its location, and the condition of the root. The doctor decides based on the image: if the formation is large or has grown into neighboring structures, the laser is not enough. Ask at the consultation which method is right for you and why; the initial examination and treatment plan cost 0 ₸.
After the operation, the doctor gives you instructions, and it is worth following them: do not apply heat to the cheek, do not rinse the socket during the first 24 hours, do not touch it with your tongue or fingers, and take the prescribed medications as directed. Food on the first day should be soft and not hot; physical exertion and saunas should be postponed; alcohol does not mix with antibiotics and painkillers. Mild pain and swelling in the first days are a normal reaction, but if the pain intensifies, fever develops, bleeding occurs, or numbness that does not go away appears, you need to contact the clinic. A follow-up examination is scheduled in advance, and it is important to attend it: the doctor assesses how the socket is healing and adjusts care if necessary.
Sometimes yes, and size is not the only criterion: what matters more is how well the root and the surrounding bone tissue are preserved and where the cyst extends. For a large formation, cyst removal with apicoectomy (root-end resection) is considered, and the canals are filled, including under a microscope, to see small branches; if the cyst has destroyed the root or grown into adjacent structures, preservation becomes risky, and the doctor may suggest tooth extraction followed by implantation. The decision is made based on a CT scan, not on a description or someone else's experience. At the consultation, ask to show the scan and explain which options are possible in your case and how they differ; the initial examination and treatment plan cost 0 ₸.
A cyst often grows unnoticed and is found by chance on an X-ray, but sometimes it makes itself known: aching pain when biting, a feeling of pressure, swelling of the gum or cheek, tooth mobility, bad breath, a fistula with discharge, and an acute flare-up is accompanied by severe pain and fever, in which case the visit cannot be postponed. If there are no such signs, but you have not seen a dentist for a long time and a dark formation is visible at the root on the X-ray, you should come for a consultation as a routine visit, because seeking help early leaves more options to save the tooth. You can make an appointment by phone +7 777 911 07 83, the clinic is open daily from 9:00 to 20:00, and the initial examination and treatment plan cost 0 ₸.
Another doctor said the extraction would be complicated, and I kept putting it off — a nitpick: we waited a little longer for the appointment, but Aset laid out the plan in detail. I had to have it removed, the tooth couldn't be saved anymore)
I had to have it removed, the tooth couldn't be saved anymore, by the third day I'd already forgotten about it, so far no complaints. They gave me the price right away, nothing was added at the end, I'm grateful for that too (I couldn't believe it myself). Parking is in the courtyard, I found a spot, as agreed. They gave me a memo and the doctor's phone number in case of questions. The administrator called back when she promised. The socket was stitched up, the bleeding stopped quickly, as agreed.
At first I just wanted to look and compare prices — I had my lower wisdom tooth removed, with no complications. Aset is a thorough doctor, attentive to the smallest details. I especially liked that they don't stay silent but talk through every step.
My cheek swelled up on Friday evening, and they took me in the same day. Strangely, I wasn't even tired after the appointment. They removed a wisdom tooth, it was lying horizontally, and the socket healed smoothly. They gave me the prices right away, and nothing was added at the end. Only one thing I didn't like: we waited a bit longer for the appointment...
I forced myself to make the appointment. Never regretted it once. The extraction took about twenty minutes.
I had to make it before the holidays. Erasyl answered my questions. I had my wisdom tooth removed, he told me the exact timeline and stuck to it. I am satisfied with the result.
My cheek swelled up on Friday evening, and they took me in the same day. Quick. The extraction took about twenty minutes, no complications. I'm one of those people who asks again three times — they were patient!
Had my wisdom tooth removed, it was lying horizontally. It healed within a week, no dry socket, I've already gotten used to the thought that it's all behind me. My previous experience was worse, I have something to compare it to..
I was afraid it would hurt. The tooth was removed, and every step was explained in advance. The next day they called to check on me. We just waited a little long in the queue. I'm satisfied.
Udivilo, chto vse pokazali na ekrane. . . Udalyali vosmerku, lezhala ona gorizontalno. Na voprosy otvechali i posle priema, v messendzhere, k etomu pretenziy net.
They removed my wisdom tooth (number eight); it was lying horizontally. The socket healed smoothly. They scheduled me at a convenient time, not 'come at nine and wait.' I'll come back for professional hygiene. They stitched the socket, and the bleeding stopped quickly, just as agreed. The contract and receipt were provided without me having to ask. The office is bright, the equipment is new, just as agreed. They answered my questions even after the appointment, via messenger. Sterility is visible; instruments were opened in front of me. Prices were given upfront, and nothing was added at the end. Shoe covers, a cup, a napkin — small things, but everything was in place.
My wisdom tooth came in sideways and was pressing on the neighboring tooth. I chose the clinic based on reviews. That was it. They removed the lower wisdom tooth and sent a follow-up memo via messenger. They took me right on time, no waiting. I booked my family here too. The hallway doesn't smell like a hospital, but something neutral — I'll note that separately. They gave me a memo and the doctor's phone number in case of questions.
Another doctor said the extraction would be complicated, so I kept putting it off. The extraction took about twenty minutes, and they sent the aftercare instructions via messenger. I haven't regretted it once. Erasyl laid out the plan in detail...
The extraction took about twenty minutes, and the installment plan was arranged on the spot, with no running around to banks. The swelling lasted two days and went down.
My previous doctor moved away, so I had to look for a new one, but I put it off until the last moment out of fear. That's what won me over. I had my wisdom tooth removed — it was lying horizontally — and they called me in for a check-up a week later.
It healed within a week, there was no dry socket, I compare it to what I had before. They removed a wisdom tooth, it was lying horizontally, I was called for a check-up in a week. I was scared until the very end. I recommend it. Sterility is visible, the instruments were opened in front of me. I have nothing to compare it to, but it felt like everything was done correctly. The contract and receipt were given without reminders, as agreed. The office is bright, the equipment is new.
Zub mudrosti lez bokom i davil na sosedniy. Tyanula s etim goda poltora. Prishlos udalyat, zub uzhe ne spasali, obezbolivayuschee pochti ne ponadobilos.
Had my lower wisdom tooth removed. By the third day I'd already forgotten about it. I'll say this: the recommendations they give here aren't just for show — that's a whole separate story —...
Udalyali vosmerku, lezhala ona gorizontalno. Bez nervov. Sterilnost na vidu, instrumenty vskryvali pri mne, i eto podkupaet. Otek derzhalsya dva dnya i soshel. Dogovor i chek vydali bez napominaniy, i eto podkupaet. Lunku zashili, krov ostanovilas bystro, otdelno eto otmechu. Pozvonili na sleduyuschiy den, sprosili pro otek, otdelno eto otmechu.
The extraction took about twenty minutes. Yerzhan showed everything on the X-ray. The hallway doesn't smell like a hospital, but of something neutral. It healed within a week, there was no dry socket, which is what I wanted. They messaged me the next day to ask how I was feeling. They scheduled me at a convenient time, without 'come at nine and wait.' I especially liked that they don't stay silent but explain every step. They arranged the installment plan on the spot, without running around to banks, as agreed. They gave me a memo and the doctor's phone number in case of questions, which I'd never had anywhere before. They saw me right on time, no waiting. They answered questions even after the appointment, via messenger, which I'd never had anywhere before...
At first I just wanted to look around and compare prices — I especially liked that they don't stay silent but explain every step. I was scared until the very last moment. Alicia knows her stuff. The extraction took about twenty minutes, they were quick. They gave me a memo and the doctor's phone number in case I had questions — a small thing, but nice.
I came here because it's close to home. They removed the tooth and warned me about every step in advance. Galiy explained everything.
I spent a long time choosing a clinic and read reviews all over the city, and the swelling lasted two days and went down. They removed a wisdom tooth, it was lying horizontally.
I made myself go. Had my lower wisdom tooth removed, no complications. Alicia showed me everything on the X-ray.
My wisdom tooth was coming in sideways and pressing on the neighboring tooth. I had to have it removed — it couldn't be saved anymore (my family laughed about it later at home). Let me put it this way: the recommendations they give here aren't just for show...
I needed a second opinion. It had to be extracted; the tooth couldn't be saved. They called me in for a check-up a week later. Honestly, I didn't expect that. In my opinion, the price is fair for that kind of work.
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