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dc:titleApical root-end filling with tricalcium silicate-based cement in a patient with diabetes mellitus: A case report
dc:creatorBiočanin, Vladimir
dc:creatorMilić, Marija
dc:creatorVučetić, Milan
dc:creatorBaćević, Miljana
dc:creatorVasović, Dina
dc:creatorŽivadinović, Milka
dc:creatorĆetković, Dejan
dc:creatorĆalasan, Dejan
dc:creatorBrković, Božidar
dc:subjecttricalcium silicate cement
dc:subjecttype 2 diabetes
dc:subjectdiabetic peripheral neuropathy
dc:subjectapicoectomy
dc:subjectperiapical healing
dc:subjectcentral incisors
dc:subjectpostoperative pain
dc:descriptionIntroduction: The material used for root-end filling has to be biocompatible with adjacent periapical tissue and to stimulate its regenerative processes. Tricalcium silicate cement (TSC), as a new dental material, shows good sealing properties with dentin, high compression strengths and better marginal adaptation than commonly used root-end filling materials. Although optimal postoperative healing of periapical tissues is mainly influenced by characteristics of end-root material used, it could sometimes be affected by the influence of systemic diseases, such as diabetes mellitus (DM). Case report: We presented apical healing of the upper central incisor, retrofilled with TSC, in a diabetic patient (type 2 DM) with peripheral neuropathy. Standard root-end resection of upper central incisor was accompanied by retropreparation using ultrasonic retrotips to the depth of 3 mm and retrofilling with TSC. Post-operatively, the surgical wound healed uneventfully. However, the patient reported undefined dull pain in the operated area that could possibly be attributed to undiagnosed intraoral diabetic peripheral neuropathy, what was evaluated clinically. Conclusion: Although TSC presents a suitable material for apical root-end filling in the treatment of chronic periradicular lesions a possible presence of systemic diseases, like type 2 DM, has to be considered in the treatment outcome estimation.
dc:publisherMilitary Health Department, Ministry of Defance, Serbia
dc:date2016
dc:typeinfo:eu-repo/semantics/article
dc:typeinfo:eu-repo/semantics/publishedVersion
dc:identifierhttps://stomatoloskifakultet.rs/nauka/publikacija/299
dc:identifierDOI 10.2298/vsp150606137b
dc:identifierISSN 0042-8450
dc:sourceVojnosanitetski pregled 73(12): 1173-1177
dc:languageen
dc:rightsinfo:eu-repo/semantics/closedAccess
dc:rightsSva prava zadržana