Issue: Vojnosanit Pregl 2016; Vol. 73 (No. 12)

Apical root-end filling with tricalcium silicate-based cement in a patient with diabetes mellitus: A case report

Authors:
Vladimir Biočanin, Marija Milić, Milan Vučetić, Miljana Baćević, Dina Vasović, Milka Živadinović, Dejan Ćetković, Dejan Ćalasan, Božidar Brković

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Introduction. 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 seal-ing properties with dentin, high compression strengths and better marginal adaptation than commonly used root-end filling materials. Although optimal postoperative heal-ing of periapical tissues is mainly influenced by character-istics of end-root material used, it could sometimes be af-fected by the influence of systemic diseases, such as diabe-tes mellitus (DM). Case report. We presented apical heal-ing 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. How-ever, the patient reported undefined dull pain in the oper-ated area that could possibly be attributed to undiagnosed intraoral diabetic peripheral neuropathy, what was evalu-ated clinically. Conclusion. Although TSC presents a suit-able material for apical root-end filling in the treatment of chronic periradicular lesions a possible presence of sys-temic diseases, like type 2 DM, has to be considered in the treatment outcome estimation.