Mineral Trioxide Aggregate

Aim  To compare the major constituents present in ProRoot mineral trioxide aggregate (MTA), ProRoot MTA (tooth coloured formula), ordinary Portland cement and white Portland cement using powder X-ray diffractometery.Methodology  X-ray diffractometery of the four materials was carried out with the divergence and scatter slits set at 1° and the receiving slit at 0.10 mm. The scan range was set at 5–70° and continuous scans for the θ–2θ range were run with a scan speed of 2° min−1. The patterns obtained were then compared with the Powder Diffraction Files (PDF) found in the International Centre for Diffraction Data database. The three strongest peaks were used for the identification of the constituents. The relative intensities were plotted against the angle 2θ and compared with the plots in the PDF.Results  The main constituents were found to be tricalcium silicate, tricalcium aluminate, calcium silicate, and tetracalcium aluminoferrite in all the four cements with the additional presence of Bi2O3 in ProRoot MTA and ProRoot MTA (tooth coloured formula).Conclusions  The four cements had similar major constituents. Data on Portland cement may be used for the further development or modification of ProRoot MTA in order to improve its physical characteristics and expand its scope of clinical applications.

Diversos refinamientos de la técnica quirúrgica de apicectomía han propiciado que su tasa de éxito haya aumentado de modo considerable. Se revisa la bibliografía científica para determinar cuáles de estos procedimientos son superiores. Se realiza un protocolo que aúna racionalmente esas técnicas, con lo que así se optimiza el resultado final de la intervención.Diverse refinements of the apicoectomy surgical technique have considerably increased the success rate of the procedure. The scientific literature was reviewed to identify the most relevant procedures for the final outcome of surgery. A protocol was prepared to facilitate the rational selection of technique, thus optimizing the surgical outcome.

Summary Mineral Trioxide Aggregate was introduced in the market in 1998 to seal communications between the inside of the teeth and their external surface. Many studies have been developed to demonstrate MTA's multiple properties and advantages in the odontologic field. MTA's characteristics, properties, and applications are described in the following clinical case done at the UIC

The emergence of Mineral Trioxide Aggregate (MTA) as endodontic repair filling material has generated a lot of interest due to its superior sealing ability and biocompatibility. Although MTA possesses superior sealing ability to traditional endodontic repair filling materials, such as calcium hydroxide, but it has poor handling characteristics. A novel endodontic repair filling materials with similar chemical composition, but improved handling characteristics, was recently developed. Recently, BioAggregate repair filling materials is claimed as biocompatible material and promotes cementogenesis and forms a hermetic seal inside the root canal. More recently, Biodentine and EndoSequence endodontic repair materials introduced to the market. Both materials have recommended for perforation repair, apical surgery, apical plug, and pulp capping. This article focused about physical properties of endodontic repair filling materials. - See more at: http://www.sciencedomain.org/abstract.php?iid=461&id=12&aid=3984#.U2X0_HZTV14

The aim of this study was to compare mineral trioxide aggregate (MTA) with calcium hydroxide [Ca(OH)2] clinically and radiographically as materials used to induce root-end closure in necrotic permanent teeth with immature apices (apexification). Fifteen children, each with at least 2 necrotic permanent teeth requiring root-end closure (apexification), were selected for this study. All selected teeth were evenly divided into 2 test groups. In group 1, the conventional calcium hydroxide apexification (control) was performed, whereas in group 2, the MTA apexification (experimental) was done. The children were recalled for clinical and radiographic evaluations after 3, 6, and 12 months. The follow-up evaluations revealed failure due to persistent periradicular inflammation and tenderness to percussion detected at 6 and 12 months postoperative evaluation in only 2 teeth treated with Ca(OH)2. The remaining 13 teeth appeared to be clinically and radiographically successful 12 months postop...

One of the aims of a root-end filling material placed in an apicectomy treatment is to provide apical seal that can inhibits the coronary migration of antigens to perirradicular tissues. Many materials are used for this end; however, to date there has not been any material that satisfies all the requirements of an ideal material. With the purpose of making

Despite the good clinical performance of MTA cement, some of its negative features must be considered. These deficiencies justify the research and development of new materials with adequate physico-mechanical and biological properties, such as calcium aluminate-based cements. Calcium aluminate based-cements have a great potential in the dental area due to their biological compatibility, mechanical strength and good physico-chemical properties. The aim of this article was to perform a comprehensive literature review regarding the development, composition, properties and application of calcium aluminate-based cements in dental area, mainly in endodontic therapy. The use of this type of cement in dentistry has increased considerably in the last years, as the number of studies evaluating its properties.

The aim of this in vivo study was to compare the response of periradicular tissues to mineral trioxide aggregate (MTA) and calcium-enriched mixture (CEM) cement as root-end fillings and to analyze hard tissue healing after periradicular surgery. Intentional periradicular lesions were induced in 32 premolar teeth in 4 beagle dogs. The root canals were prepared, dried, and obturated with laterally condensed gutta-percha with sealer, and the coronal access cavities were filled with amalgam. After surgical exposure of the apices, 2-3 mm of the apical root was resected, and root-end cavities were ultrasonically prepared. The root-end cavities were randomly filled with MTA or CEM cement. After 2 months, the animals were killed; tissue blocks were removed and prepared for histologic examination. Hard tissue healing including cementum and new bone formation in addition to concentration and extent of inflammation were evaluated. Eight samples were excluded. The major finding was the cementum...

Purpose: The purpose of this study was to compare mineral trioxide aggregate (MTA) with calcium hydroxide (Ca(OH)2) clinically and radiographically as a pulpotomy agent in immature permanent teeth (apexogenesis). Methods: Fifteen children, each with at least 2 immature permanent teeth requiring pulp- otomy (apexogenesis), were selected for this study. All selected teeth were evenly divided into 2 test groups. In

Recently, regular and white mineral trioxide aggregate (MTA) are being used in Dentistry as retrofilling materials. Genotoxicity and cytotoxicity tests form an important part of cancer research and risk assessment of potential carcinogens. Thus, the goal of this study was to examine the genotoxicity and cytotoxicity of regular and white MTA in vitro by the single cell gel (comet) assay and trypan blue exclusion test, respectively. Mouse lymphoma cells were exposed to two presentation forms of MTA at final concentrations ranging from 1 to 1,000 microg/mL for 3 h at 37 degrees C. The results showed that both compounds tested did not produce genotoxic effects at all concentrations evaluated. Likewise, no statistically significant differences (p > 0.05) were observed in cytotoxicity. Taken together, our results suggest that regular and white MTA are not genotoxins and are not able to interfere in cellular viability as assessed by single cell gel (comet) assay and trypan blue assay, r...

Primary teeth pulp exposures have traditionally been treated with formocresol or ferric sulphate pulpotomies or calcium hydroxide pulp capping. The aim of this study was to observe the tissue response when mineral trioxide aggregate (MTA) was used. Ten primary teeth had direct pulp caps and 11 had a pulpotomy with MTA. The teeth were restored and then clinically reviewed monthly for five months and before extraction. Radiographs were taken prior to treatment, after one month and prior to extraction. After extraction, the teeth were examined histologically and the responses to treatment were assessed. One pulpotomy and two pulp capping cases had postoperative pain and signs of pulp degeneration. Radiographs showed no root resorption, no periodontal pockets and no furcation radiolucencies. No cases had draining sinuses or increased mobility. Most pulps responded favourably from a clinical perspective although a variety of responses were noted histologically--normal odontoblasts, irregular odontoblasts, intra-pulpal calcifications, dentinal bridges, cementum formation, internal resorption, inflammatory infiltrate and pulp necrosis. The responses of pulps in primary teeth to MTA pulpotomies and pulp caps were favourable from clinical and radiographic perspectives although a variety of histological responses were noted. MTA may be a favourable material for pulp capping and pulpotomies in primary teeth.