Mineral trioxide aggregate: A review of the constituents and biological properties of the material

Department of Conservative Dentistry, Dental Institute, King's College London, London, UK. .
International Endodontic Journal (Impact Factor: 2.97). 11/2006; 39(10):747-54. DOI: 10.1111/j.1365-2591.2006.01135.x
Source: PubMed

ABSTRACT This paper reviews the literature on the constituents and biocompatibility of mineral trioxide aggregate (MTA). A Medline search was conducted. The first publication on the material was in November 1993. The Medline search identified 206 papers published from November 1993 to August 2005. Specific searches on constituents and biocompatibility of mineral trioxide aggregate, however, yielded few publications. Initially all abstracts were read to identify which fitted one of the two categories required for this review, constituents or biocompatibility. Based on this assessment and a review of the papers, 13 were included in the constituent category and 53 in the biocompatibility category. Relatively few articles addressed the constituents of MTA, whilst cytological evaluation was the most widely used biocompatibility test.

Download full-text


Available from: Josette Camilleri, Mar 19, 2014
372 Reads
  • Source
    • "For a clinical point of view MTA has a reasonable setting time (about 4 hours), it can be used in presence of moisture in the root canals. This property is important in teeth with necrotic pulp and inflamed periapical lesions because one of the problems found in these cases is the presence of exudate at the apex of the root [10] [12]. GIC strengthens the thinned out root canal walls in teeth with internal resorption and/or [table/Fig-4]: Microbiological culture: (a) Before (b) and after disinfecting the root canal space using 3-Mix antibiotic paste [table/Fig-5]: Perforation repair and apexification using MTA in 11 and endodontic treatment (Obturation) in 21[table/Fig-6]: GP stick (Roll cone) used for preparation for post space [table/Fig-7]: Tooth preparation to receive the full crown restoration [table/Fig-8]: Temporary crown placement [table/Fig-9]: Postoperative Photograph: Permanent crown placement on 11 and 21, 21 and 22 (Peg shaped lateral incisors) built to an aesthetic appearance "
    [Show abstract] [Hide abstract]
    ABSTRACT: Children are uniquely susceptible to craniofacial trauma. Injuries to the teeth occur often as a result of falls and sport activities. The pulp often gets infected after dental trauma resulting in to numerous complications. The authors present a case report of successful restoration of traumatized teeth with open apex which were weakened due to long standing infection and internal resorption. Initially antibiotic combination of 3- mix was used to disinfect the root canals. One tooth is treated with conventional endodontic treatment and the other tooth with open apex and perforation is managed by MTA apexification followed by canal reinforcement using glass ionomer cement and fiber reinforced composite post. Core build up is done using light cure composite resin followed by aesthetic crowns. The patient also presented with the peg shaped lateral incisors, which were built to an aesthetic appearance using light cure composite resins.
    Journal of Clinical and Diagnostic Research 08/2015; 9(8):ZD07-ZD09. · 0.23 Impact Factor
  • Source
    • "studies as a sealing pulp space barrier material in regenerative endodontics procedures [10] [11]. The main advantages of MTA are high biocompatibility, lack of cytotoxicity and carcinogenicity, antibacterial action, good sealing capacity, and radiopacity [12] [13] [14]. Furthermore, it has been shown to allow the adherence and proliferation of osteoblasts on its surface, whereas clinical studies have demonstrated that MTA could be used as a root-end filling material [15] [16] [17]. "
    [Show abstract] [Hide abstract]
    ABSTRACT: MTA, Bio-Oss, and dentin chips have been successfully used in endodontics. The aim of this study was to assess the adhesion and migration of dental stem cells on human pulp ceiling cavities filled with these endodontic materials in an experimental model, which mimics the clinical conditions of regenerative endodontics. Cavities were formed, by a homemade mold, on untouched third molars, filled with endodontic materials, and observed with electron microscopy. Cells were seeded on cavities' surface and their morphology and number were analysed. The phenomenon of tropism was assessed in a migration assay. All three materials demonstrated appropriate microstructures for cell attachment. Cells grew on all reagents, but they showed a differential morphology. Moreover, variations were observed when comparing cells numbers on cavity's filling versus the surrounding dentine disc. The highest number of cells was recorded on dentin chips whereas the opposite was true for Bio-Oss. This was confirmed in the migration assay where a statistically significant lower number of cells migrated towards Bio-Oss as compared to MTA and dentin chips. This study highlights that MTA and dentin chips have a greater potential compared to Bio-Oss regarding the attraction of dental stem cells and are good candidates for bioengineered pulp regeneration.
    BioMed Research International 05/2015; 2015. DOI:10.1155/2015/189872 · 2.71 Impact Factor
  • Source
    • "Duarte et al. observed low pH values, which could be related to the different methodology used in the experiment.36 MTA and PC-based cements are rich in calcium ions,14,37,18,26, which are converted to calcium hydroxide, upon contact with water, and dissociate into calcium and hydroxyl ions, increasing the pH of the solution.36 An immediate increase in pH after material immersion is due to the reaction that takes place when the cement comes into contact with water, resulting in a saturated calcium hydroxide solution.26 "
    [Show abstract] [Hide abstract]
    ABSTRACT: Objectives This study evaluated the solubility, dimensional alteration, pH, electrical conductivity, and radiopacity of root perforation sealer materials. Materials and Methods For the pH test, the samples were immersed in distilled water for different periods of time. Then, the samples were retained in plastic recipients, and the electrical conductivity of the solution was measured. The solubility, dimensional alteration, and radiopacity properties were evaluated according to Specification No. 57 of the American National Standards Institute/American Dental Association (ANSI/ADA). Statistical analyses were carried out using analysis of variance (ANOVA) and Tukey's test at a significance level of 5%. When the sample distribution was not normal, a nonparametric ANOVA was performed with a Kruskal-Wallis test (α = 0.05). Results The results showed that white structural Portland cement (PC) had the highest solubility, while mineral trioxide aggregate (MTA)-based cements, ProRoot MTA (Dentsply-Tulsa Dental) and MTA BIO (Ângelus Ind. Prod.), had the lowest values. MTA BIO showed the lowest dimensional alteration values and white PC presented the highest values. No differences among the tested materials were observed in the the pH and electrical conductivity analyses. Only the MTA-based cements met the ANSI/ADA recommendations regarding radiopacity, overcoming the three steps of the aluminum step wedge. Conclusions On the basis of these results, we concluded that the values of solubility and dimensional alteration of the materials were in accordance with the ANSI/ADA specifications. PCs did not fulfill the ANSI/ADA requirements regarding radiopacity. No differences were observed among the materials with respect to the pH and electrical conductivity analyses.
    08/2014; 39(3):201-9. DOI:10.5395/rde.2014.39.3.201
Show more