J Korean Acad Conserv Dent.  2010 May;35(3):149-151. 10.5395/JKACD.2010.35.3.149.

Mineral trioxied aggregate and its substitutes

• Cho YB

• KMID: 2294340
• DOI: http://doi.org/10.5395/JKACD.2010.35.3.149

Abstract

Since its introduction in 1993, Mineral Trioxide Aggregate (MTA) has been shown to be superior to others in sealing, biocompatibility, and many other aspects of clinical endodontics. MTA is primarily Portland cement with bismuth oxide as a radiopacitifier. Although some studies suggested that the reasonable-priced Portland cement could be used instead of MTA, but MTAs are different from Portland cement in its composition, especially in heavy metal contents. Therefore, clinicians should be meticulous adapting the Portland cement as a MTA substitute.

Keyword

MTA; Portland cement; White MTA; Biocompatibility; Root-end filling

MeSH Terms

Aluminum Compounds
Bismuth
Calcium Compounds
Drug Combinations
Endodontics
Glutamates
Guanine
Oxides
Silicates
Pemetrexed
Aluminum Compounds
Bismuth
Calcium Compounds
Drug Combinations
Glutamates
Guanine
Oxides
Silicates

Reference

1. Kakehashi S, Stanley HR, Fitzgeral RJ. The effects of surgical exposure of dental pulps in germ-free and conventional laboratory rats. Oral Surg Oral Med Oral Pathol. 1965. 20:340–349.

2. Hoen MM, Pink FE. Contemporary endodontic retreatments: an analysis based on clinical treatment findings. J Endod. 2002. 28:834–836.

3. Siqueira JF Jr, Rôças IN. Clinical implications and microbiology of bacterial persistence after treatment procedures. J Endod. 2008. 34:1291–1301.

4. Ng YL, Mann V, Rahbaran S, Lewsey J, Gulabivala K. Outcome of primary root canal treatment: systematic review of the literature: part 2-influence of clinical factors. Int Endod J. 2008. 41:6–31.

5. M Torabinejad DJ White . Tooth filling material and use. US Patent. number 5,769,638. 1995. 05.

6. Camilleri J. Characterization of hydration products of mineral trioxide aggregate. Int Endod J. 2008. 41:408–417.

7. Torabinejad M, Rastegar AF, Kettering JD, Pitt Ford TR. Bacterial leakage of mineral trioxide aggregate as a root-end filling material. J Endod. 1995. 21:109–112.

8. Torabinejad M, Hong CU, Pitt Ford TR, Kettering JD. Cytotoxicity of four root end filling materials. J Endod. 1995. 21:489–492.

9. Ferris DM, Baumgartner JC. Perforation repair comparing two types of mineral trioxide aggregate. J Endod. 2004. 30:422–424.

10. Menezes R, Bramante CM, Letra A, Carvalho VG, Garcia RB. Histologic evaluation of pulpotomies in dog using two types of mineral trioxide aggregate and regular and white Portland cements as wound dressings. Oral Surg Oral Med Oral Pathol Oral Radiol Endod. 2004. 98:376–379.

11. Holland R, de Souza V, Nery MJ. Reaction of rat connective tissue to implanted dentin tubes filled with a white mineral trioxide aggregate. Brazilian Dental Journal. 2002. 13:23–26.

12. Bozeman TB, Lemon RR, Eleazer PD. Elemental analysis of crystal precipitate from gray and white MTA. J Endod. 2006. 32:425–428.

13. Saidon J, He J, Zhu Q, Safavi K, Spangberg LSW. Cell and tissue reactions to mineral trioxide aggregate and Portland cement. Oral Surg Oral Med Oral Pathol Oral Radiol Endod. 2003. 95:483–489.

14. de Morais CAH, Bernardineli N, Garcia RB, Duarte AH, Guerisoli DMZ. Evaluation of tissue response to MTA and Portland cement with iodoform. Oral Surg Oral Med Oral Pathol Oral Radiol Endod. 2006. 102:417–421.

15. Abdullah D, Pitt Ford TR, Papaioannou S, Nicholson J, McDonald F. An evaluation of accelerated Portland cement as a restorative material. Biomaterials. 2002. 23:4001–4010.

16. Islam I, Chng HK, Yap AUJ. Comparison of the physical and mechanical properties of MTA and Portland cement. J Endod. 2006. 32:193–197.

17. Primus CM. Comments on "arsenic release provided by MTA and Portland cement" by Duarte MA. Oral Surg Oral Med Oral Pathol Oral Radiol Endod. 2006. 101:416–417.