Can we do obturation with MTA?

Abstract. Mineral trioxide aggregate (MTA) has emerged as a reliable bioactive material with extended applications in endodontics that include the obturation of the root canal space.

Can MTA be used for obturation?

Using MTA as the filling material in uncomplicated root canals is an acceptable treatment option for conventional obturation, patients with holistic treatment concerns and cases with extensive pathosis.

What is MTA obturation?

MTA canal obturation offers an innovative method to approach challenging endodontically involved teeth that may not respond using traditional filling materials and sealers when extensive pathosis is present.

Can MTA be used as root canal sealer?

MTA could be used as a root canal sealer with equal effectiveness compared with epoxy resin and zinc oxide eugenol sealers.

Why MTA is not used in Pulpectomy?

So because of these proprieties, MTA was our choice of root canal filling in this case. However, in other way, it presents drawbacks discoloration potential, the difficulty to be used in obturation of curved root canals, the impossibility of retreatment, and the high cost.

MTA Endodontics - Obturating a Canal w/ MTA

Can use MTA with pulpotomy?

MTA may be used as an alternative pulpotomy agent in immature teeth with pulp exposure to stimulate pulp healing with dentin bridge formation and complete root formation.

Where is MTA used?

MTA is used for creating apical plugs during apexification, repairing root perforations during root canal therapy, treating internal root resorption, and pulp capping.

What is MTA sealer?

MTA Bioseal is an endodontic root canal sealer based on Mineral Trioxide Aggregate. It is a double paste component that allows complete filling of all root canals including accessory and lateral ones.

What is Bioceramic sealer?

Bioceramic sealers are sealers those contain calcium silicate and/or calcium phosphate as their main compositions, i.e., Endosequence BC Sealer while Hybrid bioceramic sealers are resin-based root canal sealers or other root canal sealers those contain some bioceramic components, i.e., MTA Fillapex.

Is MTA a bioceramic?

The first-generation bioceramic or hydraulic cement introduced in endodontics is mineral trioxide aggregate (MTA) in the 1990s by Dr. M. Torabinejad. Hydraulic cements refer to a material that needs hydration to set and once set are impervious to dissolution in water.

Which is best root canal sealer?

Conclusion: Resin cement sealed the root canals significantly better when compared with zinc oxide eugenol and glass ionomer sealers.

What is EndoSequence BC sealer?

EndoSequence BC Sealer is a revolutionary premixed root canal sealer that utilizes new bioceramic nanotechnology. Unlike conventional base/catalyst sealers, BC Sealer utilizes the moisture naturally present in the dentinal tubules to initiate its setting reaction.

Can MTA be used for pulp capping?

MTA is a new and biocompatible biomaterial used for dental practice. It has been proved to be an excellent material for repairing of root perforations, apexification, root-end filling, repairing of root resorption and pulp capping.

Is MTA a liner or a base?

MTA provides a higher incidence and faster rate of reparative dentin formation without the pulpal inflammation. MTA Plus material is also indicated for base and liner in vital pulp therapy. In root-end filling after apicoectomy, the anti-washout agent (chitosan or gelatin) is useful to prevent from MTA washout.

What is MTA in endodontics?

Mineral trioxide aggregate (MTA), composed mainly of tricalcic silicate, tricalcic alluminate, bismuth oxide, is a particular endodontic cement. It is made of hydrophilic fine particles that harden in the presence of dampness or blood.

Which is better MTA or calcium hydroxide?

MTA is more effective and superior comparing the Calcium Hydroxide as a direct pulp capping material, showed higher success rate with favorable outcomes in maintaining long term tooth vitality and easier to use in pulp capping. MTA is less toxic, less pulpal inflammation capping compared to Calcium Hydroxide.

Can MTA be mixed with saline?

The high sealing ability of MTA in combination with normal saline has been supported by all these studies. Also our study proved the superiority of the combination of MTA with normal saline compared to 5% CaCl₂ and KY Jelly.

Does MTA dissolve?

Because MTA is alkaline in nature, it might interact with acids or chemicals and could disintegrate.

Does MTA resorb?

And yes, it does disappear after extrusion but takes a while. Most root canal filling sealers produce an initial acute inflammatory reaction in the connective tissues. This is followed by production of chronic foreign body reaction in which mononuclear phagocytes and lymphocytes are prominent.

What is MTA pulp therapy?

MTA was used as pulp-capping material after partial pulpotomy to preserve the vitality of the pulpal tissues in two cases. Follow-up examinations revealed that the treatment was successful in preserving pulpal vitality and continued development of the tooth.

What can I use instead of formocresol?

Formocresol has a long history of clinical success, but concern exists regarding its safety as a medicament for primary molar pulp therapy. Alternatives have been proposed: calcium hydroxide, with relatively poor outcome and glutaraldehyde, which has shown better success rates than the former.

What can be used instead of gutta-percha?

In the past 4 years, Resilon, and its other brand names Resinate (Figure 4) and RealSeal, have been shown to be an effective alternative to gutta-percha for filling the roots of endodontically treated teeth.

What is the best root canal filling material?

Zinc oxide-eugenol cement (ZOE) has long been used as a root canal filling material for deciduous teeth [5], and in a survey conducted in 1997 it was cited as the preferred root canal filling material by 94% of the chairpersons of predoctoral pediatric dental programs in the Unites States [6].