How does mineral trioxide aggregate work?

The mineral trioxide aggregate (MTA) is a dental material with biocompatibility properties to oral and dental tissues. MTA was developed for dental root repair in endodontic treatment and it is formulated from commercial Portland cement, combined with bismuth oxide powder for radiopacity.

How is MTA placed?

The MTA powder is mixed with sterile water, and the mixture is placed in contact with the exposure using a Dovgan carrier (Figure 2). Compress the mixture against the exposure site with a moist cotton pellet. Place a moist cotton pellet over the MTA and fill the rest of the cavity with a temporary filling material.

How do you use MTA?

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What is the composition of mineral trioxide aggregate?

Mineral trioxide aggregate (MTA) is composed of Portland cement, with 4:1 addition of bismuth oxide added so that the material can be detected on a radiograph. The cement is made up of calcium, silicon and aluminium. The main constituent phases are tricalcium and dicalcium silicate and tricalcium aluminate.

What is MTA made of in dentistry?

MTA is a powder that consists of fine hydrophilic particles that sets in the presence of moisture. The ingredients are tricalcium silicate, bismuth oxide, dicalcium silicate, tricalcium silicate, tetracalcium, aluminoferrite and calcium sulfate dihydrate (gypsum).

Mineral trioxide Aggregate - MTA - restorative dentistry - Handwritten notes

What is the difference between MTA and 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.

Does MTA bond to tooth?

Nowadays, the material that offers the best sealing characteristic in the field of endodontic treatment is the mineral trioxide aggregate (MTA), nevertheless, this material necessities an adhesive bonding agent to perfectly join to the dental surface.

What are the advantages of MTA?

MTA has the advantage of being less soluble than calcium hydroxide and offers an enhanced seal due to its setting expansion which hermetically seals the pulp space, preventing bacterial contamination from the outside.

Do you cure MTA?

Light-curable and dual-cure MTA products contain resins which dilute and inhibit the MTA's bioactivity. Resins never cure 100%. Uncured resin leaves cytotoxic monomers in the MTA-resin matrix and in contact with the pulp. Resins shrink during curing; they are not dimensionally stable.

Does MTA dissolve?

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

How long does it take for MTA to set?

It has been reported that MTA sets slowly approximately 3-4 hours in clinical conditions (3, 25). Long setting time of MTA can cause clinical problems.

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.

How does MTA work dental?

The MTA will provide structure and strength to the tooth by replacing the resorbed tooth structure. In external resorption, after root canal therapy is performed, the flap is raised over the tooth and the defect removed from the root surface with a round bur.

How do you remove the MTA from a canal?

Removal of MTA from dentin by applying 37% hydrochloric acid (HCl) to reduce microhardness and push-out bond strength.

What is MTA 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. But, discoloration following MTA pulpotomy appears as a major clinical complication.

Can MTA be used in indirect pulp capping?

Indirect pulp capping accompanying complete caries removal exhibited a satisfactory success rate in the treatment of deep carious lesions. Both Ca(OH)₂ and MTA were found to be clinically effective at 24 months posttreatment.

What does MTA do to pulp?

The researchers have reported that MTA induces proliferation of pulp cells,41, 42 it stimulates osteoblasts to release interleukins⁴ with formation of hard tissue,⁴³ and an interface with the dentin that is very similar in composition to the hydroxyapatite.

Do you light cure MTA?

To protect the MTA during its setting, a light cured glass ionomer (Fuji 2 LC GC America, Alsip, IL) is injected precisely over the MTA site with a Skini Syringe and Endo-Eze canula (Ultradent/Clinical Research Dental) (Figs.

Can we do obturation with MTA?

It is clear that MTA resists bacterial leakage to a higher degree than gutta-percha and sealer when used as an obturation material. These findings also demonstrate that the placement of MTA is technique-sensitive, and protocols for proper obturation and condensation must be observed.

Is MTA toxic?

At the 24-hour period, white MTA produced the lowest toxicity, statistically comparable to the control group (p > 0.05), whereas the white and gray CER cements presented the highest cytotoxic effects on the fibroblast-like MDPL-20 cells.

What is the pH of set MTA?

pH. Hydrated MTA has an initial pH of 10.2, which rises to 12.5 (similar to calcium hydroxide) 3 hours after mixing and following setting. The high pH is theorized to be responsible for the antimicrobial action and biological activity of the material.

How does MTA bond to dentin?

E.g. after placement of MTA on dentine, hydroxyapatite crystals nucleate and grow, filling the microscopic space between MTA and the dentine surface. Initially this seal is mechanical. Over time, the reaction between hydroxyapatite and dentine leads to a chemical bonding [19].

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.

Why do we use calcium hydroxide in direct pulp capping?

Calcium Hydroxide Cavity Liners

Calcium hydroxide cements are used for lining specific areas of deep cavities or for direct pulp capping. The antibacterial action of calcium hydroxide makes these cements useful in indirect pulp-capping procedures involving carious dentin.