Revista de Odontologia da UNESP
https://revodontolunesp.com.br/article/588018ab7f8c9d0a098b4d6b
Revista de Odontologia da UNESP
Review Article

Properties and biological aspects of mineral trioxide aggregate: literature review

Propriedades e aspectos biológicos do agregado trióxido mineral: revisão da literatura

Mota, Cláudia Cristina Brainer de Oliveira; Brasil, Catarina da Mota Vasconcelos; Carvalho, Natalia Rabelo de; Beatrice, Lúcia Carneiro de Souza; Teixeira, Hilcia Mezzalira; Nascimento, Alexandre Batista Lopes do; Vicente Silva, Cláudio Heliomar

Downloads: 3
Views: 1131

Abstract

The ideal root canal sealer should present specific characteristics, as biological compatibility, appropriate marginal sealing, ability to allow or induce bone repair, and ease of manipulation and insertion. Mineral trioxide aggregate (MTA) was developed such a retro-sealer with better chemistry, physics and biological properties than materials that exist at the time, as amalgam, intermediate restorative material (IRM), and SuperEBA. Actually, MTA is used such a canal filling material to seal root apical, at drilling repair, and as a pulp capping agent; in addition, it is used
as a filling retrograde material. The purpose of this study was a literature review about mineral trioxide aggregate, comparing it to the main endodontic cements and retro-sealer materials available at market for root canal filling retrograde filling, analyzing its properties and biological characteristics. It was concluded MTA is a quite satisfactory retro-sealer material, in terms of its chemical-physical-biological properties, especially due to its biocompatibility, and potential actions do conduce and induce the repair of bone and cementum.

Keywords

MTA, root-end filling, pulp capping, periapical surgery, apical leakage.

Resumo

O material obturador ideal deve apresentar características específicas, como biocompatibilidade, selamento marginal adequado, capacidade de permitir ou induzir o reparo ósseo e facilidade de manipulação e inserção. O agregado trióxido mineral (MTA) foi desenvolvido como um material para obturação retrógrada com melhores propriedades químicas, físicas e biológicas do que os materiais existentes na época, como amálgama, material restaurador intermediário (IRM) e SuperEBA. Atualmente, o MTA é usado como material de preenchimento radicular no selamento apical, no reparo de perfurações e como agente de capeamento pulpar, além de ser usado como material de obturação retrógrada. O objetivo deste artigo foi realizar uma revisão da literatura acerca do agregado trióxido mineral, comparando-o com os principais cimentos endodônticos e materiais obturadores retrógrados disponíveis
no mercado para a retrobturação do sistema de canais radiculares, analisando suas propriedades e características biológicas. Concluiu-se que o MTA é um material obturador retrógrado bastante satisfatório do ponto de vista químico-físico-biológico, especialmente por sua biocompatibilidade e seu potencial de ação osteocondutora,
osteoindutora e cementocondutora.

Palavras-chave

MTA, obturação retrógrada, capeamento pulpar, cirurgia periapical, infiltração apical.

References

 


1. Lopes HP, Siqueira JF Jr. Endodontia: biologia e técnica. 2ª ed. Rio de Janeiro: Editora Guanabara Koogan; 2004.

2. Leonardo MR, Salgado AAM, Silva LAB, Tanomaru Filho M. Apical and periapical repair of dogs’ teeth with periapical lesions after endodontic treatment with different root canal sealers. Pesqui Odontol Bras. 2003;17: 69-74.

3. Rocha WC, Estrela C. Cirurgia em endodontia. In: Estrela C, Figueiredo JAP. Endodontia: principios biológicos e mecânicos. São Paulo: Artes Médicas; 1999. p. 315-65.

4. Baumgartner G, Zehnder M, Paqué F. Enterococcus faecalis type strain leakage through root canals filled with Gutta-Percha/AH Plus or Resilon/Epiphany. J Endod. 2007;33:45-7.

5. Thomson TS, Berry, JE, Somerman MJ, Kirkwood KL. Cementoblasts maintain expression of osteocalcina in the presence of mineral trioxide aggregate. J Endod. 2003;29:407-12.

6. Tanomaru-Filho M, Luis MR, Leonardo MR, Tanomaru JMG, Silva LAB. Evaluation of periapical repair following retrograde filling with different root-end filling materials in dog teeth with periapical lesions. Oral Surg Oral Med Oral Pathol Oral Radiol Endod. 2006;102:127‑32.

7. Baek SH, Plenk H Jr, Kim S. Periapical tissue responses and cementum regeneration with amalgam, SuperEBA, and MTA as root-end filling materials. J Endod. 2005;31:444-9.

8. Martins GR, Carvalho CAT, Valera MC, Oliveira LD, Buso L, Carvalho AS. Sealing ability of castor oil polymer as a root-end filling material. J Appl Oral Sci. 2009;17:220-3.

9. Torabinejad M, Hong CU, McDonald F, Pitt Ford TR. Physical and chemical properties of a new root-end filling material. J Endod. 1995;21:349-53.

10. Oynick J, Oynick T. A study of a new material for retrograde fillings. J Endod. 1978;4:203-6.

11. Leonardo MR, Flores DSH, Silva FWGP, Leonardo RT, Silva LAB. A comparison study of periapical repair in dog’s teeth using RoekoSeal and AH Plus root canal sealers: a histopathological evaluation. J Endod. 2008;34:822-5.

12. Wu MK, Tigos E, Wesselink PR. An 18-month longitudinal study on a new siliconbased sealer, RSA RoekoSeal: a Leakage study in vitro. Oral Surg Oral Med Oral Pathol Oral Radiol Endod. 2002;94:499-502.

13. Wu Mk, van der Sluis LW, Wesselink PR. A 1-year follow-up study on leakage of single-conemfillings with RoekoRSA sealer. Oral Surg Oral Med Oral Pathol Oral Radiol Endod. 2006;101:662-7.

14. Siqueira JF Jr, Rôças IN, Abad EC, Castro AJ, Gahyva SM, Favieri A. Ability of three root-end filling materials to prevent bacterial leakage. J Endod. 2001;27:673-5.

15. Leonardo MR, Barnett F, Debelian GJ, Lima RKP, Silva LAB. Root canal adhesive filling in dog’s teeth with or without coronal restoration: a histopathological evaluation. J Endod. 2007;33:1299-303.

16. Shipper G, Teixeira FB, Arnold RR, Trope M. Periapical inflammation after coronal microbial inoculation of dog roots filled with gutta‑percha or Resilon. J Endod. 2005;31:91-6.

17. Shipper G, Ørstavik D, Teixeira FB, Trope M. An evaluation of microbial leakage in roots filled with a thermoplastic synthetic polymer‑based root canal filling material (Resilon). J Endod. 2004;30:342-7.

18. Torabinejad M, Smith PW, Kettering JD, Pitt Ford TR. Comparative investigation of marginal adaptation of mineral trioxide aggregate and other commonly used root-end filling materials. J Endod. 1995;21:295-9.

19. Pereira RS, Sumita TC, Furlan MR, Jorege AOC, Ueno M. Antimicrobial activity of essential oils on microrganisms isolated from urinary tract infection. Rev Saude Publica. 2004;38:326-8.

20. Regan JD, Gutmann JL, Witherspoon DE. Comparison of Diaket and MTA when used as root-end filling materials to support regeneration of the periradicular tissues. Int Endod J. 2002;35:840-7.

21. Tingey MC, Bush P, Levine MS. Analysis of Mineral Trioxide Aggregate surface when set in the presence of fetal bovine serum. J Endod. 2008;34:45-9.

22. Asgary S, Parirokh M, EghbalMJ, Brink F. Chemical differences between white and gray mineral trioxide aggregate. J Endod. 2005;31:101‑3.

23. Favieri A, Campos LC, Burity VH, Cecilia MS, Abad EC. Use of biomaterials in periradicular surgery: a case report. J Endod. 2008;34:490‑4.

24. Accorinte MLR, Holland R, Reis A, Bortoluzzi MC, Murata SS, Dezan Jr E, et al. Evaluation of Mineral Trioxide Aggregate and calcium hydroxide cement as pulp-capping agetns in human teeth. J Endod. 2008;34:1-6.

25. Camilleri J, Montesin FE, Brady K, Sweeney R, Curtis RV, Pitt Ford TR. The constitution of mineral trioxide aggregate. Dent Mater. 2005;21:297-303.

26. Pitt Ford TR, Andreasen JO, Dorn SO, Kariyawasam SP. Effect of various zinc oxide materials as root-end fillings on healing after replantation. Int Endod J. 1995;28:273-8.

27. Souza Castro CA, Duarte PT, de Souza PP, Giro EM, Hebling J. Cytotoxic effects and pulpal response caused by a mineral trioxide aggregate formulation and calcium hydroxide. Am J Dent. 2008;21:255-61.

28. Koh ET, McDonald F, Pitt Ford TR, Torabinejad M. Cellular response to Mineral Trioxide Aggregate. J Endod. 1998;24:543-7.

29. Tziafas D, Pantelidou O, Alvanou A, Belibasakis G, Papadimitriou S. The dentinogenesis effect of mineral trioxide aggregate (MTA) in short-term capping experiments. Int Endod J. 2002;35:245-54.

 

588018ab7f8c9d0a098b4d6b rou Articles
Links & Downloads

Rev. odontol. UNESP

Share this page
Page Sections