Revista de Odontologia da UNESP
https://revodontolunesp.com.br/article/doi/10.1590/rou.2014.037
Revista de Odontologia da UNESP
Original Article

Análise físico-química do MTA e do cimento Portland associado a quatro diferentes radiopacificadores

Physicochemical analysis of MTA and Portland cement associated with four different radiopacifiers

Costa, Bernardo Cesar; Campos, Celso Neiva; Duarte, Marco Antonio H.; Chaves, Maria das Graças Afonso Miranda; Grizzo, Larissa Tercilia; Tanomaru-Filho, Mário

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Resumo

Introdução: O Mineral Trióxido Agregado (MTA) é composto por cimento Portland (CP) e um radiopacificador (óxido de bismuto). Objetivo: Avaliar tempo de presa, solubilidade, pH, liberação de íons Cálcio e radiopacidade do cimento Portland puro ou associado a quatro radiopacificadores (sulfato de bário, carbonato de bismuto, óxido de bismuto e iodofórmio), comparados ao MTA branco (Angelus, Londrina, Brasil). Material e método: A proporção empregada CP/radiopacificador foi de 4:1 em peso, (80% de cimento Portland e 20% de radiopacificador). A especificação 57 da ADA foi usada para avaliação do tempo de presa. A solubilidade foi analisada segundo a especificação ISO 6876/2001. A avaliação do pH foi realizada com peagâmetro digital e a liberação de íons Ca++ foi verificada por meio de espectrofotômetro de absorção atômica. A radiopacidade foi determinada em milímetros de alumínio (mm/Al). Os resultados foram submetidos aos testes de Análise de Variância e Tukey, nível de significância 5%. Resultado: O sulfato de bário não alterou o tempo de presa final do CP. Radiopacidade inferior ao mínimo recomendado pelas normas da ADA nº 57 e ISO 6876/2001 foi observada para CP e CP associado com sulfato de bário. O CP associado ao iodofórmio apresentou solubilidade acima dos 3% recomendados pela ISO 6876/2001. Todos os materiais proporcionaram alcalinização do meio e promoveram liberação de íons cálcio. Conclusão: Carbonato de bismuto ou óxido de bismuto proporcionaram tempo de presa inicial, solubilidade, pH, liberação de íons Cálcio e radiopacidade adequados quando associados ao CP.

Palavras-chave

Mineral trióxido agregado, obturação retrógrada, materiais retrobturadores

Abstract

Introduction: Mineral Trioxide Aggregate (MTA) is composed of Portland cement (PC), and a radiopacifier (bismuth oxide). Objective: To evaluate the setting time, solubility, pH, calcium ion release and radiopacity of pure Portland cement and its association to four radiopacifiers, (Barium sulfate, bismuth carbonate, bismuth oxide and iodoform), and White MTA (Angelus, Londrina, Brazil). Material and method: The ratio CP/radiopacifier used was 4:1 by weight (80% Portland cement and 20% radiopacifier). The setting time was evaluated according the specification ADA 57. The solubility was analyzed according to ISO 6876/2001 specification. The pH was evaluated using a digital pHmeter and the release of Ca++ ions by atomic absorption spectrophotometer. The radiopacity was measured in millimeters of aluminum (mm/Al). The results were submitted to ANOVA and Tukey tests using 5% of significance level. Result: Barium sulfate did not alter the final setting time of the PC. Observed radiopacity was less than the minimum recommended by ADA 57 and ISO 6876/2001 for CP and CP associated with barium sulfate. The PC associated with iodoform showed solubility above the 3% recommended by ISO 6876/2001. All materials provided alkalinization and promoted calcium ion release. Conclusion: Bismuth carbonate and bismuth oxide provided proper initial setting time, solubility, pH, calcium ion release and radiopacity when combined with CP.

Keywords

Mineral trioxide aggregate, retrograde obturation, root-end filling materials

References

 


1. De-Deus G, Petruccelli V, Gurgel-Filho E, Coutinho-Filho T. MTA versus Portland cement as repair material for furcal perforations: a laboratory study using a polymicrobial leakage model. Int Endod J. 2006;39(4):293-8. PMid:16584492. http://dx.doi.org/10.1111/j.1365- 2591.2006.01096.x

2. Torabinejad M, Watson TF, Pitt Ford TR. Sealing ability of a mineral trioxide aggregate when used as a root end filling material. J Endod. 1993;19(12):591-5. http://dx.doi.org/10.1016/S0099-2399(06)80271-2

3. Torabinejad M, Chivian N. Clinical applications of mineral trioxide aggregate. J Endod. 1999;25(3):197-205. http://dx.doi.org/10.1016/ S0099-2399(99)80142-3

4. Felippe WT, Felippe MC, Rocha MJ. The effect of mineral trioxide aggregate on the apexification and periapical healing of teeth with incomplete root formation. Int Endod J. 2006;39(1):2-9. PMid:16409322. http://dx.doi.org/10.1111/j.1365-2591.2005.01037.x

5. Vanka A, Ravi KS, Shashikiran ND. Apexification with MTA using internal matrix: report of 2 cases. J Clin Pediatr Dent. 2010;34(3):197- 200. PMid:20578654.

6. 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(3):109-12. http://dx.doi.org/10.1016/S0099-2399(06)80433-4

7. Reyes-Carmona JF, Felippe MS, Felippe WT. Biomineralization ability and interaction of mineral trioxide aggregate and white portland cement with dentin in a phosphate-containing fluid. J Endod. 2009;35(5):731-6. PMid:19410094. http://dx.doi.org/10.1016/j. joen.2009.02.011

8. 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(3):376-9. PMid:15356480. http://dx.doi.org/10.1016/j.tripleo.2004.03.008

9. Menezes R, Bramante CM, Garcia RB, Letra A, Carvalho VG, Carneiro E, et al. Microscopic analysis of dog dental pulp after pulpotomy and pulp protection with mineral trioxide aggregate and white Portland cement. J Appl Oral Sci. 2004;12(2):104-7. PMid:21365130. http://dx.doi.org/10.1590/S1678-77572004000200004

10. Song JS, Mante FK, Romanow WJ, Kim S. Chemical analysis of powder and set forms of Portland cement, gray ProRoot MTA, white ProRoot MTA, and gray MTA-Angelus. Oral Surg Oral Med Oral Pathol Oral Radiol Endod. 2006;102(6):809-15. PMid:17138186. http:// dx.doi.org/10.1016/j.tripleo.2005.11.034

11. Parirokh M, Torabinejad M. Mineral trioxide aggregate: a comprehensive literature review--part III: clinical applications, drawbacks, and mechanism of action. J Endod. 2010;36(3):400-13. PMid:20171353. http://dx.doi.org/10.1016/j.joen.2009.09.009

12. de Morais CA, Bernardineli N, Garcia RB, Duarte MA, Guerisoli DM. Evaluation of tissue response to MTA and Portland cement with iodoform. Oral Surg Oral Med Oral Pathol Oral Radiol Endod. 2006;102(3):417-21. PMid:16920553. http://dx.doi.org/10.1016/j. tripleo.2005.09.028

13. Bortoluzzi EA, Guerreiro-Tanomaru JM, Tanomaru-Filho M, Duarte MA. Radiographic effect of different radiopacifiers on a potential retrograde filling material. Oral Surg Oral Med Oral Pathol Oral Radiol Endod. 2009;108(4):628-32. PMid:19699115. http://dx.doi. org/10.1016/j.tripleo.2009.04.044

14. Camilleri J. Evaluation of the physical properties of an endodontic Portland cement incorporating alternative radiopacifiers used as rootend filling material. Int Endod J. 2010;43(3):231-40. PMid:20158535. http://dx.doi.org/10.1111/j.1365-2591.2009.01670.x

15. Coutinho-Filho T, De-Deus G, Klein L, Manera G, Peixoto C, Gurgel-Filho ED. Radiopacity and histological assessment of Portland cement plus bismuth oxide. Oral Surg Oral Med Oral Pathol Oral Radiol Endod. 2008;106(6):e69-77. PMid:18926734. http://dx.doi. org/10.1016/j.tripleo.2008.07.028

16. Bueno CE, Zeferino EG, Manhaes LR Jr., Rocha DG, Cunha RS, De Martin AS. Study of the bismuth oxide concentration required to provide Portland cement with adequate radiopacity for endodontic use. Oral Surg Oral Med Oral Pathol Oral Radiol Endod. 2009;107(1):e65-9. PMid:19101486. http://dx.doi.org/10.1016/j.tripleo.2008.09.016

17. Tsuge T. Radiopacity of conventional, resin-modified glass ionomer, and resin-based luting materials. J Oral Sci. 2009;51(2):223-30. PMid:19550090. http://dx.doi.org/10.2334/josnusd.51.223

18. Duarte MA, Midena RZ, Zeferino MA, Vivan RR, Weckwerth PH, Dos Santos F, et al. Evaluation of pH and calcium ion release of calcium hydroxide pastes containing different substances. J Endod. 2009;35(9):1274-7. PMid:19720230. http://dx.doi.org/10.1016/j. joen.2009.05.009

19. Vivan RR, Ordinola-Zapata R, Bramante CM, Bernardineli N, Garcia RB, Hungaro Duarte MA, et al. Evaluation of the radiopacity of some commercial and experimental root-end filling materials. Oral Surg Oral Med Oral Pathol Oral Radiol Endod. 2009;108(6):e35-8. PMid:19913718. http://dx.doi.org/10.1016/j.tripleo.2009.07.037

20. Gomes Cornelio AL, Salles LP, Campos da Paz M, Cirelli JA, Guerreiro-Tanomaru JM, Tanomaru Filho M. Cytotoxicity of Portland cement with different radiopacifying agents: a cell death study. J Endod. 2011;37(2):203-10. PMid:21238803. http://dx.doi.org/10.1016/j. joen.2010.11.017

21. Antonijevic D, Medigovic I, Zrilic M, Jokic B, Vukovic Z, Todorovic L. The influence of different radiopacifying agents on the radiopacity, compressive strength, setting time, and porosity of Portland cement. Clin Oral Investig. 2013 Nov 15. [Epub ahead of print]. PMid:24233183. http://dx.doi.org/10.1007/s00784-013-1130-0

22. Hungaro Duarte MA, de Oliveira El Kadre GD, Vivan RR, Guerreiro Tanomaru JM, Tanomaru Filho M, de Moraes IG. Radiopacity of portland cement associated with different radiopacifying agents. J Endod. 2009;35(5):737-40. PMid:19410095. http://dx.doi.org/10.1016/j. joen.2009.02.006

23. Viapiana R, Flumignan DL, Guerreiro-Tanomaru JM, Camilleri J, Tanomaru-Filho M. Physicochemical and mechanical properties of zirconium oxide and niobium oxide modified Portland cement-based experimental endodontic sealers. Int Endod J. 2013. PMid:24033490.

24. Tanomaru-Filho M, da Silva GF, Duarte MA, Goncalves M, Tanomaru JM. Radiopacity evaluation of root-end filling materials by digitization of images. J Appl Oral Sci. 2008;16(6):376-9. PMid:19082394. http://dx.doi.org/10.1590/S1678-77572008000600004

25. Gandolfi MG, Taddei P, Tinti A, De Stefano Dorigo E, Rossi PL, Prati C. Kinetics of apatite formation on a calcium-silicate cement for root-end filling during ageing in physiological-like phosphate solutions. Clin Oral Investig. 2010;14(6):659-68. PMid:19943072. http:// dx.doi.org/10.1007/s00784-009-0356-3

26. Camilleri J. Hydration mechanisms of mineral trioxide aggregate. Int Endod J. 2007;40(6):462-70. PMid:17459120. http://dx.doi. org/10.1111/j.1365-2591.2007.01248.x

27. Antunes Bortoluzzi E, Juarez Broon N, Antonio Hungaro Duarte M, de Oliveira Demarchi AC, Monteiro Bramante C. The use of a setting accelerator and its effect on pH and calcium ion release of mineral trioxide aggregate and white Portland cement. J Endod. 2006;32(12):1194- 7. PMid:17174682. http://dx.doi.org/10.1016/j.joen.2006.07.018

28. Eliasson ST, Haasken B. Radiopacity of impression materials. Oral Surg Oral Med Oral Pathol. 1979;47(5):485-91. http://dx.doi. org/10.1016/0030-4220(79)90136-1

29. Torabinejad M, Hong CU, McDonald F, Pitt Ford TR. Physical and chemical properties of a new root-end filling material. J Endod. 1995;21(7):349-53. http://dx.doi.org/10.1016/S0099-2399(06)80967-2

30. Islam I, Chng HK, Yap AU. Comparison of the physical and mechanical properties of MTA and portland cement. J Endod. 2006;32(3):193‑7. PMid:16500224. http://dx.doi.org/10.1016/j.joen.2005.10.043

31. Mizuno M, Banzai Y. Calcium ion release from calcium hydroxide stimulated fibronectin gene expression in dental pulp cells and the differentiation of dental pulp cells to mineralized tissue forming cells by fibronectin. Int Endod J. 2008;41(11):933-8. PMid:19133082. http://dx.doi.org/10.1111/j.1365-2591.2008.01420.x

32. Kontakiotis EG, Wu MK, Wesselink PR. Effect of calcium hydroxide dressing on seal of permanent root filling. Endod Dent Traumatol. 1997;13(6):281-4. PMid:9558510. http://dx.doi.org/10.1111/j.1600-9657.1997.tb00056.x

33. Tagger M, Tagger E, Kfir A. Release of calcium and hydroxyl ions from set endodontic sealers containing calcium hydroxide. J Endod. 1988;14(12):588-91. http://dx.doi.org/10.1016/S0099-2399(88)80055-4

34. Saghiri MA, Asgar K, Lotfi M, Nazari A, Karamifar K, Neelakantan P, et al. Effect of storage temperature on sealing ability and solubility of white Mineral Trioxide Aggregate. Acta Odontol Scand. 2012;70(6):536-40. PMid:21815835. http://dx.doi.org/10.3109/00016357.201 1.600715

 

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