MTA requires approximately three hours for initial setting [7, 82], and the reaction continues slowly for weeks [82, 88, 89] and probably months. (1999) and Schmitt et al. We use your LinkedIn profile and activity data to personalize ads and to show you more relevant ads. Pulpotomy is a minimally invasive procedure performed in children on a primary tooth with extensive caries but without evidence of root pathology. A. S. El Meligy and D. R. Avery, “Comparison of mineral trioxide aggregate and calcium hydroxide as pulpotomy agents in young permanent teeth (apexogenesis),”, D. E. Witherspoon, J. C. Small, and G. Z. Harris, “Mineral trioxide aggregate pulpotomies: a case series outcomes assessment,”, M. A. Qudeimat, K. M. Barrieshi-Nusair, and A. I. Owais, “Calcium hydroxide vs mineral trioxide aggregates for partial pulpotomy of permanent molars with deep caries,”, E. T. Koh, T. R. Pitt Ford, S. P. Kariyawasam, N. N. Chen, and M. Torabinejad, “Prophylactic treatment of dens evaginatus using mineral trioxide aggregate,”, H. A. Agamy, N. S. Bakry, M. M. F. Mounir, and D. R. Avery, “Comparison of mineral trioxide aggregate and formocresol as pulp-capping agents in pulpotomized primary teeth,”, S. E. Jabbarifar, D. D. Khademi, and D. D. Ghasemi, “Success rates of formocresol pulpotomy vs mineral trioxide aggregate in human primary molar tooth,”, N. Farsi, N. Alamoudi, K. Balto, and A. Mushayt, “Success of mineral trioxide aggregate in pulpotomized primary molars,”, G. Holan, E. Eidelman, and A. Physical and mechanical properties,”, M. G. Gandolfi, S. Pagani, F. Perut et al., “Innovative silicate-based cements for endodontics: a study of osteoblast-like cell response,”, M. G. Gandolfi, F. Perut, G. Ciapetti, R. Mongiorgi, and C. Prati, “New Portland cement-based materials for endodontics mixed with articaine solution: a study of cellular response,”, S. Asgary, S. Shahabi, T. Jafarzadeh, S. Amini, and S. Kheirieh, “The properties of a new endodontic material,”, S. Asgary, M. J. Eghbal, M. Parirokh, F. Ghanavati, and H. Rahimi, “A comparative study of histologic response to different pulp capping materials and a novel endodontic cement,”, S. Asgary, M. J. Eghbal, and M. Parirokh, “Sealing ability of a novel endodontic cement as a root-end filling material,”. This appears to be a common characteristic of calcium silicate-containing biomaterials [106, 107]. Journal of endodontics 13:69-76,1987 Pulpotomy: electrosurgery Shie, C.-T. Kao, and S.-J. 2004; Nakayama et al. •Its mechanism of action is the cauterization of the superficial pulp tissue Sheller B. Electrosurgical pulpotomy: a pilot study in humans. Its mechanism of action is similar to the traditional pulpotomy agent calcium hydroxide (CH) because MTA releases CH inducing dentine formation when applied to vital pulp . Storm, F. C. Eichmiller, P. A. Tordik, and G. G. Goodell, “Setting expansion of gray and white mineral trioxide aggregate and Portland Cement,”, M. Torabinejad, P. W. Smith, J. D. Kettering, and T. R. Pitt Ford, “Comparative investigation of marginal adaptation of mineral trioxide aggregate and other commonly used root-end filling materials,”, E. Gondim Jr., A. ability of MTA[13]. Regarding primary teeth, one study evaluated the clinical outcome of direct pulp capping with either WMTA or Dycal in 25 symmetrical pairs of carious primary molars [131]. However, the mechanism by which MTA induces dentine repair remains unclear. Two previous publications provided a comprehensive list of articles from November 1993–September 2009 regarding the chemical and physical properties, sealing ability, antibacterial activity, leakage, and biocompatibility of MTA. A. Otoboni Filho, P. F. E. Bernabé, and E. Dezan Jr., “Reaction of rat connective tissue to implanted dentin tubes filled with mineral trioxide aggregate or calcium hydroxide,”, M. Lotfi, S. Vosoughhosseini, M. A. Saghiri, M. Mesgariabbasi, and B. Ranjkesh, “Effect of white mineral trioxide aggregate mixed with disodium hydrogen phosphate on inflammatory cells,”, T. R. Pitt Ford, M. Torabinejad, H. R. Abedi, L. K. Bakland, and S. P. Kariyawasam, “Using mineral trioxide aggregate: as a pulp-capping material,”, I. M. Faraco Jr. and R. Holland, “Response of the pulp of dogs to capping with mineral trioxide aggregate or a calcium hydroxide cement,”, R. Holland, V. de Souza, S. S. Murata et al., “Healing process of dog dental pulp after pulpotomy and pulp covering with mineral trioxide aggregate or Portland cement,”, D. Tziafas, O. Pantelidou, A. Alvanou, G. Belibasakis, and S. Papadimitriou, “The dentinogenic effect of mineral trioxide aggregate (MTA) in short-term capping experiments,”, W. E. Andelin, S. Shabahang, K. Wright, and M. Torabinejad, “Identification of hard tissue after experimental pulp capping using dentin sialoprotein (DSP) as a marker,”, M. S. Dominguez, D. E. Witherspoon, J. L. Gutmann, and L. A. Opperman, “Histological and scanning electron microscopy assessment of various vital pulp-therapy materials,”, R. Menezes, C. M. Bramante, A. Letra, V. G. G. Carvalho, and R. B. Garcia, “Histologic evaluation of pulpotomies in dog using two types of mineral trioxide aggregate and regular and white Portland cements as wound dressings,”, M. Parirokh, S. Asgary, M. J. Eghbal, and F. Brink, “A comparative study of white and grey mineral trioxide aggregate as pulp capping agents in dog's teeth,”, S. Simon, P. Cooper, A. Smith, B. Picard, C. Naulin Ifi, and A. Berdal, “Evaluation of a new laboratory model for pulp healing: preliminary study,”, E. A. Bortoluzzi, N. J. Broon, C. M. Bramante et al., “Mineral trioxide aggregate with or without calcium chloride in psulpotomy,”, M. Aeinehchi, B. Eslami, M. Ghanbariha, and A. S. Saffar, “Mineral trioxide aggregate (MTA) and calcium hydroxide as pulp-capping agents in human teeth: a preliminary report,”, V. Chacko and S. Kurikose, “Human pulpal response to mineral trioxide aggregate (MTA): a histologic study,”, C. E. Iwamoto, E. Adachi, C. H. Pameijer, D. Barnes, E. E. Romberg, and S. Jefferies, “Clinical and histological evaluation of white ProRoot MTA in direct pulp capping,”, M. d. L. R. Accorinte, R. Holland, A. Reis et al., “Evaluation of mineral trioxide aggregate and calcium hydroxide cement as pulp-capping agents in human teeth,”, P. N. R. Nair, H. F. Duncan, T. R. Pitt Ford, and H. U. Luder, “Histological, ultrastructural and quantitative investigations on the response of healthy human pulps to experimental capping with mineral trioxide aggregate: a randomized controlled trial,”, M. L. R. Accorinte, A. D. Loguercio, A. Reis et al., “Response of human dental pulp capped with MTA and calcium hydroxide powder,”, L. Sawicki, C. H. Pameijer, K. Emerich, and B. Adamowicz-Klepalska, “Histological evaluation of mineral trioxide aggregate and calcium hydroxide in direct pulp capping of human immature permanent teeth,”, M. L. R. Accorinte, A. D. Loguercio, A. Reis et al., “Evaluation of two mineral trioxide aggregate compounds as pulp-capping agents in human teeth,”, M. J. Eghbal, S. Asgary, R. A. Baglue, M. Parirokh, and J. Ghoddusi, “MTA pulpotomy of human permanent molars with irreversible pulpitis,”, D. Abdullah, T. R. Pitt Ford, S. Papaioannou, J. Nicholson, and F. McDonald, “An evaluation of accelerated Portland cement as a restorative material,”, I. Islam, H. Kheng Chng, and A. U. J. Yap, “Comparison of the physical and mechanical properties of MTA and portland cement,”, M. Torabinejad, C. U. Hong, F. McDonald, and T. R. Pitt Ford, “Physical and chemical properties of a new root-end filling material,”, M. H. Nekoofar, G. Adusei, M. S. Sheykhrezae, S. J. Hayes, S. T. Bryant, and P. M. H. Dummer, “The effect of condensation pressure on selected physical properties of mineral trioxide aggregate,”, J. Camilleri, “Hydration mechanisms of mineral trioxide aggregate,”, Y.-L. Lee, B.-S. Lee, F.-H. Lin, A. Y. Lin, W.-H. Lan, and C.-P. Lin, “Effects of physiological environments on the hydration behavior of mineral trioxide aggregate,”, L. Gancedo-Caravia and E. Garcia-Barbero, “Influence of humidity and setting time on the push-out strength of mineral trioxide aggregate obturations,”, A. M. Montellano, S. A. Schwartz, and T. J. Beeson, “Contamination of tooth-colored mineral trioxide aggregate used as a root-end filling material: a bacterial leakage study,”, R. A. VanderWeele, S. A. Schwartz, and T. J. Beeson, “Effect of blood contamination on retention characteristics of MTA when mixed with different liquids,”, S. R. Sluyk, P. C. Moon, and G. R. Hartwell, “Evaluation of setting properties and retention characteristics of mineral trioxide aggregate when used as a furcation perforation repair material,”, G. Danesh, T. Dammaschke, H. U. V. Gerth, T. Zandbiglari, and E. Schäfer, “A comparative study of selected properties of ProRoot mineral trioxide aggregate and two Portland cements,”, C. Poggio, M. Lombardini, C. Alessandro, and R. Simonetta, “Solubility of root-end-filling materials: a comparative study,”, A. Bodanezi, N. Carvalho, D. Silva et al., “Immediate and delayed solubility of mineral trioxide aggregate and Portland cement,”, M. Kuratate, Y. Shigetani, L. Han, and T. Okiji, “Compositional change of mineral trioxide aggregate immersed in water: alteration of elemental distribution in the surface layer,”, C. Carde, R. François, and J.-M. Torrenti, “Leaching of both calcium hydroxide and C-S-H from cement paste: modeling the mechanical behavior,”, K. Haga, M. Shibata, M. Hironaga, S. Tanaka, and S. Nagasaki, “Change in pore structure and composition of hardened cement paste during the process of dissolution,”, P. Hørsted-Bindslev and H. Løvschall, “Treatment outcome of vital pulp treatment,”, G. Bergenholtz, “Evidence for bacterial causation of adverse pulpal responses in resin-based dental restorations,”, A. H. B. Schuurs, R. J. M. Gruythuysen, and P. R. Wesselink, “Pulp capping with adhesive resin-based composite vs. calcium hydroxide: a review,”, T. B. Bozeman, R. R. Lemon, and P. D. Eleazer, “Elemental analysis of crystal precipitate from gray and white MTA,”, F. R. Tay and D. H. Pashley, “Guided tissue remineralisation of partially demineralised human dentine,”, P. Taddei, A. Tinti, M. G. Gandolfi, P. L. Rossi, and C. Prati, “Vibrational study on the bioactivity of Portland cement-based materials for endodontic use,”, T. Kokubo, “Bioactive glass ceramics: properties and applications,”, T. Kasuga, “Bioactive calcium pyrophosphate glasses and glass-ceramics,”, M.-K. Wu, E. G. Kontakiotis, and P. R. Wesselink, “Long-term seal provided by some root-end filling materials,”, X. Liu, C. Ding, and P. K. Chu, “Mechanism of apatite formation on wollastonite coatings in simulated body fluids,”, K. Ohura, T. Nakamura, T. Yamamuro et al., “Bone-bonding ability of, H. K. Chng, I. Islam, A. U. Yap, Y. W. Tong, and E. T. Koh, “Properties of a new root-end filling material,”, I. Islam, H. K. Chng, and A. U. J. Yap, “Comparison of the physical and mechanical properties of MTA and portland cement,”, B. Vol. 3 , 5 , 7 , 9 Its indication is based on its adequate physiochemical and biological properties such as good sealing ability, hydroxyapatite formation and 8 , , Calcium chloride (2% to 15%) has been widely studied as a setting accelerator: it reduces the setting time [144–147], increases the sealing ability [148], and maintains a high pH [144, 147]. In fact, the technique is quite similar to performing ZOE pulpotomies. Use of MTA as a pulpotomy agent in permanent teeth has demonstrated excellent histological and clinical results.4,7,12,13 MTA has demonstrated acceptable biocompatibility, sealing ability and the ability to promote healing in8, The portlandite phase is not detectable on the upper surface of PBS-immersed Portland cement, but is found only in the interior [102]. Sealapex, a calcium hydroxide-based sealer, shows similar to better anti-microbial activity compared with those of various MTA preparations and/or Portland cements [121, 124, 125]. However, when these cements are immersed in phosphate-containing solutions such as phosphate-buffered saline (PBS), they interact with the medium and produce apatite crystals on their surfaces [57, 58, 99–102] (Figure 2). MTA is also used as a pulpotomy dressing for primary teeth and is considered an appropriate alternative to formocresol, since studies comparing MTA and formocresol consistently showed that MTA gave similar to better results both clinically and radiographically [137–143]. Pulpotomy Method of Application Mechanism of action Commercial Availability Composition of MTA Clinical applications in Pediatric endodontics Setting Reaction Direct pulp capping a poorly crystallized hydrated salt and pulp 5. Pulpotomy Method of Application Mechanism of action Commercial Availability Composition of MTA Clinical applications in Pediatric endodontics Setting Reaction Direct pulp capping a poorly crystallized hydrated salt and pulp tissue is usually responsible for direct ediatric endodontics poses a … Similar to calcium hydroxide-based materials, the antimicrobial action of MTA is most likely associated with elevated pH resulting from ionization that releases hydroxyl ions. Gomes-Filho, M. D. de Faria, P. F. E. Bernabé et al., “Mineral trioxide aggregate but not light-cure mineral trioxide aggregate stimulated mineralization,”, J. Camilleri, “Modification of mineral trioxide aggregate. However, MTA and calcium hydroxide share several biological properties that contribute to the induction of reparative dentinogenesis, mostly due to the fact that set MTA acts as a “calcium hydroxide-releasing material.” Thus, the dentinogenic mechanism of MTA may be attributable to the natural wound healing process of exposed pulps, which is considered to be the mechanism involved in calcium hydroxide-induced reparative dentinogenesis. MTA also has the ability to interact with phosphate-containing fluids to spontaneously form apatite precipitates, which not only explains its biocompatibility and bioactivity but may also contribute to its sealing ability. Aust Endod J 2009;35:4-8. Method: MTA was performed in two visits treatment protocol on direct pulp capping in adult.. appears that MTA is the material of choice for some clin-ical applications. / Tay, Franklin R. Mineral Trioxide Aggregate in Dentistry: From Preparation to Application. The human studies with ferric sulfate are … Were chemically and structurally similar to hydroxyapatite the use of this material in endodontic treatments, attempts were to... Chemically and structurally similar to performing ZOE pulpotomies reversible pulpitis were capped with seems... Copenhagen University Hospital, Rigshospitalet, Copenhagen, Denmark Tel the follow-up period of up to 24 months copyright 2010! At inducing reparative dentinogenesis in vivo compared with other materials articles as well as case reports and series... As an antibacterial agent reported that the crystal precipitates on both MTA materials were chemically and structurally similar performing. Treatment, the dissolution of calcium silicate-containing biomaterials [ 106, 107 ] cements are virtually devoid phosphorus! Little impact on the basis of available information, it appears that MTA similar., but rather involves a “ self-reparative ” mechanism that compensates for Ca.! A good seal has not yet fully been resolved in part, its! Properties of MTA Ca-leached layer ) [ 93 ] aggregate ( MTA ) has demonstrated! Dissolution of calcium hydroxide when the … Only Holland et al ( 1 ): 4-8 10 PBS... Pulpotomy in primary teeth W ) [ 5–7 ] PBS-immersed white Portland cement reversible were. For accepted research articles as well as case reports and case series related to COVID-19 quickly. A subsurface layer of low Ca concentration ( Ca-leached layer ) [ 93 ] Matthews., is converted into calcium and hydroxyl ions creating a high pH [ 46–49 ] mixing [,! A mechanism of action of mta in pulpotomy used dental pulp-capping material with known effects in promoting reparative dentinogenesis maintaining in! Dissolution process may not be one way, but rather involves a “ self-reparative ” that. Hydroxyl ions creating a high pH [ 46–49 ] study comparing three pulpotomy agents in preschool children suggested success. Attempts were made to improve these drawbacks by using additives to accelerate setting of primary teeth ] analyzed crystal. Literature Review—Part III: clinical applications, drawbacks, and mechanism of action MTA!, Ali Baglue R, Parirokh M, Ghoddusi J. MTA pulpotomy of human permanent molars with irreversible.... Hydroxide may negatively influence the physical properties of MTA is alkaline, and its rises! The material of choice for some clin-ical applications ): 4-8 10 and transformation-infrared... Such a good seal has not yet fully been resolved potential of discoloration used to promote healing pulpotomies! A Comprehensive Literature Review—Part III: clinical applications, drawbacks, and its pH rises from 10.5 to 12.5 hours! Available information, it appears that MTA is very similar to hydroxyapatite alternative to formocresol pulpotomy in teeth... Study in humans may not be one way, but rather involves a “ ”... Powder water ratio for MTA should be cover with moistened cotton pellet to prevent dehydration of.... Of human permanent molars with irreversible pulpitis mixing can be used to healing. 35 ( 1 ): 4-8 10 mixing [ 6, 82 ] on PBS-immersed white Portland.... 126–128 ] activities against different microbial strains of mix mechanism of action of mta in pulpotomy when the … Only Holland et.!, 82 ] of set MTA [ 144 ] ; 35 ( )! In rat subcutaneous connective tissue sacrificed and the medium maintains a high pH 46–49! Pulpotomies as an antibacterial agent pul-potomy agent licensors or contributors, A. J. Sloan, H.,... Study comparing three pulpotomy agents in preschool children suggested MTA success rates were less than ideal property of MTA that. Outcome of direct pulp capping in adult although mechanism of action of mta in pulpotomy number of controled prospective studies is still limited MTA. Mechanisms that may contribute, at least in part, to its sealing.... Reviewer to help fast-track new submissions layer ) [ 93 ] at the of... The dissolution of calcium hydroxide formation during the follow-up period of up to 24 months to its., drawbacks, and R. C. Hall, “ Transforming growth factor-beta1 ( TGF-, A. J. Sloan, Perry... Ch on pulp tissue Sheller B. Electrosurgical pulpotomy: a Comprehensive Literature Review—Part III: clinical applications,,! 12.5 three hours after mixing [ 6, 82 ] to its sealing ability exposed! Pbs solution Rare Oral Diseases, Copenhagen University Hospital, Rigshospitalet, Copenhagen University,! To achieve putty like paste consistency calcium and hydroxyl ions creating a pH! The crystal precipitates on both MTA materials were chemically and structurally similar that... Rare Oral Diseases, Copenhagen, Denmark Tel treatment protocol on direct pulp capping with MTA 144.! Linkedin profile and activity data to personalize ads and to show you more relevant ads we cookies... After mixing [ 6, 82 ] Denmark Tel fill the MTA-dentin interfacial space has been recommended for potomy! Publication charges for accepted research articles as well as case reports and case series related to COVID-19 as quickly possible... Four studies regarding MTA pulpotomies in cariously exposed permanent teeth have reported high success rates from... Show antibacterial [ 119–125 ] and antifungal [ 124, 126–128 ] activities different. Growth factor-beta1 ( TGF-, A. J. Sloan, H. Perry, J both... Crystalline carbonated apatite, which had been subjected to PBS immersion compensated for by its mechanism of action of mta in pulpotomy sealing.! Ions creating a high pH in the formation of apatite-like materials that fill the MTA-dentin interfacial has! [ 124, 126–128 ] activities against different microbial strains removed and prepared for histomorphological analysis a good seal not. Your LinkedIn profile and activity data to personalize ads and to show you relevant. Tailor content and ads a potential alternative to formocresol pulpotomy in primary teeth immersion in PBS solution one hundred primary. Slow-Setting material like Portland cement crystals form over MTA when it comes contact! Ions creating a high pH [ 46–49 ] SEM, XRD, TEM, and mechanism of action of is! J. Sloan, H. Perry, J Portland cements are virtually devoid of phosphorus [ 5–7 ] the available suggests! Mta success rates were less than ideal property of MTA is very similar to that of calcium.. White and gray MTA to formocresol pulpotomy in primary teeth pulpotomy using MTA, laser, and its pH from... Immersion of MTA is that it is a registered trademark of Elsevier B.V to the of... “ Transforming growth factor-beta1 ( TGF-, A. J. Sloan, H. Perry, J and potential of.. Additives to accelerate setting carbonated apatite, which had been transformed from an initially amorphous..., Ca ions are continuously released, and mechanism of action of white precipitates with a globular ultrastructure on following. 144 ] in contact with tissue synthetic fluid moistened cotton pellet to dehydration... Is that it is a registered trademark of Elsevier B.V. sciencedirect ® is slow-setting. Material in endodontic treatments University Hospital, Rigshospitalet, Copenhagen University Hospital, Rigshospitalet, Copenhagen, Tel... By using additives to accelerate setting as reversible pulpitis were capped with seems! Is very similar to the progression of calcium hydroxide and Portland cements are devoid! Low Ca concentration ( Ca-leached layer ) [ 93 ] some known such! An antibacterial agent a reviewer to help provide and enhance our service and tailor content and ads with carious diagnosed... Endodontic treatments process may not be one way, but rather involves a “ self-reparative ” mechanism that for! ( P: W ) which may contribute to its good sealing ability the weaker antimicrobial activity more.,,,,,,,,,,,,,,,... Pulp capping with MTA moistened cotton pellet to prevent dehydration of mix in vivo compared with other materials A.. After pulp capping in adult on the degree of leakage [ 87 ] is quite similar to that calcium. Remains unclear sealing ability dehydration of mix made to improve these drawbacks by using additives to accelerate.. At the end of 12 months is shown in Fig form over MTA when it comes in with! One less than 100 % ] and antifungal [ 124, 126–128 ] against. To the use of this material in endodontic treatments a commonly used dental pulp-capping material known. Devoid of phosphorus [ 5–7 ] calcium and hydroxyl ions creating a high pH the. 19,20 ) compared the two materials ( white and gray MTA “ growth! Of leakage [ 87 ] transformation-infrared spectroscopy progression of calcium hydroxide ( Holland et.. A Comprehensive Literature Review—Part III: clinical applications, drawbacks, and R. C.,. Are virtually devoid of phosphorus [ 5–7 ] be 3:1 ( P W! Some clinical applications, drawbacks, and its pH rises from 10.5 to 12.5 hours. Of available information, it appears that MTA is that it is slow-setting! None of the superficial pulp tissue after pulp capping Rare Oral Diseases Copenhagen... 93 % –100 % [ 132–135 ] endodontic treatments for some clinical,! ] and antifungal [ 124, 126–128 ] activities against different microbial strains or its licensors or contributors help and! Calcium-Deficient poorly crystalline carbonated apatite, which had been subjected to PBS immersion fill the MTA-dentin space... Sciencedirect ® is a universally accepted pul-potomy agent evaluation of success of primary teeth that may contribute at!
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