MTA

Mineral Trioxide aggregate

S.Pawan Kumar

‡ It was developed by the research pioneer and Endodontist, Dr. Mahmoud Torabinejad at Loma Linda University,California

Composition
Tricalcium silicate(CaO)3.SiO2 Dicalcium silicate(CaO)2.SiO2 Tricalcium silicate(CaO)3.Al2O3 Tetracalcium aluminoferrite(CaO)4.Al2O3.Fe2O3 Gypsum CaSO4 · 2 H2O and Bismuth oxide Bi2O3

Properties
1. Biocompatible with periradicular tissues. 2. Non-toxic. 3. Non-resorbable. 4. Minimal or no leakage around the margins. 5. It is very alkaline material.

6. As a root-end filling material MTA shows less leakage than other commonly used root-end filling materials,which means bacterial penetration will be less when using MTA.

7. It is a very alkaline material, ph of 12.5 after mixing. so you need to be infection free when applying MTA to clear the acidic environment. compressive strength is 40 Mpa 24 hours after mixing and 67 Mpa after 168 hours.

Title Applications
Pulp capping ‡ Lorem ipsum dolor sit amet, consectetuer Internal and external root resorptionsed adipiscing elit. Vivamus et magna. Fusce sem sed magna suscipit egestas. Lateral or furcation perforation ‡ Lorem ipsum dolor sit amet, consectetuer adipiscing elit. Vivamus et magna. Fusce sed Apexification sem sed magna suscipit egestas.

Pulp Capping
‡ In case of mechanical exposure that occurs during cavity preparation and not a pathological exposure due to caries. Proper isolation should be done using a rubber dam and cotton pellet.Disinfection of the cavity with sodium hypochlorite. then application of MTA over the exposure area.

Restoration of the cavity with amalgam or composite is done. MTA provides a higher incidence and faster rate of reparative dentin formation without the pulpal inflammation.

Internal & External Resorption
In internal resorption root canal therapy is performed, putty mixture of MTA is inserted in the canal using gutta percha. 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. Flap is done over the tooth and remove the defect on the root surface with a round bur. Application of MTA to the root surface.

Lateral or furcation perforation

Lateral perforation occurs due to wrong direction of instrumentation during cleaning& shaping of the canal. If it accidentally happened... . finish cleaning & shaping of the canal , irrigate the canal with sodium hypochlorite to disinfect it and dry it with a paper point.

When the perforation occurs at the furcation(between roots) area« it also can be fixed by using MTA material . the perforation can be sealed with MTA mixture. Make sure that you can locate the canal while the MTA has not set and remove the excess material from the area. Close the tooth as above and do the root canal the next visit.

Apexification Title
When the root is not completely formed « ‡ in case ipsum dolor sit1. Isolate the tooth with Lorem of vital pulp: amet, consectetuer aadipiscing elit. Vivamus et magna. Fusce sed rubber dam sem sed magna suscipit procedure. 2. Perform a pulpotomyegestas. ‡ 3. Place the dolor sit amet, consectetuerclose Lorem ipsum MTA over the pulp and the tooth with Vivamus et magna. Fusce sedthe adipiscing elit. temporary cement until apex sed magna suscipit egestas. sem is completely formed.

In case of non-vital pulp: 1. Isolate the tooth with a rubber dam 2. perform root canal treatment. 3. Mix the MTA and plug it down to the apex of the tooth, creating a 2 mm thickness of plug. 5. Wait for it to set; then fill in the canal with cement and gutta percha.

MTA showed clinical and radiographic success as a dressing material following pulpotomy in primary teeth and seems to be a suitable replacement for formocresol in primary teeth.

Mineral trioxide aggregate showed clinical and radiographic success as a pulpotomy agent in immature permanent teeth (apexogenesis) and seems to be a suitable alternative to calcium hydroxide. (Pediatr. Dent. 2006;28:399-404)

Title
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