Mineral Trioxide Aggregate-A Review of Properties and Testing Methodologies

Materials
William Nguyen HaLaurence James Walsh

Abstract

Mineral trioxide aggregate (MTA) restoratives and MTA sealers are commonly used in endodontics. Commonly referenced standards for testing of MTA are ISO 6876, 9917-1 and 10993. A PubMed search was performed relating to the relevant tests within each ISO and "mineral trioxide aggregate". MTA restoratives are typically tested with a mixture of tests from multiple standards. As the setting of MTA is dependent upon hydration, the results of various MTA restoratives and sealers are dependent upon the curing methodology. This includes physical properties after mixing, physical properties after setting and biocompatibility. The tests of flow, film thickness, working time and setting time can be superseded by rheology as it details how MTA hydrates. Physical property tests should replicate physiological conditions, i.e. 37 °C and submerged in physiological solution. Biocompatibility tests should involve immediate placement of samples immediately after mixing rather than being cured prior to placement as this does not replicate clinical usage. Biocompatibility tests should seek to replicate physiological conditions with MTA tested immediately after mixing.

References

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Citations

Dec 22, 2017·Scientific Reports·Mira Kebudi BenezraJosette Camilleri
Mar 12, 2020·Materials·Marta Kunert, Monika Lukomska-Szymanska
Oct 23, 2019·Journal of Functional Biomaterials·Qiu Li, Nichola J Coleman

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Methods Mentioned

BETA
rheology

Software Mentioned

iRoot FS
ProRoot MTA
ProRoot
iRoot BP Plus
iRoot
iRoot SP
iRoot BP

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