New Bioactive Calcium Silicate Cement Mineral Trioxide Aggregate Repair High Plasticity (MTA HP)—A Systematic Review

Palczewska-Komsa, Mirona; Kaczor-Wiankowska, Kinga; Nowicka, Alicja

doi:10.3390/ma14164573

Cited by 20 publications

(17 citation statements)

References 59 publications

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“…According to Palczewska-Komsa et al [ 26 ] the main components of MTA are CaWO 4 , Ca 3 SiO 5 , and Ca 2 SiO 4 as the main phases of the composition. The content of calcium aluminate improves the biological response of HP MTA.…”

Section: Discussionmentioning

confidence: 99%

Assessment of pH Value and Release of Calcium Ions in Calcium Silicate Cements: An In Vitro Comparative Study

Herrera-Trinidad,

Molinero-Mourelle,

Fonseca

et al. 2023

Materials

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The goal of this study was to evaluate the pH and the release of calcium from four calcium-silicate-based cements. Methods: Four materials were tested (ProClinic MTA; Angelus MTA; ProRoot MTA; Biodentine). The palatal canal root of acrylic upper molars was filled with each cement. Afterwards, they were set in phosphate-buffered saline. Measurements were taken by atomic adsorption spectroscopy (AAS) at 3, 24, 72, 168, 336, 672, and 1008 h. The pH was measured at the same timepoints. Kruskal–Wallis tests were carried out in each period, as the Kolmogorov–Smirnov and Shapiro–Wilk tests showed no parametric results. Results: Significant differences (p < 0.05) in calcium release were found at the 3-, 24-, and 72-hour evaluations. All of the analyzed groups presented a release of calcium ions up to 168 h, and the general tendency was to increase up to 672 h, with a maximum release of 25.45 mg/g in the ProRoot group. We could only observe significant differences (p < 0.05) in pH value over 168 h between the Biodentine (7.93) and Angelus MTA (7.31) groups. Conclusions: There were significant differences (p < 0.05) in calcium release. Nevertheless, no significant differences (p > 0.05) in the pH values were found at the studied timepoints, except for the values at 168 h.

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Section: Discussionmentioning

confidence: 99%

Assessment of pH Value and Release of Calcium Ions in Calcium Silicate Cements: An In Vitro Comparative Study

Herrera-Trinidad,

Molinero-Mourelle,

Fonseca

et al. 2023

Materials

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“…Based on the premise and function of improving the physical-chemical properties of this material, with the addition of plasticizing agents, in the following years, different calcium silicate cements (IRoot SP, Endosequence BC sealer, BioRoot™ RCS, Bio Aggregate, calcium-enriched mixture (CEM) among others) were introduced on the dental materials market ( Chart 1 ) 23 , 24 , 25 , 26 , 27 , 29 , 31 .…”

Section: Introductionmentioning

confidence: 99%

Mechanism of action of Bioactive Endodontic Materials

et al. 2023

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A continuous search for bioactive materials capable of supporting the replacement of damaged pulp tissue, with effective sealing potential and biocompatibility, has represented the attention of studies over the last decades. This study involves a narrative review of the literature developed by searching representative research in PUBMED/MEDLINE and searches in textbooks associated with the mechanism of action of bioactive materials (calcium hydroxide, mineral trioxide aggregate (MTA), and calcium silicate cements). The reflective analysis of the particularities of the chemical elements of these materials, considering the tissue and antibacterial mechanism of action, allows a better understanding of the characteristics and similarities in their tissue responses. Calcium hydroxide paste remains the antibacterial substance of choice as intracanal dressing for the treatment of root canal system infections. Calcium silicate cements, including MTA, show a favorable biological response with the stimulation of mineralized tissue deposition in sealed areas when in contact with connective tissue. This is due to the similarity between the chemical elements, especially ionic dissociation, the potential stimulation of enzymes in tissues, and the contribution towards an alkaline environment due to the pH of these materials. The behavior of bioactive materials, especially MTA and the new calcium silicate cements in the biological sealing activity, has been shown to be effective. Contemporary endodontics has access to bioactive materials with similar properties, which can stimulate a biological seal in lateral and furcation root perforations, root-end fillings and root fillings, pulp capping, pulpotomy, apexification, and regenerative endodontic procedures, in addition to other clinical conditions.

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“…However, concerns have been raised about its toxicity due to its caustic effect, inability to adhere to dentin, degradation over time, and tunnel defects in the restorative dentin bridge [ 17 , 18 ]. In recent years, the search for better materials has led mineral trioxide aggregate (MTA) to be considered the gold standard for vital pulp therapies [ 19 , 20 ]. Already 20 years ago, Aeinehci et al [ 21 ] stated that a thicker dentinal bridge and a more evident odontoblastic layer were present in human teeth treated with MTA compared to those treated with CH [ 21 ].…”

Section: Introductionmentioning

confidence: 99%

Partial Pulpotomy in Young Permanent Teeth: A Systematic Review and Meta-Analysis

Camoni,

Cagetti,

Cirio

et al. 2023

Children

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The aim of the present systematic review was to evaluate the clinical and radiographic success of partial pulpotomies in deep caries processes or post-eruptive defects in young, vital permanent teeth. Four electronic databases, PubMed, Scopus, Embase, and Google Scholar, were searched, followed by a manual search in the reference lists. Randomized controlled trials evaluating partial pulpotomy with a follow-up period of ≥12 months were included. A meta-analysis using a random effects model was performed. A total of 3127 articles were retrieved, and after duplicate removal, 2642 were screened by title and abstract; 1 additional article was found during the manual search, and 79 were identified. Finally, six papers were included in the review. Regardless of the partial pulpotomy modalities or material used, there were no significant differences between clinical and radiographic success rates (cumulative success rate 91.8–92.3%). Five studies were included in the meta-analysis that did not indicate any statistically significant differences in success rates when mineral trioxide aggregate was compared to other materials (95% confidence interval: 0.239 to 1.016; p = 0.055). The present research systematically evaluates the evidence and summarizes the available data on partial pulpotomy in young permanent teeth. Given its high clinical and radiographic success rate, partial pulpotomy should be considered when vital pulpal therapy needs to be performed in highly damaged young permanent teeth, as this procedure provides a biological benefit and allows more invasive endodontic treatments to be postponed.

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New Bioactive Calcium Silicate Cement Mineral Trioxide Aggregate Repair High Plasticity (MTA HP)—A Systematic Review

Cited by 20 publications

References 59 publications

Assessment of pH Value and Release of Calcium Ions in Calcium Silicate Cements: An In Vitro Comparative Study

Assessment of pH Value and Release of Calcium Ions in Calcium Silicate Cements: An In Vitro Comparative Study

Mechanism of action of Bioactive Endodontic Materials

Partial Pulpotomy in Young Permanent Teeth: A Systematic Review and Meta-Analysis

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