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MINERAL TRIOXIDE AGGREGATE

MINERAL TRIOXIDE AGGREGATE

Introduction

TORABINEJAD developed the original product (gray MTA). A variation of the original formula of gray MTA has been introduced, often called as white MTA.



Constituents

Calcium silicate

Bismuth oxide

Calcium carbonate

Calcium sulfate 

Calcium aluminate 

Properties

- Longest setting time i.e, 2 hrs, 45 min.

- Compressive strength 

      At 24 hrs after mixing : 40 MPa 

      At 21 days after mixing : 67 MPa 

- Radiopacity

   Amalgam>MTA>Super EBA & IRM 

- Solubility

   Similar to amalgam and Super-EBA 

- pH after mixing

   Initial: 10.2

   At 3 hrs: 12.5

   At 168 hrs: 9.5

Gray MTA vs White MTA

Initially, Gray MTA was developed and sold as "ProRoot MTA". Later tooth colored formula was introduced due to esthetic reasons ("White MTA"). Main difference was absence of iron in latter formulation.

Advantages

- Excellent Sealing Ability
- Biocompatible

Disadvantages

- Handling difficulties
- Heavy metal in powder
- Long setting time
- High cost 

References

- Endodontics: Principles and Practice by 
   Mahmoud Torabinejad, Richard E. Walton
- Cohen's Pathways of the Pulp
- Microsurgery in Endodontics by 
    Syngcuk Kim and Samuel Kratchman.






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