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MINERAL  TRIOXIDE  AGGREGATE Seminar by  Guide: Dr. C. Ram Mohan  Dr. T. Manisha Choudary
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Introduction It was introduced by Mahmoud Torabinejad and colleagues at Lomalinda University in 1993.  Has been used on experimental basis by endodontists for several years with anecdotally reported successes, some of it quite impressive.  It was approved for the human usage by the FDA in 1998. The material appears to be an improvement over other materials for some endodontic procedures that involve root repair and bone healing.
Indications ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Contraindications ,[object Object],[object Object]
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Clinical Applications ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
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Mechanism of action ,[object Object]
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Clinical studies ,[object Object],[object Object]
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[object Object],Caries  Resorptive processes Iatrogenically induced like misdirected bur during access preparation and during preparation of post space.  Excessive flaring of cervical portion of curved roots in molars can cause lateral root perforations  Strip perforations during preparation of curved canals
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Clinical procedure ,[object Object],[object Object],For application of MTA, no such pressure resistant  support is necessary. Freshly mixed MTA has a soft consistency and may be applied without pressure. Small pieces of Collagen (Kollagen-Resorb; Resorba, Nuremberg, Germany.) are used to push the granulation tissue out of the perforation and keep it in place outside the root.
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Clinical studies ,[object Object],[object Object]
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[object Object],In teeth with incomplete root end and necrotic pulps, the root canals must be completely debrided. Because of a lack of apical seal and the presence of thin and fragile walls in these teeth, it is imperative to perform apexification to obtain an adequate apical seal.
Clinical procedure ,[object Object],[object Object],[object Object],[object Object]
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[object Object],A major difficulty in obtaining successful results with pulp therapy is the prevention of recontamination by bacteria after treatment has been completed.  . The inability of the Ca(OH)2 to provide a permanent seal and the porous nature of bridge allows the ingress of bacteria and inflammatory byproducts. These irritants can compromise pulpal vitality, often leading to dystrophic calcification, root canal therapy or potential extraction.
Once MTA has been placed, no further irrigation  can be accomplished, since the unset MTA can be easily washed off. ,[object Object]
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Clinical studies ,[object Object],[object Object]
Holland etal  compared the dogs pulp responses on capping with either MTA or Ca(OH)2  In teeth treated with MTA, all bridges were tubular morphologically. In the superficial portion of these bridges, the presence of a slight layer of necrotic pulp tissue was observed suggesting that material, similar to Ca(OH)2, initially causes necrosis by coagulation in contact with pulp connective tissue. This reaction may occur because of the product’s high alkalinity, whose pH is 10.2 during manipulation and 12.5 after 3 hours. The results were similar to the findings of Pittford etal.
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Conclusion ,[object Object],[object Object]
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 

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Mineral trioxide (3)

  • 1. MINERAL TRIOXIDE AGGREGATE Seminar by Guide: Dr. C. Ram Mohan Dr. T. Manisha Choudary
  • 2.
  • 3. Introduction It was introduced by Mahmoud Torabinejad and colleagues at Lomalinda University in 1993. Has been used on experimental basis by endodontists for several years with anecdotally reported successes, some of it quite impressive. It was approved for the human usage by the FDA in 1998. The material appears to be an improvement over other materials for some endodontic procedures that involve root repair and bone healing.
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  • 74. Holland etal compared the dogs pulp responses on capping with either MTA or Ca(OH)2 In teeth treated with MTA, all bridges were tubular morphologically. In the superficial portion of these bridges, the presence of a slight layer of necrotic pulp tissue was observed suggesting that material, similar to Ca(OH)2, initially causes necrosis by coagulation in contact with pulp connective tissue. This reaction may occur because of the product’s high alkalinity, whose pH is 10.2 during manipulation and 12.5 after 3 hours. The results were similar to the findings of Pittford etal.
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