• Restorative Dentistry and Endodontics
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• 제35권3호
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• pp.149-151
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• 2010

Since its introduction in 1993, Mineral Trioxide Aggregate (MTA) has been shown to be superior to others in sealing, biocompatibility, and many other aspects of clinical endodontics. MTA is primarily Portland cement with bismuth oxide as a radiopacitifier. Although some studies suggested that the reasonable-priced Portland cement could be used instead of MTA, but MTAs are different from Portland cement in its composition, especially in heavy metal contents. Therefore, clinicians should be meticulous adapting the Portland cement as a MTA substitute.

• 대한소아치과학회지
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• 제38권3호
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• pp.229-236
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• 2011

현재 시판되고 있는 ProRoot white MTA(Dentsply Tulsa, U.S.A)는 portland cement와 비슷한 성분으로 수분의 첨가로 인하여 경화 팽창하는 성질이 있고, 긴 경화 시간을 갖는다. 본 연구는 최근 개발된 OrthoMTA(BioMTA, Korea), 기존의 ProRoot white MTA(Dentsply Tulsa, U.S.A) 그리고 White portland cement(Union, Korea)를 대상으로 2008년에 개정된 치근관 충전재(KS P ISO 6876)의 요구 사항 중에서 경화 팽창과 경화 시간에 대한 연구를 하였다. 연구 결과, OrthoMTA의 경화 팽창률은 $0.08{\pm}0.02%$이었고, ProRoot white MTA, White portland cement는 각각 $0.28{\pm}0.06$, $0.80{\pm}0.25%$였다(p<0.05). 경화 시간은 각각 $307.78{\pm}3.83$분, $150.44{\pm}2.35$분, $235.33{\pm}9.07$분으로, ProRoot white MTA가 가장 짧았고, OrthoMTA가 가장 길었다(p<0.05).

• 구강회복응용과학지
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• 제23권1호
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• pp.79-84
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• 2007

Mineral Trioxide Aggregate(MTA) has been used in Endodontic treatment successfully for more than 10 years. But the high cost of MTA limits its use in endodontics in Korea. Recently many studies have been done to compare MTA and Portland cements. To investigate the chemical constitutions of MTA (Proroot MTA, Tulsa Dental), Gray Portland cement (Lafarge Halla cement), White Portland cement(Union corp), and fast setting cement (SSangyong cement), we performed SEM(scanning electron microscope)(S4700, Hitachi) examination and EDS(Energy dispersive spectrometry)(emax, Horiba) analysis. SEM examination and EDS analysis were committed to and performed in SNU DRI (Seoul National University Dental Research Institute). We found that particles of MTA were relatively round, uniform in size, and compactly packed compared to Portland cements. Chemical constitutions of MTA, GPC, WPC and FSC were similar. It was shown that MTA contains much BiO2 . MTA and WPC showed less heavy metals such as Fe and Mg compared to GPC and FSC. FSC showed remarkably high aluminum content.

• Restorative Dentistry and Endodontics
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• 제35권5호
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• pp.344-352
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• 2010

연구목적: 본 연구의 목적은 glass ionomer cement (GIC)와 혼합한 mineral trioxide aggregate (MTA)의 경화 시간, 압축 강도, 용해도, pH를 평가하고 이것을 MTA, GIC, IRM, SuperEBA와 비교하는 것이다. 연구 재료 및 방법: 경화 시간과 압축 강도는 ISO 9917, 그리고 용해도는 ISO 6876 기준에 따라 측정하였다. pH는 고체시편 전용 전극이 연결된 pH meter를 이용하여 측정하였다. 결과: GIC와 혼합한 MTA의 경화시간은 MTA보다 유의하게 짧았으며 압축 강도는 7일간 모든 시점에서 다른 재료보다 유의하게 낮았다. GIC와 혼합한 MTA 중에서 1 : 1과 2 : 1 시편의 용해도는 다른 실험군보다 유의하게 높았다. 또한 GIC와 혼합한 MTA의 pH는 혼합직후 2-4의 범위에서 1일 후 5-7 사이로 증가하였다. 결론: GIC와 혼합한 MTA의 경화시간은 MTA에 비해 개선되었으나 압축강도 및 pH와 같은 다른 성질들은 MTA에 비해 오히려 열등한 것으로 밝혀졌다. 임상적 사용이 가능하려면, MTA의 기존 장점을 저해하지 않으면서 단점을 개선하기 위한 적절한 혼합비를 찾아내고 생체친화성을 평가하는 추가적인 연구가 필수적이다.

• Restorative Dentistry and Endodontics
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• 제35권5호
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• pp.359-367
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• 2010

연구목적: 본 연구의 목적은 glass ionomer cement (GIC)와 혼합된 mineral trioxide aggregate (MTA)의 생체친화성을 평가하고 이것을 MTA, GIC, IRM, SuperEBA와 비교해보는 것이다. 연구 재료 및 방법: 재료의 세포독성을 평가하기 위해 MG-63세포를 이용해 주사전자 현미경 관찰과 XTT assay를 실시하였다. 결과: 주사전자 현미경 관찰에서는 GIC와 혼합한 MTA, MTA, GIC의 표면에서 세포질 돌기를 가진 많은 세포들이 밀집되고 융합된 형태로 관찰되었다. 반면 IRM과 SuperEBA에서는 세포들의 수가 적고 둥근 양상을 보여주었다. XTT assay에서는 GIC와 혼합한 MTA에서의 세포 활성도는 모든 시점에서 MTA 또는 GIC와 유사하였다. 반면 IRM과 SuperEBA에서는 모든 시점에서 세포활성도가 다른 그룹에 비해 유의하게 더 낮았다. 결론: 본 연구에서 GIC와 혼합된 MTA는 MTA, GIC와 유사한 세포 반응을 나타냈다. 이것은 GIC와 혼합된 MTA가 MTA, GIC와 마찬가지로 좋은 생체친화성을 가진 재료라는 것을 시사한다.

• Restorative Dentistry and Endodontics
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• 제34권3호
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• pp.192-198
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• 2009

이번 연구는 치근 천공의 치료 재료인 white mineral trioxide aggregate (MTA)를 흔히 사용되는 calcium hydroxide liner ($Dycal^{(R)}$), glass ionomer cement (GIC), 그리고 MTA와 유사한 성분을 가진 Portland cement와 세포독성 실험으로 생체 친화성을 평가하는 것이다. 세포독성의 정도는 MG-63 세포를 이용해 주사전자 현미경적 관찰과 수용성 tetrazolium salt를 이용한 흡광도를 측정 (XTT assay)하여 평가하였다. SEM 관찰에서, 1일과 3일째 모두에서 GIC와 MTA, Portland cement 표면에서는 잘 부착된 세포를 보여주었다. 반면에, Dycal 표면의 세포들은 둥글고 부착되지 않은 양상을 보여 주었다. XTT assay에서는 Dycal을 제외한 모든 재료에서 유사하게 높은 세포 활성도를 보여주었으며, 이는 SEM 관찰 소견과 일치하였다. 이번 연구는 MTA가 생체친화적인 재료라는 견해를 뒷받침한다. 또한 Portland cement와 GIC에서도 MTA와 유사한 세포반응을 보여주었다.

• Restorative Dentistry and Endodontics
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• 제38권4호
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• pp.227-233
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• 2013

Objectives: The purpose of the study was to evaluate human dental pulp response to pulpotomy with calcium hydroxide (CH), mineral trioxide aggregate (MTA), and calcium enriched mixture (CEM) cement. Materials and Methods: A total of nine erupted third molars were randomly assigned to each pulpotomy group. The same clinician performed full pulpotomies and coronal restorations. The patients were followed clinically for six months; the teeth were then extracted and prepared for histological assessments. The samples were blindly assessed by an independent observer for pulp vitality, pulp inflammation, and calcified bridge formation. Results: All patients were free of clinical signs/symptoms of pulpal/periradicular diseases during the follow up period. In CH group, one tooth had necrotic radicular pulp; other two teeth in this group had vital uninflamed pulps with complete dentinal bridge formation. In CEM cement and MTA groups all teeth had vital uninflamed radicular pulps. A complete dentinal bridge was formed beneath CEM cement and MTA in all roots. Odontoblast-like cells were present beneath CEM cement and MTA in all samples. Conclusions: This study revealed that CEM cement and MTA were reliable endodontic biomaterials in full pulpotomy treatment. In contrast, the human dental pulp response to CH might be unpredictable.

• Restorative Dentistry and Endodontics
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• 제37권4호
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• pp.194-200
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• 2012

Objectives: New resin cement (NRC) has been developed as a root repairing material and the material is composed of organic resin matrix and inorganic powders. The aim of this study was to compare the rat subcutaneous tissue response to NRC and mineral trioxide aggregate (MTA) cement and to investigate the tissue toxicity of both materials. Materials and Methods: Sixty rats received two polyethylene tube-implants in dorsal subcutaneous regions, MTA and NRC specimens. Twenty rats were sacrificed respectively at 1, 4 and 8 wk after implantation and sectioned to 5 ${\mu}m$ thickness and stained with Hematoxylin-Eosin (H-E) or von-Kossa staining. The condition of tissue adjacent to the implanted materials and the extent of inflammation to each implant were evaluated by two examiners who were unaware of the type of implanted materials in the tissues. Data were statistically analyzed with paired t-test (p < 0.05). Results: In specimens implanted with both NRC and MTA, severe inflammatory reactions were present at one wk, which decreased with time. At eighth wk, MTA implanted tissue showed mild inflammatory reaction, while there were moderate inflammatory reactions in NRC implanted tissue, respectively. In NRC group, von-Kossa staining showed more calcification materials than MTA group at eighth wk. Conclusions: It was concluded that the calcium reservoir capability of NRC may contribute to mineralization of the tissues.

• Restorative Dentistry and Endodontics
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• 제39권1호
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• pp.39-44
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• 2014

Objectives: The purpose of this study was to evaluate in vitro cytotoxicity of the pozzolan cement and other root-end filling materials using human periodontal ligament cell. Materials and Methods: Endocem (Maruchi), white ProRoot MTA (Dentsply), white Angelus MTA (Angelus), and Super EBA (Bosworth Co.) were tested after set completely in an incubator at $37^{\circ}C$ for 7 days, Endocem was tested in two ways: 1) immediately after mixing (fresh specimens) and 2) after setting completely like other experimental materials. The methods for assessment included light microscopic examination, cell counting and WST-1 assay on human periodontal ligament cell. Results: In the results of microscopic examination and cell counting, Super EBA showed significantly lower viable cell than any other groups (p < 0.05). As the results of WST-1 assay, compared with untreated control group, there was no significant cell viability of the Endocem group. However, the fresh mixed Endocem group had significantly less cell viability. The cells exposed to ProRoot MTA and Angelus MTA showed the highest viability, whereas the cells exposed to Super EBA displayed the lowest viability (p < 0.05). Conclusions: The cytotoxicity of the pozzolan cement (Endocem) was comparable with ProRoot MTA and Angelus MTA. Considering the difficult manipulation and long setting time of ProRoot MTA and Angelus MTA, Endocem can be used as the alternative of retrofilling material.

• 대한치과의사협회지
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• 제48권11호
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• pp.813-818
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• 2010

Since MTA has many beneficial properties such as biocompatibility, great sealing capacity, antibacterial effects, low cytotoxicity, and stimulation of formation of mineralized tissue, it has been widely used as the material of choice in root-end filling, apexification, pulpotomy, perforation repair and so on. However, despite its favorable characteristics, MTA presents working properties which are less than ideal. The resulting cement from the mixing of powder and water is difficult to manipulate, and its setting time has been reported to be 2 h 45 min whereas the working time is <4 minutes. Additional moisture is also required to activate the setting of the cement. Moreover, according to recent studies, the physical properties of MT A may be hampered by acidic environment or blood contamination. Therefore, practitioners may have surprisingly worse results than they expected when they are not fully acquainted with the characteristics and manipulation method of MTA.