• 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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• 제39권3호
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• pp.187-194
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• 2014

Objectives: The effects of bone morphogenetic protein-2 (BMP-2) and enamel matrix derivative (EMD) respectively with mineral trioxide aggregate (MTA) on hard tissue regeneration have been investigated in previous studies. This study aimed to compare the osteogenic effects of MTA/BMP-2 and MTA/EMD treatment in MC3T3-E1 cells. Materials and Methods: MC3T3-E1 cells were treated with MTA (ProRoot, Dentsply), BMP-2 (R&D Systems), EMD (Emdogain, Straumann) separately and MTA/BMP-2 or MTA/EMD combination. Mineralization was evaluated by staining the calcium deposits with alkaline phosphatase (ALP, Sigma-Aldrich) and Alizarin red (Sigma-Aldrich). The effects on the osteoblast differentiation were evaluated by the expressions of osteogenic markers, including ALP, bone sialoprotein (BSP), osteocalcin (OCN), osteopontin (OPN) and osteonectin (OSN), as determined by reverse-transcription polymerase chain reaction analysis (RT-PCR, AccuPower PCR, Bioneer). Results: Mineralization increased in the BMP-2 and MTA/BMP-2 groups and increased to a lesser extent in the MTA/EMD group but appeared to decrease in the MTA-only group based on Alizarin red staining. ALP expression largely decreased in the EMD and MTA/EMD groups based on ALP staining. In the MTA/BMP-2 group, mRNA expression of OPN on day 3 and BSP and OCN on day 7 significantly increased. In the MTA/EMD group, OSN and OCN gene expression significantly increased on day 7, whereas ALP expression decreased on days 3 and 7 (p < 0.05). Conclusions: These results suggest the MTA/BMP-2 combination promoted more rapid differentiation in MC3T3-E1 cells than did MTA/EMD during the early mineralization period.

• Journal of Periodontal and Implant Science
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• 제39권3호
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• pp.359-365
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• 2009

Purpose: The purpose of this study was to investigate the ability of Mineral trioxide aggregate(MTA) to support osteoclastic differentiation from fetal rat calvarial cell. Methods: In this study, response of IL-6, RANKL, and OPG in fetal rat calvarial cells stimulated with IL-$1{\beta}$ on MTA was evaluated by ELISA and RT-PCR. Results: The results were as follows; there was no significant difference between glass and MTA at 5days. In ELISA analysis, Glass group and MTA group showed similar IL-6 expression, Glass+IL-$1{\beta}$ group and MTA+IL-$1{\beta}$ group showed similar IL-6 expression. In RT-PCR analysis, Glass group and MTA group showed similar IL-6, RANKL, OPG mRNA expression, MTA+IL-$1{\beta}$ group and Glass+IL-$1{\beta}$ group showed 3 fold increase of IL-6 and RNAKL mRNA expression when compared with MTA group. All groups showed similar OPG mRNA expression. Conclusions: MTA does not suppress cell proliferation and increase the proinflammatory cytokine that induce osteoclastogenesis. Thus, MTA is biocompatible material that could be used in various clinical conditions.

• 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.

• Molecules and Cells
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• 제37권9호
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• pp.699-704
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• 2014

Themetastasis-associated gene 1 (MTA1) oncogene hasbeen suggested to be involved in the regulation of cancer progression. However, there is still no direct evidence that MTA1 regulates cisplatin (CDDP) resistance, as well as cancer stem cell properties. In this study, we found that MTA1 was enriched in CNE1/CDDP cells. Knock down of MTA1 in CNE1/CDDP cells reversed CSCs properties and CDDP resistance. However, ectopic expression of MTA1 in CNE1 cells induced CSCs phenotypes and CDDP insensitivity. Interestingly, ectopic overexpression of MTA1-induced CSCs properties and CDDP resistance were reversed in CNE1 cells after inhibition of PI3K/Akt by LY294002. In addition, MTA1 expression and Akt activity in CNE1/CDDP cells was much higher than that in CNE1 cells. These results suggested that MTA1 may play a critical role in promoting CDDP resistance in NPC cells by regulatingcancer stem cell properties via thePI3K/Akt signaling pathway. Our findings suggested that MTA1 may be a potential target for overcoming CDDP resistance in NPC therapy.

• Restorative Dentistry and Endodontics
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• 제32권5호
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• pp.403-410
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• 2007

이 실험의 목적은 백서에서 치수절단술을 시행시 MTA 시멘트 단독 사용군과 rhBMP-2 혼용 사용군 간의 조직 반응을 비교하기 위함이다. 32마리의 건강한 백서의 상악 양쪽 제 1 대구치를 사용하였다. 치수강을 개방한 후에 지혈을 시행하고 우측 제1 대구치에는 대조군으로 MTA 시멘트 1.2 g을 사용하여 치수절단면을 수복하였고, 좌측 제 1대구치에는 MTA 시멘트 1.2 g에 rhBMP-2 $1\;{\mu}g$을 첨가하여 치수절단면을 수복하였다. 그 후 광중합 글래스 아이오노머 시멘트로 충전하였다. 백서는 각 각 16마리씩 2주, 7주 뒤에 희생시키고, 병리조직표본을 제작하였다. 통계 처리는 SPSS-WIN 12.0 프로그램을 이용하여 student t-test를 시행하였다 (p < 0.05). 염증소견은 7주군보다 2주군에서 더 심하였으나, 통계적으로 유의하지는 않았다 또한 rhBMP-2를 첨가한 군이 MTA 단독 사용군보다 염증 소견이 적어 보였으나, 역시 통계적으로 유의하지는 않았다. 결론적으로 MTA 시멘트 치수 절단술 시행시 MTA 단독 사용군과 비교시 MTA 시멘트에 rhBMP-2의 첨가하는 것은 별다른 차이가 없었다.

• 대한치과의사협회지
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• 제57권1호
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• pp.18-25
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• 2018

Objectives: This study aimed to compare the postoperative pain and clinical performance after partial pulpotomy by using ProRoot MTA and Endocem MTA. Materials and Methods: Twenty-eight teeth requiring partial pulpotomy due to deep dental caries or traumatic injury were included in this study. After 2mm removal of exposed pulp and bleeding control, the ProRoot MTA or Endocem MTA was randomly adjusted to the exposed site. 1, 2, 4, and 12 weeks after the final restoration, the patients were recalled to check the postoperative pain or another unfavorable signs. Pearson's chi-square test was used for statistical analysis to evaluate any differences among tested materials. Results: 3 of 28 teeth showed postoperative pain and cold positive during follow-up period (10.7%). There were no statistically differences in pain occurrence between two tested materials (P > 0.05). Conclusions: In the limitations of this study, partial pulpotomy by using Endocem MTA showed the advantages of short setting time and lower postoperative pain incidence, allowing one visit treatment.

• Restorative Dentistry and Endodontics
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• 제46권4호
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• pp.48.1-48.10
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• 2021

Objectives: This study aimed to evaluate the effects on bone repair of different concentrations of mineral trioxide aggregate (MTA) added to AH Plus. Materials and Methods: Bone tissue reactions were evaluated in 30 rats (Rattus norvegicus) after 7 and 30 days. In the AH + MTA10, AH + MTA20, and AH + MTA30 groups, defects in the tibiae were filled with AH Plus with MTA in proportions of 10%, 20% and 30%, respectively; in the MTA-FILL group, MTA Fillapex was used; and in the control group, no sealer was used. The samples were histologically analyzed to assess bone union and maturation. The Kruskal-Wallis and Mann-Whitney tests were performed for multiple pairwise comparisons (p ≤ 0.05). Results: At the 7-day time point, AH + MTA10 was superior to MTA-FILL with respect to bone union, and AH + MTA20 was superior to MTA-FILL with respect to bone maturity (p < 0.05). At the 30-day time point, both the AH + MTA10 and AH + MTA20 experimental sealers were superior not only to MTA-FILL, but also to AH + MTA30 with respect to both parameters (p < 0.05). The results of the AH + MTA10 and AH + MTA20 groups were superior to those of the control group for both parameters and experimental time points (p < 0.05). Conclusions: The results suggest the potential benefit of using a combination of these materials in situations requiring bone repair.

• 대한소아치과학회지
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• 제38권1호
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• pp.17-24
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• 2011

미성숙 영구 전치에서 MTA를 이용한 치근단 형성술의 예후를 평가하기 위해, 영구 전치의 외상으로 MTA를 이용한 치근단 형성술을 받은 환자 중 최소 3개월 이상의 경과 관찰이 시행된 환자 49명, 치아 64개의 의무기록과 방사선 사진을 검토하였다. 환자 정보, 치아 및 치주조직 외상 위치와 유형, 치료 전 치근단 병소 유무, 임상 증상 유무, MTA 충전 상태, 치근단 형성술 이후 치근단 병소 치유 및 치근단 경조직 장벽 형성 여부를 조사하고, 임상적, 방사선학적 성공을 평가하여 다음과 같은 결과를 얻었다. 1. 64개의 미성숙 영구전치에 시행된 MTA를 이용한 1-visit 치근단 형성술은 89.1%의 임상적 성공률과 73.4%의 방사선학적 성공률을 보였다. 2. 상악 치아와 하악 치아에 행해진 MTA를 이용한 1-visit 치근단 형성술 비교시 상악에서 유의하게 더 높은 성공률을 보였다. 3. 치아 외상 및 치주조직 외상 유형에 따른 성공률은 유의한 차이를 보이지 않았다. 4. MTA의 적절한 충전 여부는 성공률에 영향을 미치지 않았다.

• Restorative Dentistry and Endodontics
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• 제46권1호
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• pp.4.1-4.16
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• 2021

Objectives: This study evaluated the biocompatibility and bioactive potential of NeoMTA Plus mixed as a root canal sealer in comparison with MTA Fillapex. Materials and Methods: Polyethylene tubes filled with NeoMTA Plus (n = 20), MTA Fillapex (n = 20), or nothing (control group, CG; n = 20) were inserted into the connective tissue in the dorsal subcutaneous layer of rats. After 7, 15, 30 and 60 days, the specimens were processed for paraffin embedding. The capsule thickness, collagen content, and number of inflammatory cells (ICs) and interleukin-6 (IL-6) immunolabeled cells were measured. von Kossa-positive structures were evaluated and unstained sections were analyzed under polarized light. Two-way analysis of variance was performed, followed by the post hoc Tukey test (p ≤ 0.05). Results: At 7 days, the capsules around NeoMTA Plus and MTA Fillapex had more ICs and IL-6-immunostained cells than the CG. However, at 60 days, there was no significant difference in the IC number between NeoMTA Plus and the CG (p = 0.1137) or the MTA Fillapex group (p = 0.4062), although a greater number of IL-6-immunostained cells was observed in the MTA Fillapex group (p = 0.0353). From 7 to 60 days, the capsule thickness of the NeoMTA Plus and MTA Fillapex specimens significantly decreased, concomitantly with an increase in the collagen content. The capsules around root canal sealers showed positivity to the von Kossa stain and birefringent structures. Conclusions: The NeoMTA Plus root canal sealer is biocompatible and exhibits bioactive potential.