Physical and chemical properties of new-generation endodontic materials. 2010

Micah L Porter, and Antonio Bertó, and Carolyn M Primus, and Ikuya Watanabe
Department of Endodontics, Baylor College of Dentistry, The Texas A&M University System Health Science Center, Dallas, TX, USA.

BACKGROUND Mineral trioxide aggregate (MTA), white and gray, has many uses in endodontic therapy but is limited by its difficult handling characteristics. This study compared the physical and chemical properties of white MTA (WMTA) with three experimental root-end filling materials: Capasio (Primus Consulting, Bradenton, FL), Ceramicrete-D (Tulsa Dental Specialties/Argonne National Laboratory, Argonne, IL), and Generex-A (Dentsply Tulsa Dental Specialties, Tulsa, OK). METHODS The setting time and radiopacity were tested using International Organization for Standardization (ISO) 6876 methods. Compressive strength was measured following the ISO 9917 method. The pH of the materials was measured after mixing. A novel test was developed for washout resistance of the materials immediately after placement. Data were compared by analysis of variance and Sidak post hoc analysis (p<0.05) for compressive strength and washout resistance. RESULTS The setting time of Generex-A was half that of WMTA. All materials met the ISO 6876 requirements for radiopacity. The compressive strengths after 7 days decreased in this order: Generex-A>Capasio>WMTA>Ceramicrete-D. The initial pH of Capasio and Generex-A were alkaline, similar to WMTA, whereas that of Ceramicrete-D was acidic. Significantly, alternative materials remained in situ after the washout test, whereas WMTA was displaced from the retropreparations. CONCLUSIONS The clinical handling and washout resistance of the alternative materials were far superior to WMTA. The radiopacity, compressive strength, and washout resistance make Generex-A and Capasio materials suitable for further study. Ceramicrete-D was weaker, less radiopaque, and initially acidic.

UI MeSH Term Description Entries
D008422 Materials Testing The testing of materials and devices, especially those used for PROSTHESES AND IMPLANTS; SUTURES; TISSUE ADHESIVES; etc., for hardness, strength, durability, safety, efficacy, and biocompatibility. Biocompatibility Testing,Biocompatible Materials Testing,Hemocompatibility Testing,Testing, Biocompatible Materials,Testing, Hemocompatible Materials,Hemocompatibility Testings,Hemocompatible Materials Testing,Materials Testing, Biocompatible,Materials Testing, Hemocompatible,Testing, Biocompatibility,Testing, Hemocompatibility,Testing, Materials,Testings, Biocompatibility
D010087 Oxides Binary compounds of oxygen containing the anion O(2-). The anion combines with metals to form alkaline oxides and non-metals to form acidic oxides. Oxide
D003287 Contrast Media Substances used to allow enhanced visualization of tissues. Radiopaque Media,Contrast Agent,Contrast Agents,Contrast Material,Contrast Materials,Radiocontrast Agent,Radiocontrast Agents,Radiocontrast Media,Agent, Contrast,Agent, Radiocontrast,Agents, Contrast,Agents, Radiocontrast,Material, Contrast,Materials, Contrast,Media, Contrast,Media, Radiocontrast,Media, Radiopaque
D003738 Dental Cements Substances used to bond COMPOSITE RESINS to DENTAL ENAMEL and DENTIN. These bonding or luting agents are used in restorative dentistry, ROOT CANAL THERAPY; PROSTHODONTICS; and ORTHODONTICS. Dental Adhesives,Luting Agents,Orthodontic Adhesives,Cement, Dental,Cements, Dental,Dental Cement,Adhesive, Dental,Adhesive, Orthodontic,Adhesives, Dental,Adhesives, Orthodontic,Dental Adhesive,Luting Agent,Orthodontic Adhesive
D004338 Drug Combinations Single preparations containing two or more active agents, for the purpose of their concurrent administration as a fixed dose mixture. Drug Combination,Combination, Drug,Combinations, Drug
D006801 Humans Members of the species Homo sapiens. Homo sapiens,Man (Taxonomy),Human,Man, Modern,Modern Man
D006863 Hydrogen-Ion Concentration The normality of a solution with respect to HYDROGEN ions; H+. It is related to acidity measurements in most cases by pH pH,Concentration, Hydrogen-Ion,Concentrations, Hydrogen-Ion,Hydrogen Ion Concentration,Hydrogen-Ion Concentrations
D012387 Root Canal Filling Materials Materials placed inside a root canal for the purpose of obturating or sealing it. The materials may be gutta-percha, silver cones, paste mixtures, or other substances. (Dorland, 28th ed, p631 & Boucher's Clinical Dental Terminology, 4th ed, p187) Root Canal Filling Material,Root Canal Sealants,Sealants, Root Canal,Canal Sealant, Root,Canal Sealants, Root,Root Canal Sealant,Sealant, Root Canal
D017607 Aluminum Compounds Inorganic compounds that contain aluminum as an integral part of the molecule. Compounds, Aluminum
D017610 Calcium Compounds Inorganic compounds that contain calcium as an integral part of the molecule. Compounds, Calcium

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