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Improvement of the properties of mineral trioxide aggregate by mixing with hydration accelerators
Bin-Na Lee1, Yun-Chan Hwang, Ji-Hyun Jang
1Department of Conservative Dentistry, School of Dentistry, Dental Science Research Institute, Chonnam National University, Gwangju, Korea.
Introduction:
Mineral trioxide aggregate (MTA) is used widely in endodontic therapy. This study examined the setting time, compressive strength, and pH of MTA mixed with several hydration accelerators (calcium chloride, low-dose citric acid, calcium lactate gluconate solution).
Methods:
Group 1 (control) was obtained by mixing MTA with distilled water. In group 2, MTA containing 10% calcium chloride was mixed with distilled water. In group 3, MTA was mixed with 0.1% citric acid. In group 4, MTA was mixed with a calcium lactate gluconate solution. The setting time, compressive strength, and pH were examined.
Results:
The setting time of MTA mixed with hydration accelerators was significantly shorter than that of MTA mixed with water (P < .01). In particular, replacing distilled water with a calcium lactate gluconate solution provided a significant decrease in setting time. The compressive strengths of MTA mixed with hydration accelerators were significantly lower than that of MTA mixed with water (P < .01), but those values increased with time. The pH of MTA mixed with hydration accelerators was significantly lower than that of MTA mixed with water (P < .01) but stable at a high level (pH 11-12).
Conclusions:
Hydration accelerators improved the setting time of MTA. Nevertheless, more study will be needed to improve MTA without impairing its preexisting advantages.
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