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Evaluation of the effect of blood contamination on the compressive strength of MTA modified with hydration
Kaveh Oloomi1, Eshaghali Saberi, Hadi Mokhtari
1Department of Endodontics, Tehran University of Medical Sciences School of Dentistry, Tehran, Iran.
Objectives:
This study was performed to evaluate the effect of blood contamination on the compressive strength (CS) of Root MTA (RMTA) modified with Calcium chloride (CaCl2) and Disodium hydrogen phosphate (Na2HPO4) as setting accelerators over time.
Materials And Methods:
A total of 110 cylindrical specimens of RMTA were divided into 6 experimental groups as follows: Group1, RMTA; Group 2, RMTA modified with CaCl2 (RMTA-C); Group 3, RMTA modified with Na2HPO4 (RMTA-N); Group 4, RMTA contaminated with blood; Group 5, RMTA-C contaminated with blood; Group 6, RMTA-N contaminated with blood. The CS of specimens in all groups was evaluated after 3 hr, 24 hr, and 1 wk. In the modified groups (groups 2, 3, 5, and 6) the CS of five specimens per group was also evaluated after 1 hr.
Results:
Blood contamination significantly reduced the CS of all materials at all time intervals (p < 0.05). After 3 hr, the CS of specimens in the RMTA groups (with and without blood contamination) was significantly lower than those in the RMTA-C and RMTA-N groups (p < 0.05). The CS values were not significantly different at the other time intervals. In all groups, the CS of specimens significantly increased over time (p < 0.05).
Conclusions:
Blood contamination decreased the CS of both original and accelerated RMTA.
Insights
Blood contamination significantly reduced the compressive strength (CS) of both original and accelerated Root MTA (RMTA). Accelerated RMTA formulations showed higher CS than un-accelerated RMTA when contaminated with blood.
Area of Science:
- Biomaterials Science
- Dental Materials
- Regenerative Endodontics
Background:
- Root canal sealers are crucial for successful endodontic treatment.
- Mineral Trioxide Aggregate (MTA) is a widely used biomaterial in endodontics.
- Blood contamination during root canal procedures can potentially affect sealer performance.
Purpose of the Study:
- To evaluate the impact of blood contamination on the compressive strength (CS) of Root MTA (RMTA).
- To assess the effect of setting accelerators, Calcium chloride (CaCl2) and Disodium hydrogen phosphate (Na2HPO4), on blood-contaminated RMTA's CS over time.
Main Methods:
- 110 RMTA specimens were prepared and divided into six groups: RMTA, RMTA with CaCl2 (RMTA-C), RMTA with Na2HPO4 (RMTA-N), and their blood-contaminated counterparts.
- Compressive strength was measured at 3 hours, 24 hours, and 1 week.
- CS of modified groups was also assessed at 1 hour.
Main Results:
- Blood contamination significantly reduced the CS of all RMTA materials across all time points (p < 0.05).
- At 3 hours, RMTA groups (with and without blood) exhibited significantly lower CS compared to RMTA-C and RMTA-N groups (p < 0.05).
- CS increased significantly over time in all tested groups (p < 0.05).
Conclusions:
- Blood contamination negatively impacts the compressive strength of both standard and accelerated RMTA.
- Accelerated RMTA formulations (RMTA-C and RMTA-N) demonstrated improved resistance to blood contamination's detrimental effects on CS, particularly at early time points.
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