Assessment of Mineral Trioxide Aggregate Setting in Simulated Root Canal with Different Root Canal Wall Thickness: In Vitro Study
Abstract
Featured Application In endodontic treatment of teeth with thin root canal wall, we suggest to use thicker mineral trioxide aggregate (MTA) to overcome reduced mechanical properties of MTA's interfacial layer. Setting of mineral trioxide aggregate (MTA) is affected by various factors.
The purpose of this in vitro study was to evaluate the influence of root canal wall thickness on mechanical properties of MTA along the whole apical plug. Bovine bone mold tubes with internal diameter of 2 mm, height of 5 mm, and wall thickness of 0.8 mm, 1.2 mm, and 1.6 mm were filled with 3 mm ProRoot MTA and were kept in 37 degrees C and relative humidity of 100% for 7 days.
The indentation hardness and reduced modulus of elasticity were measured in a large overview matrix and detailed matrix placed 1.5 mm from simulated apical foramen in order to obtain particularized information about gradient of altering mechanical properties. The uppermost layer of material in contact with simulated apical foramen had reduced mechanical properties irrespective of root canal wall thickness.
The most distinct decrease of microhardness (32%) and reduced modulus of elasticity (27%) in interfacial layer were present in specimen with thinnest root canal wall. This effect could be observed in detailed measurement up to 190 mu m in material.
The interfacial layer of MTA, which was in contact during setting with root canal wall thinner than 1.2 mm, had reduced mechanical properties.