Kaul Rudra, Farooq Riyaz, Kaul Vibhuti, Malik Altaf H, Purra Aamir Rashid, Ahmad Lateef
Department of Conservative Dentistry and Endodontics, Government Dental College, Srinagar, Jammu and Kashmir, India.
Indian J Dent Res. 2013 Jul-Aug;24(4):418-22. doi: 10.4103/0970-9290.118381.
To evaluate the change in physical, chemical and biological properties when mineral trioxide aggregate (MTA) is mixed with a resin 4-methacryloxyethyl trimellitate anhydride (4-META)/methyl methacrylate-tri-n-butyl-borane (MMA)-TBB.
For biological evaluation MTA was inoculated in Wistar rat's subcutaneous tissue and peripheral tissue response was checked after 72 h, 7 days, 15 days and 30 days. Setting time was evaluated using Gillmore needle. The Ca++ release at the end of 24 h was checked using ethylenediaminetetraacetic acid titration method. For all the trials MTA mixed with water was kept as a control and the ratio of MTA with resin was 1:1 by weight.
The biological reaction was verified by two observers and their readings were matched using kappa test and there was an excellent relevance. There was no significant difference in the tissue reaction at the end of 30 days where both the groups seemed to show healing. Setting time of MTA with 4-META/MMA-TBB was coming to a mean of 26 min (approx.), which is almost 6 times lesser than that of MTA with water. After applying t test, the difference in Ca++ release was found significant (P = 0.00), with mean of 0.044 and 0.031 mol/L of MTA with water and MTA with 4-META/MMA-TBB respectively.
Under the parameters of this study, this new experimental cement has better handling, physical and chemical properties. Even its subcutaneous tissue reaction is comparable to MTA mixed with water.
评估当三氧化矿物凝聚体(MTA)与树脂偏苯三酸酐4-甲基丙烯酰氧乙酯(4-META)/甲基丙烯酸甲酯-三正丁基硼烷(MMA)-TBB混合时物理、化学和生物学性能的变化。
进行生物学评估时,将MTA接种于Wistar大鼠的皮下组织,并在72小时、7天、15天和30天后检查外周组织反应。使用吉尔摩针评估凝固时间。采用乙二胺四乙酸滴定法检查24小时结束时的钙离子释放情况。所有试验中,将与水混合的MTA作为对照,MTA与树脂的重量比为1:1。
两名观察者验证了生物学反应,其读数通过kappa检验进行匹配,相关性极佳。30天时两组组织反应均显示愈合,无显著差异。MTA与4-META/MMA-TBB混合后的凝固时间平均约为26分钟,几乎比与水混合的MTA短6倍。应用t检验后,发现钙离子释放差异显著(P = 0.00),与水混合的MTA和与4-META/MMA-TBB混合的MTA的钙离子释放平均值分别为0.044和0.031mol/L。
在本研究参数下,这种新型实验性水门汀具有更好的操作性、物理和化学性能。甚至其皮下组织反应与与水混合的MTA相当。