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Ceramics International
journal homepage: www.elsevier.com/locate/ceramint
Hydration products and bioactivity of an experimental MTA-like cement
modified with wollastonite and bioactive glass
Abigailt Flores-Ledesma
a,*
, Adriana Tejeda-Cruz
b
, Lauro Bucio
c
, Ana María Wintergerst
d
,
Jacqueline Adelina Rodríguez-Chávez
e
, Yoshamin Abnoba Moreno-Vargas
c
,
Jesús Angel Arenas-Alatorre
f,**
a
Facultad de Estomatología, Benemérita Universidad Autónoma de Puebla, 31 Poniente #1304, Colonia Volcanes, Puebla, Puebla, C.P. 72410, Mexico
b
Laboratorio de Rayos X, Instituto de Investigaciones en Materiales, Universidad Nacional Autónoma de México, Circuito exterior S/N, Ciudad Universitaria, C.P. 04510,
México DF, Mexico
c
Laboratorio de Cristalofísica y Materiales Naturales, Instituto de Física, Universidad Nacional Autónoma de México, Circuito de la Investigación Científica S/N, México
DF, C.P. 04510, Mexico
d
División de Estudios de Posgrado e investigación, Facultad de Odontología, Universidad Nacional Autónoma de México, Circuito de la Investigación Científica S/N, México
DF, C.P. 04510, Mexico
e
Departamento de Clínicas Odontológicas Integrales, Centro Universitario de Ciencias de la Salud, Universidad de Guadalajara, Salvador Quevedo y Zubieta 228 Edificio B,
2do piso, Col. Independencia Oriente, CP 44304, Guadalajara, Mexico
f
Laboratorio de Microscopia, Instituto de Física, Universidad Nacional Autónoma de México, Circuito de la Investigación Científica S/N, México DF, C.P. 04510, Mexico
ARTICLE INFO
Keywords:
Biomedical application
Apatite
Spectroscopy
Calcium silicate cements
Bioactivity
1. Introduction
Mineral trioxide aggregated (MTA) and calcium silicate cements,
known as bioceramic cements [1–3], produce nucleation of hydro-
xyapatite crystals when in contact with phosphate rich solutions [4–8].
MTA was developed by Torabinejad et al. [9] as a root-end filling
material used in the endodontic field of dentistry. It consists of a hy-
drophilic powder of fine particles which hardens in the presence of
moisture and therefore MTA has been the best material for sealing
perforations in root bi- and trifurcations [10–14]. It is also now used for
other dental applications as apexification [15–18], pulp capping
[19,20], pulpotomies [21–24] and for treatment in cases of root re-
sorption [10].
MTA is composed of 80% Portland cement and 20% bismuth tri-
oxide (Bi
2
O
3
), which provides the radiopacity for an easy x-ray iden-
tification [9,25]. As white Portland cement, white MTA presents the
same mineral phases: tricalcium silicate (C3S), dicalcium silicate (C2S)
and tricalcium aluminate (C3A) [26,27]. Gypsum or dehydrated
calcium sulfate (CaSO
4
·2H
2
O) is added to Portland cement to avoid the
“flash set” of the clinker [28]. Some MTA cements may contain no
gypsum content [29] or about half of the gypsum content as that in
Portland Cement (3–6%) [30,31].
The MTA hydration process is complex and involves a series of si-
multaneous chemical reactions: calcium silicates in contact with water
produce calcium hydroxides (Portlandite) and hydrated calcium sili-
cates (Tobermorite and tobermorite gel). Furthermore, tricalcium alu-
minate when in contact with calcium sulfate forms sulfate-hydrated
calcium aluminate, known as ettringite. This mineral continues forming
until all sulfate ions are exhausted and then, the aluminate continues to
react until ettringite changes to monosulfate [31–33].
Bioactive materials are defined as “materials that promote a specific
response in the interface of the material and where it is placed, re-
sulting in the formation of a chemical bond between the tissues and the
material” [34]. A common feature of bioceramics and bioglasses is the
ability to form a biologically active apatite layer that provides an in-
terphase tissue bonding which is chemically and structurally equivalent
https://doi.org/10.1016/j.ceramint.2020.03.146
Received 22 September 2019; Received in revised form 31 January 2020; Accepted 13 March 2020
*
Corresponding author.
**
Corresponding author.
E-mail addresses: dra_abyfl@hotmail.com (A. Flores-Ledesma), jarenas@fisica.unam.mx (J.A. Arenas-Alatorre).
Ceramics International 46 (2020) 15963–15971
Available online 16 March 2020
0272-8842/ © 2020 Elsevier Ltd and Techna Group S.r.l. All rights reserved.
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