European Archives of Paediatric Dentistry

, Volume 14, Issue 2, pp 113–116 | Cite as

A pan-European comparison of the use of mineral trioxide aggregate (MTA) by postgraduates in paediatric dentistry

  • J. I. FoleyEmail author
Short Communication



To assess the current usage and opinions of mineral trioxide aggregate (MTA) amongst European postgraduates (PG) in paediatric dentistry.

Study design

An on-line structured questionnaire.


The programme directors of all EAPD-accredited programmes in paediatric dentistry were contacted by e-mail and invited to disseminate the web-link for a structured on-line questionnaire to all PG students on their programmes. The survey sought details of usage of MTA in both the primary and permanent dentitions and also, previous and future educational requirements for cement use.


Responses were received from 29/44 (F: 27; M: 2) PG students. MTA was used in the primary dentition by 6/29 and 17/29 PG for pulp capping and pulpotomy procedures, respectively. In non-vital permanent teeth, MTA was used for apical barrier formation by 26/29 PG students, 15/29 for pulpotomy procedures and 10/29 to repair root perforations. Barriers to the use of MTA related to material cost and other materials being deemed more appropriate. Overall, 27/29 demonstrated an interest in further educational opportunities in material use.


Mineral trioxide aggregate appears to be in regular use amongst PG dentists in paediatric dentistry throughout Europe.


MTA Cement Graduate dental education 



The author would like to acknowledge the co-operation of the EAPD-accredited Programme Directors and the PG students who responded to this survey.


  1. Araujo RA, Silveira CF, Cunha RS, et al. Single-session use of mineral trioxide aggregate as an apical barrier in a case of external root resorption. J Oral Sci. 2010;52:325–8.Google Scholar
  2. Asgary S, Eghbal MJ. Treatment outcomes of pulpotomy in permanent molars with irreversible pulpitis using biomaterials: A multi-center randomized controlled trial. Acta Odontol Scand. 2013;71:130–6. doi: 10.3109/00016357.2011.654251. Epub 2012 Feb 20.PubMedCrossRefGoogle Scholar
  3. Baek SH, Lee WC, Setzer FC, Kim S. Periapical bone regeneration after endodontic microsurgery with three different root-end filling materials: amalgam, SuperEBA, and mineral trioxide aggregate. J Endod. 2010;36:1323–5.PubMedCrossRefGoogle Scholar
  4. Bernardes RA, de Amorim Campelo A, Junior DS et al. Evaluation of the flow rate of 3 endodontic sealers: Sealer 26, AH Plus, and MTA Obtura. Oral Surg Oral Med Oral Pathol Oral Radiol Endod 2010;109:e47–9.Google Scholar
  5. Biswas M, Mazumdar D, Neyogi A. Non surgical perforation repair by mineral trioxide aggregate under dental operating microscope. J Conserv Dent. 2011;14:83–5.PubMedCrossRefGoogle Scholar
  6. Cvek M, Mejare I, Andreasen JO. Conservative endodontic treatment of teeth fractured in the middle or apical part of the root. Dent Traumatol. 2004;20:261–9.PubMedCrossRefGoogle Scholar
  7. Ding SJ, Kao CT, Shie MY, Hung C Jr, Huang TH. The physical and cytological properties of white MTA mixed with Na2HPO4 as an accelerant. J Endod. 2008;34:748–51.PubMedCrossRefGoogle Scholar
  8. Eskandarizadeh A, Shahpasandzadeh MH, Shahpasandzadeh M, Torabi M, Parirokh M. A comparative study on dental pulp response to calcium hydroxide, white and grey mineral trioxide aggregate as pulp capping agents. J Conserv Dent. 2011;14:351–5.PubMedCrossRefGoogle Scholar
  9. Floratos SG, Kratchman SI. Surgical management of vertical root fractures for posterior teeth: report of four cases. J Endod. 2012;38:550–5.PubMedCrossRefGoogle Scholar
  10. Foley JI. Use of mineral trioxide aggregate (MTA by postgraduates in restorative dentistry in the UK. Eur J Prosthodont Restor Dent. 2011;19:179–83.PubMedGoogle Scholar
  11. Godhi B, Sood PB, Sharma A. Effects of mineral trioxide aggregate and formocresol on vital pulp after pulpotomy of primary molars: an in vivo study. Contemp Clin Dent. 2011;2:296–301.PubMedCrossRefGoogle Scholar
  12. Liu H, Zhou Q, Qin M. Mineral trioxide aggregate versus calcium hydroxide for pulpotomy in primary molars. Chin J Dent Res. 2011;14:121–5.PubMedGoogle Scholar
  13. Lodiene G, Kleivmyr M, Bruzell E, Orstavik D. Sealing ability of mineral trioxide aggregate, glass ionomer cement and composite resin when repairing large furcal perforations. Br Dent J. 2011;210:E7.PubMedCrossRefGoogle Scholar
  14. Malekafzali B, Shekarchi F, Asgary S. Treatment outcomes of pulpotomy in primary molars using two endodontic biomaterials. A 2-year randomised clinical trial. Eur J Paediatr Dent. 2011;12:189–93.PubMedGoogle Scholar
  15. Mente J, Hage N, Pfefferle T, et al. Treatment outcome of mineral trioxide aggregate: repair of root perforations. J Endod. 2010;36:208–13.PubMedCrossRefGoogle Scholar
  16. Miller EK, Lee JY, Tawil PZ, Teixeira FB, Vann WF Jr. Emerging therapies for the management of traumatized immature permanent incisors. Pediatr Dent. 2012;34:66–9.PubMedGoogle Scholar
  17. Mooney GC, North S. The current opinions and use of MTA for apical barrier formation of non-vital immature permanent incisors by consultants in paediatric dentistry in the UK. Dent Traumatol. 2008;24:65–9.PubMedCrossRefGoogle Scholar
  18. Moretti AB, Sakai VT, Oliveira TM, et al. The effectiveness of mineral trioxide aggregate, calcium hydroxide and formocresol for pulpotomies in primary teeth. Int Endod J. 2008;41:547–55.PubMedCrossRefGoogle Scholar
  19. Nair PN, Duncan HF, Pitt Ford TR, Luder HU. Histological, ultrastructural and quantitative investigations on the response of healthy human pulps to experimental capping with Mineral Trioxide Aggregate: a randomized controlled trial. 2008. Int Endod J. 2009;42:422–44.PubMedCrossRefGoogle Scholar
  20. Parirokh M, Torabinejad M. Mineral trioxide aggregate: a comprehensive literature review–Part III: clinical applications, drawbacks, and mechanism of action. J Endod. 2010;36:400–13.PubMedCrossRefGoogle Scholar
  21. Rodd HD, Waterhouse PJ, Fuks AB, Fayle SA, Moffat MA. Pulp therapy for primary molars. Int J Paediatr Dent. 2006;16(Suppl 1):15–23.PubMedCrossRefGoogle Scholar
  22. Salles LP, Gomes-Cornelio AL, Guimaraes FC, et al. Mineral trioxide aggregate-based endodontic sealer stimulates hydroxyapatite nucleation in human osteoblast-like cell culture. J Endod. 2012;38:971–6.PubMedCrossRefGoogle Scholar
  23. Scelza MZ, Linhares AB, da Silva LE, Granjeiro JM, Alves GG. A multiparametric assay to compare the cytotoxicity of endodontic sealers with primary human osteoblasts. Int Endod J. 2012;45:12–8.PubMedCrossRefGoogle Scholar
  24. Song M, Kim E. A prospective randomized controlled study of mineral trioxide aggregate and super ethoxy-benzoic acid as root-end filling materials in endodontic microsurgery. J Endod. 2012;38:875–9.PubMedCrossRefGoogle Scholar
  25. Song M, Shin SJ, Kim E. Outcomes of endodontic micro-resurgery: a prospective clinical study. J Endod. 2011;37:316–20.PubMedCrossRefGoogle Scholar
  26. Tawil PZ, Trope M, Curran AE, et al. Periapical microsurgery: an in vivo evaluation of endodontic root-end filling materials. J Endod. 2009;35:357–62.PubMedCrossRefGoogle Scholar

Copyright information

© European Academy of Paediatric Dentistry 2013

Authors and Affiliations

  1. 1.Department of Paediatric DentistryUniversity of Aberdeen Dental School and HospitalForesterhillScotland, UK

Personalised recommendations