Physical, chemical and biological properties of MTA Angelus and novel AGM MTA: an in vitro analysis

Abstract Introduction Mineral trioxide aggregate (MTA) is a calcium silicate-based cement that has changed conventional dental therapeutic approaches. This study aimed to evaluate physical, chemical and biological properties of novel AGM MTA, in comparison with MTA Angelus. Methods The samples were...

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Main Authors: Sara Nashibi, Parisa Amdjadi, SeyedehSana Ahmadi, Sara Hekmatian, Maryam Torshabi
Format: Article
Language:English
Published: BMC 2025-01-01
Series:BMC Oral Health
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Online Access:https://doi.org/10.1186/s12903-025-05517-1
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author Sara Nashibi
Parisa Amdjadi
SeyedehSana Ahmadi
Sara Hekmatian
Maryam Torshabi
author_facet Sara Nashibi
Parisa Amdjadi
SeyedehSana Ahmadi
Sara Hekmatian
Maryam Torshabi
author_sort Sara Nashibi
collection DOAJ
description Abstract Introduction Mineral trioxide aggregate (MTA) is a calcium silicate-based cement that has changed conventional dental therapeutic approaches. This study aimed to evaluate physical, chemical and biological properties of novel AGM MTA, in comparison with MTA Angelus. Methods The samples were prepared according to the manufacturer’s instructions. The initial and final setting times were measured via a Gillmore needle following the ISO 6876:2012 standard. The radiopacity of the materials was evaluated against an aluminium step wedge on the basis of the ISO 6876 and 13,116 standards. The pH changes were measured at intervals of 3, 6, 24, 72, 96 and 144 h postimmersion in Hank’s solution and calcium ion release was analysed after 168 h of immersion via inductively coupled plasma optical emission spectroscopy (ICP‒OES). Moreover, the cytotoxicity was assessed through the MTT assay on human dental pulp stem cells (hDPSCs) after 24 and 72 h of exposure to the set/fresh status of various dilutions of MTA extracts, following the ISO 10993-12 standard. Results No significant difference was found between the initial setting times of the two materials (Angelus: 11.0 ± 1.0 min, AGM: 10.3 ± 1.5 min); however, MTA Angelus demonstrated a significantly shorter final setting time. Both materials met the minimum radiopacity requirements according to the ISO 6876 standard, with MTA Angelus exhibiting greater radiopacity than AGM MTA. Both materials created an alkaline environment without presenting any differences in each time point and AGM MTA released significantly greater amounts of calcium ions. In the cytotoxicity assessment, while the diluted extracts of both materials did not elicit any cytotoxic effects, the nondiluted samples, after 72 h of exposure, as well as the 30-min set AGM MTA after 24 h of exposure, were shown to be cytotoxic. Conclusions In conclusion, MTA Angelus presented a faster setting time and lower cytotoxicity, while AGM MTA demonstrated greater calcium ion release. However, both materials presented clinically acceptable properties and AGM MTA could be a potential alternative to MTA Angelus. However, further clinical studies are required to confirm its application.
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publishDate 2025-01-01
publisher BMC
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series BMC Oral Health
spelling doaj-art-b096f77b8dea46ab9bfe4eaeb4f7c2a02025-02-02T12:45:13ZengBMCBMC Oral Health1472-68312025-01-0125111110.1186/s12903-025-05517-1Physical, chemical and biological properties of MTA Angelus and novel AGM MTA: an in vitro analysisSara Nashibi0Parisa Amdjadi1SeyedehSana Ahmadi2Sara Hekmatian3Maryam Torshabi4School of Dentistry, Shahid Beheshti University of Medical SciencesSchool of Dentistry, Shahid Beheshti University of Medical SciencesSchool of Dentistry, Shahid Beheshti University of Medical SciencesSchool of Dentistry, Shahid Beheshti University of Medical SciencesSchool of Dentistry, Shahid Beheshti University of Medical SciencesAbstract Introduction Mineral trioxide aggregate (MTA) is a calcium silicate-based cement that has changed conventional dental therapeutic approaches. This study aimed to evaluate physical, chemical and biological properties of novel AGM MTA, in comparison with MTA Angelus. Methods The samples were prepared according to the manufacturer’s instructions. The initial and final setting times were measured via a Gillmore needle following the ISO 6876:2012 standard. The radiopacity of the materials was evaluated against an aluminium step wedge on the basis of the ISO 6876 and 13,116 standards. The pH changes were measured at intervals of 3, 6, 24, 72, 96 and 144 h postimmersion in Hank’s solution and calcium ion release was analysed after 168 h of immersion via inductively coupled plasma optical emission spectroscopy (ICP‒OES). Moreover, the cytotoxicity was assessed through the MTT assay on human dental pulp stem cells (hDPSCs) after 24 and 72 h of exposure to the set/fresh status of various dilutions of MTA extracts, following the ISO 10993-12 standard. Results No significant difference was found between the initial setting times of the two materials (Angelus: 11.0 ± 1.0 min, AGM: 10.3 ± 1.5 min); however, MTA Angelus demonstrated a significantly shorter final setting time. Both materials met the minimum radiopacity requirements according to the ISO 6876 standard, with MTA Angelus exhibiting greater radiopacity than AGM MTA. Both materials created an alkaline environment without presenting any differences in each time point and AGM MTA released significantly greater amounts of calcium ions. In the cytotoxicity assessment, while the diluted extracts of both materials did not elicit any cytotoxic effects, the nondiluted samples, after 72 h of exposure, as well as the 30-min set AGM MTA after 24 h of exposure, were shown to be cytotoxic. Conclusions In conclusion, MTA Angelus presented a faster setting time and lower cytotoxicity, while AGM MTA demonstrated greater calcium ion release. However, both materials presented clinically acceptable properties and AGM MTA could be a potential alternative to MTA Angelus. However, further clinical studies are required to confirm its application.https://doi.org/10.1186/s12903-025-05517-1Calcium ion releaseCytotoxicityDental materialsMaterials testingMineral trioxide aggregateMTA-Angelus
spellingShingle Sara Nashibi
Parisa Amdjadi
SeyedehSana Ahmadi
Sara Hekmatian
Maryam Torshabi
Physical, chemical and biological properties of MTA Angelus and novel AGM MTA: an in vitro analysis
BMC Oral Health
Calcium ion release
Cytotoxicity
Dental materials
Materials testing
Mineral trioxide aggregate
MTA-Angelus
title Physical, chemical and biological properties of MTA Angelus and novel AGM MTA: an in vitro analysis
title_full Physical, chemical and biological properties of MTA Angelus and novel AGM MTA: an in vitro analysis
title_fullStr Physical, chemical and biological properties of MTA Angelus and novel AGM MTA: an in vitro analysis
title_full_unstemmed Physical, chemical and biological properties of MTA Angelus and novel AGM MTA: an in vitro analysis
title_short Physical, chemical and biological properties of MTA Angelus and novel AGM MTA: an in vitro analysis
title_sort physical chemical and biological properties of mta angelus and novel agm mta an in vitro analysis
topic Calcium ion release
Cytotoxicity
Dental materials
Materials testing
Mineral trioxide aggregate
MTA-Angelus
url https://doi.org/10.1186/s12903-025-05517-1
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