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Mineral Trioxide Aggregate
Mineral trioxide aggregate (MTA) was developed for use as a dental root repair material by Mahmoud Torabinejad. It is formulated from commercial Portland cement, combined with bismuth oxide powder for radio-opacity. MTA is used for creating apical plugs during apexification, repairing root perforations during root canal therapy, and treating internal root resorption. This can be used for root-end filling material and as pulp capping material. Originally, MTA was dark gray in color, but white versions have been on the market since 2002. Portland cement is a term applied to a class of materials covering a range of compositions (between silica alumina and calcia). The composition, fineness, setting time and strength of Portland cement are not controlled or guaranteed. Portland cement is an unsuitable substitute for MTA based on several characteristics that are essential to the performance: freedom from heavy metals, dimensional stability and fineness. The FDA requires dental materials ...
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Mahmoud Torabinejad
Mahmoud Torabinejad is an Iranian, a Professor of endodontics, and the Director of the Advanced Specialty Education Program in Endodontics at Loma Linda University School of Dentistry. Early life and education Torabinejad was born in Kashan, Iran. He graduated from Tehran Dental School in 1971, and trained in endodontics at the University of Illinois. Career Torabinejad practices clinically and is a researcher at Loma Linda University. In addition, he is involved with the Mahmoud Torabinejad Clinical Research Center in Isfahan, Iran. He developed mineral trioxide aggregate Mineral trioxide aggregate (MTA) was developed for use as a dental root repair material by Mahmoud Torabinejad. It is formulated from commercial Portland cement, combined with bismuth oxide powder for radio-opacity. MTA is used for creating apical ..., a material used in the repair of root perforations, and in creating an artificial barrier where a normal root canal filling is not possible or would not be ...
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Alite
Alite is an impure form of tricalcium silicate, , sometimes formulated as ( in cement chemist notation), typically with 3-4% of substituent oxides. It is the major, and characteristic, phase in Portland cement. The name was given by Törnebohm in 1897 to a crystal identified in microscopic investigation of Portland cement. Hatrurite is the name of a mineral that is substituted . Composition and structure The alite found in Portland cement differs in composition from simple tricalcium silicate. It is a solid solution and contains minor amounts of other oxides besides CaO and . A typical composition is: Based on this, the formula can be expressed as . In practice, the composition varies with the bulk composition of the clinker, subject to certain limits. Substitution of calcium ions or orthosilicate ions requires that electric charges be kept in balance. For instance, a limited number of orthosilicate () ions can be replaced with sulfate () ions, provided that for each su ...
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Composite Resin
Dental composite resins (better referred to as "resin-based composites" or simply "filled resins") are dental cements made of synthetic resins. Synthetic resins evolved as restorative materials since they were insoluble, of good tooth-like appearance, insensitive to dehydration, easy to manipulate and inexpensive. Composite resins are most commonly composed of Bis-GMA and other dimethacrylate monomers (TEGMA, UDMA, HDDMA), a filler material such as silica and in most applications, a photoinitiator. Dimethylglyoxime is also commonly added to achieve certain physical properties such as flow-ability. Further tailoring of physical properties is achieved by formulating unique concentrations of each constituent. Many studies have compared the lesser longevity of resin-based composite restorations to the longevity of silver- mercury amalgam restorations. Depending on the skill of the dentist, patient characteristics and the type and location of damage, composite restorations can have si ...
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Zinc Oxide Eugenol
Zinc oxide eugenol (ZOE) is a material created by the combination of zinc oxide and eugenol contained in oil of cloves. An acid-base reaction takes place with the formation of zinc eugenolate chelate. The reaction is catalysed by water and is accelerated by the presence of metal salts. ZOE can be used as a dental filling material or dental cement in dentistry.Jack L. Ferracane, ''Materials in Dentistry: Principles and Applications'', 2001, 2d Edition, Lippincott Williams & Wilkins, Richard van Noort, 2002, ''Introduction to Dental Materials'', 2d Edition, Elsevier Health Sciences, It is often used in dentistry when the decay is very deep or very close to the nerve or pulp chamber. Because the tissue inside the tooth, i.e. the pulp, reacts badly to the drilling stimulus (heat and vibration), it frequently becomes severely inflamed and precipitates a condition called acute or chronic pulpitis. This condition usually leads to severe chronic tooth sensitivity or actual toothac ...
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Flap (surgery)
Flap surgery is a technique in plastic and reconstructive surgery where any type of tissue is lifted from a donor site and moved to a recipient site with an intact blood supply. This is distinct from a graft, which does not have an intact blood supply and therefore relies on growth of new blood vessels. This is done to fill a defect such as a wound resulting from injury or surgery when the remaining tissue is unable to support a graft, or to rebuild more complex anatomic structures such as breast or jaw. Uses Flap surgery is a technique essential to plastic and reconstructive Surgery. A flap is defined as a tissue that can be moved to another site and has its own blood supply. This is in comparison to a skin graft which does not have its own blood supply and relies on vascularization from the recipient site. Flaps have many uses in wound healing and are used when wounds are large, complex, or need tissue and bulk for successful closure. Common uses: * Abdominal wall recons ...
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Pozzolanic Reaction
The pozzolanic activity is a measure for the degree of reaction over time or the reaction rate between a pozzolan and Ca2+ or calcium hydroxide (Ca(OH)2) in the presence of water. The rate of the pozzolanic reaction is dependent on the intrinsic characteristics of the pozzolan such as the specific surface area, the chemical composition and the active phase content. Physical surface adsorption is not considered as being part of the pozzolanic activity, because no irreversible molecular bonds are formed in the process. Reaction The pozzolanic reaction is the chemical reaction that occurs in portland cement upon the addition of pozzolans. It is the main reaction involved in the Roman concrete invented in Ancient Rome and used to build, for example, the Pantheon. The pozzolanic reaction converts a silica-rich precursor with no cementing properties, to a calcium silicate, with good cementing properties. In chemical terms, the pozzolanic reaction occurs between calcium hydroxide, al ...
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Calcium Chloride
Calcium chloride is an inorganic compound, a salt with the chemical formula . It is a white crystalline solid at room temperature, and it is highly soluble in water. It can be created by neutralising hydrochloric acid with calcium hydroxide. Calcium chloride is commonly encountered as a hydrated solid with generic formula , where ''n'' = 0, 1, 2, 4, and 6. These compounds are mainly used for de-icing and dust control. Because the anhydrous salt is hydroscopic and deliquescent, it is used as a desiccant.Robert Kemp, Suzanne E. Keegan "Calcium Chloride" in Ullmann's Encyclopedia of Industrial Chemistry 2000, Wiley-VCH, Weinheim. Uses De-icing and freezing-point depression By depressing the freezing point of water, calcium chloride is used to prevent ice formation and is used to de-ice. This application consumes the greatest amount of calcium chloride. Calcium chloride is relatively harmless to plants and soil. As a deicing agent, it is much more effective at lower temperat ...
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Glass Ionomer Cement
A glass ionomer cement (GIC) is a dental restorative material used in dentistry as a filling material and luting cement, including for orthodontic bracket attachment. Glass-ionomer cements are based on the reaction of silicate glass-powder (calciumaluminofluorosilicate glass) and polyacrylic acid, an ionomer. Occasionally water is used instead of an acid, altering the properties of the material and its uses. This reaction produces a powdered cement of glass particles surrounded by matrix of fluoride elements and is known chemically as glass polyalkenoate. There are other forms of similar reactions which can take place, for example, when using an aqueous solution of acrylic/ itaconic copolymer with tartaric acid, this results in a glass-ionomer in liquid form. An aqueous solution of maleic acid polymer or maleic/acrylic copolymer with tartaric acid can also be used to form a glass-ionomer in liquid form. Tartaric acid plays a significant part in controlling the setting characteri ...
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Polyacrylic Acid
Poly(acrylic acid) (PAA; trade name Carbomer) is a polymer with the formula (CH2-CHCO2H)n. It is a derivative of acrylic acid (CH2=CHCO2H). In addition to the homopolymers, a variety of copolymers and crosslinked polymers, and partially deprotonated derivatives thereof are known and of commercial value. In a water solution at neutral pH, PAA is an anionic polymer, i.e., many of the side chains of PAA lose their protons and acquire a negative charge. Partially or wholly deprotonated PAAs are polyelectrolytes, with the ability to absorb and retain water and swell to many times their original volume. These properties – acid-base and water-attracting – are the bases of many applications. = Synthesis = PAA is produced by free radical polymerization. Initiators include potassium persulfate and AIBN. Polyacrylic acid is a polyolefin. It can be viewed as polyethylene with carboxylic acid (CO2H) substituents on alternating carbons. Owing to these groups, alternating carbon ato ...
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Alkaline
In chemistry, an alkali (; from ar, القلوي, al-qaly, lit=ashes of the saltwort) is a basic, ionic salt of an alkali metal or an alkaline earth metal. An alkali can also be defined as a base that dissolves in water. A solution of a soluble base has a pH greater than 7.0. The adjective alkaline, and less often, alkalescent, is commonly used in English as a synonym for basic, especially for bases soluble in water. This broad use of the term is likely to have come about because alkalis were the first bases known to obey the Arrhenius definition of a base, and they are still among the most common bases. Etymology The word "alkali" is derived from Arabic ''al qalīy'' (or ''alkali''), meaning ''the calcined ashes'' (see calcination), referring to the original source of alkaline substances. A water-extract of burned plant ashes, called potash and composed mostly of potassium carbonate, was mildly basic. After heating this substance with calcium hydroxide (''slaked lim ...
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Bismuth Oxide
Bismuth(III) oxide is perhaps the most industrially important compound of bismuth. It is also a common starting point for bismuth chemistry. It is found naturally as the mineral bismite (monoclinic) and sphaerobismoite (tetragonal, much more rare), but it is usually obtained as a by-product of the smelting of copper and lead ores. Dibismuth trioxide is commonly used to produce the " Dragon's eggs" effect in fireworks, as a replacement of red lead. Structure The structures adopted by differ substantially from those of arsenic(III) oxide, , and antimony(III) oxide, .Wells, A.F. (1984) ''Structural Inorganic Chemistry''. 5th. London, England: Oxford University Press. p.890 Bismuth oxide, has five crystallographic polymorphs. The room temperature phase, α- has a monoclinic crystal structure. There are three high temperature phases, a tetragonal β-phase, a body-centred cubic γ-phase, a cubic δ- phase and an ε-phase. The room temperature α-phase has a complex structure ...
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Gypsum
Gypsum is a soft sulfate mineral composed of calcium sulfate dihydrate, with the chemical formula . It is widely mined and is used as a fertilizer and as the main constituent in many forms of plaster, blackboard or sidewalk chalk, and drywall. Alabaster, a fine-grained white or lightly tinted variety of gypsum, has been used for sculpture by many cultures including Ancient Egypt, Mesopotamia, Ancient Rome, the Byzantine Empire, and the Nottingham alabasters of Medieval England. Gypsum also crystallizes as translucent crystals of selenite. It forms as an evaporite mineral and as a hydration product of anhydrite. The Mohs scale of mineral hardness defines gypsum as hardness value 2 based on scratch hardness comparison. Etymology and history The word '' gypsum'' is derived from the Greek word (), "plaster". Because the quarries of the Montmartre district of Paris have long furnished burnt gypsum (calcined gypsum) used for various purposes, this dehydrated gypsum becam ...
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