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Effects of EDTA on the Hydration Mechanism of Mineral Trioxide Aggregate

¹ Graduate Institute of Clinical Dentistry,
² Institute of Biomedical Engineering, College of Medicine, National Taiwan University and National Taiwan University Hospital, No. 1 Chang-Te Street, Taipei 10016, Taiwan, ROC; and
³ Department of Cariology, Restorative Sciences and Endodontics, University of Michigan, Ann Arbor, MI, USA

^* corresponding author, pinlin{at}ntu.edu.tw

Ethylenediaminetetraacetic acid (EDTA) is commonly used during the preparation of obstructed root canals that face a high risk of root perforation. Such perforations may be repaired with mineral trioxide aggregate (MTA). Due to EDTA’s ability to chelate calcium ions, we hypothesized that EDTA may disrupt the hydration of MTA. Using scanning electron microscopy and energy-dispersive x-ray spectroscopy, we found that MTA specimens stored in an EDTA solution had no crystalline structure and a Ca/Si molar ratio considerably lower than those obtained for specimens stored in distilled water and normal saline. Poor cell adhesion in EDTA-treated MTA was also noted. X-ray diffraction indicated that the peak corresponding to portlandite, which is normally present in hydrated MTA, was not shown in the EDTA group. The microhardness of EDTA-treated specimens was also significantly reduced (p < 0.0001). These findings suggest that EDTA interferes with the hydration of MTA, resulting in decreased hardness and poor biocompatibility.

KEY WORDS: mineral trioxide aggregate • EDTA • hydration • cell adhesion