Root Repair Material

The clear choice for predictable results.

What is
ProRoot MTA?

In endodontics, various materials have been used for

root repair: amalgam, zinc oxide eugenol, calcium
hydroxide, composites and glass-ionomers. However,
none of these are ideal for the special conditions and
requirements of root repair. To be a superior root repair
material, a substance has to have the following qualities:
Resistance
Allows
Ease

to marginal leakage

normal healing response

of clinical manipulation

Doesnt

leave a shadow on the tooth

Manufactured

under strict regulatory guidelines for

medical devices to ensure quality, purity and efficacy

ProRoot MTA is compositionally formulated to have
the physical properties, setting requirements and
characteristics necessary for a clinically effective root
repair material.

The Right Mix, Every Time

Each pack of ProRoot MTA powder comes with a
premeasured unit dose of water for convenience in
mixing. To use ProRoot MTA, simply pour the powder
onto a pad, add the water and mix. Upon mixing,
ProRoot MTA reaches a working consistency rapidly
and is ready to be applied to the prepared site.

Indicated Uses for

ProRoot MTA

ProRoot MTA is a clinically viable solution for the

following indications:

Apexification
ProRoot MTA is an excellent material for apexification
because ProRoot MTA creates a permanent apical plug
at the outset of treatment, so no interim procedures are
needed.

Repair of Root Perforations

During Root Canal Therapy
Perforations are generally the result of iatrogenic
conditions in which a communication between the pulp
canal and the periradicular tissue occurs.

Repair of Root Resorption

Internal root resorption is an idiopathic condition
resulting in the breakdown or destruction of root
structure. ProRoot MTA can seal the resorptive defect.

Root-End Filling

Clinical Applications of ProRoot MTA

Root-end filling is required when an endodontic case

can best be treated with a surgical (extra-radicular)
rather than an intra-radicular approach. ProRoot MTA

Pulp capping
Root resorption

Furcal repair

has excellent sealing ability and allows periradicular

healing when used as a root-end filling material during
periradicular surgery.

Pulp Capping
Vital pulp therapy may be indicated in certain clinical
situations. Clinical research1 indicates that ProRoot
MTA is an effective pulp capping material. Gentle
placement of ProRoot MTA material over the pulp
exposure site will allow for a good biocompatible sealing
of the pulpal exposure. Its long set time provides ample
time for application. The no-shadow formula is the ideal
shade for pulp capping. Directions for use allow pulp
capping with ProRoot MTA to be completed in
one appointment.
Because of its unique features and benefits, ProRoot
MTA offers distinct advantages over other materials for
these root canal repair procedures.

Root-end filling

Repair of root
perforation

Apexification

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Features and
Benefits

Resistance to marginal leakage

Reduces bacterial migration
A stable barrier to bacterial and fluid leakage is one of
the key factors in creating clinical success for a root
repair material. ProRoot MTA outperforms other
materials in this area.
In order to reduce the risk of bacterial infection,
the root repair material must seal off pathways of
communication between the root canal system and
surrounding tissue. Otherwise bacterial migration
could result.
In dye leakage experiments conducted by Torabinejad
et al.,2, 3 the sealing ability and marginal adaptation of
ProRoot MTA, amalgam and Super EBA cement were
compared. Their results showed that ProRoot MTA
allowed significantly less dye leakage and had better
adaptation than the other test materials.3, 4
Several other studies also showed that ProRoot MTA
allowed less bacterial migration compared to other
root repair materials.3, 5

Median Time of Bacterial Leakage of

Various Root-End Filling Materials

Material
Amalgam

Super EBA
IRM

ProRoot MTA

Number of Days
28.5
34.5
15.0
90.0

The median time of bacterial leakage was far greater in root repairs performed
with ProRoot MTA than with using other materials.5

Biocompatibility
Good clinical response
ProRoot MTA allows a normal healing response
including the formation of new cementum over the
restored root interface. ProRoot MTA exhibits
excellent biocompatibility in communication with vital
tissues.6, 7 A documented histological study has shown
ProRoot MTA to have good clinical response as well
as a successful outcome for the indicated use of rootend filling.8

Mean Gaps (m) Between Root-End

Filling Materials and Dentinal Walls
(Using Resin Replicas)

Sets in the presence of moisture

Moisture contamination is a
nonissue
ProRoot MTAs water-based chemistry allows normal

Gap Size (m)

setting in the presence of moisture. In the clinical

14.00

surgical environment where complete removal of

12.00

moisture is not always possible, ProRoot MTA has the

10.00

forgiveness in setting that is necessary to be an

8.00

effective root repair material.

6.00
4.00
2.00
0.00
AM

EBA

IRM

ProRoot MTA

As this chart shows, root repairs with ProRoot MTA result in smaller root gap
between the root-end filling material and the dentinal wall.4

Legend

AM = Amalgam

IRM = Intermediate Restorative Material

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www.tulsadentalspecialties.com

ProRoot MTA material being mixed on pad.

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www.tulsadentalspecialties.com

The most important benefit

More predictable results
Because ProRoot MTA creates a good seal, allows
less leakage, is biocompatible, sets in the presence of
moisture and is appropriate for most pulp capping
procedures, root repairs performed with this material
result in more predictable results. Which means you
can have confidence that your procedure will succeed,
and fewer retreatment procedures will be necessary.

Figure A

The proof is the pictures

The radiographs to the right show a strip perforation
in a lower molar successfully treated with ProRoot
MTA. Figure A shows the canal before treatment;
Figure B depicts the same canal after two years.
The lower molar mesial root furcal perforation was
repaired with ProRoot MTA. It demonstrates a dense,
well-contoured repair with excellent healing and near
normal appearance after two years.

Figure B

Contact your DENTSPLY Tulsa Dental Specialties representative

to find out how you can put ProRoot MTA to use in your practice.

Claudio E. Iwamoto, DDS, MS, Erika Adachi, DDS, MS, Cornelis

H. Pameijer, DMD, MSCD, DSC, PHD, Douglas Barnes, DDS, MS,
Elaine E. Romberg, PHD & Steven Jefferies, DDS, MS, Clinical
and histological evaluation of white ProRoot MTA in direct pulp
capping, American Journal of Dentistry, Vol. 19, No. 2, April 2006,
pp.85-90.
1

Seung-Jong Lee, DDS, MS, Mehdi Monsef, DMD, and Mahmoud

Torabinejad, DMD, MSD, Sealing Ability of Mineral Trioxide
Aggregate for Repair of Lateral Root Perforations, Journal of
Endodontics, Vol. 19, No. 11, November 1993, pp. 541-544.
2

Mahmoud Torabinejad, DMD, MSD, T. F. Watson, BDS, Phd, and

T.R. Pitt Ford, BDS, PhD, Sealing Ability of Mineral Trioxide
Aggregate When Used as a Root End Filling Material, Journal of
Endodontics, Vol. 19, No. 12, December 1993, pp.591-595.
3

Mahmoud Torabinejad, DMD, MSD, Peter Wilder Smith, BDS,

LDS, DrMedDent, James D. Kettering, PhD, and Thomas R. Pitt
Ford, BDS, PhD, Comparative Investigation of Marginal
Adaptation of Mineral Trioxide Aggregate and Other Commonly
Used Root-End Filling Materials, Journal of Endodontics, Vol. 21,
No. 6, June 1995, pp.295-299.
4

Mahmoud Torabinejad, DMD, MSD, Akbar Falah Rastegar,

DMD, James D. Kettering, PhD, and Thomas R. Pitt Ford, BSD,
PhD, Bacterial Leakage of Mineral Trioxide Aggregate as RootEnd Filling Material, Journal of Endodontics, Vol. 21, No. 3,
March 1995, pp.109-112.
5

Mahmoud Torabinejad, DMD, MSD, PhD, Chan-Ui Hong, DDS,

Seung-Jong Lee, DDS, MS, Mehdi Monsef, DDS, and Thomas R.
Pitt Ford, BSD, PhD, Investigation of Mineral Trioxide Aggregate
for Root-End Filling in Dogs, Journal of Endodontics, Vol. 21,
No. 12, December 1995, pp.603-608.
6

Yiming Li, DDS, MSD, PhD, Wu Zhang, MD, BGS, Jack Davis, BS,
Evaluation of Cytotoxicity of ProRoot White MTA and White MTA
Using the Agar Diffusion Method, Loma Linda University School
of Dentistry, June 23, 1999, pp.4; Evaluation of Mutagenic Potential
of Pro Root MTA and White MTA Using the Ames Salmonella/
Microsome Test, Loma Linda University School of Dentistry, June
23, 1999, pp.4.
7

Mahmoud Torabinejad, DMD, MSD, PhD, Thomas R. Pitt Ford,

BDS, Phd, Douglas J. McKendry, DDS, MSD, Hamid R. Abedi,
BDS, MS, Donald A. Miller, DDS, MS, and Stalin P. Kariyawasam,
Histologic Assessment of Mineral Trioxide Aggregate as a RootEnd Filling in Monkeys, Journal of Endodontics, Vol. 23, No. 4,
April 1997, pp.225-228.
8

Sources

DENTSPLY Tulsa Dental Specialties

DENTSPLY International, Inc.
608 Rolling Hills Dr.
Johnson City, TN 37604
1-800-662-1202
1-800-597-2779 (fax)

www.tulsadentalspecialties.com

Authorized Representative:
DENTSPLY DeTrey GmbH
De-Trey-Strae 1
D-78467 Konstanz, Germany

Rx Only

BRPRMTA 8/11B