Dr . Riccardo Tonini


He graduated in 2004 at University Of Studies Brescia, in 2007 holds a Master of second level in Endodontics at University of Verona. He is Active member of Italian Society of Endodontics and active member of Italian Society of Microscopic dentistry. He works as Endodontist in Brescia. He plans and follows researches for Dental University of Brescia. Recently he has started a partnership with AlmaPlasma, an Engineering group in Bologna. He is also member of StyleItaliano Endodontics.

Research into Practice: The clinical use of MTA, the neverending material.

MTA is probably the most researched material in dentistry, and outcomes are always great
and it is considered the ideal material for sealing the pathways of communication between
the root canal system and its surrounding tissues. From literature we know that is
nontoxic, noncarcinogenic, nongenotoxic, biocompatible, insoluble in tissue fluids,
dimensionally stable and in presence of moisture its sealing ability is not affected.
But we have also to consider that research shapes first of all innovations for doctors and
patients. Yet transfer of new knowledge into practice is less self evident than expected.
MTA has been proposed clinically as the material of choice for apical plug, pulp capping,
apical barrier formation for teeth with necrotic pulps and open apexes, perforation repair,
apexification and retro root filling during surgery. Many clinical investigations have been
performed evaluating MTA for each one of the above mentioned applications but does
really exist a repeatable method for MTA application?Which sequence, device and
protocol are suggested? During this lecture will be described different clinical techniques
about correct use of MTA for repair of iatrogenic errors and step by step will be shown also
the tips suggested by the Speaker for a feasible and repeatable approach. The MTA
material will be also compared with materials of new generation, like Bioceramic, always
in terms of laboratory researches and clinical outcomes.