Endodontics · single question

What is the most important ion in MTA (Mineral Trioxide Aggregate)?

  1. Tricalcium silicate
  2. Sodium
  3. Calcium hydroxide
  4. Aluminum
Show answer and explanation

Correct answer: A. Tricalcium silicate

  • A. Tricalcium silicate (Ca₃SiO₅) is the MOST IMPORTANT component/ion in MTA. When MTA sets, tricalcium silicate hydrates to form calcium silicate hydrate gel and releases calcium hydroxide — which is responsible for MTA's high pH (~12.5), antimicrobial activity, biocompatibility, and ability to induce hard tissue formation (dentinal bridge and cementum).
  • B. Sodium is not a significant component of MTA.
  • C. Calcium hydroxide is a PRODUCT of MTA setting (from tricalcium silicate hydration), not a starting ingredient — and the question asks for the primary ion in MTA itself.
  • D. Aluminum is present in the form of calcium aluminate in some MTA formulations, but tricalcium silicate is the primary active component.

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