This investigation studied the cytomorphology of osteoblasts in the pr
esence of Mineral Trioxide Aggregate (MTA) and examined cytokine produ
ction. MTA and Intermediate Restorative Material (IRM) were prepared a
nd placed in separate Petri dishes. Osteoblasts (cell-line MG-63), gro
wn to confluence in Hams F12/Dulbecco's modified Eagle's medium, were
seeded into the dishes, which were incubated for 1 to 7 days. The spec
imens were viewed by scanning electron microscopy. For cytokine evalua
tion, cells were grown either alone or in other dishes containing the
test materials for 1 to 144 h. Media were removed for ELISA analysis o
f interleukin (IL)-1 alpha, IL-1 beta, IL-6, and macrophage colony-sti
mulating factor. Scanning electron microscopy revealed healthy cells i
n contact with MTA at 1 and 3 days; in contrast, cells in the presence
of IRM appeared rounded. The ELISA assays revealed raised levels of a
ll ILs at all periods when cells were grown in the presence of MTA; in
contrast, cells grown alone or with IRM produced undetectable amounts
. The macrophage colony-stimulating factor was produced by cells irres
pective of the group. It seems that MTA offers a biologically active s
ubstrate for bone cells and stimulates IL production.