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de Almeida MVR, Ribeiro MCO, Dos Reis-Neta GR, Vargas-Moreno VF, Gomes RS, da Silva WJ, Del Bel Cury AA, Marcello-Machado RM. Dental implant and abutment in PEEK: stress assessment in single crown retainers on anterior region. Clin Oral Investig 2024; 28:336. [PMID: 38795258 DOI: 10.1007/s00784-024-05722-2] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/21/2024] [Accepted: 05/13/2024] [Indexed: 05/27/2024]
Abstract
OBJECTIVE Stress distribution assessment by finite elements analysis in poly(etheretherketone) (PEEK) implant and abutment as retainers of single crowns in the anterior region. MATERIALS AND METHODS Five 3D models were created, varying implant/abutment manufacturing materials: titanium (Ti), zirconia (Zr), pure PEEK (PEEKp), carbon fiber-reinforced PEEK (PEEKc), glass fiber-reinforced PEEK (PEEKg). A 50 N load was applied 30o off-axis at the incisal edge of the upper central incisor. The Von Mises stress (σvM) was evaluated on abutment, implant/screw, and minimum principal stress (σmin) and maximum shear stress (τmax) for cortical and cancellous bone. RESULTS The abutment σvM lowest stress was observed in PEEKp group, being 70% lower than Ti and 74% than Zr. On the implant, PEEKp reduced 68% compared to Ti and a 71% to Zr. In the abutment screws, an increase of at least 33% was found in PEEKc compared to Ti, and of at least 81% to Zr. For cortical bone, the highest τmax values were in the PEEKp group, and a slight increase in stress was observed compared to all PEEK groups with Ti and Zr. For σmin, the highest stress was found in the PEEKc. Stress increased at least 7% in cancellous bone for all PEEK groups. CONCLUSION Abutments and implants made by PEEKc concentrate less σvM stress, transmitting greater stress to the cortical and medullary bone. CLINICAL RELEVANCE The best stress distribution in PEEKc components may contribute to decreased stress shielding; in vitro and in vivo research is recommended to investigate this.
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Affiliation(s)
- Marcus Vinicius Rocha de Almeida
- Departamento de prótese e periodontia, Faculdade de odontologia de Piracicaba, Universidade de Campinas - (FOP-UNICAMP), Av. Limeira, 901, Piracicaba, São Paulo, Brasil
| | - Michele Costa Oliveira Ribeiro
- Departamento de prótese e periodontia, Faculdade de odontologia de Piracicaba, Universidade de Campinas - (FOP-UNICAMP), Av. Limeira, 901, Piracicaba, São Paulo, Brasil
| | - Gilda Rocha Dos Reis-Neta
- Departamento de prótese e periodontia, Faculdade de odontologia de Piracicaba, Universidade de Campinas - (FOP-UNICAMP), Av. Limeira, 901, Piracicaba, São Paulo, Brasil
| | - Vanessa Felipe Vargas-Moreno
- Departamento de prótese e periodontia, Faculdade de odontologia de Piracicaba, Universidade de Campinas - (FOP-UNICAMP), Av. Limeira, 901, Piracicaba, São Paulo, Brasil
| | - Rafael Soares Gomes
- Departamento de prótese, Faculdade de tecnologia e ciência (UniFTC), Av. Luís Viana Filho, 8812 - Paralela, Salvador, BA, Brasil
| | - Wander José da Silva
- Departamento de prótese e periodontia, Faculdade de odontologia de Piracicaba, Universidade de Campinas - (FOP-UNICAMP), Av. Limeira, 901, Piracicaba, São Paulo, Brasil
| | - Altair Antoninha Del Bel Cury
- Departamento de prótese e periodontia, Faculdade de odontologia de Piracicaba, Universidade de Campinas - (FOP-UNICAMP), Av. Limeira, 901, Piracicaba, São Paulo, Brasil
| | - Raissa Micaella Marcello-Machado
- Departamento de prótese e periodontia, Faculdade de odontologia de Piracicaba, Universidade de Campinas - (FOP-UNICAMP), Av. Limeira, 901, Piracicaba, São Paulo, Brasil.
- Faculdade de odontologia, Universidade Paulista (UNIP), R. Dr. Bacelar, 1212, São Paulo, SP, Brasil.
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Zhou Z, Shi R, Wang J, Han X, Gao W, Jiao J, Qi Y, Li Y, Zhou Y, Zhao J. Finite Element Analysis of Different Carbon Fiber Reinforced Polyetheretherketone Dental Implants in Implant-supported Fixed Denture. JOURNAL OF STOMATOLOGY, ORAL AND MAXILLOFACIAL SURGERY 2024:101902. [PMID: 38685354 DOI: 10.1016/j.jormas.2024.101902] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Subscribe] [Scholar Register] [Received: 02/19/2024] [Accepted: 04/27/2024] [Indexed: 05/02/2024]
Abstract
OBJECTIVES The purpose of this study is to determine the feasibility of polyetheretherketone-based dental implants, and analyze the stress and strain around different kinds of dental implants by finite element analysis. METHODS The radiographic data was disposed to models in Mimics 19.0. 3D models of implants, crowns and jawbones were established and combined in SolidWorks 2018. Appling axial and oblique loads of 100 N, cloud pictures were exported in Ansys Workbench 18.0 to calculate and analyze the stress and strain in and around different implants. RESULTS Oblique load tended to deliver more stress to bone tissue than axial load. The uniformity of stress distribution was the best for 30% short carbon fiber reinforced polyetheretherketone implants at axial and buccolingual directions. Stress shielding phenomenon occurred at the neck of 60% continuous carbon fiber reinforced polyetheretherketone and titanium implants. Stress concentration appeared in PEEK implants and the load of bone tissue would aggravate. CONCLUSIONS 30% short carbon fiber reinforced polyetheretherketone implants demonstrate a more uniform stress distribution in bone-implant contact and surrounding bone than titanium. Stress shielding and stress concentration may be avoided in bone-implant interface and bone tissue. Bone disuse-atrophy may be inhibited in PEEK-based implants.
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Affiliation(s)
- Zhe Zhou
- Hospital of Stomatology, Jilin University, Changchun, 130021, China.
| | - Ruining Shi
- Hospital of Stomatology, Jilin University, Changchun, 130021, China.
| | - Junqi Wang
- Hospital of Stomatology, Jilin University, Changchun, 130021, China.
| | - Xiao Han
- Hospital of Stomatology, Jilin University, Changchun, 130021, China.
| | - Weijia Gao
- Hospital of Stomatology, Jilin University, Changchun, 130021, China.
| | - Junjie Jiao
- Hospital of Stomatology, Jilin University, Changchun, 130021, China.
| | - Yuanzheng Qi
- Hospital of Stomatology, Jilin University, Changchun, 130021, China.
| | - Yongli Li
- Hospital of Stomatology, Jilin University, Changchun, 130021, China.
| | - Yanmin Zhou
- Hospital of Stomatology, Jilin University, Changchun, 130021, China; Jilin Province Key Laboratory of Tooth Development and Bone Remodeling, Changchun, 130021, China.
| | - Jinghui Zhao
- Hospital of Stomatology, Jilin University, Changchun, 130021, China; Jilin Province Key Laboratory of Tooth Development and Bone Remodeling, Changchun, 130021, China.
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3
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Martinez-Mondragon M, Urriolagoitia-Sosa G, Romero-Ángeles B, García-Laguna MA, Laguna-Canales AS, Pérez-Partida JC, Mireles-Hernández J, Carrasco-Hernández F, Urriolagoitia-Calderón GM. Biomechanical Fatigue Behavior of a Dental Implant Due to Chewing Forces: A Finite Element Analysis. MATERIALS (BASEL, SWITZERLAND) 2024; 17:1669. [PMID: 38612181 PMCID: PMC11012472 DOI: 10.3390/ma17071669] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Subscribe] [Scholar Register] [Received: 02/26/2024] [Revised: 03/20/2024] [Accepted: 03/26/2024] [Indexed: 04/14/2024]
Abstract
The use of titanium as a biomaterial for the treatment of dental implants has been successful and has become the most viable and common option. However, in the last three decades, new alternatives have emerged, such as polymers that could replace metallic materials. The aim of this research work is to demonstrate the structural effects caused by the fatigue phenomenon and the comparison with polymeric materials that may be biomechanically viable by reducing the stress shielding effect at the bone-implant interface. A numerical simulation was performed using the finite element method. Variables such as Young's modulus, Poisson's coefficient, density, yield strength, ultimate strength, and the S-N curve were included. Prior to the simulation, a representative digital model of both a dental implant and the bone was developed. A maximum load of 550 N was applied, and the analysis was considered linear, homogeneous, and isotropic. The results obtained allowed us to observe the mechanical behavior of the dental implant by means of displacements and von Mises forces. They also show the critical areas where the implant tends to fail due to fatigue. Finally, this type of non-destructive analysis proves to be versatile, avoids experimentation on people and/or animals, and reduces costs, and the iteration is unlimited in evaluating various structural parameters (geometry, materials, properties, etc.).
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Affiliation(s)
- Miguel Martinez-Mondragon
- Instituto Politécnico Nacional, Escuela Superior de Ingeniería Mecánica y Eléctrica, Sección de Estudios de Posgrado e Investigación, Unidad Profesional Adolfo López Mateos Zacatenco, Edificio 5, 2do, Piso, Col. Lindavista, Del. Gustavo A. Madero, Ciudad de México C.P. 07320, Mexico; (B.R.-Á.)
| | - Guillermo Urriolagoitia-Sosa
- Instituto Politécnico Nacional, Escuela Superior de Ingeniería Mecánica y Eléctrica, Sección de Estudios de Posgrado e Investigación, Unidad Profesional Adolfo López Mateos Zacatenco, Edificio 5, 2do, Piso, Col. Lindavista, Del. Gustavo A. Madero, Ciudad de México C.P. 07320, Mexico; (B.R.-Á.)
| | - Beatriz Romero-Ángeles
- Instituto Politécnico Nacional, Escuela Superior de Ingeniería Mecánica y Eléctrica, Sección de Estudios de Posgrado e Investigación, Unidad Profesional Adolfo López Mateos Zacatenco, Edificio 5, 2do, Piso, Col. Lindavista, Del. Gustavo A. Madero, Ciudad de México C.P. 07320, Mexico; (B.R.-Á.)
| | - Miguel Angel García-Laguna
- Instituto Politécnico Nacional, Escuela Superior de Ingeniería Mecánica y Eléctrica, Sección de Estudios de Posgrado e Investigación, Unidad Profesional Adolfo López Mateos Zacatenco, Edificio 5, 2do, Piso, Col. Lindavista, Del. Gustavo A. Madero, Ciudad de México C.P. 07320, Mexico; (B.R.-Á.)
| | - Aldo Saul Laguna-Canales
- Instituto Politécnico Nacional, Escuela Superior de Ingeniería Mecánica y Eléctrica, Sección de Estudios de Posgrado e Investigación, Unidad Profesional Adolfo López Mateos Zacatenco, Edificio 5, 2do, Piso, Col. Lindavista, Del. Gustavo A. Madero, Ciudad de México C.P. 07320, Mexico; (B.R.-Á.)
| | - Juan Carlos Pérez-Partida
- Instituto Politécnico Nacional, Escuela Superior de Ingeniería Mecánica y Eléctrica, Sección de Estudios de Posgrado e Investigación, Unidad Profesional Adolfo López Mateos Zacatenco, Edificio 5, 2do, Piso, Col. Lindavista, Del. Gustavo A. Madero, Ciudad de México C.P. 07320, Mexico; (B.R.-Á.)
| | - Jonatan Mireles-Hernández
- Universidad Abierta y a Distancia de México, División de Ciencias de la Salud, Biológicas y Ambientales, Av. Universidad 1200, Piso 1, Cuadrante 10, 1-2, Xoco, Alcaldía Benito Juárez, Ciudad de México C.P. 03330, Mexico
| | - Francisco Carrasco-Hernández
- Universidad Tecnológica de Durango, Mecatrónica y Energías Renovables, Carretera Durango-Mezquital, km 4.5 S/N, Gavino Santillán, Durango C.P. 34308, Mexico
| | - Guillermo Manuel Urriolagoitia-Calderón
- Instituto Politécnico Nacional, Escuela Superior de Ingeniería Mecánica y Eléctrica, Sección de Estudios de Posgrado e Investigación, Unidad Profesional Adolfo López Mateos Zacatenco, Edificio 5, 2do, Piso, Col. Lindavista, Del. Gustavo A. Madero, Ciudad de México C.P. 07320, Mexico; (B.R.-Á.)
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Chuchulska B, Dimitrova M, Vlahova A, Hristov I, Tomova Z, Kazakova R. Comparative Analysis of the Mechanical Properties and Biocompatibility between CAD/CAM and Conventional Polymers Applied in Prosthetic Dentistry. Polymers (Basel) 2024; 16:877. [PMID: 38611135 PMCID: PMC11013798 DOI: 10.3390/polym16070877] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/26/2024] [Revised: 03/14/2024] [Accepted: 03/19/2024] [Indexed: 04/14/2024] Open
Abstract
Modern media often portray CAD/CAM technology as widely utilized in the fabrication of dental prosthetics. This study presents a comparative analysis of the mechanical properties and biocompatibility of CAD/CAM (Computer-Aided Design/Computer-Aided Manufacturing) polymers and conventional polymers commonly utilized in prosthetic dentistry. With the increasing adoption of CAD/CAM technology in dental laboratories and practices, understanding the differences in material properties is crucial for informed decision-making in prosthodontic treatment planning. Through a narrative review of the literature and empirical data, this study evaluates the mechanical strength, durability, esthetics, and biocompatibility of CAD/CAM polymers in comparison to traditional polymers. Furthermore, it examines the implications of these findings on the clinical outcomes and long-term success of prosthetic restorations. The results provide valuable insights into the advantages and limitations of CAD/CAM polymers, informing clinicians and researchers about their suitability for various dental prosthetic applications. This study underscores the considerable advantages of CAD/CAM polymers over conventional ones in terms of mechanical properties, biocompatibility, and esthetics for prosthetic dentistry. CAD/CAM technology offers improved mechanical strength and durability, potentially enhancing the long-term performance of dental prosthetics, while the biocompatibility of these polymers makes them suitable for a broad patient demographic, reducing the risk of adverse reactions. The practical implications of these findings for dental technicians and dentists are significant, as understanding these material differences enables tailored treatment planning to meet individual patient needs and preferences. Integration of CAD/CAM technology into dental practices can lead to more predictable outcomes and heightened patient satisfaction with prosthetic restorations.
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Affiliation(s)
- Bozhana Chuchulska
- Department of Prosthetic Dentistry, Faculty of Dental Medicine, Medical University of Plovdiv, 4000 Plovdiv, Bulgaria; (A.V.); (I.H.); (Z.T.); (R.K.)
| | - Mariya Dimitrova
- Department of Prosthetic Dentistry, Faculty of Dental Medicine, Medical University of Plovdiv, 4000 Plovdiv, Bulgaria; (A.V.); (I.H.); (Z.T.); (R.K.)
| | - Angelina Vlahova
- Department of Prosthetic Dentistry, Faculty of Dental Medicine, Medical University of Plovdiv, 4000 Plovdiv, Bulgaria; (A.V.); (I.H.); (Z.T.); (R.K.)
- CAD/CAM Center of Dental Medicine, Research Institute, Medical University of Plovdiv, 4000 Plovdiv, Bulgaria
| | - Ilian Hristov
- Department of Prosthetic Dentistry, Faculty of Dental Medicine, Medical University of Plovdiv, 4000 Plovdiv, Bulgaria; (A.V.); (I.H.); (Z.T.); (R.K.)
| | - Zlatina Tomova
- Department of Prosthetic Dentistry, Faculty of Dental Medicine, Medical University of Plovdiv, 4000 Plovdiv, Bulgaria; (A.V.); (I.H.); (Z.T.); (R.K.)
| | - Rada Kazakova
- Department of Prosthetic Dentistry, Faculty of Dental Medicine, Medical University of Plovdiv, 4000 Plovdiv, Bulgaria; (A.V.); (I.H.); (Z.T.); (R.K.)
- CAD/CAM Center of Dental Medicine, Research Institute, Medical University of Plovdiv, 4000 Plovdiv, Bulgaria
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5
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Khaohoen A, Sornsuwan T, Chaijareenont P, Poovarodom P, Rungsiyakull C, Rungsiyakull P. Biomaterials and Clinical Application of Dental Implants in Relation to Bone Density-A Narrative Review. J Clin Med 2023; 12:6924. [PMID: 37959389 PMCID: PMC10649288 DOI: 10.3390/jcm12216924] [Citation(s) in RCA: 1] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/08/2023] [Revised: 10/29/2023] [Accepted: 11/02/2023] [Indexed: 11/15/2023] Open
Abstract
Titanium has been the material of choice for dental implant fixtures due to its exceptional qualities, such as its excellent balance of rigidity and stiffness. Since zirconia is a soft-tissue-friendly material and caters to esthetic demands, it is an alternative to titanium for use in implants. Nevertheless, bone density plays a vital role in determining the material and design of implants. Compromised bone density leads to both early and late implant failures due to a lack of implant stability. Therefore, this narrative review aims to investigate the influence of implant material/design and surgical technique on bone density from both biomechanical and biological standpoints. Relevant articles were included for analysis. Dental implant materials can be fabricated from titanium, zirconia, and PEEK. In terms of mechanical and biological aspects, titanium is still the gold standard for dental implant materials. Additionally, the macro- and microgeometry of dental implants play a role in determining and planning the appropriate treatment because it can enhance the mechanical stress transmitted to the bone tissue. Under low-density conditions, a conical titanium implant design, longer length, large diameter, reverse buttress with self-tapping, small thread pitch, and deep thread depth are recommended. Implant material, implant design, surgical techniques, and bone density are pivotal factors affecting the success rates of dental implant placement in low-density bone. Further study is required to find the optimal implant material for a clinical setting's bone state.
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Affiliation(s)
- Angkoon Khaohoen
- Department of Prosthodontics, Faculty of Dentistry, Chiang Mai University, Chiang Mai 50200, Thailand; (A.K.); (P.C.); (P.P.)
| | - Tanapon Sornsuwan
- Department of Restorative Dentistry, Faculty of Dentistry, Naresuan University, Phitsanulok 65000, Thailand;
| | - Pisaisit Chaijareenont
- Department of Prosthodontics, Faculty of Dentistry, Chiang Mai University, Chiang Mai 50200, Thailand; (A.K.); (P.C.); (P.P.)
| | - Pongsakorn Poovarodom
- Department of Prosthodontics, Faculty of Dentistry, Chiang Mai University, Chiang Mai 50200, Thailand; (A.K.); (P.C.); (P.P.)
| | - Chaiy Rungsiyakull
- Department of Mechanical Engineering, Faculty of Engineering, Chiang Mai University, Chiang Mai 50200, Thailand;
| | - Pimduen Rungsiyakull
- Department of Prosthodontics, Faculty of Dentistry, Chiang Mai University, Chiang Mai 50200, Thailand; (A.K.); (P.C.); (P.P.)
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Mathur VP, Duggal I, Atif M, Tewari N, Rahul M, Duggal R, Chawla A. Development and validation of risk of bias tool for the use of finite element analysis in dentistry (ROBFEAD). Comput Methods Biomech Biomed Engin 2023; 26:1822-1833. [PMID: 36475384 DOI: 10.1080/10255842.2022.2148465] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/10/2022] [Accepted: 11/13/2022] [Indexed: 12/12/2022]
Abstract
There has been a systematic review of studies that used FEA in dental sciences, but no adequate risk of bias (RoB) analysis technique has been developed. Therefore, the development and validation process of RoB in studies using the finite element analysis in dentistry (ROBFEAD) tool is described. In the first phase of development, the scope of the tool and possible modifications were covered, and validation was done in the second phase. The developed tool comprised 6 domains and a total of 22 guiding questions in these domains. This article proposes the development and validation of ROBFEAD, a tool for measuring RoB in finite element research in dentistry.
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Affiliation(s)
- Vijay Prakash Mathur
- Pediatrics & Preventive Dentistry, Centre for Dental Education and Research, All India Institute of Medical Sciences, New Delhi, India
| | - Isha Duggal
- Orthodontics and Dentofacial Deformities, Centre for Dental Education and Research, All India Institute of Medical Sciences, New Delhi, India
| | - Mohammad Atif
- Pediatrics & Preventive Dentistry, Centre for Dental Education and Research, All India Institute of Medical Sciences, New Delhi, India
| | - Nitesh Tewari
- Pediatrics & Preventive Dentistry, Centre for Dental Education and Research, All India Institute of Medical Sciences, New Delhi, India
| | - Morankar Rahul
- Pediatrics & Preventive Dentistry, Centre for Dental Education and Research, All India Institute of Medical Sciences, New Delhi, India
| | - Ritu Duggal
- Orthodontics and Dentofacial Deformities, Centre for Dental Education and Research, All India Institute of Medical Sciences, New Delhi, India
| | - Anoop Chawla
- Department of Mechanical Engineering, Indian Institute of Technology, New Delhi
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7
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Wu H, Guo Y, Guo W. Effect of carbon-fiber-reinforced polyetheretherketone on stress distribution in a redesigned tumor-type knee prosthesis: a finite element analysis. Front Bioeng Biotechnol 2023; 11:1243936. [PMID: 37823023 PMCID: PMC10562634 DOI: 10.3389/fbioe.2023.1243936] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/21/2023] [Accepted: 09/11/2023] [Indexed: 10/13/2023] Open
Abstract
Background: Surgery for bone tumors around the knee often involves extensive resection, making the subsequent prosthetic reconstruction challenging. While carbon fiber-reinforced polyetheretherketone (CF-PEEK) has been widely used in orthopedic implants, its application in tumor-type prosthesis is limited. This study aims to evaluate the feasibility of using 30wt% and 60wt% carbon fiber-reinforced polyetheretherketone (CF30-PEEK and CF60-PEEK) as materials for a redesigned tumor-type knee prosthesis through numerical analysis. Methods: A knee joint model based on CT data was created, and the resection and prosthetic reconstruction were simulated. Three finite element models of the prostheses, representing the initial and updated designs with CoCrMo and CFR-PEEK components, were constructed. Loading conditions during standing and squatting were simulated with forces of 700 N and 2800 N, respectively. Finite element analysis was used to analyze the von Mises stress and stability of all components for each prosthesis type. Results: After improvements in both material and design, the new Type 3 prosthesis showed significantly lower overall stress with stress being evenly distributed. Compared with the initial design, the maximum von Mises stress in Type 3 was reduced by 53.9% during standing and 74.2% during squatting. In the standing position, the maximum stress in the CF30-PEEK femoral component decreased by 57.3% compared with the initial design which was composed of CoCrMo, while the stress in the CF60-PEEK cardan shaft remained consistent. In the squatting position, the maximum stress in the femoral component decreased by 81.9%, and the stress in the cardan shaft decreased by 46.5%. Conclusion: The incorporation of CF30-PEEK effectively transmits forces and reduces stress concentration on the femoral component, while CF60-PEEK in the redesigned cardan shaft significantly reduces stress while maintaining stiffness. The redesigned prosthesis effectively conducts loading force and demonstrates favorable biomechanical characteristics, indicating the promising potential of utilizing CF30-PEEK and CF60-PEEK materials for tumor-type knee prostheses. The findings of this study could provide novel insights for the design and development of tumor-type knee prostheses.
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Affiliation(s)
- Han Wu
- Department of Musculoskeletal Tumor, People’s Hospital, Peking University, Beijing, China
- Beijing Key Laboratory of Musculoskeletal Tumor, Beijing, China
| | - Yu Guo
- Department of Musculoskeletal Tumor, People’s Hospital, Peking University, Beijing, China
- Beijing Key Laboratory of Musculoskeletal Tumor, Beijing, China
| | - Wei Guo
- Department of Musculoskeletal Tumor, People’s Hospital, Peking University, Beijing, China
- Beijing Key Laboratory of Musculoskeletal Tumor, Beijing, China
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Souza JCM, Raffaele-Esposito A, Carvalho O, Silva F, Özcan M, Henriques B. Surface modification of zirconia or lithium disilicate-reinforced glass ceramic by laser texturing to increase the adhesion of prosthetic surfaces to resin cements: an integrative review. Clin Oral Investig 2023:10.1007/s00784-023-05016-z. [PMID: 37069409 DOI: 10.1007/s00784-023-05016-z] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/08/2022] [Accepted: 04/02/2023] [Indexed: 04/19/2023]
Abstract
OBJECTIVE The purpose of this study was to perform an integrative review on laser texturing the inner surface of lithium disilicate-reinforced glass ceramic or zirconia to increase their bond strength to resin-matrix cements. MATERIALS AND METHOD A bibliographic review was performed on PubMed using the following search terms: "zirconia" OR "lithium disilicate" AND "laser" AND "surface" OR "roughness" AND "bond strength" AND "luting agent" OR "resin cement." Studies published in English language until March 15, 2023, were selected regarding the purpose of this study. RESULTS A total of fifty-six studies were identified althoug thirteen studies were selected. The findings revealed that zirconia surfaces were significantly modified after laser irradiation resulting in macro-scale aligned retentive regions with depth values ranging from 50 to 120 µm. Average roughness values of laser-textured zirconia by Er,Cr:YSGG laser (~ 0.83 µm) were quite similar when compared to grit-blasted zirconia surfaces (~ 0.9 µm) although roughness increased up to 2.4 µm depending on the laser type and parameters. Lithium disilicate-reinforced glass ceramics textured with Er:YAG revealed an average roughness of around 3.5 µm while surfaces textured using Nd:YAG laser revealed an average roughness of 2.69 µm; that was quite similar to the roughness values recorded for etched surfaces (2.64 µm). The shear bond strength (SBS) values of zirconia surfaces textured on Nd:YVO4 laser irradiation were slightly higher (~ 33.5 MPa) than those recorded for grit-blasted zirconia surfaces (28 MPa). Laser-textured zirconia surfaces on CO2 laser revealed higher SBS values (18.1 ±0.8 MPa) than those (9.1 ± 0.56 MPa) recorded for untreated zirconia surfaces. On lithium disilicate-reinforced glass ceramics, higher SBS values to resin-matrix cements were recorded for specimens textured with a combination of fractional CO2 laser irradiation and HF acid etching (~ 22-24 MPa) when compared with grit-blasted specimens (12.2 MPa). Another study revealed SBS values at around 27.5 MPa for Er:YAG-textured lithium disilicate-reinforced glass ceramics to resin-matrix cements. CONCLUSIONS The laser irradiation at high power increases the roughness of the inner surface of lithium disilicate-reinforced glass ceramic or zirconia leading to an enhanced bond strength to resin-matrix cements. Thus, the laser type and irradiation parameters can be adjusted to enhance the macro- and micro-scale retention of zirconia and glass ceramic surfaces to resin-matrix cements. CLINICAL RELEVANCE Alternative methods for surface modification of lithium disilicate-reinforced glass ceramic and zirconia surfaces have been assessed to provide proper morphological aspects for enhanced adhesion to resin-matrix cements. An increase in the bond strength of glass ceramics or zirconia to resin-matrix cements can improve the long-term performance of cemented prosthetic structures in the oral cavity.
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Affiliation(s)
- Júlio C M Souza
- Center for Microelectromechanical Systems (CMEMS), University of Minho, Campus de Azurém, 4800-058, Guimarães, Portugal.
- LABBELS Associate Laboratory, University of Minho, 4710-057, Guimarães, Portugal.
- University Institute of Health Sciences (IUCS), CESPU, Gandra, PRD, 4585-116, Portugal.
| | | | - Oscar Carvalho
- Center for Microelectromechanical Systems (CMEMS), University of Minho, Campus de Azurém, 4800-058, Guimarães, Portugal
- LABBELS Associate Laboratory, University of Minho, 4710-057, Guimarães, Portugal
| | - Filipe Silva
- Center for Microelectromechanical Systems (CMEMS), University of Minho, Campus de Azurém, 4800-058, Guimarães, Portugal
- LABBELS Associate Laboratory, University of Minho, 4710-057, Guimarães, Portugal
| | - Mutlu Özcan
- Division of Dental Biomaterials, Center of Dental Medicine, Clinic of Reconstructive Dentistry, University of Zurich, 8032, Zurich, Switzerland.
| | - Bruno Henriques
- Center for Microelectromechanical Systems (CMEMS), University of Minho, Campus de Azurém, 4800-058, Guimarães, Portugal
- Ceramic and Composite Materials Research Group (CERMAT), Department of Mechanical Engineering (EMC), Federal University of Santa Catarina (UFSC), Florianópolis, SC, 88040-900, Brazil
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9
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Yuan CS, Tang Y, Xie HQ, Liang TT, Li HT, Tang KL. Application of 3 dimension-printed injection-molded polyether ether ketone lunate prosthesis in the treatment of stage III Kienböck’s disease: A case report. World J Clin Cases 2022; 10:8761-8767. [PMID: 36157814 PMCID: PMC9453360 DOI: 10.12998/wjcc.v10.i24.8761] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 04/05/2022] [Revised: 07/05/2022] [Accepted: 07/17/2022] [Indexed: 02/05/2023] Open
Abstract
BACKGROUND Polyether ether ketone (PEEK) is a high-performance medical polymer, and there are some clinical cases of PEEK prosthesis implantation. However, application of 3D-printed injection-molded PEEK lunate prosthesis for treatment of stage III Kienböck’s disease has not been reported. This study’s purpose was to analyze the clinical efficacy of 3D-printed injection-molded PEEK lunate prosthesis in the treatment of stage III Kienböck’s disease and thus provide a good therapeutic choice for Kienböck’s disease.
CASE SUMMARY We report a patient with stage III Kienböck’s disease. With the healthy lunate bone as reference, 3D lunate reconstruction was performed using a mirroring technique. A PEEK lunate prosthesis was prepared by 3D printing and injection molding, and then it was inserted into the original anatomical position after removing the necrotic lunate bone. Wrist pain and function, anatomical suitability of the lunate prosthesis, and complications were evaluated and analyzed postoperatively. At the last visit (one year after surgery), the range of motion, grasp force, visual analog scale score and Cooney score of the affected wrist were significantly improved, and postoperative X-ray examination indicated that the lunate prosthesis had good anatomical suitability for adjacent bony structures.
CONCLUSION The 3D-printed injection-molded PEEK lunate prosthesis demonstrated definite efficacy in treating stage III Kienböck’s disease.
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Affiliation(s)
- Cheng-Song Yuan
- Sports Medicine Center, The First Affiliated Hospital of Army Medical University, Chongqing 400038, China
| | - Yao Tang
- Sports Medicine Center, The First Affiliated Hospital of Army Medical University, Chongqing 400038, China
| | - Hai-Qiong Xie
- Sports Medicine Center, The First Affiliated Hospital of Army Medical University, Chongqing 400038, China
| | - Tao-Tao Liang
- Sports Medicine Center, The First Affiliated Hospital of Army Medical University, Chongqing 400038, China
| | - Hong-Tao Li
- Sports Medicine Center, The First Affiliated Hospital of Army Medical University, Chongqing 400038, China
| | - Kang-Lai Tang
- Sports Medicine Center, The First Affiliated Hospital of Army Medical University, Chongqing 400038, China
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10
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Biomechanical performance of Ti-PEEK dental implants in bone: An in-silico analysis. J Mech Behav Biomed Mater 2022; 134:105422. [PMID: 36037710 DOI: 10.1016/j.jmbbm.2022.105422] [Citation(s) in RCA: 6] [Impact Index Per Article: 3.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/04/2022] [Revised: 08/15/2022] [Accepted: 08/17/2022] [Indexed: 11/20/2022]
Abstract
Stress-shielding is caused by a significant mismatch in stiffness between bone tissue and Ti alloy dental implants. Therefore, in this study, a Ti-PEEK composite implant was examined and compared with conventional titanium, to determine the behavior of the host bone. Twelve 3D finite element models were modeled with two conditions of marginal cortical bone (with and without marginal bone loss). Six implant designs were constructed. Implant (A) was made with a conventional design (dense titanium), implants (B), (C) and (D) are designed with Ti-PEEK composite (outer layer made of PEEK and inner structures made of Ti with hexagonal, cylindrical, and cross shapes for implants (B), (C) and (D), respectively), the implant (E) is designed with Ti at the upper half section and PEEK at the bottom half section, and the implant (F) is designed with PEEK at the upper half section and Ti at the bottom half section. An axial load of 200 N was applied to the buccal cusp and central fossa of the occlusal surface. The displacements, stress, and equivalent strain were analyzed at the level of bone tissue. The mechanostat of Frost was used to determine the behavior of the cancellous bone under these biomechanical conditions. Results showed that strains were greater in cancellous bone with marginal bone loss than in healthy bone (w/o MBL). When compared to implants (B)-(F), conventional implant (A) did not produce as much strain. Thus, results and analyses suggest that the Ti-PEEK implants outperform compared with the implant (A) in the case of no marginal bone loss. However, the implants (A) and (E) perform equally in terms of bone loss.
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11
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Fidalgo-Pereira R, Carpio D, Torres O, Carvalho O, Silva F, Henriques B, Özcan M, Souza JCM. The influence of inorganic fillers on the light transmission through resin-matrix composites during the light-curing procedure: an integrative review. Clin Oral Investig 2022; 26:5575-5594. [PMID: 35767045 DOI: 10.1007/s00784-022-04589-5] [Citation(s) in RCA: 11] [Impact Index Per Article: 5.5] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/21/2022] [Accepted: 06/19/2022] [Indexed: 11/26/2022]
Abstract
PURPOSE The objective of this study was to perform an integrative review on the effect the inorganic fillers on the light transmission through the resin-matrix composites during the light-curing procedure. METHOD A bibliographic review was performed on PubMed using the following search terms: "fillers" OR "particle" AND "light curing" OR "polymerization" AND "light transmission" OR "light absorption" OR "light irradiance" OR "light attenuation" OR "light diffusion" AND "resin composite." The search involved articles published in English language in the last 10 years. RESULTS Selected studies reported a decrease in biaxial strength and hardness in traditional resin-matrix composites in function of the depth of polymerization. However, there were no significant differences in biaxial strength and hardness recorded along the polymerization depth of Bulk-Fill™ composites. Strength and hardness were enhanced by increasing the size and content of inorganic fillers although some studies revealed a progressive decrease in the degree of conversion on increasing silica particle size. The translucency of glass-ceramic spherical fillers promoted light diffusion mainly in critical situations such as in the case of deep proximal regions of resin-matrix composites. CONCLUSIONS The amount of light transmitted through the resin-matrix composites is influenced by the size, content, microstructure, and shape of the inorganic filler particles. The decrease of the degree of conversion affects negatively the physical and mechanical properties of the resin-matrix composites. CLINICAL RELEVANCE The type and content of inorganic fillers in the chemical composition of resin-matrix composites do affect their polymerization. As a consequence, the clinical performance of resin-matrix composites can be compromised leading to variable physical properties and degradation. The polymerization mode of resin-matrix composites can be improved according to the type of inorganic fillers in their chemical composition.
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Affiliation(s)
- Rita Fidalgo-Pereira
- University Institute of Health Sciences (IUCS), CESPU, 4585-116, Gandra, PRD, Portugal
| | - Daniela Carpio
- University Institute of Health Sciences (IUCS), CESPU, 4585-116, Gandra, PRD, Portugal
| | - Orlanda Torres
- University Institute of Health Sciences (IUCS), CESPU, 4585-116, Gandra, PRD, Portugal
| | - Oscar Carvalho
- Center for Microelectromechanical Systems (CMEMS-UMINHO), University of Minho, Campus Azurém, 4800-058, Guimarães, Portugal
- Associate Laboratory (LABBELS), University of Minho, 4710-057, Guimarães, Braga, Portugal
| | - Filipe Silva
- Center for Microelectromechanical Systems (CMEMS-UMINHO), University of Minho, Campus Azurém, 4800-058, Guimarães, Portugal
- Associate Laboratory (LABBELS), University of Minho, 4710-057, Guimarães, Braga, Portugal
| | - Bruno Henriques
- Center for Microelectromechanical Systems (CMEMS-UMINHO), University of Minho, Campus Azurém, 4800-058, Guimarães, Portugal
- Associate Laboratory (LABBELS), University of Minho, 4710-057, Guimarães, Braga, Portugal
- Ceramic and Composite Materials Research Group (CERMAT), Federal University of Santa Catarina (UFSC), Campus Trindade, Florianópolis, SC, 88040-900, Brazil
| | - Mutlu Özcan
- Dental Materials Unit, Center of Dental Medicine, Clinic of Reconstructive Dentistry, University of Zurich, 8032, Zurich, Switzerland
| | - Júlio C M Souza
- University Institute of Health Sciences (IUCS), CESPU, 4585-116, Gandra, PRD, Portugal.
- Center for Microelectromechanical Systems (CMEMS-UMINHO), University of Minho, Campus Azurém, 4800-058, Guimarães, Portugal.
- Associate Laboratory (LABBELS), University of Minho, 4710-057, Guimarães, Braga, Portugal.
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12
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Suphangul S, Rokaya D, Kanchanasobhana C, Rungsiyakull P, Chaijareenont P. PEEK Biomaterial in Long-Term Provisional Implant Restorations: A Review. J Funct Biomater 2022; 13:jfb13020033. [PMID: 35466215 PMCID: PMC9036277 DOI: 10.3390/jfb13020033] [Citation(s) in RCA: 4] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/27/2022] [Revised: 03/17/2022] [Accepted: 03/21/2022] [Indexed: 02/06/2023] Open
Abstract
Polyetheretherketone (PEEK) has become a useful polymeric biomaterial due to its superior properties and has been increasingly used in dentistry, especially in prosthetic dentistry and dental implantology. Promising applications of PEEK in dentistry are dental implants, temporary abutment, implant-supported provisional crowns, fixed prosthesis, removable denture framework, and finger prosthesis. PEEK as a long-term provisional implant restoration has not been studied much. Hence, this review article aims to review PEEK as a long-term provisional implant restoration for applications focusing on implant dentistry. Articles published in English on PEEK biomaterial for long-term provisional implant restoration were searched in Google Scholar, ScienceDirect, PubMed/MEDLINE, and Scopus. Then, relevant articles were selected and included in this literature review. PEEK presents suitable properties for various implant components in implant dentistry, including temporary and long-term provisional restorations. The modifications of PEEK result in wider applications in clinical dentistry. The PEEK reinforced by 30-50% carbon fibers can be a suitable material for the various implant components in dentistry.
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Affiliation(s)
- Suphachai Suphangul
- Department of Prosthodontics, Faculty of Dentistry, Chiang Mai University, Chiang Mai 50200, Thailand; (S.S.); (C.K.); (P.R.)
| | - Dinesh Rokaya
- Department of Clinical Dentistry, Walailak University International College of Dentistry, Walailak University, Bangkok 10400, Thailand;
| | - Chatruethai Kanchanasobhana
- Department of Prosthodontics, Faculty of Dentistry, Chiang Mai University, Chiang Mai 50200, Thailand; (S.S.); (C.K.); (P.R.)
| | - Pimduen Rungsiyakull
- Department of Prosthodontics, Faculty of Dentistry, Chiang Mai University, Chiang Mai 50200, Thailand; (S.S.); (C.K.); (P.R.)
| | - Pisaisit Chaijareenont
- Department of Prosthodontics, Faculty of Dentistry, Chiang Mai University, Chiang Mai 50200, Thailand; (S.S.); (C.K.); (P.R.)
- Correspondence: ; Tel.: +66-(0)53-944-438
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13
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Cunha W, Carvalho O, Henriques B, Silva FS, Özcan M, Souza JCM. Surface modification of zirconia dental implants by laser texturing. Lasers Med Sci 2022; 37:77-93. [PMID: 35022871 DOI: 10.1007/s10103-021-03475-y] [Citation(s) in RCA: 4] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/20/2021] [Accepted: 11/16/2021] [Indexed: 12/19/2022]
Abstract
The aim of this work was to perform an integrative literature review on the influence of laser irradiation on zirconia implants to enhance surface topographic aspects and the biological response for osseointegration. An electronic search was carried out on the PubMed database using the following search terms: "zirconia" AND "laser" AND "surface modification" OR "surface treatment" AND "dental implants" OR "bone" OR "osteoblast" OR "osseointegration." Of the identified articles, 12 studies were selected in this review. Results reported that the laser irradiation was capable of promoting changes on the zirconia surfaces regarding topographic aspects, roughness, and wettability. An increase in roughness was recorded at micro- and nano-scale and it resulted in an enhanced wettability and biological response. Also, adhesion, spreading, proliferation, and differentiation of osteogenic cells were also enhanced after laser irradiation mainly by using a femtosecond laser at 10nJ and 80 MHz. After 3 months of osseointegration, in vivo studies in dogs revealed a similar average percentage of bone-to-implant contact (BIC) on zirconia surfaces (around 47.9 ± 16%) when compared to standard titanium surfaces (61.73 ±16.27%), denoting that there is no significant difference between such different materials. The laser approach revealed several parameters that can be used for zirconia surface modification such as irradiation intensity, time, and frequency. Laser irradiation parameters can be optimized and well-controlled to reach desirable surface morphologic aspects and biological response concerning the osseointegration process.
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Affiliation(s)
- Welson Cunha
- School of Dentistry, University Institute of Health Sciences (IUCS), CESPU, 4585-116, Gandra PRD, Portugal
| | - Oscar Carvalho
- Center for MicroElectroMechanical Systems (CMEMS-UMINHO), University of Minho, Campus Azurém, 4800-058, Guimarães, Portugal
| | - Bruno Henriques
- Center for MicroElectroMechanical Systems (CMEMS-UMINHO), University of Minho, Campus Azurém, 4800-058, Guimarães, Portugal.,Ceramic and Composite Materials Research Group (CERMAT), Dept. of Mechanical Engineering (EMC), Federal University of Santa Catarina (UFSC), Florianópolis, 88040-900, Brazil
| | - Filipe S Silva
- Center for MicroElectroMechanical Systems (CMEMS-UMINHO), University of Minho, Campus Azurém, 4800-058, Guimarães, Portugal
| | - Mutlu Özcan
- Division of Dental Biomaterials, Clinic for Reconstructive Dentistry, Center of Dental Medicine, University of Zürich, Zürich, 8032, Switzerland
| | - Júlio C M Souza
- School of Dentistry, University Institute of Health Sciences (IUCS), CESPU, 4585-116, Gandra PRD, Portugal. .,Center for MicroElectroMechanical Systems (CMEMS-UMINHO), University of Minho, Campus Azurém, 4800-058, Guimarães, Portugal.
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14
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Abhay SS, Ganapathy D, Veeraiyan DN, Ariga P, Heboyan A, Amornvit P, Rokaya D, Srimaneepong V. Wear Resistance, Color Stability and Displacement Resistance of Milled PEEK Crowns Compared to Zirconia Crowns under Stimulated Chewing and High-Performance Aging. Polymers (Basel) 2021; 13:polym13213761. [PMID: 34771318 PMCID: PMC8587121 DOI: 10.3390/polym13213761] [Citation(s) in RCA: 28] [Impact Index Per Article: 9.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/12/2021] [Revised: 10/27/2021] [Accepted: 10/28/2021] [Indexed: 12/19/2022] Open
Abstract
Recently, polyetheretherketone (PEEK) has been introduced to the dental market as a high-performance and chemically inert biomaterial. This study aimed to compare the wear resistance, abrasiveness, color stability, and displacement resistance of zirconia and PEEK milled crowns. An ideal tooth preparation of a first maxillary molar was done and scanned by an intraoral scanner to make a digital model. Then, the prosthetic crown was digitally designed on the CAD software, and the STL file was milled in zirconia (CaroZiir S, Carol Zircolite Pvt. Ltd., Gujarat, India) and PEEK (BioHpp, Bredent GmbH, Senden, Germany) crowns using five-axis CNC milling machines. The wear resistance, color stability, and displacement resistance of the milled monolithic zirconia with unfilled PEEK crowns using a chewing simulator with thermocyclic aging (120,000 cycles) were compared. The antagonist wear, material wear, color stability, and displacement were evaluated and compared among the groups using the Wilcoxon-Mann-Whitney U-test. Zirconia was shown to be three times more abrasive than PEEK (p value < 0.05). Zirconia had twice the wear resistance of PEEK (p value < 0.05). Zirconia was more color stable than PEEK (p value < 0.05). PEEK had more displacement resistance than zirconia (p value < 0.05). PEEK offers minimal abrasion, better stress modulation through plastic deformation, and good color stability, which make it a promising alternative to zirconia crown.
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Affiliation(s)
- Simone Shah Abhay
- Department of Prosthodontics, Saveetha Dental College and Hospital, Saveetha Institute of Medical and Technical Sciences, Chennai 600077, India; (S.S.A.); (D.G.); (D.N.V.); (P.A.); (A.H.)
| | - Dhanraj Ganapathy
- Department of Prosthodontics, Saveetha Dental College and Hospital, Saveetha Institute of Medical and Technical Sciences, Chennai 600077, India; (S.S.A.); (D.G.); (D.N.V.); (P.A.); (A.H.)
| | - Deepak Nallaswamy Veeraiyan
- Department of Prosthodontics, Saveetha Dental College and Hospital, Saveetha Institute of Medical and Technical Sciences, Chennai 600077, India; (S.S.A.); (D.G.); (D.N.V.); (P.A.); (A.H.)
| | - Padma Ariga
- Department of Prosthodontics, Saveetha Dental College and Hospital, Saveetha Institute of Medical and Technical Sciences, Chennai 600077, India; (S.S.A.); (D.G.); (D.N.V.); (P.A.); (A.H.)
| | - Artak Heboyan
- Department of Prosthodontics, Saveetha Dental College and Hospital, Saveetha Institute of Medical and Technical Sciences, Chennai 600077, India; (S.S.A.); (D.G.); (D.N.V.); (P.A.); (A.H.)
- Department of Prosthodontics, Faculty of Stomatology, Yerevan State Medical University after Mkhitar Heratsi, Str. Koryun 2, Yerevan 0025, Armenia
| | - Pokpong Amornvit
- Golden Jubilee Medical Centre, Mahidol University, Nakon Pathom, Salaya 73170, Thailand;
| | - Dinesh Rokaya
- Department of Clinical Dentistry, International College of Dentistry, Walailak University, Bangkok 10400, Thailand
- Correspondence: (D.R.); (V.S.); Tel.: +66-2218-8535 (V.S.)
| | - Viritpon Srimaneepong
- Department of Prosthodontics, Faculty of Dentistry, Chulalongkorn University, Bangkok 10330, Thailand
- Correspondence: (D.R.); (V.S.); Tel.: +66-2218-8535 (V.S.)
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15
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Fabris D, Moura JPA, Fredel MC, Souza JCM, Silva FS, Henriques B. Biomechanical analyses of one-piece dental implants composed of titanium, zirconia, PEEK, CFR-PEEK, or GFR-PEEK: Stresses, strains, and bone remodeling prediction by the finite element method. J Biomed Mater Res B Appl Biomater 2021; 110:79-88. [PMID: 34173713 DOI: 10.1002/jbm.b.34890] [Citation(s) in RCA: 4] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/17/2021] [Revised: 05/22/2021] [Accepted: 06/07/2021] [Indexed: 11/06/2022]
Abstract
This work aimed to assess the biomechanics, using the finite element method (FEM), of traditional titanium Morse taper (MT) dental implants compared to one-piece implants composed of zirconia, polyetheretherketone (PEEK), carbon fiber-reinforced PEEK (CFR-PEEK), or glass fiber-reinforced PEEK (GFR-PEEK). MT and one-piece dental implants were modeled within a mandibular bone section and loaded on an oblique force using FEM. A MT implant system involving a Ti6Al4V abutment and a cp-Ti grade IV implant was compared to one-piece implants composed of cp-Ti grade IV, zirconia (3Y-TZP), PEEK, CFR-PEEK, or GFR-PEEK. Stress on bone and implants was computed and analyzed while bone remodeling prediction was evaluated considering equivalent strain. In comparison to one-piece implants, the traditional MT implant revealed higher stress peak (112 MPa). The maximum stresses on the one-piece implants reached ~80 MPa, regardless their chemical composition. MT implant induced lower bone stimulus, although excessive bone strain was recorded for PEEK implants. Balanced strain levels were noticed for reinforced PEEK implants of which CFR-PEEK one-piece implants showed proper biomechanical behavior. Balanced strain levels might induce bone remodeling at the peri-implant region while maintaining low risks of mechanical failures. However, the strength of the PEEK-based composite materials is still low for long-term clinical performance.
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Affiliation(s)
- Douglas Fabris
- Ceramic and Composite Materials Research Group (CERMAT), Federal University of Santa Catarina (UFSC), Florianópolis, 88040-900, Brazil
| | - José P A Moura
- Ceramic and Composite Materials Research Group (CERMAT), Federal University of Santa Catarina (UFSC), Florianópolis, 88040-900, Brazil.,Center for MicroElectroMechanical Systems (CMEMS-UMinho), University of Minho, Braga, 4800-058, Portugal
| | - Márcio C Fredel
- Ceramic and Composite Materials Research Group (CERMAT), Federal University of Santa Catarina (UFSC), Florianópolis, 88040-900, Brazil
| | - Júlio C M Souza
- Center for MicroElectroMechanical Systems (CMEMS-UMinho), University of Minho, Braga, 4800-058, Portugal.,School of Dental Sciences, University Institute of Health Sciences (IUCS), CESPU, Gandra PRD, 4585-116, Portugal
| | - Filipe S Silva
- Center for MicroElectroMechanical Systems (CMEMS-UMinho), University of Minho, Braga, 4800-058, Portugal
| | - Bruno Henriques
- Ceramic and Composite Materials Research Group (CERMAT), Federal University of Santa Catarina (UFSC), Florianópolis, 88040-900, Brazil.,Center for MicroElectroMechanical Systems (CMEMS-UMinho), University of Minho, Braga, 4800-058, Portugal
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