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Adali U, Sütel M, Yassine J, Mao Z, Müller WD, Schwitalla AD. Influence of sandblasting and bonding on the shear bond strength between differently pigmented polyetheretherketone (PEEK) and veneering composite after artificial aging. Dent Mater 2024; 40:1123-1127. [PMID: 38824001 DOI: 10.1016/j.dental.2024.05.025] [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: 08/01/2023] [Revised: 05/22/2024] [Accepted: 05/22/2024] [Indexed: 06/03/2024]
Abstract
OBJECTIVE Achieving a strong bond between Polyetheretherketone (PEEK) and veneering composites is challenging due to PEEKs low surface energy. This study examined the effects of sandblasting and bonding on the shear bond strength (SBS) between veneering composite and pigmented PEEK, considering artificial aging. METHODS Of three pigmented PEEK compounds (DC4420R, DC4450R, DC4470R; Evonic Operations GmbH, Marl, Germany), 40 specimens each were milled and polished up to 2500 grit. Prior to veneering, specimens were divided into 4 subgroups: Subgroup 1: Polishing; 2: Polishing + bonding; 3: Sandblasting; 4: Sandblasting + bonding. Sandblasting was performed using Al2O3. Adhesive was an agent containing MMA (Signum Universal Bond, Kulzer GmbH, Hanau, Germany). After veneering (Composite, Kulzer GmbH) the subgroups were divided into 2 subgroups. One subgroup was immersed in 37 °C warm distilled water for 24 h. The second subgroup was artificially aged by thermocycling (TCL) with 5000 cycles in distilled water (5 °C / 55 °C; 30 s). Surface roughness, water contact angles and failure modes were recorded. SBS was measured using a universal testing machine. RESULTS Results demonstrated that the combination of sandblasting and bonding significantly improved the SBS compared to polishing alone. PEEK color did not significantly influence the SBS. Aging by TCL had a negative effect on the SBS. SIGNIFICANCE Sandblasting and the use of an adhesive containing MMA were found to be effective in achieving satisfactory SBS between veneering composite and pigmented PEEK surfaces. These pretreatment methods demonstrate their potential for establishing durable and reliable bonding in clinical applications.
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Affiliation(s)
- Ufuk Adali
- Charité - Universitätsmedizin Berlin, Corporate Member of Freie Universität Berlin, Humboldt-Universität zu Berlin, and Berlin Institute of Health, Department of Prosthodontics, Geriatric Dentistry and Craniomandibular Disorders, Aßmannshauser Straße 4-6, 14197 Berlin, Germany
| | - Mona Sütel
- IMD Institut für Medizinische Diagnostik Berlin-Potsdam GbR, Nicolaistraße 26a, 12247 Berlin, Germany
| | - Jamila Yassine
- Charité - Universitätsmedizin Berlin, Corporate Member of Freie Universität Berlin, Humboldt-Universität zu Berlin, and Berlin Institute of Health, Department of Prosthodontics, Geriatric Dentistry and Craniomandibular Disorders, Aßmannshauser Straße 4-6, 14197 Berlin, Germany
| | - Zhen Mao
- Charité - Universitätsmedizin Berlin, Corporate Member of Freie Universität Berlin, Humboldt-Universität zu Berlin, and Berlin Institute of Health, Department of Prosthodontics, Geriatric Dentistry and Craniomandibular Disorders, Aßmannshauser Straße 4-6, 14197 Berlin, Germany
| | - Wolf-Dieter Müller
- Charité - Universitätsmedizin Berlin, Corporate Member of Freie Universität Berlin, Humboldt-Universität zu Berlin, and Berlin Institute of Health, Department of Prosthodontics, Geriatric Dentistry and Craniomandibular Disorders, Aßmannshauser Straße 4-6, 14197 Berlin, Germany
| | - Andreas Dominik Schwitalla
- Charité - Universitätsmedizin Berlin, Corporate Member of Freie Universität Berlin, Humboldt-Universität zu Berlin, and Berlin Institute of Health, Department of Prosthodontics, Geriatric Dentistry and Craniomandibular Disorders, Aßmannshauser Straße 4-6, 14197 Berlin, Germany.
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Calheiros-Lobo MJ, Carbas R, da Silva LFM, Pinho T. Impact of in vitro findings on clinical protocols for the adhesion of CAD-CAM blocks: A systematic integrative review and meta-analysis. J Prosthet Dent 2024; 131:1051-1070. [PMID: 36543700 DOI: 10.1016/j.prosdent.2022.08.024] [Citation(s) in RCA: 3] [Impact Index Per Article: 3.0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/20/2022] [Revised: 08/25/2022] [Accepted: 08/26/2022] [Indexed: 12/23/2022]
Abstract
STATEMENT OF PROBLEM Computer-aided design and computer-aided manufacturing (CAD-CAM) blocks have evolved rapidly, making it difficult to establish the best clinical protocol for bonding a given block and whether an established protocol is appropriate for a newly introduced product. PURPOSE This integrative systematic review and meta-analysis aimed to clarify whether the clinician can select the most efficient adhesion protocols for CAD-CAM blocks by reading published in vitro studies and implementing them in daily practice. MATERIAL AND METHODS Based on the population, intervention, comparison, and outcome (PICO) strategy, 3 databases were searched for in vitro studies, randomized clinical trials, prospective or retrospective studies, and case reports from January 1, 2015, to July 31, 2021. A meta-analysis analyzed 28 studies to calculate the mean difference between best and worst protocols for each author and block with a random-effects model (α=.05). RESULTS From 508 relevant studies, 37 in vitro studies, 2 clinical studies, and 1 clinical report were selected for data extraction and qualitative analysis. Vita Enamic, IPS e.max CAD, LAVA Ultimate, and Vita Mark II blocks were the most studied, and RelyX Ultimate was the most used luting cement. The meta-analysis confirmed the null hypothesis that the evidence-based efficacy of clinical protocols to bond CAD-CAM blocks is still controversial (P<.05). CONCLUSIONS There are objective standards for individual in vitro tests, but the studies lack standardization. Some tested protocols were more efficient than others. Randomized clinical trials and well-documented clinical situations were almost nonexistent, making direct application of in vitro findings in clinical practice impossible.
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Affiliation(s)
- Maria João Calheiros-Lobo
- Clinical Professor, Department of Conservative Dentistry and Researcher, UNIPRO - Oral Pathology and Rehabilitation Research Unit, IUCS - CESPU, Gandra, Portugal.
| | - Ricardo Carbas
- Postdoctoral Researcher, INEGI - Institute of Science and Innovation in Mechanical and Industrial Engineering, University of Porto, Porto, Portugal
| | - Lucas F M da Silva
- Full Professor, Department of Mechanical Engineering, Faculty of Engineering, University of Porto, Porto, Portugal
| | - Teresa Pinho
- Full Professor and Researcher, UNIPRO - Oral Pathology and Rehabilitation Research Unit, IUCS - CESPU, Gandra, Portugal
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Chen T, Xu S, Chen X, Wang D, Liu C, Liu H. Effects of Nd: YAG LASER irradiation and O 2 plasma on the adhesive performance of poly-ether-ether-ketone (PEEK). J Mech Behav Biomed Mater 2024; 152:106461. [PMID: 38394766 DOI: 10.1016/j.jmbbm.2024.106461] [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: 11/07/2023] [Revised: 02/02/2024] [Accepted: 02/05/2024] [Indexed: 02/25/2024]
Abstract
PURPOSE To evaluate the effects of neodymium-doped yttrium aluminum garnet (Nd: YAG) LASER irradiation and oxygen (O2) plasma on the adhesive performance of polyether ether ketone (PEEK) and resin adhesive. METHODS Nd: YAG LASERs of varying powers and O2 plasma for different durations were used to modify PEEK. A total of 168 PEEK specimens were randomly divided into seven groups (n = 24/group): (A) Control group: untreated PEEK, (B) L0.75 group: PEEK modified with 0.75 W Nd: YAG LASER, (C) L1 group: PEEK modified with 1.0 W Nd: YAG LASER, (D) L1.25 group: PEEK modified with 1.25 W Nd: YAG LASER, (E) P15 group: PEEK modified with 15 min of O2 plasma, (F) P25 group: PEEK modified with 25 min of O2 plasma, and (G) P35 group: PEEK modified with 35 min of O2 plasma. The surface characteristics of the materials were comprehensively analyzed using a scanning electron microscope (SEM), profilometer, energy-dispersive spectrometer (EDS), and contact angle tester. The adhesive specimens were bonded with Variolink N resin adhesive in all groups and each group was further divided into two subgroups (n = 12/group): (a) water storage for 56 h at 37 °C and (b) thermal cycling 5000 times. Shear bond strength (SBS) was tested using a universal testing machine, and the fracture modes were observed using an automated chemiluminescence analysis system to assess the effects of Nd: YAG LASER and O2 plasma on the bond strength of PEEK to resin adhesive. RESULTS Both Nd: YAG LASER and O2 plasma treatments altered the surface characteristics of PEEK and significantly increased the SBS between PEEK and Variolink N resin adhesive. The L0.75 group (Nd: YAG LASER) and the P35 group (O2 plasma) achieved the highest SBS, respectively. Furthermore, the SBS of the L0.75 group was higher than that of the P35 group. Following thermal cycling, SBS values decreased compared to the water storage subgroups. The fracture modes of the specimens in each group were predominantly interfacial and mixed, with no cohesive fractures observed. CONCLUSIONS Nd: YAG LASER irradiation and O2 plasma treatments can improve the SBS between PEEK and resin adhesive, with the 0.75 W Nd: YAG LASER being the preferred treatment method.
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Affiliation(s)
- Tianjie Chen
- Hospital of Stomatology, Jilin University, Changchun 130012, China; Section of Implant and Rehabilitative Dentistry, Division of Oral Rehabilitation, Faculty of Dental Science, Kyushu University, Fukuoka 812-8582, Japan
| | - Shan Xu
- College of Medical Technology, Zibo Vocational Institute, Zhoucun District, Zibo 255300, China
| | - Xueqing Chen
- Department of Cardiology, Central Hospital of Zibo Ccity, Zhangdian District, Zibo 255036, China
| | - Defei Wang
- Hospital of Stomatology, Jilin University, Changchun 130012, China; Health Supervision Institute of Dezhou City, Decheng District, Dezhou 253018, China
| | - Chang Liu
- Hospital of Stomatology, Jilin University, Changchun 130012, China.
| | - Hong Liu
- Hospital of Stomatology, Jilin University, Changchun 130012, China.
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Peng TY, Shimoe S, Higo M, Kato M, Hirata I, Iwaguro S, Kaku M. Effect of laser engraving on shear bond strength of polyetheretherketone to indirect composite and denture-base resins. J Dent Sci 2024; 19:32-38. [PMID: 38303863 PMCID: PMC10829665 DOI: 10.1016/j.jds.2023.06.005] [Citation(s) in RCA: 2] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/16/2023] [Revised: 06/08/2023] [Indexed: 02/03/2024] Open
Abstract
Background/purpose Polyetheretherketone (PEEK) is a highly sought-after thermoplastic due to its exceptional mechanical properties and biocompatibility. However, bonding PEEK to indirect composite resin (ICR) or denture-based resin (DBR) can be challenging. Laser engraving technology has shown potential to improve bonding for other materials; thus, this study aims to evaluate its effectiveness for PEEK. Materials and methods The experiment involved preparing ingot-shaped PEEK samples, which were then categorized into four groups based on the treatment method employed: without treatment, air abrasion, sulfuric acid etching, and laser engraving (LS). Subsequently, the samples were bonded to ICR or DBR, and their shear bond strength (SBS) was tested with or without thermocycling using a universal testing machine. Furthermore, the failure mode was observed, with statistical analyses conducted to compare the results. Results The grid-like microslit structure of LS group displayed the highest SBS for bonding PEEK to ICR or DBR (P < 0.05). During the bonding of PEEK to ICR, resin residue and penetration into the microslits were frequently observed in the LS group, indicating cohesive failure. However, when PEEK was bonded to DBR, mixture failure was frequently observed without thermocycling. After thermocycling, only the LS group showed cohesive failure, while the majority of specimens exhibited mixture failure. Conclusion Laser engraving significantly improves the SBS between PEEK and both ICR and DBR. Furthermore, it was observed that resin had penetrated the microslits, indicating that laser engraving has great potential as a surface treatment method.
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Affiliation(s)
- Tzu-Yu Peng
- School of Dentistry, College of Oral Medicine, Taipei Medical University, Taipei, Taiwan
| | - Saiji Shimoe
- Department of Anatomy and Functional Restorations, Graduate School of Biomedical and Health Sciences, Hiroshima University, Hiroshima City, Hiroshima, Japan
| | - Momoyo Higo
- Division of Dental Technician, Department of Clinical Practice and Support, Hiroshima University Hospital, Hiroshima, Japan
| | - Mai Kato
- Course for Oral Engineering, Department of Oral Health Science, School of Dentistry, Hiroshima University, Hiroshima City, Hiroshima, Japan
| | - Isao Hirata
- Department of Biomaterials, Graduate School of Biomedical and Health Sciences, Hiroshima University, Hiroshima City, Hiroshima, Japan
| | - Shogo Iwaguro
- Division of Dental Technician, Department of Clinical Practice and Support, Hiroshima University Hospital, Hiroshima, Japan
| | - Masato Kaku
- Department of Anatomy and Functional Restorations, Graduate School of Biomedical and Health Sciences, Hiroshima University, Hiroshima City, Hiroshima, Japan
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Alqahtani WMS, Abdul NS, Aslam K, Alanazi A, Ansary N, Alresayes SS, Samran A, Niazi FH. PEEK surface treatment on surface roughness and bond integrity to composite resin utilizing Er: YAG, Rosebengal activated by PDT, and aluminum trioxide particles. Photodiagnosis Photodyn Ther 2023; 44:103879. [PMID: 37923284 DOI: 10.1016/j.pdpdt.2023.103879] [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: 08/14/2023] [Revised: 10/27/2023] [Accepted: 10/31/2023] [Indexed: 11/07/2023]
Abstract
AIMS To evaluate the impact of conditioning protocols, aluminum trioxide (Al2O3), Er:YAG laser (EYL), and Rosebengal (RB), on the surface roughness (Ra) and shear bond strength (SBS) of polyetheretherketone (PEEK) attached to composite restorations. METHOD Eighty PEEK discs in total were produced and then divided into four groups (n = 20). Group1:Sulfuric acid (SA), Group 2: PDT (RB), Group 3: Al2O3, Group 4 EYL, respectively. The Ra of PEEK discs was evaluated using the surface profilometer. After being luted, the discs were attached to composite resin discs. After that, samples were put to SBS testing on a Universal testing apparatus. A stereo microscope was also used to evaluate the type of breakdown. The data were analyzed using Tukey's test and one-way analysis of variance. RESULTS The SA treated group exhibited the highest Ra. Nevertheless, the RB specimens activated by PDT treatment had the lowest mean Ra score. The group that received the treatment of SA exhibited the highest average score of SBS. In contrast, specimens treated with PDT and activated by RB exhibited the lowest levels of bond fidelity. Cohesive failure emerges as the prevailing kind of fracture within the various groups subjected to testing. CONCLUSION The utilization of Al2O3, RB activated by PDT, and EYL shows promise as a viable substitute for Sulfuric acid in enhancing the bond integrity of composite cement and surface roughness in PEEK materials.
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Affiliation(s)
- Waleed M S Alqahtani
- Associate Professor, Department of Prosthetic Dentistry, College of Dentistry, King Khalid University, Abha, Saudi Arabia.
| | - Nishath Sayed Abdul
- Department of OMFS and Diagnostic Sciences (Oral Pathology), Faculty of Dentistry, Riyadh Elm University, Riyadh, Saudi Arabia.
| | - Kashif Aslam
- Department of Prosthodontics, Dow Dental College, Dow University of Health Sciences, Pakistan.
| | | | - Nisren Ansary
- College of Dentistry, Dar Al Uloom University, Riyadh, Saudi Arabia
| | - Saad Saleh Alresayes
- Department of Prosthetic Dental Sciences, King Saud University College of Dentistry, Riyadh, Saudi Arabia.
| | - Abdulaziz Samran
- Department of Prosthetic and Restorative Dental Sciences, College of Dentistry, Dar Al Uloom University, Riyadh, Saudi Arabia
| | - Fayez Hussain Niazi
- Department of Prosthetic and Restorative Dental Sciences, College of Dentistry, Dar Al Uloom University, Riyadh, Saudi Arabia.
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Lyu X, Kanda R, Tsuda S, Hashimoto Y, Fujii T, Kashiwagi K. Novel Carboxylation Method for Polyetheretherketone (PEEK) Surface Modification Using Friedel-Crafts Acylation. Int J Mol Sci 2023; 24:15651. [PMID: 37958636 PMCID: PMC10650194 DOI: 10.3390/ijms242115651] [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: 09/22/2023] [Revised: 10/23/2023] [Accepted: 10/25/2023] [Indexed: 11/15/2023] Open
Abstract
Recently, polyetheretherketone (PEEK) has shown promising dental applications. Surface treatment is essential for dental applications owing to its poor surface energy and wettability; however, no consensus on an effective treatment method has been achieved. In this study, we attempted to carboxylate PEEK sample surfaces via Friedel-Crafts acylation using succinic anhydride and AlBr3. The possibility of further chemical modifications using carboxyl groups was examined. The samples were subjected to dehydration-condensation reactions with 1H,1H-pentadecafluorooctylamine and N,N'-dicyclohexylcarbodiimide. Furthermore, the sample's surface properties at each reaction stage were evaluated. An absorption band in the 3300-3500 cm-1 wavenumber region was observed. Additionally, peak suggestive of COOH was observed in the sample spectra. Secondary modification diminished the absorption band in 3300-3500 cm-1 and a clear F1s signal was observed. Thus, Friedel-Crafts acylation with succinic anhydride produced carboxyl groups on the PEEK sample surfaces. Further chemical modification of the carboxyl groups by dehydration-condensation reactions is also possible. Thus, a series of reactions can be employed to impart desired chemical structures to PEEK surfaces.
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Affiliation(s)
- Xinghui Lyu
- Department of Fixed Prosthodontics and Occlusion, Osaka Dental University, 8-1 Kuzuhahanazonocho, Hirakata 573-1121, Osaka, Japan; (X.L.); (T.F.); (K.K.)
| | - Ryuhei Kanda
- Division of Creative and Integrated Medicine, Advanced Medicine Research Center, Translational Research Institute for Medical Innovation (TRIMI), Osaka Dental University, 8-1 Kuzuhahanazonocho, Hirakata 573-1121, Osaka, Japan;
| | - Susumu Tsuda
- Department of Chemistry, Osaka Dental University, 8-1 Kuzuhahanazonocho, Hirakata 573-1121, Osaka, Japan;
| | - Yoshiya Hashimoto
- Division of Creative and Integrated Medicine, Advanced Medicine Research Center, Translational Research Institute for Medical Innovation (TRIMI), Osaka Dental University, 8-1 Kuzuhahanazonocho, Hirakata 573-1121, Osaka, Japan;
- Department of Biomaterial, Osaka Dental University, 8-1 Kuzuhahanazonocho, Hirakata 573-1121, Osaka, Japan
| | - Takamasa Fujii
- Department of Fixed Prosthodontics and Occlusion, Osaka Dental University, 8-1 Kuzuhahanazonocho, Hirakata 573-1121, Osaka, Japan; (X.L.); (T.F.); (K.K.)
| | - Kosuke Kashiwagi
- Department of Fixed Prosthodontics and Occlusion, Osaka Dental University, 8-1 Kuzuhahanazonocho, Hirakata 573-1121, Osaka, Japan; (X.L.); (T.F.); (K.K.)
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Alsmael MA, Mohammed Al-Khafaji A. Improving Surface Properties of PEEK for Dental Applications by Using Piranha Solution. Int J Dent 2023; 2023:7840601. [PMID: 37771363 PMCID: PMC10533222 DOI: 10.1155/2023/7840601] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/12/2023] [Revised: 08/06/2023] [Accepted: 09/01/2023] [Indexed: 09/30/2023] Open
Abstract
Background "Polyetheretherketone (PEEK)" is a biocompatible, high-strength polymer that is well-suited for use in dental applications due to its unique properties. However, achieving good adhesion between PEEK and hydrophilic materials such as dental adhesives or cement can be challenging. Also, this hydrophobicity may affect the use of PEEK as an implant material. Surface treatment or conditioning is often necessary to improve surface properties. The piranha solution is the treatment of choice to be explored for this purpose. Methods PEEK disks of 10 mm diameter and 2 mm thickness were used in this study. Those samples were divided into five groups (each group has five samples). The first is the control group, in which no acid treatment was used; the second group undergoes sulfuric acid treatment. The remaining three groups were treated with Piranha solution; each group used a different concentration (1 : 3, 1 : 5, and 1 : 7 hydrogen peroxide to sulfuric acid, respectively). The period of treatment was 60 s for all groups. Wettability and surface roughness tests were done for the five groups. In statistical analysis, Shapiro-Wilk test was used to check the assumption of normality and to determine the statistical significance among groups; a one-way analysis of variance was employed. Subsequently, for multiple comparisons, Tukey's honestly significant difference post hoc test was performed. Results The Piranha solution treatment groups showed a higher wettability compared to the control group and the group treated with sulfuric acid. Additionally, the Piranha solution treatment with a higher concentration of hydrogen peroxide (1 : 3) resulted in greater improvement in surface roughness compared to the control group and the lower concentration groups (1 : 5 and 1 : 7), while the sulfuric acid treated group showed the highest surface roughness. Conclusion The results of this study suggest that the piranha solution can be an effective method for improving the surface characteristics of PEEK to be used in different dental applications, especially as a dental implant material, due to the increase in wettability and surface roughness.
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Affiliation(s)
- Mohammed A. Alsmael
- Department of Prosthodontics, College of Dentistry, University of Baghdad, Baghdad, Iraq
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Cevik P, Yildirim AZ, Demir Sevinc EH, Gonder A, Kiat-Amnuay S. Using Peek as a Framework Material for Maxillofacial Silicone Prosthesis: An In Vitro Study. Polymers (Basel) 2023; 15:2694. [PMID: 37376341 DOI: 10.3390/polym15122694] [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: 05/17/2023] [Revised: 06/09/2023] [Accepted: 06/12/2023] [Indexed: 06/29/2023] Open
Abstract
There are often bonding problems between acrylic resins and silicone. PEEK (polyetheretherketone), which is a high-performance polymer, has great potential for the implant, and fixed or removable prosthodontics. The aim of this study was to evaluate the effect of different surface treatments on PEEK to be bonded to maxillofacial silicone elastomers. A total of 48 specimens were fabricated from either PEEK or PMMA (Polymethylmethacrylate) (n = 8). PMMA specimens acted as a positive control group. PEEK specimens were divided into five study groups as surface treatments as control PEEK, silica-coating, plasma etching, grinding, or nano-second fiber laser. Surface topographies were evaluated by scanning electron microscopy (SEM). A platinum-primer was used on top of all specimens including control groups prior to silicone polymerization. The peel bond strength of the specimens to a platinum-type silicone elastomer was tested at a cross-head speed of 5 mm/min. The data were statistically analyzed (α = 0.05). The control PEEK group showed the highest bond strength (p < 0.05) among the groups. No statistical difference was found between control PEEK, grinding, or plasma etching groups (p > 0.05). The lowest bond strength was seen in the laser group, which was not statistically different from silica-coating (p > 0.05), and statistically different from control PEEK, grinding, or plasma groups (p < 0.05). Positive control PMMA specimens had statistically lower bond strength than either control PEEK or plasma etching groups (p < 0.05). All specimens exhibited adhesive failure after a peel test. The study results indicate that PEEK could serve as a potential alternative substructure for implant-retained silicone prostheses.
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Affiliation(s)
- Pinar Cevik
- Department of Prosthodontics, Faculty of Dentistry, Gazi University, Ankara 06490, Turkey
- Department of General Practice and Dental Public Health, School of Dentistry, The University of Texas Health Science Center at Houston, Houston, TX 77054, USA
- Houston Center of Biomaterials and Biomimetics, Houston, TX 77054, USA
| | - Arzu Zeynep Yildirim
- Department of Prosthodontics, Faculty of Dentistry, Gazi University, Ankara 06490, Turkey
| | | | - Aykut Gonder
- Department of Prosthodontics, Faculty of Dentistry, Gazi University, Ankara 06490, Turkey
| | - Sudarat Kiat-Amnuay
- Department of General Practice and Dental Public Health, School of Dentistry, The University of Texas Health Science Center at Houston, Houston, TX 77054, USA
- Houston Center of Biomaterials and Biomimetics, Houston, TX 77054, USA
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Erjavec AK, Črešnar KP, Švab I, Vuherer T, Žigon M, Brunčko M. Determination of Shear Bond Strength between PEEK Composites and Veneering Composites for the Production of Dental Restorations. MATERIALS (BASEL, SWITZERLAND) 2023; 16:ma16093286. [PMID: 37176168 PMCID: PMC10178894 DOI: 10.3390/ma16093286] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Subscribe] [Scholar Register] [Received: 03/21/2023] [Revised: 04/19/2023] [Accepted: 04/20/2023] [Indexed: 05/15/2023]
Abstract
We studied the shear bond strength (SBS) of two PEEK composites (BioHPP, BioHPP plus) with three veneering composites: Visio.lign, SR Nexco and VITA VM LC, depending on the surface treatment: untreated, sandblasted with 110 μm Al2O3, sandblasted and cleaned ultrasonically in 80% ethanol, with or without adhesive Visio.link, with applied Visio.link and MKZ primer. For the BioHPP plus, differential scanning calorimetry (DSC) revealed a slightly lower glass transition temperature (Tg 150.4 ± 0.4 °C) and higher melting temperature (Tm 339.4 ± 0.6 °C) than those of BioHPP (Tg 151.3 ± 1.3 °C, Tm 338.7 ± 0.2 °C). The dynamical mechanical analysis (DMA) revealed a slightly higher storage modulus of BioHPP (E' 4.258 ± 0.093 GPa) than of BioHPP plus (E' 4.193 ± 0.09 GPa). The roughness was the highest for the untreated BioHPP plus, and the lowest for the polished BioHPP. The highest hydrophobicity was achieved on the sandblasted BioHPP plus, whereas the highest hydrophilicity was found on the untreated BioHPP. The highest SBSs were determined for BioHPP and Visio.lign, adhesive Visio.link (26.31 ± 4.17 MPa) or MKZ primer (25.59 ± 3.17 MPa), with VITA VM LC, MKZ primer and Visio.link (25.51 ± 1.94 MPa), and ultrasonically cleaned, with Visio.link (26.28 ± 2.94 MPa). For BioHPP plus, the highest SBS was determined for a sandblasted surface, cleaned ultrasonically, with the SR Nexco and Visio.link (23.39 ± 2.80 MPa).
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Affiliation(s)
| | - Klementina Pušnik Črešnar
- Faculty of Polymer Technology, Ozare 19, 2380 Slovenj Gradec, Slovenia
- Faculty of Mechanical Engineering, University of Maribor, Smetanova ulica 17, 2000 Maribor, Slovenia
| | - Iztok Švab
- Isokon d.o.o., Industrijska cesta 16, 3210 Slovenske Konjice, Slovenia
| | - Tomaž Vuherer
- Faculty of Mechanical Engineering, University of Maribor, Smetanova ulica 17, 2000 Maribor, Slovenia
| | - Majda Žigon
- Faculty of Polymer Technology, Ozare 19, 2380 Slovenj Gradec, Slovenia
| | - Mihael Brunčko
- Faculty of Mechanical Engineering, University of Maribor, Smetanova ulica 17, 2000 Maribor, Slovenia
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Zhang Y, Yang T, Li B, Li J. Surface modifications of zirconia with plasma pretreatment and polydopamine coating to enhance the bond strength and durability between zirconia and titanium. Dent Mater J 2023. [PMID: 37032104 DOI: 10.4012/dmj.2022-185] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 04/11/2023]
Abstract
The aim of this study was to assess the shear bond strength and durability between plasma-pretreated and polydopamine (PDA)-coated zirconia and titanium. Four groups were prepared according to the different surface treatments (untreated ZrO2, plasma-pretreated ZrO2, PDA-coated ZrO2, and plasma-pretreated and PDA-coated ZrO2 (PP+PDA-ZrO2). The surface topography and roughness, contact angle, and elemental analysis of the coatings of the four groups were investigated, and the bond strength and durability of the specimens were evaluated based on shear bond strength and thermocycle tests. Physical and chemical characterization results confirmed that PDA coatings can be successfully formed on zirconia substrates. The roughness and hydrophilicity were significantly higher in the PP+PDA-ZrO2 group, which demonstrated better shear bond strength and durability between zirconia and titanium. The plasma pretreatment of zirconia substrates can enhance the stability of the PDA coating layer, and hybrid surface modifications can provide several bonding advantages for clinical use.
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Affiliation(s)
- Yuan Zhang
- Department of Dental Implant Center, Beijing Stomatological Hospital, School of Stomatology, Capital Medical University
- Stomatological Medical Center, Beijing Anzhen Hospital, Capital Medical University, Beijing Institute of Heart, Lung and Blood Vessel Diseases
| | - Tao Yang
- Department of Dental Implant Center, Beijing Stomatological Hospital, School of Stomatology, Capital Medical University
| | - Beibei Li
- Department of Dental Implant Center, Beijing Stomatological Hospital, School of Stomatology, Capital Medical University
| | - Jun Li
- Department of Dental Implant Center, Beijing Stomatological Hospital, School of Stomatology, Capital Medical University
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11
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Turkkal F, Culhaoglu AK, Sahin V. Composite-veneering of polyether-ether-ketone (PEEK): evaluating the effects of different surface modification methods on surface roughness, wettability, and bond strength. Lasers Med Sci 2023; 38:95. [PMID: 36995426 DOI: 10.1007/s10103-023-03749-7] [Citation(s) in RCA: 2] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/14/2022] [Accepted: 12/03/2022] [Indexed: 03/31/2023]
Abstract
This study aimed to evaluate the effects of different surface modification methods on the surface roughness, contact angle, and bond strength of composite-veneer materials of polyether-ether-ketone (PEEK). Fifty-five specimens (n = 11) with a size of 7 × 7 × 2 mm were cut out from PEEK discs. The specimens were divided into five groups with different surface treatments: no treatment (NO) (control group), sulfuric acid (SA), plasma (P), femtosecond laser (FS), and Nd-YAG laser (NY). After the surface treatments, the specimens were checked for roughness, contact angle, and bond strength of the composite-veneer material. Data were analyzed with the Welch test for roughness, contact angle, and bond strength parameters. Individual Pearson correlation tests were executed for all surface treatment groups to determine any significant correlations among roughness, contact angle, and bond strength parameters (P < .001). Roughness, contact angle, and bond strength values were affected by surface modification methods (P < .001). In comparison to the control group, NY and FS treatments increased the surface roughness and bond strength; they also provided bond strength values comparable to the SA group. When the relationship between the variables was examined, no correlation was seen between roughness, contact angle, and bond strength values for the NY, SA, and control groups (P > .05); however, significant correlations were determined between the contact angle and surface roughness values for the P and FS groups (P < .05). Femtosecond and Nd-YAG laser treatments are viable surface modification alternatives to the sulfuric acid treatment for the PEEK material.
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Affiliation(s)
| | - Ahmet Kursad Culhaoglu
- Department of Prosthodontics, Faculty of Dentistry, Kırıkkale University, Yenisehir Mah, Celebi Sokak No: 1, 71450, Kırıkkale, Türkiye.
- Department of Prosthodontics, Faculty of Dentistry, Sağlık Bilimleri Gülhane Univesity, Emrah Mah. 06018 Etlik/Keçiören/ANKARA, Ankara, Türkiye.
| | - Volkan Sahin
- Department of Prosthodontics, Faculty of Dentistry, Kırıkkale University, Yenisehir Mah, Celebi Sokak No: 1, 71450, Kırıkkale, Türkiye
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12
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Kiliç M, Dede DÖ, Küçükekenci AS. Comparing the shear bond strength of veneering materials to the PAEKs after surface treatments. BMC Oral Health 2023; 23:185. [PMID: 36997970 PMCID: PMC10064678 DOI: 10.1186/s12903-023-02879-2] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/23/2022] [Accepted: 03/13/2023] [Indexed: 04/01/2023] Open
Abstract
Abstract
Background
This study aimed to evaluate the impact of various surface treatments on the shear bond strength (SBS) of polyetheretherketone (PEEK) and polyetherketoneketone (PEKK) polymers to indirect laboratory composite (ILC) and lithium disilicate ceramic (LDC) veneering materials.
Methods
Polymer specimens (7 × 7x2 mm) were sectioned from PEEK and PEKK discs (N = 294) and randomly allocated to 7 groups (n = 20); untreated (Cnt), plasma (Pls), 98% sulfuric acid (Sa), sandblasting with 110 µm Al2O3 (Sb), tribochemical silica coating with 110 µm silica modified Al2O3 (Tbc), Sb + Sa, Tbc + Sa. Scanning electron microscopy assessments were performed on one sample of each treatment group, and veneering materials were applied to the remaining specimens (n = 10). The specimens were subjected to the SBS test after being soaked in distilled water (24 h, 37 °C). Three-way ANOVA, independent sample t-test, and Tukey HSD test were performed for statistical analyses (α = .05).
Results
The surface treatment, polymer, veneering material types, and their interactions were significant on SBS results according to the 3-way ANOVA (p < 0.001). The SBS values of ILC veneered groups were significantly higher than LDC groups, regardless of surface treatment and polymer type (p < 0.05). The highest SBS values were obtained for Sa-applied ILC veneered PEEK (21.55 ± 1.45 MPa) and PEKK (17.04 ± 1.99 MPa) polymer groups (p < 0.05).
Conclusion
The effect of surface treatment and veneering materials may be significant on the SBS values of PAEKs. Therefore, the application parameters of surface treatments should be more specified for the applied veneering material and polymer type.
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Demirci F, Bahce E. The effects of HAp coating layer on mechanical and optical properties at bonding interface of high-performance polymers. J Mech Behav Biomed Mater 2023; 137:105539. [PMID: 36343522 DOI: 10.1016/j.jmbbm.2022.105539] [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: 08/25/2022] [Revised: 10/17/2022] [Accepted: 10/19/2022] [Indexed: 11/06/2022]
Abstract
PURPOSE The effect of hydroxyapatite (HAp) coating layer on mechanical and optical properties at bonding interface of high-performance polymers (HPPs) used in computer-aided design (CAD)/computer-aided manufacture (CAM) technology was investigated in this in vitro study. MATERIALS AND METHODS Two hundred-twenty specimens were divided into two material groups (n = 110): polyetheretherketone (PEEK, KERA® starPEEK) and polyetherketoneketone (PEKK, Pekkton® ivory). For mechanical testing, each group was divided into five surface pretreatment subgroups and a control group (n = 10): HAp coating (1%,3%, 5%, and 10% concentrations) and sandblasting with 110-μm Al2O3 particles. For optical testing, each group was divided into five subgroups (n = 10): HAp coating (1%, 3%, 5%, and 10% concentrations) and control. The effects of the HAp coating on the optical changes and shear bond strength (SBS) of the specimens were investigated. Data was statistically analyzed by one-way ANOVA and Tukey's post-hoc test. Failure modes and surface properties of the specimens were examined by scanning electron microscopy (SEM) and coupled electron dispersive spectroscopy (EDS). RESULTS Average translucency and color change values increased with increasing HAp coating concentration in HPPs. As a result of the data, statistically significant differences were observed in terms of the effect of the HAp coating on SBS of HPPs (p < 0.05). Failure modes were examined, and mixed failure mode was observed. CONCLUSION HAp coating can contribute to the improvement of both the optical properties and bond strength of the HPPs to resin composite. CLINICAL SIGNIFICANCE Adhesion and color problems of high performance polymers are still under discussion. In order to solve these problems, generally focused on surface modifications of these polymers, but the effect of the HAp coating has not been investigated.
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Affiliation(s)
- Fatih Demirci
- Department of Prosthodontics, Faculty of Dentistry, Inonu University, Malatya, 44280, Turkey
| | - Erkan Bahce
- Department of Mechanical Engineering, Faculty of Engineering, Inonu University, Malatya, Turkey.
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dos Santos FSF, Rodrigues JFB, da Silva MC, Barreto MEV, da Silva HN, de Lima Silva SM, Fook MVL. Use of Piranha Solution as An Alternative Route to Promote Bioactivation of PEEK Surface with Low Functionalization Times. MOLECULES (BASEL, SWITZERLAND) 2022; 28:molecules28010074. [PMID: 36615270 PMCID: PMC9822504 DOI: 10.3390/molecules28010074] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Figures] [Subscribe] [Scholar Register] [Received: 07/22/2022] [Revised: 08/28/2022] [Accepted: 08/30/2022] [Indexed: 12/24/2022]
Abstract
This study aimed to achieve bioactivity on the PEEK surface using piranha solution through a lower functionalization time. For this purpose, the functionalization occurred with piranha solution and 98% sulfuric acid in the proportions of 1:2, 1:1, and 2:1 at periods of 30, 60, and 90 s. The samples treated for longer times at higher concentrations registered the characteristic spectroscopy band associated with sulfonation. Additionally, both chemical treatments allowed the opening of the aromatic ring, increasing the number of functional groups available and making the surface more hydrophilic. The piranha solution treatments with higher concentrations and longer times promoted greater heterogeneity in the surface pores, which affected the roughness of untreated PEEK. Furthermore, the treatments induced calcium deposition on the surface during immersion in SBF fluid. In conclusion, the proposed chemical modifications using sulfuric acid SPEEK 90 and, especially, the piranha solution PEEK-PS 2:1-90, were demonstrated to be promising in promoting the rapid bioactivation of PEEK-based implants.
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Biomaterials and Clinical Applications of Customized Healing Abutment-A Narrative Review. J Funct Biomater 2022; 13:jfb13040291. [PMID: 36547551 PMCID: PMC9781385 DOI: 10.3390/jfb13040291] [Citation(s) in RCA: 16] [Impact Index Per Article: 8.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/15/2022] [Revised: 12/03/2022] [Accepted: 12/06/2022] [Indexed: 12/14/2022] Open
Abstract
Customized healing abutments have been introduced in clinical practice along with implant surgery to preserve or create natural-appearing hard and soft tissue around the implant. This provides the benefits of reducing the overall treatment time by eliminating the second stage and reducing the elapsed time of the fabrication of the final prostheses. This article aims to review the types and properties of materials used for the fabrication of customized healing abutments and their clinical applications. Articles published in English on customized healing abutments were searched in Google Scholar, PubMed/MEDLINE, ScienceDirect, and the Scopus databases up to August 2022. The relevant articles were selected and included in this literature review. Customized healing abutments can be fabricated from materials available for dental implants, including PEEK, PMMA, zirconia, resin composite, and titanium. All the materials can be used following both immediate and delayed implant placement. Each material provides different mechanical and biological properties that influence the peri-implant tissues. In conclusion, the studies have demonstrated promising outcomes for all the materials. However, further investigation comparing the effects of each material on peri-implant soft and hard tissues is required.
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Saisho H, Marcolina G, Perucelli F, Goulart da Costa R, Machado de Souza E, Rached RN. Fracture strength, pull-out bond strength, and volume of luting agent of tooth-colored CAD-CAM post-and-cores. J Prosthet Dent 2022; 129:599-606. [PMID: 36127164 DOI: 10.1016/j.prosdent.2022.06.012] [Citation(s) in RCA: 3] [Impact Index Per Article: 1.5] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/30/2021] [Revised: 06/27/2022] [Accepted: 06/28/2022] [Indexed: 11/18/2022]
Abstract
STATEMENT OF PROBLEM Little is known about the fracture strength, retention, and adaptation of post-and-cores fabricated with novel tooth-colored materials by computer-aided design and computer-aided manufacturing (CAD-CAM). PURPOSE The purpose of this in vitro study was to investigate the fracture strength, pull-out bond strength (POBS), and volume of luting agent of endodontically treated premolars restored with post-and-cores milled from different CAD-CAM materials. MATERIAL AND METHODS Post spaces were prepared in 80 human premolars in which post-and-cores fabricated with polyetheretherketone (PK; Ceramill PEEK), nanohybrid composite resin (BB; Brava Block), polymer-infiltrated ceramic (EN; VITA Enamic), and fiber-reinforced epoxy resin (GF; Fiber Cad Post & Core) CAD-CAM materials were luted (n=20). All specimens were subjected to thermal aging (3000 cycles at 5 °C and 55 °C with a 20-second dwell time). Half of the specimens were subjected to mechanical fatigue (250 000 cycles at 5 Hz) before fracture strength testing, while the other half was submitted to POBS testing and volume of luting agent measurement. Fracture strength data were analyzed by 1-way ANOVA, while POBS and volume of luting agent data were submitted to Kruskal-Wallis followed by the Bonferroni-Dunn multiple comparison tests. The correlation between POBS and the volume of luting agent was determined by the Spearman test (α=.05). RESULTS POBS of GF was significantly higher than that for PK (P<.001); however, failure load (P=.160) and volume of luting agent (P=.390) values did not differ. EN showed the highest percentage of catastrophic failures (20%), while PK exhibited only core deformations. POBS and cement film volume were not significantly correlated (P>.05). CONCLUSIONS Different CAD-CAM materials did not influence the fracture strength and volume of luting agent of post-and-cores. Post-and-cores made with PEEK blocks showed lower bond strength to intracanal dentin than those made with fiber-reinforced epoxy resin blocks. No significant correlation was found between bond strength and the volume of luting agent.
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Affiliation(s)
- Hiromi Saisho
- Master's student, Graduate Program in Dentistry, School of Life Sciences, Pontifícia Universidade Católica do Paraná (PUCPR), Curitiba, PR, Brazil
| | - Gabriela Marcolina
- Predoctoral student, Dental Course, School of Life Sciences, Pontifícia Universidade Católica do Paraná (PUCPR), Curitiba, PR, Brazil
| | - Fabricio Perucelli
- Master's Student, Graduate Program in Dentistry, School of Life Sciences, Pontifícia Universidade Católica do Paraná (PUCPR), Curitiba, PR, Brazil
| | - Rogério Goulart da Costa
- Professor, Dental Prosthesis Course, Federal Institute of Paraná (IFPR), Curitiba, PR, Brazil; Professor, Graduate Program in Dentistry, School of Life Sciences, Pontifícia Universidade Católica do Paraná (PUCPR), Curitiba, PR, Brazil
| | - Evelise Machado de Souza
- Professor, Graduate Program in Dentistry, School of Life Sciences, Pontifícia Universidade Católica do Paraná (PUCPR), Curitiba, PR, Brazil
| | - Rodrigo Nunes Rached
- Professor, Graduate Program in Dentistry, School of Life Sciences, Pontifícia Universidade Católica do Paraná (PUCPR), Curitiba, PR, Brazil.
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Karaokutan I, Cinel Şahin S, Sagesen HLE. Impact of Resin Cement and Adhesive Systems on the Bond Strength of Polyetheretherketone Dental Restorations. MEANDROS MEDICAL AND DENTAL JOURNAL 2022. [DOI: 10.4274/meandros.galenos.2021.55823] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/01/2022]
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18
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Kimura H, Tsuka H, Morita K, Hirata I, Nishio F, Abekura H, Doi K, Tsuga K. Nd:YVO 4 laser groove treatment can improve the shear bond strength between dental PEEK and adhesive resin cement with an adhesive system. Dent Mater J 2022; 41:382-391. [PMID: 35082179 DOI: 10.4012/dmj.2020-036] [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] [Indexed: 11/23/2022]
Abstract
The purpose of this study was to investigate the effect of various surface treatments on the shear bond strength between dental polyetheretherketone (PEEK) and adhesive resin cement. Two hundred and forty specimens were randomly classified into four groups: no treatment, sandblasted, sulfuric-acid-etched, and laser-grooved treatment. Each group was classified into two adhesive resin cement subgroups. Surface roughness, water contact angle, shear bond strength, and failure mode were measured; SEM and XPS results were obtained. The data were statistically analyzed using one-way or two-way analysis of variance and Tukey's honest significant difference test (α=0.05). Laser-grooved PEEK surface showed regular grooves and carbonization by thermal degradation; the surface roughness as well as water contact angle of were the highest in all groups. Shear bond strength values were significantly higher in the laser-groove-treated and sulfuric-acid-etched groups. Laser-groove-treated specimens showed cohesive failure. Laser-grooved treatment can improve shear bond strength between PEEK and adhesive resin cement.
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Affiliation(s)
- Hitomi Kimura
- Department of Advanced Prosthodontics, Graduate School of Biomedical and Health Sciences, Hiroshima University
| | - Hiroki Tsuka
- Department of Advanced Prosthodontics, Graduate School of Biomedical and Health Sciences, Hiroshima University
| | - Koji Morita
- Department of Advanced Prosthodontics, Graduate School of Biomedical and Health Sciences, Hiroshima University
| | - Isao Hirata
- Department of Biomaterials, Graduate School of Biomedical and Health Sciences, Hiroshima University
| | - Fumiko Nishio
- Department of Advanced Prosthodontics, Graduate School of Biomedical and Health Sciences, Hiroshima University
| | - Hitoshi Abekura
- Department of Advanced Prosthodontics, Graduate School of Biomedical and Health Sciences, Hiroshima University
| | - Kazuya Doi
- Department of Advanced Prosthodontics, Graduate School of Biomedical and Health Sciences, Hiroshima University
| | - Kazuhiro Tsuga
- Department of Advanced Prosthodontics, Graduate School of Biomedical and Health Sciences, Hiroshima University
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Use of Nd:YVO4 laser, Photodynamic therapy, Sulfuric acid and sand blasting on improving bond integrity of PEEK to resin cement with adhesive. Photodiagnosis Photodyn Ther 2022; 39:102865. [DOI: 10.1016/j.pdpdt.2022.102865] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/25/2022] [Revised: 04/06/2022] [Accepted: 04/13/2022] [Indexed: 11/24/2022]
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Parkar U, Dugal R, Madanshetty P, Devadiga T, Khan AS, Godil A. Assessment of different surface treatments and shear bond characteristics of poly-ether-ether-ketone: An in vitro SEM analysis. J Indian Prosthodont Soc 2021; 21:412-419. [PMID: 34810370 PMCID: PMC8617443 DOI: 10.4103/jips.jips_199_21] [Citation(s) in RCA: 4] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/04/2022] Open
Abstract
Aim: The aim of this study is to assess the surface roughness and shear bond characteristics of pol-ether-ether-ketone after different surface treatments. Setting and Design: An in vitro, prospective. Materials and Methods: One hundred and twenty disc-shaped samples of 10 mm diameter and 2 mm thickness were milled and subjected to following surface treatments: 110 μm alumina particles, 98% concentrated sulfuric acid, and 10–20 μm synthetic diamond particles. Surface characteristics of treated sample were studied under SEM with ×500 and ×1000 magnification. Shear bond strength (SBS) with composite resin discs embedded in acrylic blocks after luting with self-etch resin cement and resin-modified glass ionomer cement (RMGIC) was evaluated using the universal testing machine (Instron®, Massachusetts U. S. A). Statistical Analysis Used: The data collected were evaluated using the Analysis of variance and Tukey's honest significant difference post hoc test. Results: Highest SBS and SR were noted with self-etch resin cement in the given order: 98% sulfuric acid (2.106 ± 0.186 μm), followed by alumina particles (1.706 ± 0.160 μm) and synthetic diamond particles (1.101 ± 0.167 μm). Conclusion: The SBS of self-etch resin cement was higher compared to RMGIC for all three surface treatments done on test samples. Hundred percent samples treated by all three surface treatment methods showed mixed type of failure.
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Affiliation(s)
- Umair Parkar
- Department of Prosthodontics, M. A. Rangoonwala College of Dental Science and Research Centre, Pune, Maharashtra, India
| | - Ramandeep Dugal
- Department of Prosthodontics, M. A. Rangoonwala College of Dental Science and Research Centre, Pune, Maharashtra, India
| | - Pallavi Madanshetty
- Department of Prosthodontics, Rural Dental College, PMT PIMS, Loni, Uttar Pradesh, India
| | - Trupti Devadiga
- Department of Prosthodontics, M. A. Rangoonwala College of Dental Science and Research Centre, Pune, Maharashtra, India
| | - Abid Sharifullah Khan
- Department of Prosthodontics, M. A. Rangoonwala College of Dental Science and Research Centre, Pune, Maharashtra, India
| | - Aamir Godil
- Department of Prosthodontics, M. A. Rangoonwala College of Dental Science and Research Centre, Pune, Maharashtra, India
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Köse TE, Günaçar DN, Ateş SM, Çağlar İ. Artifact expression of polyetheretherketone in cone beam computed tomography: An in vitro study. J Prosthet Dent 2021; 126:793.e1-793.e5. [PMID: 34674841 DOI: 10.1016/j.prosdent.2021.09.028] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/29/2021] [Revised: 09/27/2021] [Accepted: 09/27/2021] [Indexed: 10/20/2022]
Abstract
STATEMENT OF PROBLEM Dental prosthetic materials can cause artifacts in cone beam computed tomography (CBCT) images, adversely affecting diagnostic quality, although the problem may be less with polyetheretherketone (PEEK). Studies evaluating the artifacts caused by frequently used prosthetic materials are lacking. PURPOSE The purpose of this in vitro study was to compare the artifacts in CBCT images caused by PEEK, zirconia, cobalt-chromium (Co-Cr) alloy, and titanium (Ti). MATERIAL AND METHODS A polymethylmethacrylate phantom (Ø4.0×4.0 cm) with a central cylindrical aperture (Ø0.5×0.5 cm) was produced. Co-Cr, Ti, zirconia, and PEEK cylinders (0.5×0.5 cm) were manufactured, and CBCT images of the empty phantom (control group) with the test cylinders inside were made 3 times. In all images, the axial sections passing through the middle of the materials were evaluated. Eight regions of interest (ROI) area were determined around the materials (0.5×0.5 cm). The presence of artifacts was evaluated by making gray value standard deviation (SD) calculations in these ROI areas. The average SD values of 8 ROI fields from the 3 CBCT scans were made, and the materials were compared with each other in terms of the presence of artifacts by using 1-way analysis of variance (α=.05). RESULTS The difference between the SD values of the control and the PEEK cylinder was not statistically significant (P>.05). The SD values of both the control and PEEK groups were significantly lower than those of the zirconia, Co-Cr, and Ti groups (P<.05). CONCLUSIONS Zirconia, Ti, and Co-Cr caused artifacts in CBCT images, but the artifacts with PEEK were similar to those in the control group, suggesting it was the optimal choice in terms of achieving diagnostic quality.
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Affiliation(s)
- Taha Emre Köse
- Assistant Professor, Oral and Maxillofacial Radiology Department, Faculty of Dentistry, Recep Tayyip Erdoğan University, Rize, Turkey
| | - Dilara Nil Günaçar
- Assistant Professor, Oral and Maxillofacial Radiology Department, Faculty of Dentistry, Recep Tayyip Erdoğan University, Rize, Turkey.
| | - Sabit Melih Ateş
- Associate Professor, Department of Prosthodontics, Faculty of Dentistry, Recep Tayyip Erdogan University, Rize, Turkey
| | - İpek Çağlar
- Associate Professor, Department of Prosthodontics, Faculty of Dentistry, Recep Tayyip Erdogan University, Rize, Turkey
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22
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Abd El-Fattah A, Youssef H, Gepreel MAH, Abbas R, Kandil S. Surface Morphology and Mechanical Properties of Polyether Ether Ketone (PEEK) Nanocomposites Reinforced by Nano-Sized Silica (SiO 2) for Prosthodontics and Restorative Dentistry. Polymers (Basel) 2021; 13:3006. [PMID: 34503046 PMCID: PMC8434100 DOI: 10.3390/polym13173006] [Citation(s) in RCA: 8] [Impact Index Per Article: 2.7] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/24/2021] [Revised: 08/29/2021] [Accepted: 08/30/2021] [Indexed: 12/23/2022] Open
Abstract
In the field of orthopedics and traumatology, polyether ether ketone (PEEK) serves a significant role as a suitable alternative to traditional metal-based implants like titanium. PEEK is being used more commonly to replace traditional dental products. For bonding with various adhesive agents and preserved teeth, the surface alteration of PEEK was investigated. The aim of this research was to understand how different types and contents of nano-sized silica (SiO2) fillers influenced the surface and mechanical properties of PEEK nanocomposites used in prosthodontics. In this work, PEEK based nanocomposites containing hydrophilic or hydrophobic nano-silica were prepared by a compression molding technique. The influence of nano-SiO2 type and content (10, 20 and 30% wt) on surface properties of the resultant nanocomposites was investigated by the use of scanning electron microscopy (SEM), energy-dispersive X-ray spectroscopy (EDX), surface roughness analysis, and contact angle measurement. The crystalline structures of PEEK/SiO2 nanocomposites were examined by X-ray diffraction (XRD) spectroscopy. Mechanical properties were measured by microhardness, elastic compression modulus, and flexural strength. All nanocomposites showed increased surface roughness compared to pure PEEK. SEM images revealed that nanocomposites filled with low content hydrophobic nano-SiO2 showed uniform dispersion within the PEEK matrix. The introduction of 10 wt% of hydrophobic nano-SiO2 to the PEEK matrix improved elastic modulus, flexural strength, and microhardness, according to the findings. The addition of nano-SiO2 fillers in a higher weight percentage, over 10%, significantly damages the mechanical characteristics of the resultant nanocomposite. On the basis of the obtained results, PEEK/SiO2 nanocomposites loaded with low content hydrophobic nano-SiO2 are recommended as promising candidates for orthopedic and prosthodontics materials.
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Affiliation(s)
- Ahmed Abd El-Fattah
- Department of Materials Science, Institute of Graduate Studies and Research, Alexandria University, El-Shatby, Alexandria 21526, Egypt; (R.A.); (S.K.)
- Department of Chemistry, College of Science, University of Bahrain, Sakhir P.O. Box 32038, Bahrain
| | - Heba Youssef
- College of Dentistry, Arab Academy for Science, Technology and Maritime Transport (AASTMT), El-Alamein 51718, Egypt;
| | - Mohamed Abdel Hady Gepreel
- Department of Materials Science and Engineering, Egypt-Japan University of Science and Technology (E-JUST), New Borg El-Arab City 21934, Egypt;
| | - Rafik Abbas
- Department of Materials Science, Institute of Graduate Studies and Research, Alexandria University, El-Shatby, Alexandria 21526, Egypt; (R.A.); (S.K.)
| | - Sherif Kandil
- Department of Materials Science, Institute of Graduate Studies and Research, Alexandria University, El-Shatby, Alexandria 21526, Egypt; (R.A.); (S.K.)
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dos Santos FSF, Vieira M, da Silva HN, Tomás H, Fook MVL. Surface Bioactivation of Polyether Ether Ketone (PEEK) by Sulfuric Acid and Piranha Solution: Influence of the Modification Route in Capacity for Inducing Cell Growth. Biomolecules 2021; 11:biom11091260. [PMID: 34572473 PMCID: PMC8465912 DOI: 10.3390/biom11091260] [Citation(s) in RCA: 12] [Impact Index Per Article: 4.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/26/2020] [Revised: 12/26/2020] [Accepted: 12/27/2020] [Indexed: 11/16/2022] Open
Abstract
The aim of this study was to promote bioactivity of the PEEK surface using sulfuric acid and piranha solution. PEEK was functionalized by a sulfuric acid treatment for 90 s and by piranha solution for 60 and 90 s. Chemical modification of the PEEK surface was evaluated by infrared spectroscopy, contact angle analysis, cytotoxicity, cell adhesion and proliferation. The spectroscopy characteristic band associated with sulfonation was observed in all treated samples. PEEK with piranha solution 60 s showed an increase in the intensity of the bands, which was even more significant for the longer treatment (90 s). The introduction of the sulfonic acid functional group reduced the contact angle. In cytotoxicity assays, for all treatments, the number of viable cells was higher when compared to those of untreated PEEK. PEEK treated with sulfuric acid and piranha solution for 60 s were the treatments that showed the highest percentage of cell viability with no statistically significant differences between them. The modified surfaces had a greater capacity for inducing cell growth, indicative of effective cell adhesion and proliferation. The proposed chemical modifications are promising for the functionalization of PEEK-based implants, as they were effective in promoting bioactivation of the PEEK surface and in stimulating cell growth and proliferation.
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Affiliation(s)
- Flavia Suzany Ferreira dos Santos
- Departament of Materials Engineering, Federal University of Campina Grande, Campina Grande 58429-900, PB, Brazil; (F.S.F.d.S.); (H.N.d.S.)
| | - Mariana Vieira
- CQM—Centro de Química da Madeira, Universidade da Madeira, Campus da Penteada, 9020-105 Funchal, Portugal; (M.V.); (H.T.)
| | - Henrique Nunes da Silva
- Departament of Materials Engineering, Federal University of Campina Grande, Campina Grande 58429-900, PB, Brazil; (F.S.F.d.S.); (H.N.d.S.)
| | - Helena Tomás
- CQM—Centro de Química da Madeira, Universidade da Madeira, Campus da Penteada, 9020-105 Funchal, Portugal; (M.V.); (H.T.)
| | - Marcus Vinícius Lia Fook
- Departament of Materials Engineering, Federal University of Campina Grande, Campina Grande 58429-900, PB, Brazil; (F.S.F.d.S.); (H.N.d.S.)
- Correspondence: ; Tel.: +55-8321011841
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Tasaka A, Schwindling FS, Rues S, Rammelsberg P, Yamashita S. Retentive force of telescopic crowns combining fiber-reinforced composite and zirconia. J Prosthodont Res 2021; 66:265-271. [PMID: 34349081 DOI: 10.2186/jpr.jpr_d_20_00163] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/06/2022]
Abstract
PURPOSE This study investigated changes in the retentive force of telescopic crowns fabricated by combining a zirconia primary crown and a fiber-reinforced composite (FRC) secondary crown. METHODS Primary zirconia crowns were produced with a nominal convergence angle of 0°. Forty-eight secondary crowns were milled from FRC and divided into three study groups (n=16/group) based on milling parameters and post-milling adjustment. The offset parameter used for the final milling step of the inner crown surface was adjusted for a tight initial fit in Group 1 (milling offset: +10 µm, i.e., 2 × 10 µm = 20 µm lower inner diameter compared with the CAD file of the crown) and for improved initial fit (milling offset: -10 µm, i.e., an enlargement of the inner crown diameter by 2 × 20 µm = 40 µm in relation to Group 1) in Groups 2 and 3. The inner surfaces of the secondary crowns were polished with diamond paste in Groups 1 and 2, and silicon points were used for Group 3. The retentive force was measured using a universal testing device. The secondary crown was placed on the primary crown, with the final fitting force set to a load of 100 N. This test was conducted before and after aging (10,000 insertion/removal cycles) under dry and wet conditions. A generalized linear model was used to estimate the differences in the retentive force to elucidate the effects of the milling parameters and polishing methods. RESULTS We realized an initial retentive force of approximately 10 N. In Groups 2 and 3, the difference was statistically significant between the dry and wet conditions before aging (P < 0.05). There was no significant difference between the dry and wet conditions after aging in any of the groups (P > 0.05). CONCLUSIONS An adequate initial retentive force can be achieved with telescopic crowns combining zirconia and FRC.
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Affiliation(s)
- Akinori Tasaka
- Department of Prosthodontics, Heidelberg University Hospital, Heidelberg.,Department of Removable Partial Prosthodontics, Tokyo Dental College, Tokyo
| | | | - Stefan Rues
- Department of Prosthodontics, Heidelberg University Hospital, Heidelberg
| | - Peter Rammelsberg
- Department of Prosthodontics, Heidelberg University Hospital, Heidelberg
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Ulgey M, Gorler O, Karahan Gunduz C. Effects of laser modalities on shear bond strengths of composite superstructure to zirconia and PEEK infrastructures: an in vitro study. Odontology 2021; 109:845-853. [PMID: 33934280 DOI: 10.1007/s10266-021-00608-1] [Citation(s) in RCA: 8] [Impact Index Per Article: 2.7] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/02/2020] [Accepted: 04/21/2021] [Indexed: 10/21/2022]
Abstract
In the last decade, demand for metal-free esthetic restorations has grown considerably due to the development of materials to fulfill the need for an esthetic prosthesis. We examined the effects of erbium-doped yttrium aluminum garnet (Er:YAG), neodymium-doped yttrium aluminum garnet (Nd:YAG), and potassium titanyl phosphate (KTP) laser applications on the shear bond strength (SBS) of nanohybrid composite superstructures to zirconia and PEEK infrastructures. Zirconia and PEEK specimens were prepared with CAD/CAM technology in accordance with ISO 11405 standards. The disc-shaped samples were randomly separated into four groups (n = 8) according to applied laser type: no treatment and Er:YAG, Nd:YAG, and KTP lasers. Nanohybrid composite resin was applied as a veneering material to each infrastructure. After surface treatment of infrastructures by the lasers, the SBS test was carried out to determine the bonding of infrastructures, which were also examined with a stereomicroscope. The SBS were significantly higher in the PEEK specimens treated with the studied lasers. Nd:YAG laser was the most effective method, followed by Er:YAG laser and KTP laser. The lowest SBS value was obtained in the no-treatment group. Stereomicroscopically, the studied lasers produced different irregularities on the infrastructures. PEEK as a framework provides meaningfully higher bonding strength to composite resins compared to zirconia. Nd:YAG, Er:YAG, and KTP, in descending order, are efficacious in increasing the attachment of studied structures.
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Affiliation(s)
- Melih Ulgey
- Departments of Prosthodontics, Sivas Cumhuriyet University, Sivas, Turkey.
| | - Oguzhan Gorler
- Departments of Prosthodontics, Sivas Cumhuriyet University, Sivas, Turkey
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Gouveia DDNM, Razzoog ME, Sierraalta M, Alfaro MF. Effect of surface treatment and manufacturing process on the shear bond strength of veneering composite resin to polyetherketoneketone (PEKK) and polyetheretherketone (PEEK). J Prosthet Dent 2021; 128:1061-1066. [PMID: 33678435 DOI: 10.1016/j.prosdent.2021.02.003] [Citation(s) in RCA: 14] [Impact Index Per Article: 4.7] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/01/2019] [Revised: 02/01/2021] [Accepted: 02/02/2021] [Indexed: 11/18/2022]
Abstract
STATEMENT OF PROBLEM Polyaryletherketones (PAEKs) are high-performance polymer materials in which polyetheretherketone (PEEK) and polyetherketoneketone (PEKK) are the most used. Although mechanical and shear bonding strength tests have been performed on the 2 materials, studies on the influence of processing on bonding are scarce. PURPOSE The purpose of this in vitro study was to determine the influence of the surface treatment and the manufacturing process on the shear bond strength of veneering composite resin to PEKK and PEEK. MATERIAL AND METHODS Thirty pressed PEKK, 30 milled PEKK, and 30 milled PEEK specimens were distributed in 6 groups (n=13) as per the manufacturing process and treatment surface. The specimens were either treated with airborne-particle abrasion with 110-μm aluminum oxide, or no surface treatment was applied. Moreover, the PEKK specimens were grouped regarding their manufacturing process, as either milled or heat-pressed. The specimens were all bonded by using a methyl methacrylate-based adhesive (visio.link), and composite resin (Gradia Revolution 2) was bonded to the specimens. An Instron universal machine was used to calculate the shear bond strength between the PEEK or PEKK and the composite resin. Two specimens from each group had their topography modification assessed with a scanning electron microscope. Statistical analysis was performed by using a 3-way ANOVA for multiple comparisons (α=0.05) RESULTS: The groups that were surface treated with 110-μm aluminum oxide (Al2O3) before bonding showed significantly higher shear bond strength (P=.001) than the other groups. However, no statistically significant difference was observed among the groups, regardless of the manufacturing process (milled or heat-pressed) (P=.607). CONCLUSIONS PEEK and PEKK surfaces treated with 110-μm aluminum oxide airborne-particle abrasion displayed better shear bond strength to composite resin. The manufacturing process (milled or heat-pressed) did not significantly affect the bond strength of PEKK when subjected to the same bonding process.
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Affiliation(s)
| | - Michael E Razzoog
- Professor, Department of Biological and Material Sciences, Division of Prosthodontics, University of Michigan, Ann Arbor, Mich
| | - Marianella Sierraalta
- Clinical Professor, Department of Biological and Material Sciences, Division of Prosthodontics, University of Michigan, Ann Arbor, Mich
| | - Maria Fernanda Alfaro
- Graduate Prosthodontics Resident, Department of Biological and Material Sciences, Division of Prosthodontics, University of Michigan, Ann Arbor, Mich
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Surface roughness of high-performance polymers used for fixed implant-supported prostheses. J Prosthet Dent 2021; 126:254.e1-254.e6. [PMID: 33583619 DOI: 10.1016/j.prosdent.2020.11.029] [Citation(s) in RCA: 12] [Impact Index Per Article: 4.0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/20/2020] [Revised: 11/18/2020] [Accepted: 11/19/2020] [Indexed: 11/21/2022]
Abstract
STATEMENT OF PROBLEM High-performance polymers have been recommended by their manufacturers as a framework material for implant-supported fixed prostheses. However, little is known about the surface roughness of high-performance polymers in different compositions and whether they require layering with a composite resin or acrylic resin on the tissue surface. PURPOSE The purpose of this in vitro study was to evaluate the surface roughness of different computer-aided design and computer-aided manufacture (CAD-CAM) high-performance polymers and the effect of polishing on their surface roughness. MATERIAL AND METHODS Seventy high-performance polymer specimens (n=10) for 4 different polyetheretherketone (PEEK) brands (BRE, CP, ZZ, J), 1 polyetherketoneketone (PEKK) (PK), and 2 different fiber-reinforced composite resin (FRC) materials (T, TR) were milled from 7×8×30-mm CAD-CAM blocks. The surface roughness (Ra) of each specimen was measured on the same surfaces after milling (baseline) and after polishing by using a contact profilometer. Two-way repeated measures ANOVA (MIXED procedure) and the Bonferroni corrected t test (α=.05) were used to analyze the surface roughness data. RESULTS No significant differences were found among high-performance polymers when the baseline surface roughness measurements of the materials were compared (P>.05). All materials (BRE, PK, CP, T, TR, ZZ), except for a PEEK material (J) (P<.05), had no significant differences in their surface roughness before and after polishing. After polishing, the surface roughness of the J PEEK material was higher than that of CP, PK, T, and ZZ (P<.05). CONCLUSIONS The surface roughness of high-performance polymers in different compositions after milling was similar. Polishing increased the surface roughness of only one PEEK (J) material. All surface roughness values were above the clinical acceptability threshold of 0.2 μm.
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Kürkçüoğlu I, Küçükeşmen HC, Ozkir SE, Yilmaz B. Effect of surface treatment on roughness and bond strength of
CAD‐CAM
multidirectional glass fiber‐reinforced composite resin used for implant‐supported prostheses. POLYM INT 2021. [DOI: 10.1002/pi.6173] [Citation(s) in RCA: 3] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/06/2022]
Affiliation(s)
- Işın Kürkçüoğlu
- Faculty of Dentistry, Department of Prosthodontics Suleyman Demirel University Isparta Turkey
| | - Hakkı Cenker Küçükeşmen
- Faculty of Dentistry, Department of Prosthodontics Suleyman Demirel University Isparta Turkey
| | - Serhat Emre Ozkir
- Faculty of Dentistry, Department of Prosthodontics Osmangazi University Eskişehir Turkey
| | - Burak Yilmaz
- Department of Reconstructive Dentistry and Gerodontology, School of Dental Medicine University of Bern Bern Switzerland
- Department of Restorative, Preventive and Pediatric Dentistry, School of Dental Medicine University of Bern Bern Switzerland
- Division of Restorative and Prosthetic Dentistry The Ohio State University Columbus OH USA
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Barto A, Vandewalle KS, Lien W, Whang K. Repair of resin-veneered polyetheretherketone after veneer fracture. J Prosthet Dent 2021; 125:704.e1-704.e8. [PMID: 33546855 DOI: 10.1016/j.prosdent.2020.10.020] [Citation(s) in RCA: 3] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/24/2020] [Revised: 10/30/2020] [Accepted: 10/30/2020] [Indexed: 01/13/2023]
Abstract
STATEMENT OF PROBLEM If a composite resin-veneered polyetheretherketone (PEEK) restoration chips or fractures, a repair may be indicated. However, the most appropriate repair protocol for a composite resin-veneered PEEK restoration is unclear. PURPOSE The purpose of this in vitro study was to determine the efficacy of airborne-particle abrasion and/or a primer in the repair of composite resin-veneered PEEK prostheses. MATERIAL AND METHODS PEEK specimens (N=80) were airborne-particle abraded with alumina before being conditioned with a methyl methacrylate-based primer. A thin layer of opaquer was applied, and a split mold was then filled with a veneering resin. The specimens underwent 5000 thermocycles, and then shear bond strength (SBS) was determined and used as the positive control group. Specimens that failed in either mixed or adhesive modes were contaminated with saliva and then exposed to 4 different repair treatment methods: no airborne-particle abrasion, bonded without a primer (negative control group); airborne-particle abrasion, bonded without a primer; no airborne-particle abrasion, bonded with a primer; and airborne-particle abrasion, bonded with a primer. All specimens had opaquer applied before being veneered. Repaired specimens then underwent thermocycling before SBS testing. Data were analyzed via ANOVA with a Newman-Keuls post hoc test (α=.05). RESULTS The SBS values for the negative control were significantly lower than those of all other repair groups and the control group (P<.018). No significant differences in the SBS values were found among these other repair groups or the positive control group (P>.05). CONCLUSIONS Composite resin-veneered PEEK restorations or prostheses repaired with airborne-particle abrasion and/or primer can provide SBS comparable with that of the initial SBS.
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Affiliation(s)
- Aaron Barto
- Prosthodontics Resident, Comprehensive Dentistry, University of Texas Health Science Center at San Antonio, San Antonio, Texas; Lieutenant, Dental Corps, United States Navy, Officer Programs- Navy Medicine Training Support Center, JBSA-Fort Sam Houston, San Antonio, Texas
| | - Kraig S Vandewalle
- Consultant in Dental Research, Advanced Education in General Dentistry Residency, US Air Force Postgraduate Dental School, Joint Base San Antonio - Lackland, Texas; Professor, Postgraduate Dental College, Uniformed Services University of the Health Sciences, Bethesda, Md
| | - Wen Lien
- Consultant in Dental Biomaterials, US Air Force Dental Research & Consultation Service, JBSA-Fort Sam Houston, San Antonio, Texas
| | - Kyumin Whang
- Division Head and Director for the Division of Research, Comprehensive Dentistry, University of Texas Health Science Center at San Antonio, San Antonio, Texas.
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30
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Teng R, Meng Y, Zhao X, Liu J, Ding R, Cheng Y, Zhang Y, Zhang Y, Pei D, Li A. Combination of Polydopamine Coating and Plasma Pretreatment to Improve Bond Ability Between PEEK and Primary Teeth. Front Bioeng Biotechnol 2021; 8:630094. [PMID: 33585424 PMCID: PMC7880054 DOI: 10.3389/fbioe.2020.630094] [Citation(s) in RCA: 5] [Impact Index Per Article: 1.7] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/16/2020] [Accepted: 12/21/2020] [Indexed: 12/14/2022] Open
Abstract
Preformed crowns are preferred to reduce the failure risk of restoration of primary teeth, but some drawback of conventional material is still a main barrier for their clinical use. Polyether etherketone (PEEK), a tooth colored, high-performance thermoplastic polymer, has been recognized as a promising alternative to manufacture the restoration of primary teeth. However, the hydrophobic surface and low surface energy of PEEK make it hard to establish a strong and durable adhesion. In this study, we have evaluated a modification method of polydopamine (PDA) coating with plasma pretreatment for the PEEK films by physical and chemical characterization, bonding properties, and biocompatibility. The surface properties of PEEK were well-characterized by scanning electron microscope (SEM) and X-ray photoelectron spectroscopy (XPS). The adhesive strength of the PEEK films was greatly improved without significant reduction of the proliferation rate of human gingival fibroblast cells in MTT and Live/Dead assays. Therefore, PDA coating with plasma pretreatment may give a new solution for effective clinical application of PEEK in primary performed crowns.
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Affiliation(s)
- Rui Teng
- Key Laboratory of Shaanxi Province for Craniofacial Precision Medicine Research, College of Stomatology, Xi'an Jiaotong University, Xi'an, China
| | - Yuchen Meng
- Key Laboratory of Shaanxi Province for Craniofacial Precision Medicine Research, College of Stomatology, Xi'an Jiaotong University, Xi'an, China
| | - Xiaodan Zhao
- Key Laboratory of Shaanxi Province for Craniofacial Precision Medicine Research, College of Stomatology, Xi'an Jiaotong University, Xi'an, China
| | - Jie Liu
- Key Laboratory of Shaanxi Province for Craniofacial Precision Medicine Research, College of Stomatology, Xi'an Jiaotong University, Xi'an, China
| | - Rui Ding
- Key Laboratory of Shaanxi Province for Craniofacial Precision Medicine Research, College of Stomatology, Xi'an Jiaotong University, Xi'an, China
| | - Yilong Cheng
- School of Chemistry, Xi'an Jiaotong University, Xi'an, China
| | - Yunhe Zhang
- Engineering Research Center of Super Engineering Plastics, Ministry of Education, College of Chemistry, Jilin University, Changchun, China
| | - Yanfeng Zhang
- School of Chemistry, Xi'an Jiaotong University, Xi'an, China
| | - Dandan Pei
- Key Laboratory of Shaanxi Province for Craniofacial Precision Medicine Research, College of Stomatology, Xi'an Jiaotong University, Xi'an, China
| | - Ang Li
- Key Laboratory of Shaanxi Province for Craniofacial Precision Medicine Research, College of Stomatology, Xi'an Jiaotong University, Xi'an, China.,Department of Periodontology, College of Stomatology, Xi'an Jiaotong University, Xi'an, China
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Attia MA, Shokry TE, Abdel-Aziz M. Effect of different surface treatments on the bond strength of milled polyetheretherketone posts. J Prosthet Dent 2021; 127:866-874. [PMID: 33495042 DOI: 10.1016/j.prosdent.2020.08.033] [Citation(s) in RCA: 14] [Impact Index Per Article: 4.7] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/11/2020] [Revised: 08/08/2020] [Accepted: 08/10/2020] [Indexed: 12/01/2022]
Abstract
STATEMENT OF PROBLEM Polyetheretherketone (PEEK) can be used as a framework material for removable and fixed dental prostheses. However, information about the use of PEEK as a post-and-core restoration is scarce. PURPOSE The purpose of this in vitro study was to evaluate the effect of different surface treatments on the push-out bond strength of milled polyetheretherketone posts to resin cement. MATERIAL AND METHODS Sixty intact human maxillary central incisors were selected and endodontically treated, and standardized post spaces were prepared. Sixty PEEK posts were milled from a prefabricated PEEK blank by using a computer-aided design and computer-aided manufacturing (CAD-CAM) system and divided into 3 groups (n=15) according to the surface treatment: acid etching by using 98% sulfuric acid (AE); airborne-particle abrasion by using 50-μm Al2O3 (AA); nonthermal plasma treatment (NTP); in addition, PEEK posts (n=15) received no treatment (NT) and served as a control. All posts were bonded by using a self-adhesive resin cement. Three sections (coronal, middle, and apical) were obtained for each specimen. Push-out bond strength measurements (MPa) for each section were recorded by using a universal testing machine at a crosshead speed of 0.5 mm/min until failure occurred. The post-cement interfaces and failure modes were evaluated by using scanning electron microscopy. The data obtained were statistically analyzed by using 1-way ANOVA and the pair-wise Tukey (HSD) test to study the difference between group mean values (α=.05). RESULTS The overall mean ±standard deviation of the push-out bond strength was 11 ±2 MPa for AE group, 6 ±1 MPa for AA group, 5 ±1 MPa for NTP group, and 3 ±1 MPa for NT group. A statistically significant difference was found among all groups subjected to different surface treatments as indicated by the ANOVA test (P<.001). The pair-wise Tukey honestly significant difference (HSD) test showed a significant difference among the AE group and all groups (P<.001); however, no significant difference was observed between the AA and NTP groups (P>.05). Moreover, a significant difference was observed among all root sections (P<.001). CONCLUSIONS Surface treatment of PEEK posts with 98% sulfuric acid for 60 seconds showed significantly higher bond strength values than those in other groups. The bond strength of PEEK posts to resin cement was significantly higher in the coronal section than that in other sections.
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Affiliation(s)
- Mazen A Attia
- Associate Professor, Department of Fixed Prosthodontics, Faculty of Dentistry, Beni-Suef University, Beni-Suef, Egypt.
| | - Tamer E Shokry
- Professor, Department of Fixed Prosthodontics, Faculty of Dental Medicine, Al-Azhar University, Cairo, Egypt
| | - Mohamed Abdel-Aziz
- Associate Professor, Department of Fixed Prosthodontics, Faculty of Dental Surgery, Ahram Canadian University, Cairo, Egypt
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32
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Review on Development and Dental Applications of Polyetheretherketone-Based Biomaterials and Restorations. MATERIALS 2021; 14:ma14020408. [PMID: 33467576 PMCID: PMC7830426 DOI: 10.3390/ma14020408] [Citation(s) in RCA: 27] [Impact Index Per Article: 9.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 12/19/2020] [Revised: 01/10/2021] [Accepted: 01/12/2021] [Indexed: 12/15/2022]
Abstract
Polyetheretherketone (PEEK) is an important high-performance thermoplastic. Its excellent strength, stiffness, toughness, fatigue resistance, biocompatibility, chemical stability and radiolucency have made PEEK attractive in dental and orthopedic applications. However, PEEK has an inherently hydrophobic and chemically inert surface, which has restricted its widespread use in clinical applications, especially in bonding with dental resin composites. Cutting edge research on novel methods to improve PEEK applications in dentistry, including oral implant, prosthodontics and orthodontics, is reviewed in this article. In addition, this article also discusses innovative surface modifications of PEEK, which are a focus area of active investigations. Furthermore, this article also discusses the necessary future studies and clinical trials for the use of PEEK in the human oral environment to investigate its feasibility and long-term performance.
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Shetty SK, Hasan MS, Zahid M, Suhaim KS, Mohammad F, Fayaz T. Evaluation of Fracture Resistance and Color Stability of Crowns Obtained by Layering Composite Over Zirconia and Polyetheretherketone Copings Before and After Thermocycling to Simulate Oral Environment: An In Vitro Study. J Pharm Bioallied Sci 2020; 12:S523-S529. [PMID: 33149515 PMCID: PMC7595514 DOI: 10.4103/jpbs.jpbs_150_20] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/07/2020] [Accepted: 03/02/2020] [Indexed: 11/30/2022] Open
Abstract
Background: Most common material used for the fabrication of an implant restoration is full-ceramic crown or an all-ceramic crown. Frequent chipping of the ceramic under occlusal load has posed a great problem to the clinician and the patient. Composites have been layered over zirconia successfully in the recent past to overcome this problem. This study, thus, aimed to evaluate and compare the fracture resistance and color stability of crowns obtained by layering composite over zirconia and polyetheretherketone (PEEK) copings before and after thermocycling to simulate oral environment. Materials and Methods: A total of 40 crowns (20 per group) were obtained by layering composite of A3 shade over computer-aided design/computer-aided milling milled zirconia and PEEK copings. Thermocycling of the 10 out of the 20 crowns was performed in a thermocycler (5000 cycles, in water temperature of 5°C and 55°C with dwell time of 30s), and then they were kept in hot and cold beverages for 24h each, to simulate oral environmental conditions. After thermocycling, the crowns were divided into four groups of 10 samples each: Group Z, ZT, P, and PT. Shade evaluation of all the crowns was performed using digital shade guide (VITA Easyshade® Advance; VITA Zahnfabrik, Bad Säckingen, Germany) and VITAPAN classical (VITA Zahnfabrik). Fracture strength was tested for all the crowns in a universal testing machine. Fracture strength in megapascal and the applied occlusal load in kilograms were recorded. Data obtained were statistically evaluated by one-way analysis of variance and post hoc test. Results: The final shade of the crowns obtained by layering A3 shade composite in the groups Z was A3, ZT was B3, P was C3, and PT was D2. The value of mean fracture strength of crowns of groups Z was 1142.3MPa, ZT was 1034.57MPa, P was 2134.64MPa, and PT was 1765.01MPa. Conclusion: Thermocycling affected the shade of all the crowns. The mean fracture strength of the crowns having PEEK copings was significantly higher than that of zirconia copings. Thermocycling did not have a significant effect on the mean fracture strength.
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Affiliation(s)
- Sanath K Shetty
- Department of Prosthodontics, Yenepoya Dental College, Mangalore, Karnataka, India
| | | | - Mohammed Zahid
- Department of Prosthodontics, Yenepoya Dental College, Mangalore, Karnataka, India
| | - Karkala S Suhaim
- Department of Prosthodontics, Yenepoya Dental College, Mangalore, Karnataka, India
| | - Fahad Mohammad
- Department of Prosthodontics, Yenepoya Dental College, Mangalore, Karnataka, India
| | - T Fayaz
- Department of Prosthodontics, Yenepoya Dental College, Mangalore, Karnataka, India
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Bunz O, Benz CI, Arnold WH, Piwowarczyk A. Shear bond strength of veneering composite to high performance polymers. Dent Mater J 2020; 40:304-311. [PMID: 33087631 DOI: 10.4012/dmj.2019-300] [Citation(s) in RCA: 7] [Impact Index Per Article: 1.8] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/23/2022]
Abstract
High performance polymers like PEEK (polyetheretherketone) and FRC (fiberreinforced composite) could substitute metallic alloys for removable partial dentures. However, these polymers require aesthetic veneering. This study was to determine the bond strength to direct composite. Specimens made of PEEK and FRC were produced and air-abraded (50 μm aluminum-oxide). Specimens were allocated to four experimental groups: Luxatemp Glaze & Bond, Scotchbond Universal, SR Nexco Connect and iBond Universal. Specimens were divided into three subgroups for short-term, long-term and no artificial aging and shear bond strength (SBS) was evaluated. SBS of specimens made of PEEK with no artificial aging showed values between 10.79-14.00 MPa, short-term artificial aging resulted in values between 3.78-13.85 MPa and after long-term artificial aging SBS decreased to 0-8.75 MPa. SBS measurement of FRC specimens resulted in values between 9.83-12.1 MPa without aging, after short-term artificial aging values decreased to 8.36-11.98 MPa and after long-term aging SBS showed a degradation to 4.52-7.82 MPa.
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Affiliation(s)
- Oskar Bunz
- Department of Prosthodontics, School of Dentistry, Faculty of Health, Witten/Herdecke University
| | - Carla I Benz
- Department of Prosthodontics, School of Dentistry, Faculty of Health, Witten/Herdecke University
| | - Wolfgang H Arnold
- Department of Biological and Material Sciences in Dentistry, School of Dentistry, Faculty of Health, Witten/Herdecke University
| | - Andree Piwowarczyk
- Department of Prosthodontics, School of Dentistry, Faculty of Health, Witten/Herdecke University
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Osseointegration and biosafety of graphene oxide wrapped porous CF/PEEK composites as implantable materials: The role of surface structure and chemistry. Dent Mater 2020; 36:1289-1302. [DOI: 10.1016/j.dental.2020.06.004] [Citation(s) in RCA: 22] [Impact Index Per Article: 5.5] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/29/2020] [Revised: 06/16/2020] [Accepted: 06/22/2020] [Indexed: 01/05/2023]
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LÜmkemann N, Eichberger M, Murphy RJ, Stawarczyk B. Suitability of the new Aryl-Ketone-Polymer indicated for removable partial dentures: Analysis of elastic properties and bond strength to denture resin. Dent Mater J 2020; 39:539-546. [PMID: 32092725 DOI: 10.4012/dmj.2019-125] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/23/2022]
Abstract
Elastic properties of Aryl-Ketone-Polymer (UAKP) and tensile bond strength (TBS) to denture resin (PalaXpress) were tested. Indentation modulus (EIT) and indentation hardness (HIT) were measured via Martens hardness (n=10 specimens) with 4.2±0.6 kN/mm2 and 261±8 N/mm2 respectively. TBS was tested in dependence of different adhesives (visio.link (VL), Adhese Universal (AU), All-Bond Universal (ABU), CLEARFIL UNIVERSAL BOND (CUB), G-Premio BOND (GPB), iBOND Universal (IBU), ONE COAT 7 UNIVERSAL (OCU), Scotchbond Universal (SBU) and without adhesive (CG), n=18/group) and the application of opaquer (n=9/group) after thermocycling (5°C/55°C, 10,000×). TBS was affected by the adhesive (η (P2=0.715, p<0.001) followed by the opaquer (ηP2=0.335, p<0.001). VL and CG showed highest TBS followed by AU and ABU. IBU and GPB resulted in lowest TBS. Opaquer increased TBS for all adhesives (p<0.05), except VL and CG (p<0.258). Elastic properties are well-suited for the indication of removable partial dentures. Bonding to denture resin is no limiting factor.
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Affiliation(s)
- Nina LÜmkemann
- Department of Prosthetic Dentistry, University Hospital, Ludwig-Maximilians-University Munich
| | - Marlis Eichberger
- Department of Prosthetic Dentistry, University Hospital, Ludwig-Maximilians-University Munich
| | | | - Bogna Stawarczyk
- Department of Prosthetic Dentistry, University Hospital, Ludwig-Maximilians-University Munich
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Jahandideh Y, Falahchai M, Pourkhalili H. Effect of Surface Treatment With Er:YAG and CO2 Lasers on Shear Bond Strength of Polyether Ether Ketone to Composite Resin Veneers. J Lasers Med Sci 2020; 11:153-159. [PMID: 32273956 DOI: 10.34172/jlms.2020.26] [Citation(s) in RCA: 16] [Impact Index Per Article: 4.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/09/2022]
Abstract
Introduction: Polyether ether ketone (PEEK) has low surface energy and high resistance to chemical surface treatments. Therefore, different surface treatments such as laser conditioning should be investigated. There is a gap of information regarding the efficacy of laser irradiation in the surface treatment of PEEK, and the efficacy of several laser types needs to be evaluated for this purpose. This study aimed to assess the effect of surface treatment with erbium-doped yttrium aluminum garnet (Er:YAG) and carbon dioxide (CO2) lasers on shear bond strength (SBS) of PEEK to composite resin veneers. Methods: In this experimental study, 60 rectangular-shaped PEEK samples (7 x 7 x 2 mm) were used. The samples were mounted in auto-polymerizing acrylic resin in such a way that only one surface measuring 7x7 mm remained exposed. The samples were then randomly divided into 3 groups (n=20) of control, Er:YAG laser surface treatment (Power=1.5 W, energy density=119.42 J/cm2 , irradiation time=20 s) and CO2 laser surface treatment (Power=4 W, energy density=159.22 J/cm2 , irradiation time=50 s). The bonding agent and PEEK opaque were applied on the surface of samples and they were veneered with a composite resin using a hollow plastic cylinder with an internal diameter of 4 mm. The SBS was then measured and the data were analyzed using one-way ANOVA, Tukey HSD test and Dunnett's test at 0.05 level of significance. Results: The SBS of the 3 groups was significantly different (P<0.001). The Tukey HSD test revealed that the Er:YAG laser had higher SBS than the CO2 laser group (P<0.001). The Dunnett's test showed that both Er:YAG and CO2 laser groups yielded higher SBS than the control group (P<0.001). Conclusion: The Er:YAG and CO2 laser treatments can increase the SBS of PEEK to composite resin veneers, although the Er:YAG laser seems to be more effective for this purpose.
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Affiliation(s)
- Yousef Jahandideh
- Dental Sciences Research Center, Department of Prosthodontics, School of Dentistry, Guilan University of Medical Sciences, Rasht, Iran
| | - Mehran Falahchai
- Dental Sciences Research Center, Department of Prosthodontics, School of Dentistry, Guilan University of Medical Sciences, Rasht, Iran
| | - Hossein Pourkhalili
- Dental Sciences Research Center, Department of Prosthodontics, School of Dentistry, Guilan University of Medical Sciences, Rasht, Iran
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Gama LT, Duque TM, Özcan M, Philippi AG, Mezzomo LAM, Gonçalves TMSV. Adhesion to high-performance polymers applied in dentistry: A systematic review. Dent Mater 2020; 36:e93-e108. [PMID: 32035670 DOI: 10.1016/j.dental.2020.01.002] [Citation(s) in RCA: 19] [Impact Index Per Article: 4.8] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/24/2019] [Revised: 11/26/2019] [Accepted: 01/09/2020] [Indexed: 10/25/2022]
Abstract
OBJECTIVE The aim of this systemic review, conducted in accordance with the PRISMA statement, was to investigate the impact of surface pretreatments on the bonding strength of high performance polymers (HPPs). METHODS Eight databases were searched through March 2019. Risk of bias was assessed and random effects meta-analyses were applied to analyze mean differences in shear bond strength (SBS) and tensile bond strength (TBS), considering surface pretreatments and bonding agents after 24h and thermocycling. RESULTS A total of 235 relevant titles and abstracts were found, yielding 11 final selections. Low risk of bias was observed in most studies. For polyetheretherketone (PEEK) specimens, random-effect models showed that, compared to non-treated controls, pretreatments associated with Visio.link® (Bredent, Senden, GE) increased TBS by 26.72MPa (95% confidence interval (CI), 19.69-33.76; p<0.00001) and increased SBS by 4.86MPa (95% CI, 2.61-7.10; p<0.00001). Air abrasion improved SBS by 4.90MPa (95% CI, 3.90-5.90; p<0.00001) (50μm alumina) and 4.51MPa (95% CI, 1.85-7.18; p=0.0009) (silica-coated CoJet). In comparison to non-treated controls, Visio.link® and Signum PEEK Bond® (Heraeus Kulzer, Hanau, GE) increased SBS by 33.76MPa (95% CI, 18.72-48.81; p<0.00001) and 33.28MPa (95% CI, 17.48-49.07; p<0.00001), respectively. No differences were found between Visio.link® and Signum PEEK Bond® or Monobond Plus/Heliobond® (Ivoclar Vivadent, Schaan, LH) (p>0.05). Similar results were observed for polyetherketoneketone (PEKK) specimens. SIGNIFICANCE This review shows improved HPP bonding following the application of various surface pretreatments, including air abrasion and bonding agents.
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Affiliation(s)
- Lorena Tavares Gama
- Department Prosthodontics and Periodontology, University of Campinas (UNICAMP), Limeira Avenue, 901, CEP: 13414-903, Areião, Piracicaba, Brazil.
| | - Thais Mageste Duque
- Dentistry Department, Federal University of Santa Catarina (UFSC), R. Eng. Agronômico Andrei Cristian Ferreira, s/n, CEP: 88040-900, Trindade, Florianópolis, Brazil.
| | - Mutlu Özcan
- Center for Dental and Oral Medicine, Dental Materials Unit, Clinic for Fixed and Removable Prosthodontics and Dental Materials Science, University of Zurich, Plattenstrasse 11, CH-8032, Zurich, Switzerland.
| | - Analucia Gebler Philippi
- Dentistry Department, Federal University of Santa Catarina (UFSC), R. Eng. Agronômico Andrei Cristian Ferreira, s/n, CEP: 88040-900, Trindade, Florianópolis, Brazil.
| | - Luis André Mendonça Mezzomo
- Dentistry Department, Federal University of Santa Catarina (UFSC), R. Eng. Agronômico Andrei Cristian Ferreira, s/n, CEP: 88040-900, Trindade, Florianópolis, Brazil.
| | - Thais Marques Simek Vega Gonçalves
- Dentistry Department, Federal University of Santa Catarina (UFSC), R. Eng. Agronômico Andrei Cristian Ferreira, s/n, CEP: 88040-900, Trindade, Florianópolis, Brazil.
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Surface characterization and bonding properties of milled polyetheretherketone dental posts. Odontology 2020; 108:596-606. [PMID: 31965408 DOI: 10.1007/s10266-020-00484-1] [Citation(s) in RCA: 10] [Impact Index Per Article: 2.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/28/2019] [Accepted: 01/05/2020] [Indexed: 10/25/2022]
Abstract
PEEK has been used in many dental applications except intra-radicular post. The aim of this study is to test polyetheretherketone (PEEK) as a dental post material through tensile bond strength (TBS) and surface roughness (SR), and to compare it with glass-fiber and cast-metal posts. Thus, 60 human maxillary central incisors with a single root were endodontically treated and divided into three groups (n = 20) according to the type of post (Group P: PEEK, Group F: Glass-fiber, Group M: Cast-metal). Appropriate surface treatment was employed for each group and SR was determined by a three-dimensional non-contact profilometer before cementation. All posts were luted to the canal dentin using self-etch resin cement (Panavia F2.0). Pull-out test was performed on a universal testing machine at a speed of 0.5 mm/min crosshead speed until failure, and TBS were calculated. One-way ANOVA, Tukey's HSD, and Pearson chi-squared tests were performed for statistical analyses (α = 0.05). According to the results, group F demonstrated the highest SR (2.93 ± 0.18 µm) and lowest TBS values (10.05 ± 0.53 MPa), while group P exhibited lowest SR (1.37 ± 0.11 µm) and highest TBS values (14.33 ± 0.58 MPa) (p < 0.001). No significant differences in failure modes were identified among groups, mostly adhesive (p = 0.243). As conclusion, PEEK may be a reliable and contemporary option for dental post systems when used with appropriate surface treatment and luting agent. This high-performance polymer may be a novel candidate as a contemporary dental post system due to its superior mechanical, chemical, thermal, and esthetical properties with low risk of fracture.
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Kurahashi K, Matsuda T, Ishida Y, Ichikawa T. Effect of Surface Treatments on Shear Bond Strength of Polyetheretherketone to Autopolymerizing Resin. Dent J (Basel) 2019; 7:dj7030082. [PMID: 31374927 PMCID: PMC6784460 DOI: 10.3390/dj7030082] [Citation(s) in RCA: 21] [Impact Index Per Article: 4.2] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/06/2019] [Revised: 07/24/2019] [Accepted: 07/24/2019] [Indexed: 11/16/2022] Open
Abstract
These days, new prosthodontic materials are appearing with the development of digitalization. Among these, the use of polyetheretherketone (PEEK) as the clasp of removable partial dentures has been proposed. The adhesive strength between the PEEK and acrylic resin influences the probability of denture fracture. To investigate the effect of PEEK surface treatments on the shear bond strength to acrylic resin, five surface treatment conditions of PEEK were analyzed: 1. no treatment; 2. ceramic primer application; 3. Al2O3 sandblasting; 4. Rocatec; and 5. Rocatec with ceramic primer application, comparing with a metal primer-treated Co-Cr alloy. Two kinds of autopolymerizing resin (Unifast II and Palapress Vario) were used as bonding materials. The specimens were evaluated to determine the bond strength. Rocatec treatment with ceramic primer application yielded the highest bond strengths (12.71 MPa and 15.32 MPa, respectively, for Unifast II and Palapress Vario). When compared to a metal primer-treated Co-Cr alloy, the bond strength of PEEK to Unifast II was similar, whereas it was about 60% of that to Palapress Vario. Rocatec treatment, combined with ceramic primer, showed the highest bond strength of PEEK to acrylic resin. Treatment of PEEK will enable its use as the clasp of removable dentures and the fixation of PEEK prostheses.
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Affiliation(s)
- Kosuke Kurahashi
- Department of Prosthodontics & Oral rehabilitation, Tokushima University, Graduate School of Biomedical Sciences, 3-18-15 Kuramoto, Tokushima 770-8504, Japan
| | - Takashi Matsuda
- Department of Prosthodontics & Oral rehabilitation, Tokushima University, Graduate School of Biomedical Sciences, 3-18-15 Kuramoto, Tokushima 770-8504, Japan
| | - Yuichi Ishida
- Department of Prosthodontics & Oral rehabilitation, Tokushima University, Graduate School of Biomedical Sciences, 3-18-15 Kuramoto, Tokushima 770-8504, Japan
| | - Tetsuo Ichikawa
- Department of Prosthodontics & Oral rehabilitation, Tokushima University, Graduate School of Biomedical Sciences, 3-18-15 Kuramoto, Tokushima 770-8504, Japan.
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Ruales‐Carrera E, Pauletto P, Apaza‐Bedoya K, Volpato CAM, Özcan M, Benfatti CAM. Peri‐implant tissue management after immediate implant placement using a customized healing abutment. J ESTHET RESTOR DENT 2019; 31:533-541. [DOI: 10.1111/jerd.12512] [Citation(s) in RCA: 15] [Impact Index Per Article: 3.0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/14/2019] [Revised: 05/21/2019] [Accepted: 06/14/2019] [Indexed: 12/26/2022]
Affiliation(s)
- Edwin Ruales‐Carrera
- Department of Dentistry Center for Education and Research on Dental Implants (CEPID), Federal University of Santa Catarina (UFSC) Florianópolis Brazil
| | - Patrícia Pauletto
- Department of Dentistry Center for Education and Research on Dental Implants (CEPID), Federal University of Santa Catarina (UFSC) Florianópolis Brazil
- Department of Dentistry Brazilian Centre for Evidence‐Based Research, Federal University of Santa Catarina (UFSC) Florianópolis Santa Catarina Brazil
| | - Karin Apaza‐Bedoya
- Department of Dentistry Center for Education and Research on Dental Implants (CEPID), Federal University of Santa Catarina (UFSC) Florianópolis Brazil
| | - Claudia A. M. Volpato
- Department of Dentistry Center for Education and Research on Dental Implants (CEPID), Federal University of Santa Catarina (UFSC) Florianópolis Brazil
| | - Mutlu Özcan
- Department of Dentistry Brazilian Centre for Evidence‐Based Research, Federal University of Santa Catarina (UFSC) Florianópolis Santa Catarina Brazil
- Dental Materials Unit Center for Dental and Oral Medicine, Clinic for Fixed and Removable Prosthodontics and Dental Materials Science, University of Zurich Zurich Switzerland
| | - César A. M. Benfatti
- Department of Dentistry Center for Education and Research on Dental Implants (CEPID), Federal University of Santa Catarina (UFSC) Florianópolis Brazil
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Younis M, Unkovskiy A, ElAyouti A, Geis-Gerstorfer J, Spintzyk S. The Effect of Various Plasma Gases on the Shear Bond Strength between Unfilled Polyetheretherketone (PEEK) and Veneering Composite Following Artificial Aging. MATERIALS 2019; 12:ma12091447. [PMID: 31060213 PMCID: PMC6540062 DOI: 10.3390/ma12091447] [Citation(s) in RCA: 14] [Impact Index Per Article: 2.8] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 04/15/2019] [Revised: 04/28/2019] [Accepted: 04/30/2019] [Indexed: 11/16/2022]
Abstract
This study investigated the effect of different gaseous plasma surface treatments on the shear bond strength between unfilled polyetheretherketone (PEEK) and veneering composite resin. The study followed ISO 10477 guidelines in preparing, bonding, and testing the samples. Specimens of unfilled PEEK were distributed to one of the following six surface treatment groups: reference, adhesive, argon, nitrogen, oxygen, and air plasmas. After milling, the specimens were wet polished using (P320) polishing discs. Bonding procedures were done according to the manufacturer's instructions using (Opaquer + Dentine), except in the adhesive group (Visio.link + Opaquer + Dentine). Afterwards, thermal cycling for 5000 cycles between 5 and 55 °C in distilled water was conducted. Finally, the shear bond strengths of all groups were calculated, and mode of fracture was determined. Nitrogen surface treatment had the highest mean shear bond strength of 10.04 (±1.84) MPa, while the reference group showed the lowest value of 5.38 (±2.90) MPa. Regarding mode of fracture, all the specimens showed a 100% adhesive failure mode. Plasma surface treatment can be a reliable alternative method to the traditional protocol of bonding veneering composite resin to unfilled PEEK material.
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Affiliation(s)
- Mohamed Younis
- Section Medical Materials Science & Technology, University Hospital Tuebingen, Osianderstrasse 2-8, 72076 Tuebingen, Germany.
| | - Alexey Unkovskiy
- Department of Prosthodontics at the Centre of Dentistry, Oral Medicine, and Maxillofacial Surgery Dental School, Tuebingen University Hospital, Osianderstrasse 2-8, 72076 Tuebingen, Germany.
- Department of Dental Surgery, Sechenov First Moscow State Medical University, Trubetskaya str. 8-2, 119991 Moscow, Russia.
| | - Ashraf ElAyouti
- Department of Conservative Dentistry, at the Centre of Dentistry, Oral Medicine and Maxillofacial Surgery Dental School, Tuebingen University Hospital, Osianderstrasse 2-8, 72076 Tuebingen, Germany.
| | - Jürgen Geis-Gerstorfer
- Section Medical Materials Science & Technology, University Hospital Tuebingen, Osianderstrasse 2-8, 72076 Tuebingen, Germany.
| | - Sebastian Spintzyk
- Section Medical Materials Science & Technology, University Hospital Tuebingen, Osianderstrasse 2-8, 72076 Tuebingen, Germany.
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Rikitoku S, Otake S, Nozaki K, Yoshida K, Miura H. Influence of SiO 2 content of polyetheretherketone (PEEK) on flexural properties and tensile bond strength to resin cement. Dent Mater J 2019; 38:464-470. [PMID: 30971651 DOI: 10.4012/dmj.2018-234] [Citation(s) in RCA: 9] [Impact Index Per Article: 1.8] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/23/2022]
Abstract
In the present study, the influence of the SiO2 content of polyetheretherketone (PEEK) on the bonding between PEEK and resin cement, and the corresponding mechanical properties, were evaluated. Three experimental PEEK samples with varying amounts of SiO2, and PEEK containing 20 wt% of TiO2 (DK), were investigated. The tensile bond strength (TBS) was evaluated before and after 10,000 thermal cycles, upon polishing, sandblasting, and conditioning of the specimens with BONDMER lightless containing a silane coupling agent, and bonded with ESTECEM II. The crystallinity, flexural modulus, and flexural strength were determined after 10,000 thermal cycles. TBS values were analyzed by two-way ANOVA and a t-test with Bonferroni correction (α<0.05), while the crystallinity, flexural modulus, and flexural strength were analyzed with one-way ANOVA followed by a t-test with Bonferroni correction (α<0.05). The TBS improved with increasing SiO2 content in PEEK; moreover, DK and the sample with 40 wt% SiO2 exhibited the highest flexural strength.
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Affiliation(s)
- Shiro Rikitoku
- Department of Fixed Prosthodontics, Division of Oral Health Sciences, Graduate School of Medical and Dental Sciences, Tokyo Medical and Dental University (TMDU)
| | - Shiho Otake
- Department of Fixed Prosthodontics, Division of Oral Health Sciences, Graduate School of Medical and Dental Sciences, Tokyo Medical and Dental University (TMDU)
| | - Kosuke Nozaki
- Department of Material Biofunctions, Institute of Biomaterials and Bioengineering, Tokyo Medical and Dental University (TMDU)
| | - Keiichi Yoshida
- Department of Fixed Prosthodontics, Division of Oral Health Sciences, Graduate School of Medical and Dental Sciences, Tokyo Medical and Dental University (TMDU)
| | - Hiroyuki Miura
- Department of Fixed Prosthodontics, Division of Oral Health Sciences, Graduate School of Medical and Dental Sciences, Tokyo Medical and Dental University (TMDU)
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Ichikawa T, Kurahashi K, Liu L, Matsuda T, Ishida Y. Use of a Polyetheretherketone Clasp Retainer for Removable Partial Denture: A Case Report. Dent J (Basel) 2019; 7:dj7010004. [PMID: 30609778 PMCID: PMC6473674 DOI: 10.3390/dj7010004] [Citation(s) in RCA: 20] [Impact Index Per Article: 4.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/27/2018] [Revised: 12/13/2018] [Accepted: 12/20/2018] [Indexed: 11/16/2022] Open
Abstract
Clasp retainers made of metal alloys may be esthetically unappealing or cause allergic reactions. To investigate alternative materials, we used the nonfiller polyetheretherketone (PEEK) to fabricate the clasp retainer of a removable partial denture for the mandibular bilateral distal free-end abutment of an 84-year-old female. Two years later, few color and texture changes of PEEK were found macroscopically. The rest part and the clasp arm fitted well without any deformation. There were no particular occlusal or periodontal problems. Subjective satisfaction was expressed by both the practitioner and the patient.
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Affiliation(s)
- Tetsuo Ichikawa
- Department of Prosthodontics & Oral rehabilitation, Tokushima University, Graduate School of Biomedical Sciences, 3-18-15 Kuramoto, Tokushima 770-8504, Japan.
| | - Kosuke Kurahashi
- Department of Prosthodontics & Oral rehabilitation, Tokushima University, Graduate School of Biomedical Sciences, 3-18-15 Kuramoto, Tokushima 770-8504, Japan.
| | - Lipei Liu
- Department of Prosthodontics & Oral rehabilitation, Tokushima University, Graduate School of Biomedical Sciences, 3-18-15 Kuramoto, Tokushima 770-8504, Japan.
| | - Takashi Matsuda
- Department of Prosthodontics & Oral rehabilitation, Tokushima University, Graduate School of Biomedical Sciences, 3-18-15 Kuramoto, Tokushima 770-8504, Japan.
| | - Yuichi Ishida
- Department of Prosthodontics & Oral rehabilitation, Tokushima University, Graduate School of Biomedical Sciences, 3-18-15 Kuramoto, Tokushima 770-8504, Japan.
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Tsuka H, Morita K, Kato K, Kimura H, Abekura H, Hirata I, Kato K, Tsuga K. Effect of laser groove treatment on shear bond strength of resin-based luting agent to polyetheretherketone (PEEK). J Prosthodont Res 2018; 63:52-57. [PMID: 30220621 DOI: 10.1016/j.jpor.2018.08.001] [Citation(s) in RCA: 22] [Impact Index Per Article: 3.7] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/03/2017] [Revised: 08/03/2018] [Accepted: 08/05/2018] [Indexed: 11/18/2022]
Abstract
PURPOSE The mechanical properties of polyetheretherketone (PEEK) are ideally suited for fixed dental prostheses. However, PEEK typically has low adhesion strength to resin-based luting agent. This study assessed the shear bond strength between laser groove treated PEEK and resin-based luting agent. METHODS A total of 230 specimens were randomly divided into five groups (n=46): no-treatment, air abrasion treatment, 100μm-deep, 150μm-deep, and 200μm-deep laser groove treatments. The surface roughness was measured, scanning electron microscopy was used to observe the specimen surfaces, and X-ray photoelectron spectroscopy (XPS) was used to analyze the surfaces. Each group was divided into four resin-based luting agent subgroups: Panavia V5, RelyX Ultimate Resin Cement, G-CEM Link Force, and Super-Bond C&B. After the resin-based luting agent was bonded to the specimens, the bond strength was measured using shear tests and the failure modes were assessed by stereomicroscopy. The surfaces were also observed by scanning electron microscopy (SEM) after the shear bond strength measurements. The data were statistically analyzed using a two-way analysis of variance and Tukey's honest significant difference test (α=0.05). RESULTS The PEEK surface after laser groove treatment groups exhibited the highest mean Ra values. In the XPS analysis, the laser treated PEEK surface exhibited an effective surface composition for bonding with resin-based luting agent. The shear bond strengths for the laser groove treated samples were significantly higher (p<0.05) than those of the no-treatment and air abrasion treatment groups. CONCLUSIONS The shear bond strength between PEEK and resin-based luting agent was substantially improved by laser groove treatment.
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Affiliation(s)
- Hiroki Tsuka
- Department of Advanced Prosthodontics, Applied Life Sciences, Institute of Biomedical and Health Sciences, Hiroshima University, Hiroshima, Japan.
| | - Koji Morita
- Department of Advanced Prosthodontics, Applied Life Sciences, Institute of Biomedical and Health Sciences, Hiroshima University, Hiroshima, Japan
| | - Kan Kato
- Department of Advanced Prosthodontics, Applied Life Sciences, Institute of Biomedical and Health Sciences, Hiroshima University, Hiroshima, Japan
| | - Hitomi Kimura
- Department of Advanced Prosthodontics, Applied Life Sciences, Institute of Biomedical and Health Sciences, Hiroshima University, Hiroshima, Japan
| | - Hitoshi Abekura
- Department of Advanced Prosthodontics, Applied Life Sciences, Institute of Biomedical and Health Sciences, Hiroshima University, Hiroshima, Japan
| | - Isao Hirata
- Department of Biomaterials, Applied Life Sciences, Institute of Biomedical and Health Sciences, Hiroshima University, Hiroshima, Japan
| | - Koichi Kato
- Department of Biomaterials, Applied Life Sciences, Institute of Biomedical and Health Sciences, Hiroshima University, Hiroshima, Japan
| | - Kazuhiro Tsuga
- Department of Advanced Prosthodontics, Applied Life Sciences, Institute of Biomedical and Health Sciences, Hiroshima University, Hiroshima, Japan
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Influence of different low-pressure plasma process parameters on shear bond strength between veneering composites and PEEK materials. Dent Mater 2018; 34:e246-e254. [PMID: 29935768 DOI: 10.1016/j.dental.2018.06.004] [Citation(s) in RCA: 31] [Impact Index Per Article: 5.2] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/01/2018] [Revised: 03/27/2018] [Accepted: 06/06/2018] [Indexed: 11/21/2022]
Abstract
OBJECTIVE The aim of this study was to evaluate the impact of oxygen and argon/oxygen low-pressure plasma on the shear bond strength (SBS) between dental PEEK compounds and veneering composites as a function of plasma process time. METHODS Of an unfilled PEEK ("Juvora") and two pigment powder filled PEEK compounds ("DC4420", "DC4450"), 273 rectangular plates were prepared and polished up to 1200 grit. Afterwards the samples were sandblasted and randomly assigned to five different surface pre-treatment groups (1. No plasma (control); 2. O2 plasma for 3min; 3. O2 plasma for 35min; 4. Ar/O2 plasma for 3min; 5. Ar/O2 plasma for 35min). Surface roughness and water contact angles were recorded using three samples of each PEEK compound for each of the plasma treatment groups. An adhesive (visio.link, Bredent GmbH & Co KG, Senden, Germany) was applied onto the specimen surfaces and light cured. A mold was used to shape three different veneering composites (a) Vita VM LC, "Vita" (Vita Zahnfabrik, Bad Säckingen, Germany); (b) GC GRADIA, "Gradia" (GC Europe, Leuven, Belgium); (c) GC GRADIA DIRECT Flo, "Gradia Flo" (GC Europe, Leuven, Belgium)) into a cylindrical form on the sample surface before light curing. SBS was measured using a universal testing machine after 24h of incubation in distilled water at 37°C. RESULTS The two pigment filled PEEK compounds treated with O2 plasma and veneered with Gradia Flo showed the highest SBS values (34.92±6.55MPa and 34.2±1.87MPa) followed by the combination of the unfilled PEEK material with Gradia Flo (29.57±3.71MPa). The SBS values of the samples veneered with Gradia were lower, but not significantly so. The SBS values of the specimens with Vita were for the most part associated with significantly lower results. SIGNIFICANCE A low-pressure plasma process using oxygen plasma for a duration of 35min, preceded by sandblasting, seems to be the most effective in increasing shear bond strength between veneering composites and PEEK materials.
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Tekçe N, Tuncer S, Demirci M. The effect of sandblasting duration on the bond durability of dual-cure adhesive cement to CAD/CAM resin restoratives. J Adv Prosthodont 2018; 10:211-217. [PMID: 29930791 PMCID: PMC6004352 DOI: 10.4047/jap.2018.10.3.211] [Citation(s) in RCA: 17] [Impact Index Per Article: 2.8] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/06/2017] [Revised: 01/27/2018] [Accepted: 02/27/2018] [Indexed: 11/08/2022] Open
Abstract
PURPOSE To evaluate the effect of prolonged sandblasting on the bond durability of dual-cure adhesive resin cement to computer-aided design and computer-aided manufacturing (CAD/CAM) restoratives. MATERIALS AND METHODS Nano-ceramic LAVA Ultimate and hybrid-ceramic VITA Enamic CAD/CAM blocks were used for this study. Each CAD/CAM block was sectioned into slabs of 4-mm thickness for the microtensile test (µTBS) test and 2-mm thickness for the surface roughness test. Three groups were created according to the sandblasting protocols; group 1: specimens were sandblasted for 15 seconds, group 2: specimens were sandblasted for 30 seconds, and group 3: specimens were sandblasted for 60 seconds. After sandblasting, all specimens were luted using RelyX Ultimate Clicker. Half the specimens were subjected to µTBS tests at 24 hours, and the other half were subjected to tests after 5000 thermocycles. Additionally, a total of 96 CAD/CAM block sections were prepared for surface roughness tests and scanning electron microscopy (SEM) evaluations. The Mann-Whitney U test, Kruskal-Wallis one-way analysis of variance, and Dunn's post hoc test were used to compare continuous variables among the groups. RESULTS At baseline, group 1, group 2, and group 3 exhibited statistically similar µTBS results for LAVA. However, group 3 had significantly lower µTBS values than groups 1 and 2 for VITA. After 5000 thermocycles, µTBS values significantly decreased for each block (P<.05). CONCLUSION It is important to perform controlled sandblasting because it may affect bond strength results. Sixty seconds of sandblasting disturbs the initial µTBS values and the stability of adhesion of CAD/CAM restoratives to dual-cure adhesive resin cement for VITA Enamic.
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Affiliation(s)
- Neslihan Tekçe
- Department of Restorative Dentistry, Faculty of Dentistry, University of Kocaeli, Kocaeli, Turkey
| | - Safa Tuncer
- Department of Restorative Dentistry, Faculty of Dentistry, University of Istanbul, Istanbul, Turkey
| | - Mustafa Demirci
- Department of Restorative Dentistry, Faculty of Dentistry, University of Istanbul, Istanbul, Turkey
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Song CH, Choi JW, Jeon YC, Jeong CM, Lee SH, Kang ES, Yun MJ, Huh JB. Comparison of the Microtensile Bond Strength of a Polyetherketoneketone (PEKK) Tooth Post Cemented with Various Surface Treatments and Various Resin Cements. MATERIALS 2018; 11:ma11060916. [PMID: 29844270 PMCID: PMC6025344 DOI: 10.3390/ma11060916] [Citation(s) in RCA: 17] [Impact Index Per Article: 2.8] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 05/02/2018] [Revised: 05/24/2018] [Accepted: 05/25/2018] [Indexed: 11/16/2022]
Abstract
The aim of this in-vitro research was to evaluate the microtensile bond strength in the newly introduced PEKK tooth post with various surface treatments and resin cements. A fiberglass tooth post was included in order to compare it with PEKK as a possible post material. The microtensile bond strengths of the fiberglass post (FRC Postec Plus) and the PEKK post (Pekkton®) were tested using three kinds of self-adhesive resin cements (G-CEM LinkAce, Multilink Speed, and RelyX U200) and one self-etching resin cement (PANAVIA F2.0). The surface treatments of the fiberglass posts were processed according to the manufacturer’s recommendations (F1, application of 37% phosphoric acid etching gel and silanization). For the PEKK post groups, various surface treatments were performed like no surface treatment (P1), sandblasting (P2), silica-coating and silanization (P3), and sandblasting with a composite primer (P4). In the surface treatment, PEKK posts with silica coating and silane treatment (P3) showed a significantly higher microtensile bond strength (mean MPa: 18.09, p < 0.05). The highest microtensile bond strength was shown when the PEKK posts were treated with a silica coating and silane treatment and cemented with RelyX U200 (mean MPa: 22.22). The PEKK posts with surface treatments of silica-coating and silanization or sandblasting displayed superior microtensile bond strengths (mean MPa: 18.09 and 16.25, respectively) compared to the conventional fiberglass posts (mean MPa: 14.93, p < 0.05).
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Affiliation(s)
- Chan-Hong Song
- Department of Prosthodontics, Dental Research Institute, Institute of Translational Dental Sciences, School of Dentistry, Pusan National University, Yangsan 50612, Korea.
| | - Jae-Won Choi
- Department of Prosthodontics, Dental Research Institute, Institute of Translational Dental Sciences, School of Dentistry, Pusan National University, Yangsan 50612, Korea.
| | - Young-Chan Jeon
- Department of Prosthodontics, Dental Research Institute, Institute of Translational Dental Sciences, School of Dentistry, Pusan National University, Yangsan 50612, Korea.
| | - Chang-Mo Jeong
- Department of Prosthodontics, Dental Research Institute, Institute of Translational Dental Sciences, School of Dentistry, Pusan National University, Yangsan 50612, Korea.
| | - So-Hyoun Lee
- Department of Prosthodontics, Dental Research Institute, Institute of Translational Dental Sciences, School of Dentistry, Pusan National University, Yangsan 50612, Korea.
| | - Eun-Sook Kang
- Department of Prosthodontics, In-Je University Haeundae Paik Hospital, Busan 48108, Korea.
| | - Mi-Jung Yun
- Department of Prosthodontics, Dental Research Institute, Institute of Translational Dental Sciences, School of Dentistry, Pusan National University, Yangsan 50612, Korea.
| | - Jung-Bo Huh
- Department of Prosthodontics, Dental Research Institute, Institute of Translational Dental Sciences, School of Dentistry, Pusan National University, Yangsan 50612, Korea.
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CHAIJAREENONT P, PRAKHAMSAI S, SILTHAMPITAG P, TAKAHASHI H, ARKSORNNUKIT M. Effects of different sulfuric acid etching concentrations on PEEK surface bonding to resin composite. Dent Mater J 2018; 37:385-392. [DOI: 10.4012/dmj.2017-141] [Citation(s) in RCA: 27] [Impact Index Per Article: 4.5] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/23/2022]
Affiliation(s)
- Pisaisit CHAIJAREENONT
- Department of Prosthodontics, Faculty of Dentistry, Chiang Mai University
- Center of Excellence for Dental Implantology, Faculty of Dentistry, Chiang Mai University
| | | | | | - Hidekazu TAKAHASHI
- Oral Biomaterials Engineering, Department of Oral Materials Sciences and Technology, Course of Oral Health Engineering, School of Oral Health Care Sciences, Faculty of Dentistry, Tokyo Medical and Dental University
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Caglar I, Ates SM, Yesil Duymus Z. An In Vitro Evaluation of the Effect of Various Adhesives and Surface Treatments on Bond Strength of Resin Cement to Polyetheretherketone. J Prosthodont 2018; 28:e342-e349. [DOI: 10.1111/jopr.12791] [Citation(s) in RCA: 39] [Impact Index Per Article: 6.5] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 02/04/2018] [Indexed: 11/28/2022] Open
Affiliation(s)
- Ipek Caglar
- Department of Prosthodontics, Faculty of Dentistry; Recep Tayyip Erdogan University; Rize Turkey
| | - Sabit Melih Ates
- Department of Prosthodontics, Faculty of Dentistry; Recep Tayyip Erdogan University; Rize Turkey
| | - Zeynep Yesil Duymus
- Department of Prosthodontics, Faculty of Dentistry; Recep Tayyip Erdogan University; Rize Turkey
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