An In Vitro Evaluation of the Effect of Various Adhesives and Surface Treatments on Bond Strength of Resin Cement to Polyetheretherketone

Çağlar, İ̇pek; Ateş, Sabit Melih; Duymuş, Zeynep Yesïl

doi:10.1111/jopr.12791

Cited by 77 publications

(98 citation statements)

References 23 publications

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“…PEEK frameworks have a grayish-brown or pearl-white opaque color and need to be veneered with a composite resin. Several studies on bond strength of PEEK with composite resins have proposed different pre-treatments such as airborne-particle abrasion, silica coating [ 63 ], piranha-etching [ 64 ], sulfuric acid [ 65 ], phosphoric acid or argon plasma [ 66 ] with conflicting results. However, most of the studies concluded that reliable bond strength to composite veneering resins and luting cements can be achieved when PEEK surfaces are pretreated and conditioned using adhesive systems containing methylmethac-monomers, such as Signum PEEK bond and Visio.link [ 67 – 71 ].…”

Section: Resultsmentioning

confidence: 99%

“…Comparison of CAD-CAM fabricated customized healing abutments and standard healing caps placed at the surgical stage for the creation of the desired emergence profile (n = 10/group) After a healing period of 1-3 months Patients with PEEK customized healing abutments showed higher functional implant prosthodontics score (FIPS) and lower numerical rating scale (NRS) values such as airborne-particle abrasion, silica coating [63], piranha-etching [64], sulfuric acid [65], phosphoric acid or argon plasma [66] with conflicting results. However, most of the studies concluded that reliable bond strength to composite veneering resins and luting cements can be achieved when PEEK surfaces are pretreated and conditioned using adhesive systems containing methylmethac-monomers, such as Signum PEEK bond and Visio.link [67][68][69][70][71].…”

Section: Randomized Clinical Trialmentioning

confidence: 99%

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The use of PEEK in digital prosthodontics: A narrative review

et al. 2020

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Background: Advanced computer-aided design and computer-aided manufacturing (CAD-CAM) technology led to the introduction of an increasing number of machinable materials suitable for dental prostheses. One of these materials is polyetheretherketone (PEEK), a high performance polymer recently used in dentistry with favorable physical, mechanical and chemical properties. The purpose of this study was to review the current published literature on the use of PEEK for the fabrication of dental prostheses with CAD-CAM techniques. Methods: Electronic database searches were performed using the terms "PEEK", "CAD-CAM", "dental", "dentistry" to identify studies related to the use of PEEK for the fabrication of CAD-CAM prostheses. The search period spanned from January 1990 through February 2020. Both in vivo and in vitro studies in English were eligible. Review articles and the references of the included publications were searched to identify relevant articles. Results: A great number of in vitro studies are available in the current literature pointing out the noticeable properties of PEEK. The use of PEEK has been recommended for a wide range of CAD-CAM fabricated fixed and removable dental prostheses. PEEK was additionally recommended for occlusal splints, intra-radicular posts, implant abutments, customized healing abutments and provisional restorations. However, only a few clinical studies were identified. Conclusions: PEEK could be considered as a viable alternative for CAD-CAM fixed and removable dental prostheses to well-established dental materials. Due to the scarcity of clinical data, clinical trials are needed to assess the longterm performance of PEEK prostheses.

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Section: Resultsmentioning

confidence: 99%

Section: Randomized Clinical Trialmentioning

confidence: 99%

The use of PEEK in digital prosthodontics: A narrative review

et al. 2020

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“…However, only histomorphometric data were reported, not focusing on the PEEK–soft tissue interface. PEEK has also been used to fabricate frameworks or abutments of fixed dental prosthesis with good chemical adhesion properties (Caglar, Ates, & Yesil Duymus, ; Stawarczyk et al, , ). Some properties using PEEK prosthetic abutments include high rigidity and low plaque affinity due to a high polishing capability and low porosity.…”

Section: Introductionmentioning

confidence: 99%

Soft tissue response to dental implant closure caps made of either polyetheretherketone (PEEK) or titanium

Caballé‐Serrano

Chappuis

Monje

et al. 2019

Clinical Oral Implants Res

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Objective Polyetheretherketone (PEEK) is a popular synthetic thermoplastic polymer for medical applications, but its clinical use suffers from several limitations. Therefore, the aim was to compare the soft tissue response to dental implant closure caps made of PEEK or titanium as evaluated by the occurrence of multinucleated giant cells (MNGCs). Material and methods Forty‐two implants were placed in the maxilla of seven miniature pigs. While commercially pure titanium (Ti) implants had a Ti closure cap, ceramic implants made of either zirconia (Zr) or alumina‐toughened zirconia (Zr + Al) received a PEEK closure cap. Histomorphometry was performed to evaluate the number of small and large MNGCs being in contact with the PEEK or the Ti in different compartments of the implant systems. Results No histological signs of inflammation were noticed, and MNGCs were observed on both PEEK and Ti closure caps and on all three implant types. Significantly higher numbers of MNGCs were found on closure caps made of PEEK than on closure caps made of Ti on the external closure cap surface facing both soft (p = 0.0008 for PEEK on Zr and p = 0.0016 for PEEK on Zr + Al) and hard tissues (p = 0.016 for PEEK on Zr and p = 0.003 for PEEK on Zr + Al) as well as in the internal closure cap surface (p = 0.014 for PEEK on Zr and p = 0.0088 for PEEK on Zr + Al). No statistically significant differences in the number of MNGCs were observed on the three implant types. Conclusions Significantly more MNGCs were in contact with PEEK than with Ti closure caps.

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“…25 Caglar et al reported that using adhesive systems, including Visio.Link after sandblasting improved resin bonding to PEEK. 26 In the current study, the surface of indirect composites and PEEK were sandblasted with aluminum oxide particles according to the manufacturers' instructions to increase the bond strength. We also used Visio.Link bonding agent to achieve optimal bond strength between different veneering resins and PEEK.…”

Section: Discussionmentioning

confidence: 99%

Interfacial Fracture Toughness Comparison of Three Indirect Resin Composites to Dentin and Polyether Ether Ketone Polymer

et al. 2020

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Abstract Objectives Advances in laboratory composites and their high wear resistance and fracture toughness have resulted in their growing popularity and increasing use for dental restorations. This study sought to assess the fracture toughness of three indirect composites bonded to dental substrate and polyether ether ketone (PEEK) polymer. Materials and Methods This in vitro study was conducted on two groups of dental and polymer substrates. Each substrate was bonded to three indirect composite resins. Sixty blocks (3 × 3 × 12 mm) were made of sound bovine anterior teeth and PEEK polymer. Sixty blocks (3 × 3 × 12 mm) were fabricated of CRIOS (Coltene, Germany), high impact polymer composite (HIPC; Bredent, Germany), and GRADIA (Indirect; GC, Japan) composite resins. Composites were bonded to dentin using Panavia F 2.0 (Kuraray, Japan). For bonding to PEEK, Combo.lign (Bredent) and Visio.Link (Bredent) luting cements were used. In all samples, a single-edge notch was created by a no. 11 surgical blade at the interface. The samples were subjected to 3,500 thermal cycles, and their fracture toughness was measured in a universal testing machine (Zwick/Roell, Germany) by application of four-point flexural load. Statistical Analysis Data were analyzed using one-way analysis of variance, Kruskal–Wallis. Results The fracture toughness of CRIOS–PEEK interface was significantly higher than HIPC–PEEK. The fracture toughness of GRADIA–PEEK was not significantly different from that of HIPC and CRIOS. The fracture toughness of GRADIA–dentin was significantly higher than HIPC–dentin. Conclusion Considering the limitations of this study, GRADIA has the highest bond strength to dentin, while CRIOS shows the highest bond strength to PEEK.

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An In Vitro Evaluation of the Effect of Various Adhesives and Surface Treatments on Bond Strength of Resin Cement to Polyetheretherketone

Abstract: Silica coating and sandblasting were shown to provide superior pretreatment of PEEK surface. Laser pretreatments showed no effectiveness on bond strength of resin cement to PEEK. Adhesive systems improved the resin bonding to PEEK.

Cited by 77 publications

References 23 publications

The use of PEEK in digital prosthodontics: A narrative review

The use of PEEK in digital prosthodontics: A narrative review

Soft tissue response to dental implant closure caps made of either polyetheretherketone (PEEK) or titanium

Interfacial Fracture Toughness Comparison of Three Indirect Resin Composites to Dentin and Polyether Ether Ketone Polymer

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