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175504

Retention Strength of Polyetheretherketone Crowns Vs. Zirconia Crowns Restoring Molar Teeth: An in Vitro Study

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Last updated: 22 Jan 2023

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Abstract

Aim: This study was designed to compare the retention strength of monolithic CAD/CAM PEEK crowns to that of CAD/CAM monolithic YTZP-zirconia crowns, both resin-cemented to epoxy resin dies resembling lower molar teeth; after thermomechanical aging simulating 3 months of in-vivo service. Materials and methods: 22 identical epoxy dies, resembling the preparation of a lower second molar (4mm height, 6° axial convergence and 1 mm-thick deep chamfer finish line), were produced by replicating one master stainless steel die via 22 polyvinyl siloxane impressions. The epoxy dies were randomly equally distributed into 2 groups (Zr and groups); 11 dies each. The first (control) group (Zr) received CAD/CAM milled monolithic Y-TZP zirconia crowns (Katana™ ML), while the other group (intervention) received CAD/CAM milled monolithic PEEK crowns (breCAM.BioHPP™). Two opposing, laterally projecting (mesial and distal) arms were included in the design of all crowns for the retention test. The fitting surfaces of crowns of both groups were sandblasted with 110-µm alumina particles. All crowns were cemented over their corresponding epoxy dies using the (hand-mixed) dual-cured, self-adhesive resin cement (RelyX™ U200) (3-kg seating force). Samples were stored in water incubator for 24 hours (37 °C); then, subjected to mechanical aging (37,500 cycles49 N load) with simultaneous thermocycling (300 cycles5-55 °C12 s dwell time). Retention strength was evaluated by vertically pulling-up the crowns from their corresponding dies, through the pull-out test performed via a universal testing machine (UTM). Failure modes were then observed under digital microscope. The mean dislodgment force (retention strength) for each group was calculated, and statistically compared using Student t-test. Statistical analysis was performed with three-way ANOVA. Pair-wise comparison of groups was made with the Tukey test. Pearson's Chi-Square test was used to analyze the failure modes. Results: PEEK crowns group (P) demonstrated statistically insignificant higher retention strength (171.28 N ± 26.30) than zirconia (Zr) crowns group (150.40 N ± 24.40). “Mixed" failure mode was predominant in both groups, followed by the adhesive “cement on crown" failure-mode.

DOI

10.21608/asjds.2021.175504

Keywords

PEEK, Polyetheretherketone, CAD/CAM polymeric materials, multilayered monolithic zirconia, retentive strength, retention, tensile strength, Pull-out Test, pull-off test

Authors

First Name

Hebat Allah

Last Name

Mohamed

MiddleName

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Affiliation

Faculty of Dentistry , Misr International University (MIU)

Email

hebatallah.mohammad@dentistry.cu.edu.eg

City

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Orcid

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First Name

Hesham

Last Name

Alansary

MiddleName

-

Affiliation

Fixed Prosthodontics Department, Faculty of Dentistry, Cairo University

Email

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City

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Orcid

-

First Name

Lamia

Last Name

Kheirallah

MiddleName

-

Affiliation

Fixed Prosthodontics Department, Faculty of Dentistry, Cairo University

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Volume

2

Article Issue

1

Related Issue

25452

Issue Date

2021-06-01

Receive Date

2021-02-01

Publish Date

2021-06-01

Page Start

1

Page End

13

Print ISSN

2636-266X

Online ISSN

2636-2678

Link

https://asjds.journals.ekb.eg/article_175504.html

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https://asjds.journals.ekb.eg/service?article_code=175504

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Original Article

Type Code

635

Publication Type

Journal

Publication Title

Ain Shams Journal of Dental Science

Publication Link

https://asjds.journals.ekb.eg/

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Article

Created At

22 Jan 2023