CC BY 4.0 · European Journal of General Dentistry 2024; 13(03): 255-263
DOI: 10.1055/s-0044-1788795
Original Article

In vitro Examination of the Bond Strength of PEEK and PEKK Materials Used as Substructure Materials with the Superstructure Composite before and after Artificial Aging and Examination of Scanning Electron Microscope Images

1   Department of Prosthetic Dentistry, Faculty of Dentistry, Istanbul Aydın University, Istanbul, Türkiye
,
1   Department of Prosthetic Dentistry, Faculty of Dentistry, Istanbul Aydın University, Istanbul, Türkiye
› Author Affiliations

Abstract

Objective This study aims to evaluate the bond strength of polyetheretherketone (PEEK) and polyetherketoneketone (PEKK) materials when used as substructures with composite superstructures, before and after artificial aging. Surface treatments, including sanding and sandblasting, were examined to determine their impact on bond strength and surface topography.

Materials and Methods Sixty samples, divided equally between PEEK and PEKK, were prepared. Each group was further divided into three subgroups (n = 10): control, 10,000 thermal cycles, and 30,000 thermal cycles. The samples were subjected to surface treatments using 600-, 800-, and 1,200-grit silicon carbide wet sandpaper, followed by air abrasion with 110 µm alumina particles. Bond strength tests were conducted using an INSTRON-3345 universal testing machine, and failure types were analyzed under a stereomicroscope.

Results Sandblasting with 110 µm aluminum oxide (Al2O3) significantly increased the bond strength of both PEEK and PEKK materials compared with sanding. PEEK samples treated with sandblasting showed the highest bond strength (mean = 1.296 MPa), while PEKK samples treated with sanding had the lowest (mean = 0.056 MPa). Thermal cycling reduced bond strength in both materials, with a more pronounced decrease observed in the 30,000 cycle groups. analysis of variance results indicated significant differences in bond strength based on the material, surface treatment, and the interaction between these factors.

Conclusion Sandblasting with 110 µm Al2O3 is an effective method for enhancing the bond strength of PEEK and PEKK substructures with composite materials. These findings support the continued use of PEEK and PEKK polymers in dental applications, suggesting that appropriate surface treatments can significantly improve clinical outcomes.



Publication History

Article published online:
26 September 2024

© 2024. The Author(s). This is an open access article published by Thieme under the terms of the Creative Commons Attribution License, permitting unrestricted use, distribution, and reproduction so long as the original work is properly cited. (https://creativecommons.org/licenses/by/4.0/)

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  • References

  • 1 Rokaya D, Srimaneepong V, Sapkota J, Qin J, Siraleartmukul K, Siriwongrungson V. Polymeric materials and films in dentistry: an overview. J Adv Res 2018; 14: 25-34
  • 2 Xu X, He L, Zhu B, Li J, Li J. Advances in polymeric materials for dental applications. Polym Chem 2017; 8 (05) 807-823
  • 3 Kurtz SM, Devine JN. PEEK biomaterials in trauma, orthopedic, and spinal implants. Biomaterials 2007; 28 (32) 4845-4869
  • 4 Bonner Jr WH. Aromatic polyketones and preparation thereof. U.S. Patent No. 3,065,205. United States Patent and Trademark Office. Available at: https://patents.google.com/patent/US3065205A/en
  • 5 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 (04) 412-419
  • 6 Papathanasiou I, Kamposiora P, Papavasiliou G, Ferrari M. The use of PEEK in digital prosthodontics: a narrative review. BMC Oral Health 2020; 20 (01) 217
  • 7 Alqurashi H, Khurshid Z, Syed AUY, Rashid Habib S, Rokaya D, Zafar MS. Polyetherketoneketone (PEKK): an emerging biomaterial for oral implants and dental prostheses. J Adv Res 2020; 28: 87-95
  • 8 Teixeira GS, Pereira GKR, Susin AH. Aging methods-an evaluation of their influence on bond strength. Eur J Dent 2021; 15 (03) 448-453
  • 9 Krüger J, Maletz R, Ottl P, Warkentin M. In vitro aging behavior of dental composites considering the influence of filler content, storage media and incubation time. PLoS One 2018; 13 (04) e0195160
  • 10 Yadav R, Kumar M. Dental restorative composite materials: a review. J Oral Biosci 2019; 61 (02) 78-83
  • 11 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 (03) 385-392
  • 12 Stawarczyk B, Jordan P, Schmidlin PR. et al. PEEK surface treatment effects on tensile bond strength to veneering resins. J Prosthet Dent 2014; 112 (05) 1278-1288
  • 13 Younis M, Unkovskiy A, Drexler T, Qian J, Wan G, Spintzyk S. The impact of non-thermal plasma on the adhesion of polyetherketoneketone (PEKK) to a veneering composite system. J Mech Behav Biomed Mater 2020; 112: 104065
  • 14 Labriaga W, Song SY, Park JH, Ryu JJ, Lee JY, Shin SW. Effect of non-thermal plasma on the shear bond strength of resin cements to polyetherketoneketone (PEKK). J Adv Prosthodont 2018; 10 (06) 408-414
  • 15 Huang CT, Kim J, Arce C, Lawson NC. Intraoral air abrasion: a review of devices, materials, evidence, and clinical applications in restorative dentistry. Compend Contin Educ Dent 2019; 40 (08) 508-513 , quiz 514
  • 16 Stawarczyk B, Beuer F, Wimmer T. et al. Polyetheretherketone-a suitable material for fixed dental prostheses?. J Biomed Mater Res B Appl Biomater 2013; 101 (07) 1209-1216
  • 17 Stawarczyk B, Bähr N, Beuer F. et al. Influence of plasma pretreatment on shear bond strength of self-adhesive resin cements to polyetheretherketone. Clin Oral Investig 2014; 18 (01) 163-170
  • 18 Tan KH, Chua CK, Leong KF. et al. Scaffold development using selective laser sintering of polyetheretherketone-hydroxyapatite biocomposite blends. Biomaterials 2003; 24 (18) 3115-3123
  • 19 von Fraunhofer JA. Adhesion and cohesion. Int J Dent 2012; 2012: 951324
  • 20 Çulhaoğlu AK, Özkır SE, Şahin V, Yılmaz B, Kılıçarslan MA. Effect of various treatment modalities on surface characteristics and shear bond strengths of polyetheretherketone-based core materials. J Prosthodont 2020; 29 (02) 136-141
  • 21 Lee KS, Shin MS, Lee JY, Ryu JJ, Shin SW. Shear bond strength of composite resin to high performance polymer PEKK according to surface treatments and bonding materials. J Adv Prosthodont 2017; 9 (05) 350-357
  • 22 Zhou L, Qian Y, Zhu Y, Liu H, Gan K, Guo J. The effect of different surface treatments on the bond strength of PEEK composite materials. Dent Mater 2014; 30 (08) e209-e215
  • 23 Schmidlin PR, Stawarczyk B, Wieland M, Attin T, Hämmerle CHF, Fischer J. Effect of different surface pre-treatments and luting materials on shear bond strength to PEEK. Dent Mater 2010; 26 (06) 553-559
  • 24 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 2022; 128 (05) 1061-1066
  • 25 Silthampitag P, Chaijareenont P, Tattakorn K, Banjongprasert C, Takahashi H, Arksornnukit M. Effect of surface pretreatments on resin composite bonding to PEEK. Dent Mater J 2016; 35 (04) 668-674
  • 26 Keul C, Liebermann A, Schmidlin PR, Roos M, Sener B, Stawarczyk B. Influence of PEEK surface modification on surface properties and bond strength to veneering resin composites. J Adhes Dent 2014; 16 (04) 383-392
  • 27 Sakihara M, Taira Y, Sawase T. Effects of sulfuric and vinyl sulfonic acid etchants on bond strength of resin composite to polyetherketoneketone. Odontology 2019; 107 (02) 158-164
  • 28 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 2019; 28 (01) e342-e349