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With the advancing digital technology and introduction of newer biocompatible materials with properties similar to biological tissues, CAD CAM fabricated restorations are gaining wide popularity. Introduction of Zirconia and BioHPP (High Performance Polymer) Polyether-ether-ketone (PEEK) has widened the horizons of clinical prosthodontics. Its use...
Citations
... The concept of esthetics in oral rehabilitation is gaining admiration [1]. Correspondingly, the esthetic linear aromatic, thermoplastic, and semicrystalline material 'Poly-ether-ether-ketone (PEEK)' is currently used for fabrication of dental implants, healing abutments, fixed dental prosthesis, splints, provisional restorations, and clasps for removable prosthesis [2][3][4]. ...
Aim
: To evaluate and compare the influence of contemporary surface treatments of air abrasions, sulfuric acid, and Photodynamic therapy (PDT) on the adhesive bonding and surface roughness of Poly-ether-ether-ketone (PEEK) bonded to resin composite.
Material and methods
: One hundred and fifty PEEK (disc-shaped) specimens of 10 mm diameter and 2mm thickness were prepared. Specimens were subjected to the following surface treatments, Control (no treatment), PDT, air abrasion using Alumina particles (110 μm) (AA-AP), Sulfuric acid (SA), and air abrasion using diamond particles (10–20 μm) AA-DP. Surface roughness (Ra) of treated samples were evaluated using surface profilometer. Universal testing machine was used to evaluate shear bond strength after composite resin build-up. Stereomicroscope was utilized for failure analysis of de-bonded samples of all five groups. Statistical analysis was performed utilizing one-way analysis of variance (ANOVA) to measure means and standard deviations of SBS among studied groups and the means of SBS were paralleled by Tukey multiple comparison tests (p>0.05).
Results
: The highest SBS was observed by 98% SA (19.25 ± 0.68 MPa). While specimen treated with PDT (11.69 ± 0.12 MPa) showed the lowest SBS. PEEK surface, treated with PDT and AA-DP demonstrated comparable SBS (p>0.05). PEEK when pretreated with 98% SA (2.658 ± 0.658μm) exhibited a significantly higher Ra value as compared to other surface-treated groups (p< 0.05).
Conclusion
: PEEK surface treated with SA showed the highest SBS and surface roughness compared to other groups. Surface roughness of PEEK treated with PDT, AA-AP, and AA-DP demonstrated no difference in Ra. PEEK surface treatment technique should be further investigated to develop reliable adhesive resin bonding.
Aim:
To assess the push-out bond strength (PBS) of polyetheretherketone (PEEK) post-to-root dentin using post-surface conditioners i.e., Neodymium-doped yttrium orthovanadate (Nd: YVO4) and Riboflavin (RF) and Rose Bengal (RB) mediated photodynamic therapy (PDT) compared to sulfuric acid (SA).
Materials and methods:
Decoronation of forty human single-rooted premolar teeth was performed. Followed by chamber opening, working length (WL) was established at 15 mm. Root canal preparation was completed using ProTaper Ni-Ti rotary system till F3 finishing file along with root canal disinfection. The canals were dried with paper cones followed by obturation using gutta-percha (GP) and AH sealer. Post space was prepared by drilling out 11 mm of GP using a Gates Glidden drill #3. PEEK posts were fabricated using the CAD-CAM system and then randomly allocated into 4 groups based on the post-surface conditioning (n=10). Group 1: SA, group 2: PDT RF, group 3: PDT RB, and group 4: Nd: YVO4 laser. The PEEK post was then cemented in their respective canal. PBS and failure mode assessment were performed using a universal testing machine and stereomicroscope at 40x magnification. The SBS data set was subjected to a one-way analysis of variance (ANOVA) and Tukey's Post Hoc test at a significance level of 0.05.
Results:
The samples in group 4 (Nd: YVO4 laser) coronal third (7.99±0.24 MPa) demonstrated the highest PBS. The apical third of samples in group 1 PEEK post surface conditioned with SA (5.15± 0.52 MPa) exhibited the minimum values of PBS. Intergroup comparison analysis showed that samples in group 1 (SA), group 2 (RF activated by PDT), group 3 (RB activated by PDT), and group 4 (Nd: YVO4 laser) demonstrated comparable outcomes of bond scores (p>0.05) CONCLUSION: Neodymium-doped yttrium orthovanadate (Nd: YVO4) and riboflavin and Rose bengal activated by photodynamic therapy (PDT) have been investigated as potential alternatives for the surface conditioning of PEEK (polyetheretherketone) posts.
Aim
: The present study aimed to inspect and compare several PEEK surface treatments modifications using Photodynamic therapy (PDT), Neodymium-doped yttrium orthovanadate (Nd:YVO4) laser, Sulphuric acid (H₂SO₄), and sandblasting (SB) when bonded to composite resin via an adhesive system
Material and methods
: One hundred disc-shaped PEEK specimens were prepared by CAD-CAM milling and randomly distributed into five groups based on surface treatment methods: group1: Control (no treatment), group 2: PDT, group 3: Nd:YVO4 laser, group 4: H2SO4 and group 5 sandblasting. Later bonding was pursued using resin cement with an adhesive system. Measurements of surface roughness employing a surface profilometer, water contact angle by the static drop method, SBS by universal Testing machine, and failure modes of de-bonded PEEK specimens by Stereomicroscope were attained. Execution of statistical analysis was performed by two-way analysis of variance ANOVA and Tukey's post hoc test (p>0.05). The Shapiro–Wilk normality test and Bartlett's test for homoscedasticity were also performed.
Results
: The highest SBS was exhibited by Nd:YVO4 laser (16.33 ± 0.71 MPa) and the lowest SBS was observed in the control group (9.4±1.02). However, PEEK specimen luted with resin cement treated with PDT (16.21 ± 0.14 MPa) and H2SO4 (15.23 ± 0.63 MPa) displayed a comparable SBS to Nd:YVO4 laser (p>0.05). The results of Ra exhibited that PEEK material when exposed to Nd:YVO4 laser (15.252 ± 1.581μm) unveiled the highest Ra. Nd:YVO4 laser (131.25 ± 2.9μm) and PDT (130.24 ± 3.7μm) showed comparable WCA values (p>0.05).Adhesive failure was dominant.
Conclusion
: PEEK surface treated with photodynamic therapy and Neodymium-doped yttrium orthovanadate laser and bonded to composite resin via an adhesive system significantly improved shear bond strength, surface roughness, and water contact angle.
