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The Effects of Different Beverages on Fracture Resistance of CAD/CAM Monolithic PEEK and Monolithic Zirconia Crowns

Yıl 2024, Cilt: 13 Sayı: 2, 320 - 327, 20.05.2024
https://doi.org/10.54617/adoklinikbilimler.1334745

Öz

Aim: To assess the impact of various beverages on the fracture resistance of CAD/CAM polyetheretherketone (PEEK) and monolithic zirconia materials.
Materials and Method: We fabricated eighty CAD/CAM materials from PEEK polymer (CopraPeek; Whitepeaks Dental Solutions GmbH, Germany) and monolithic zirconia (inCoris TZI; Dentsply Sirona Systems GmbH, Bensheim, Germany), with ten samples per group. These samples were submerged in either distilled water, cola, coffee, or red wine and stored at 37°C for 12 days. We utilized a universal testing machine (Lloyd LRX; Lloyd Instruments Ltd., West Sussex, UK) to measure each sample’s fracture resistance. The t-test provided a comparison of normally distributed variables between the two groups. For multiple group comparisons, we executed an analysis of variance (ANOVA).
Results: A statistically significant difference was observed between the PEEK and zirconia groups in terms of maximum load and elastic load-bearing capacity values (p˂0.05), with zirconia materials yielding higher values. However, there was no critical difference in these measures obtained from different solutions for neither PEEK nor zirconia samples (p>0.05).
Conclusion: CAD/CAM monolithic PEEK material stored in various solutions demonstrated lower fracture resistance and elastic strength than monolithic zirconia materials. Despite this, PEEK exhibited the highest fracture resistance to intraoral occlusal forces. Accordingly, due to its chemically inert nature and superior force absorption, we recommend PEEK as a viable alternative material for posterior crowns in fixed restorations.

Kaynakça

  • Rajamani VK, Reyal SS, Gowda EM, Shashidhar MP. Comparative prospective clinical evaluation of computer aided design/computer aided manufacturing milled BioHPP PEEK inlays and Zirconia inlays. J Indian Prosthodont Soc 2021;21:240-8.
  • Soares PM, Rodrigues ACC, Borges ALS, Valandro LF, Pereira GKR, Rippe MP. Load-bearing capacity under fatigue and FEA analysis of simplified ceramic restorations supported by PEEK or zirconia polycrystals as foundation substrate for implant purposes. J Mech Behav Biomed Mater 2021;123:104760-70.
  • Li RWK, Chow TW, Matinlinna JP. Ceramic dental biomaterials and CAD/CAM technology: State of the art. J Prosthodont Res 2014;58:208-16.
  • Lan TH, Pan CY,Liu PH,Chou MC. Fracture resistance of monolithic zirconia crowns in implant prostheses in patients with bruxism. Materials 2019;12:1623-34.
  • Kohorst P, Dittmer MP, Borchers L, Scholz MS. Influence of cyclic fatigue in water on the load-bearing capacity of dental bridges made of zirconia. Acta Biomater 2008;4:1440-7.
  • Gupta AK, Gupta R, Gill S. Evaluation of the failure modes and load-bearing capacity of different surface-treated polyether ether ketone copings veneered with lithium di-silicate compared to polyether ether ketone copings veneered with composite: An in vitro study. J Indian Prosthodont Soc 2021;21:295-303.
  • Tartuk BK, Ayna E, Başaran EG. Comparison of the load-bearing capacities of monolithic PEEK, zirconia and hybrid ceramic molar crowns. Meandros Med Dent J 2019;20:45-50.
  • Alexakou E, Damanaki M, Zoidis P, Bakiri E, Mouzis N, Smidt G, et al. PEEK high performance polymers: A review of properties and clinical applications in prosthodontics and restorative dentistry. Eur J Prosthodont Restor Dent 2019;27:113-21.
  • Sevinç EHD, İnal CB, Aydın C. Protetik Diş Hekimliğinde Polietereterketon Materyalinin Yeri. ADO Klinik Bilimler Der 2022;11:176-83.
  • Nagas IC, Egilmez F, Ergun G, Vallıttu PK, Lassıla LPJ. Load-bearing capacity of novel resin-based fixed dental prosthesis materials. Dent Mater J 2018;37:49-58.
  • Rodríguez V, Tobar C, Suarez CL, Pealez J, Suarez MJ. Fracture load of metal, zirconia and polyetheretherketone posterior CAD-CAM milled fixed partial denture frameworks. Materials (Basel) 2021;14:959-70.
  • Kimura H, Morita K, Nishio F, Abekura H, Tsuga K. Clinical report of six-month follow-up after cementing PEEK crown on molars. Sci Rep 2022;12:19070-20.
  • Alsilani RS, Sherif RM, Elkhodary NA. Evaluation of colour stability and surface roughness of three CAD/CAM materials (IPS e. max, Vita Enamic, and PEEK) after immersion in two beverage solutions: An in vitro study. Int J Appl Dent Sci 2022;8:439-49.
  • Munusamy SM, Yap AU, Ching HL, Yahya NA. Degradation of computer-aided design/computer-aided manufacturing composites by dietary solvents: An optical three-dimensional surface analysis. Oper Dent 2020;45:176-84.
  • Colombo M, Cavallo M, Miegge M, Dagna A, Beltrami R, Chiesa M, et al. Color stability of CAD/CAM zirconia ceramics following exposure to acidic and staining drinks. J Clin Exp Dent 2017;9:1297-303.
  • Sarıkaya I, Güler AU, Effects of different polishing techniques on the surface roughness of dental porcelains. J Appl Oral Sci 2010;18:10-6.
  • Kumari CM, Bhat KM, Bansal R, dSingh N, Anupama A, Lavanya T. Evaluation of surface roughness and hardness of newer nanoposterior composite resins after immersion in food-simulating liquids. Contemp Clin Dent 2019;10:289-93.
  • Sulaiman TA, Abdulmajeed AA, Donovan TE, Vallıttu PK, Narhı TO, Lassıla LV. The effect of staining and vacuum sintering on optical and mechanical properties of partially and fully stabilized monolithic zirconia. Dent Mater J 2015;34:605-10.
  • Nakamura K, Harada A, İnagaki R, Kanno T, Niwano Y, Milleding P, et al. Fracture resistance of monolithic zirconia molar crowns with reduced thickness. Acta Odontol Scand 2015;73:602-8.
  • Sola-Luiz F, Baixauli-López M, Roig-Vanaclocha A, Amengual-Lorenzo J, Agustın-Panadero R. Prospective study of monolithic zirconia crowns: Clinical behavior and survival rate at a 5-year follow-up. J Prosthodont Res 2021;65:284-90.
  • Abhay SS, Ganapathy D, Veeraiyan DN, Ariga P, Heboyan A, Amornvit P, et al. Wear resistance, color stability and displacement resistance of milled peek crowns compared to zirconia crowns under stimulated chewing and high-performance aging. Polymers (Basel) 2021;13:3761-73.
  • Hjerppe J. The influence of certain processing factors on the durability of yttrium stabilized Zirconia used as dental biomaterial [tez]. Turku, Turun Yliopisto University of Turku; 2010.
  • Turp V, Tuncelli B, Sen D, Goller G. Evaluation of hardness and fracture toughness, coupled with microstructural analysis, of zirconia ceramics stored in environments with different pH values. Dent Mater J 2012;31:891-902.
  • Egilmez F, Ergun G, Cekıc-Nagas I, Vallittu PK, Lassila LV. Factors affecting the mechanical behavior of Y-TZP. Journal of the Mechanical Behavior of Biomed Mater 2014; 37:78-87.
  • Xie H, Shen S, Qian M, Zhang F, Chen C, Tay RT. Effects of acid treatment on dental zirconia: an in vitro study. PLoS One 2015;10:e0136263.
  • Elraggal A, Afıfı RR, Alamoush RA, Raheem IA, Watts DC. Effect of acidic media on flexural strength and fatigue of CAD-CAM dental materials. Dent Mater 2023;39:57-69.
  • Elashmawy Y, Elashmawy W, Seddik M, Aboushelib M. Influence of fatigue loading on fracture resistance of endodontically treated teeth restored with endocrowns. J Prost Res 2021;65:78-85.
  • Atsü SS, Aksan E, Bulut AC. Fracture Resistance of Titanium, Zirconia, and Ceramic-Reinforced Polyetheretherketone Implant Abutments Supporting CAD/CAM Monolithic Lithium Disilicate Ceramic Crowns After Aging. Int J Oral Maxillofac Implants 2019;34:622-30.
  • Liebermann A, Wimmer T, Schmidlin PR, Scherer H, Löffer P, Roos M, et al. Physicomechanical characterization of polyetheretherketone and current esthetic dental CAD/CAM polymers after aging in different storage media. J Prosthet Dent 2016;115:321-28.
  • Prechtel A, Stawarczyk B,Hickel R, Edelhoff D, Reymus M. Fracture load of 3D printed PEEK inlays compared with milled ones, direct resin composite fillings, and sound teeth. Clin Oral Investig 2020;24:3457-66.

Farklı İçeceklerin CAD/CAM Monolitik PEEK ve Zirkonya Kronların Kırılma Dayanımlarına Etkisi

Yıl 2024, Cilt: 13 Sayı: 2, 320 - 327, 20.05.2024
https://doi.org/10.54617/adoklinikbilimler.1334745

Öz

Amaç: Bu çalışmanın amacı; farklı içeceklerin CAD/CAM polietereterketon (PEEK) ve monolitik zirkonya malzemelerinin kırılma direnci üzerindeki etkilerini değerlendirmektir.
Gereç ve Yöntem: PEEK ve monolitik zirkonyadan her grupta 10 örnek olmak üzere toplam 80 CAD/CAM malzemesi üretildi. Örnekler 12 gün boyunca 37°C'de distile su, kola, kahve ve kırmızı şarapta saklandı. Her numunenin kırılma direncini belirlemek için üniversal test cihazı kullanıldı.
Bulgular: PEEK ve zirkonya grupları arasında maksimum yük ve elastik yük taşıma kapasitesi değerlerinde istatistiksel olarak anlamlı fark tespit edildi (p˂0.05). Zirkonyum malzemeler en yüksek kırılma direnci sergilerken hem PEEK hem de zirkonya örneklerinin farklı içeceklere maruz bırakılması neticesinde maksimum yük ve elastik yük taşıma kapasitelerinde istatistiksel olarak anlamlı bir fark tespit edilmedi (p>0.05).
Sonuç: Farklı solüsyonlarda bekletilen CAD/CAM PEEK malzemesi, monolitik zirkonyaya göre daha düşük kırılma direncine ve elastik mukavemete sahipti. Ancak, PEEK dental materyallerinin kimyasal olarak inert yapısı ve yüksek absorpsiyon kapasitesi nedeniyle yine de posterior bölgenin sabit restorasyonu için alternatif bir kron materyali olarak kullanılabileceğini öneriyoruz.

Kaynakça

  • Rajamani VK, Reyal SS, Gowda EM, Shashidhar MP. Comparative prospective clinical evaluation of computer aided design/computer aided manufacturing milled BioHPP PEEK inlays and Zirconia inlays. J Indian Prosthodont Soc 2021;21:240-8.
  • Soares PM, Rodrigues ACC, Borges ALS, Valandro LF, Pereira GKR, Rippe MP. Load-bearing capacity under fatigue and FEA analysis of simplified ceramic restorations supported by PEEK or zirconia polycrystals as foundation substrate for implant purposes. J Mech Behav Biomed Mater 2021;123:104760-70.
  • Li RWK, Chow TW, Matinlinna JP. Ceramic dental biomaterials and CAD/CAM technology: State of the art. J Prosthodont Res 2014;58:208-16.
  • Lan TH, Pan CY,Liu PH,Chou MC. Fracture resistance of monolithic zirconia crowns in implant prostheses in patients with bruxism. Materials 2019;12:1623-34.
  • Kohorst P, Dittmer MP, Borchers L, Scholz MS. Influence of cyclic fatigue in water on the load-bearing capacity of dental bridges made of zirconia. Acta Biomater 2008;4:1440-7.
  • Gupta AK, Gupta R, Gill S. Evaluation of the failure modes and load-bearing capacity of different surface-treated polyether ether ketone copings veneered with lithium di-silicate compared to polyether ether ketone copings veneered with composite: An in vitro study. J Indian Prosthodont Soc 2021;21:295-303.
  • Tartuk BK, Ayna E, Başaran EG. Comparison of the load-bearing capacities of monolithic PEEK, zirconia and hybrid ceramic molar crowns. Meandros Med Dent J 2019;20:45-50.
  • Alexakou E, Damanaki M, Zoidis P, Bakiri E, Mouzis N, Smidt G, et al. PEEK high performance polymers: A review of properties and clinical applications in prosthodontics and restorative dentistry. Eur J Prosthodont Restor Dent 2019;27:113-21.
  • Sevinç EHD, İnal CB, Aydın C. Protetik Diş Hekimliğinde Polietereterketon Materyalinin Yeri. ADO Klinik Bilimler Der 2022;11:176-83.
  • Nagas IC, Egilmez F, Ergun G, Vallıttu PK, Lassıla LPJ. Load-bearing capacity of novel resin-based fixed dental prosthesis materials. Dent Mater J 2018;37:49-58.
  • Rodríguez V, Tobar C, Suarez CL, Pealez J, Suarez MJ. Fracture load of metal, zirconia and polyetheretherketone posterior CAD-CAM milled fixed partial denture frameworks. Materials (Basel) 2021;14:959-70.
  • Kimura H, Morita K, Nishio F, Abekura H, Tsuga K. Clinical report of six-month follow-up after cementing PEEK crown on molars. Sci Rep 2022;12:19070-20.
  • Alsilani RS, Sherif RM, Elkhodary NA. Evaluation of colour stability and surface roughness of three CAD/CAM materials (IPS e. max, Vita Enamic, and PEEK) after immersion in two beverage solutions: An in vitro study. Int J Appl Dent Sci 2022;8:439-49.
  • Munusamy SM, Yap AU, Ching HL, Yahya NA. Degradation of computer-aided design/computer-aided manufacturing composites by dietary solvents: An optical three-dimensional surface analysis. Oper Dent 2020;45:176-84.
  • Colombo M, Cavallo M, Miegge M, Dagna A, Beltrami R, Chiesa M, et al. Color stability of CAD/CAM zirconia ceramics following exposure to acidic and staining drinks. J Clin Exp Dent 2017;9:1297-303.
  • Sarıkaya I, Güler AU, Effects of different polishing techniques on the surface roughness of dental porcelains. J Appl Oral Sci 2010;18:10-6.
  • Kumari CM, Bhat KM, Bansal R, dSingh N, Anupama A, Lavanya T. Evaluation of surface roughness and hardness of newer nanoposterior composite resins after immersion in food-simulating liquids. Contemp Clin Dent 2019;10:289-93.
  • Sulaiman TA, Abdulmajeed AA, Donovan TE, Vallıttu PK, Narhı TO, Lassıla LV. The effect of staining and vacuum sintering on optical and mechanical properties of partially and fully stabilized monolithic zirconia. Dent Mater J 2015;34:605-10.
  • Nakamura K, Harada A, İnagaki R, Kanno T, Niwano Y, Milleding P, et al. Fracture resistance of monolithic zirconia molar crowns with reduced thickness. Acta Odontol Scand 2015;73:602-8.
  • Sola-Luiz F, Baixauli-López M, Roig-Vanaclocha A, Amengual-Lorenzo J, Agustın-Panadero R. Prospective study of monolithic zirconia crowns: Clinical behavior and survival rate at a 5-year follow-up. J Prosthodont Res 2021;65:284-90.
  • Abhay SS, Ganapathy D, Veeraiyan DN, Ariga P, Heboyan A, Amornvit P, et al. Wear resistance, color stability and displacement resistance of milled peek crowns compared to zirconia crowns under stimulated chewing and high-performance aging. Polymers (Basel) 2021;13:3761-73.
  • Hjerppe J. The influence of certain processing factors on the durability of yttrium stabilized Zirconia used as dental biomaterial [tez]. Turku, Turun Yliopisto University of Turku; 2010.
  • Turp V, Tuncelli B, Sen D, Goller G. Evaluation of hardness and fracture toughness, coupled with microstructural analysis, of zirconia ceramics stored in environments with different pH values. Dent Mater J 2012;31:891-902.
  • Egilmez F, Ergun G, Cekıc-Nagas I, Vallittu PK, Lassila LV. Factors affecting the mechanical behavior of Y-TZP. Journal of the Mechanical Behavior of Biomed Mater 2014; 37:78-87.
  • Xie H, Shen S, Qian M, Zhang F, Chen C, Tay RT. Effects of acid treatment on dental zirconia: an in vitro study. PLoS One 2015;10:e0136263.
  • Elraggal A, Afıfı RR, Alamoush RA, Raheem IA, Watts DC. Effect of acidic media on flexural strength and fatigue of CAD-CAM dental materials. Dent Mater 2023;39:57-69.
  • Elashmawy Y, Elashmawy W, Seddik M, Aboushelib M. Influence of fatigue loading on fracture resistance of endodontically treated teeth restored with endocrowns. J Prost Res 2021;65:78-85.
  • Atsü SS, Aksan E, Bulut AC. Fracture Resistance of Titanium, Zirconia, and Ceramic-Reinforced Polyetheretherketone Implant Abutments Supporting CAD/CAM Monolithic Lithium Disilicate Ceramic Crowns After Aging. Int J Oral Maxillofac Implants 2019;34:622-30.
  • Liebermann A, Wimmer T, Schmidlin PR, Scherer H, Löffer P, Roos M, et al. Physicomechanical characterization of polyetheretherketone and current esthetic dental CAD/CAM polymers after aging in different storage media. J Prosthet Dent 2016;115:321-28.
  • Prechtel A, Stawarczyk B,Hickel R, Edelhoff D, Reymus M. Fracture load of 3D printed PEEK inlays compared with milled ones, direct resin composite fillings, and sound teeth. Clin Oral Investig 2020;24:3457-66.
Toplam 30 adet kaynakça vardır.

Ayrıntılar

Birincil Dil İngilizce
Konular Diş Malzemeleri ve Ekipmanı
Bölüm Araştırma Makalesi
Yazarlar

Emine Hülya Demir Sevinç 0000-0002-4417-6994

Elif Didem Demirdağ 0000-0002-9697-0487

Aykut Gönder 0000-0002-1813-9786

Burak Gökdeniz 0000-0002-8640-7260

Mehmet Ali Kılıçarslan 0000-0002-8619-957X

Yayımlanma Tarihi 20 Mayıs 2024
Gönderilme Tarihi 6 Ağustos 2023
Yayımlandığı Sayı Yıl 2024 Cilt: 13 Sayı: 2

Kaynak Göster

Vancouver Demir Sevinç EH, Demirdağ ED, Gönder A, Gökdeniz B, Kılıçarslan MA. The Effects of Different Beverages on Fracture Resistance of CAD/CAM Monolithic PEEK and Monolithic Zirconia Crowns. ADO Klinik Bilimler Dergisi. 2024;13(2):320-7.