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Published in: Clinical Oral Investigations 5/2019

01-05-2019 | Original Article

Retentive force of PEEK secondary crowns on zirconia primary crowns over time

Authors: Oliver Schubert, Josef Reitmaier, Josef Schweiger, Kurt Erdelt, Jan-Frederik Güth

Published in: Clinical Oral Investigations | Issue 5/2019

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Abstract

Objectives

The purpose of the present study was to evaluate the retentive forces of CAD/CAM-fabricated polyetheretherketone (PEEK) secondary crowns on zirconia primary crowns over an artificial aging period representing 10 years of clinical service and compare them to electroformed secondary crowns made from pure gold.

Material and methods

Implant-supported zirconia primary crowns (N = 20) were CAD/CAM milled and provided either with electroformed secondary crowns (group ZE; N = 10) or CAD/CAM-fabricated PEEK secondary crowns (group ZP; N = 10). All secondary crowns were attached to a casted tertiary structure to ensure adequate stability. A universal testing machine was used to determine the retentive force values at baseline and after 1, 3, 5, and 10 years of simulated aging in the presence of artificial saliva. Data were analyzed applying Kolmogorov-Smirnov, Kruskal-Wallis, and Mann-Whitney U test. Level of significance was set at p < 0.05.

Results

Retentive forces were not different for the groups ZE and ZP at baseline (median ZE 2.85 N; ZP 2.8 N; p ≤ 0.218). Because retentive force values changed significantly over simulation time for group ZE (Kruskal-Wallis; p ≤ 0.028), the values between the test groups ZE and ZP differed significantly (Mann-Whitney U) at 5 years (ZE 3.03 N; ZP 2.76 N; p ≤ 0.003) and 10 years (ZE 3.1 N; ZP 2.78 N; p ≤ 0.011).

Conclusions

PEEK secondary crowns exhibit stable retentive force values over 10 years of simulated aging showing no signs of deterioration while the retentive force values of electroformed secondary crowns increase over time.

Clinical relevance

PEEK might be a suitable alternative to proven metallic materials for the fabrication of secondary crowns.
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Metadata
Title
Retentive force of PEEK secondary crowns on zirconia primary crowns over time
Authors
Oliver Schubert
Josef Reitmaier
Josef Schweiger
Kurt Erdelt
Jan-Frederik Güth
Publication date
01-05-2019
Publisher
Springer Berlin Heidelberg
Published in
Clinical Oral Investigations / Issue 5/2019
Print ISSN: 1432-6981
Electronic ISSN: 1436-3771
DOI
https://doi.org/10.1007/s00784-018-2657-x

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