Skip to main content
Top
Published in: Clinical Oral Investigations 2/2019

01-02-2019 | Original Article

PEKK-made indirect temporary crowns and bridges: a clinical pilot study

Authors: T. Klur, Istabrak Hasan, K. Ottersbach, H. Stark, M. Fichte, C. Dirk, C. Bourauel

Published in: Clinical Oral Investigations | Issue 2/2019

Login to get access

Abstract

Objectives

The aim of the present study was to find out whether the high-performance polymer PEKK is an equivalent alternative compared to cobalt chrome (CoCr)-made restorations, regarding to biocompatibility, stability, and comfort.

Materials and methods

Twenty-two patients (m, 10; f, 12) who were indicated for a long-term temporary-fixed restoration were included. They were randomized through a lottery procedure into two groups: the first group was restored with veneered PEKK-made crowns and bridges (Pekkton ivory), while the second group was restored with veneered CoCr crowns. Clinical parameters (plaque index (PI), probing depth (PD), fracture, and chipping) were documented in a period of 3–5 months from the insertion of restoration. Furthermore, every patient completed the OHIP-14 questionnaire. An exchange of the restorations from the first to the alternative material was performed after a period of 3–5 months.

Results

All patients showed an improvement of the oral hygiene and probing depth after insertion of the temporary restorations. However, there were no significant differences between PEKK and CoCr-made restorations (P > 0.05). There was no chipping after 5 months for both kinds of materials. There was a noticeable reduction of pain and discomfort of patients after insertion of temporary restorations. However, there were no significant differences between the two materials (P > 0.05).

Conclusions

PEKK-made temporary restorations offer a good and stable alternative to CoCr-made restorations. They have a high aesthetical advantage over CoCr restoration.

Clinical relevance

Esthetic and price-efficient temporary crowns can be offered for the patient during periodontal therapy to improve its success, in particular by improving the oral hygiene.
Literature
1.
go back to reference Wang A, Lin R, Stark C, Dumbleton J (1999) Suitability and limitations of carbon fiber reinforced PEEK composites as bearing surfaces for total joint replacements. Wear 225:724–727CrossRef Wang A, Lin R, Stark C, Dumbleton J (1999) Suitability and limitations of carbon fiber reinforced PEEK composites as bearing surfaces for total joint replacements. Wear 225:724–727CrossRef
2.
go back to reference Kurtz SM, Devine JN (2017) PEEK biomaterials in trauma, orthopedic, and spinal implants. Biomaterials 28:4845–4869CrossRef Kurtz SM, Devine JN (2017) PEEK biomaterials in trauma, orthopedic, and spinal implants. Biomaterials 28:4845–4869CrossRef
3.
go back to reference Brown T, Bao QB, Kilpela T, Songer M (2010) An in vitro biotribological assessment of NUBAC, a polyetheretherketone-on-polyetheretherketone articulating nucleus replacement device: methodology and results from a series of wear tests using different motion profiles, test frequencies, and environmental conditions. Spine 35:E774–E781CrossRef Brown T, Bao QB, Kilpela T, Songer M (2010) An in vitro biotribological assessment of NUBAC, a polyetheretherketone-on-polyetheretherketone articulating nucleus replacement device: methodology and results from a series of wear tests using different motion profiles, test frequencies, and environmental conditions. Spine 35:E774–E781CrossRef
4.
go back to reference Schwitalla AD, Zimmermann T, Spintig T, Kallage I, Müller WD (2017) Fatigue limits of different PEEK materials for dental implants. J Mech Behav Biomed Mater 69:263–168CrossRef Schwitalla AD, Zimmermann T, Spintig T, Kallage I, Müller WD (2017) Fatigue limits of different PEEK materials for dental implants. J Mech Behav Biomed Mater 69:263–168CrossRef
5.
go back to reference Alsadon OPS, Ood D, Patrick D (2015) Evaluation of the optical properties of PEKK based restorations. IADR/AADR/CADR General Session & Exhibition. T. U. o. Sheffield. Boston, Massachusetts, USA, At Boston, Massachusetts, USA Alsadon OPS, Ood D, Patrick D (2015) Evaluation of the optical properties of PEKK based restorations. IADR/AADR/CADR General Session & Exhibition. T. U. o. Sheffield. Boston, Massachusetts, USA, At Boston, Massachusetts, USA
6.
go back to reference Fuhrmann G, Steiner M, Freitag-Wolf S, Kern M (2014) Resin bonding to three types of polyaryletherketones (PAEKs)—durability and influence of surface conditioning. Dent Mater 30:357–363CrossRef Fuhrmann G, Steiner M, Freitag-Wolf S, Kern M (2014) Resin bonding to three types of polyaryletherketones (PAEKs)—durability and influence of surface conditioning. Dent Mater 30:357–363CrossRef
7.
go back to reference Keilig L, Stark H, Bourauel C (2016) Does the material stiffness of novel high-performance polymers for fixed partial dentures influence their biomechanical behavior? Int J Prosthodont 30:595–597CrossRef Keilig L, Stark H, Bourauel C (2016) Does the material stiffness of novel high-performance polymers for fixed partial dentures influence their biomechanical behavior? Int J Prosthodont 30:595–597CrossRef
8.
go back to reference Bae SY, Park JY, Jeong ID, Kim HY, Kim JH, Kim WC (2017) Three-dimensional analysis of marginal and internal fit of copings fabricated with polyetherketoneketone (PEKK) and zirconia. J Prosthodont Res 61:106–112CrossRef Bae SY, Park JY, Jeong ID, Kim HY, Kim JH, Kim WC (2017) Three-dimensional analysis of marginal and internal fit of copings fabricated with polyetherketoneketone (PEKK) and zirconia. J Prosthodont Res 61:106–112CrossRef
9.
go back to reference Najeeb S, Zafar MS, Khurshid Z, Siddiqui F (2016) Applications of polyetheretherketone (PEEK) in oral implantology and prosthodontics. J Prosthodont Res 60:12–19CrossRef Najeeb S, Zafar MS, Khurshid Z, Siddiqui F (2016) Applications of polyetheretherketone (PEEK) in oral implantology and prosthodontics. J Prosthodont Res 60:12–19CrossRef
10.
go back to reference Stawarczyk B, Beuer F, Wimmer T, Jahn D, Sener B, Roos M, Schmidlin PR (2013) Polyetheretherketone: a suitable material for fixed dental prostheses? J Biomed Mater Res B Appl Biomater 101:1209–1216CrossRef Stawarczyk B, Beuer F, Wimmer T, Jahn D, Sener B, Roos M, Schmidlin PR (2013) Polyetheretherketone: a suitable material for fixed dental prostheses? J Biomed Mater Res B Appl Biomater 101:1209–1216CrossRef
11.
go back to reference Schmidlin PR, Stawarczyk B, Wieland M, Attin T, Hämmerle CH, Fischer J (2010) Effect of different surface pre-treatments and luting materials on shear bond strength to PEEK. Dent Mater 26:553–559CrossRef Schmidlin PR, Stawarczyk B, Wieland M, Attin T, Hämmerle CH, Fischer J (2010) Effect of different surface pre-treatments and luting materials on shear bond strength to PEEK. Dent Mater 26:553–559CrossRef
12.
go back to reference Uhrenbacher J, Schmidlin PR, Keul C, Eichberger M, Roos M, Gernet W, Stawarczyk B (2014) The effect of surface modification on the retention strength of polyetheretherketone crowns adhesively bonded to dentin abutments. J Prosthet Dent 112:1489–1497CrossRef Uhrenbacher J, Schmidlin PR, Keul C, Eichberger M, Roos M, Gernet W, Stawarczyk B (2014) The effect of surface modification on the retention strength of polyetheretherketone crowns adhesively bonded to dentin abutments. J Prosthet Dent 112:1489–1497CrossRef
Metadata
Title
PEKK-made indirect temporary crowns and bridges: a clinical pilot study
Authors
T. Klur
Istabrak Hasan
K. Ottersbach
H. Stark
M. Fichte
C. Dirk
C. Bourauel
Publication date
01-02-2019
Publisher
Springer Berlin Heidelberg
Published in
Clinical Oral Investigations / Issue 2/2019
Print ISSN: 1432-6981
Electronic ISSN: 1436-3771
DOI
https://doi.org/10.1007/s00784-018-2493-z

Other articles of this Issue 2/2019

Clinical Oral Investigations 2/2019 Go to the issue