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      Evaluation of the Bond Strength of Polyetherketoneketone to Dental Ceramic

      research-article
      a , b
      The Journal of Adhesive Dentistry
      Quintessence Publishing Co Inc.
      PEKK, ceramic, surface roughness, shear bond strength.

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          Abstract

          Purpose:

          To evaluate the efficacy of different surface treatments on the bond strength of polyetherketoneketone (PEKK) to ceramic materials.

          Materials and Methods:

          PEKK test specimens were separated into four groups according to surface treatments (group S: sandblasting; group A: acid etching; group SA: sandblasting + acid etching; group C: control). Surface roughness values of PEKK specimens were measured before and after surface treatment. After the prepared PEKK specimens were bonded to lithium-disilicate glass-ceramic specimens with resin cement, they were kept in distilled water at 37°C for 24 h. Half of the specimens in each surface treatment group were thermocycled. All test specimens underwent shear bond strength testing. Failure modes were assessed using light microscopy and SEM.

          Results:

          Statistical analysis demonstrated that surface treatments created significant roughness on the PEKK surfaces (p = 0.005). While group S showed the highest roughness values, group A showed the lowest. Of the thermocycled test groups, the sandblasting + acid etching group obtained the highest shear bond strengths. Among the non-thermocycled test groups, the sandblasting surface treatment group achieved the highest shear bond strengths.

          Conclusions:

          The application of surface treatments to enhance the bond strength of PEKK to ceramics has proven to be effective.

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          Most cited references55

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          Clinical trials with crystal growth conditioning as an alternative to acid-etch enamel pretreatment.

          It has been claimed that different ion solutions containing sulfate induce crystal growth and might be a better alternative than conventional acid etching for enamel pretreatment in bracket bonding. It should thus combine optimal bond strength with easy and quick debonding. Two clinical experiments were performed to test this hypothesis. The first experiment dealt with the debonding procedure. Following conditioning with dilute sulfuric acid which contained sodium sulfate (to be termed solution A) on one side of the mouth and etching with 37% phosphoric acid on the other, brackets were bonded on the maxillary and mandibular incisors of twenty dental nurse students. Debracketing and a subsequent cleanup procedure were performed after 2 days. The mode of loosening was mainly between the enamel surface and adhesive on the crystal-growth-conditioned teeth and between the bracket mesh and adhesive on the teeth etched with phosphoric acid. This difference in mode of loosening was statistically significant (P less than 0.001). In the second experiment, which dealt with the clinical bond strength, 250 brackets were bonded in forty patients. One side served as a control and was conventionally acid etched. On the experimental side conditioning was done with solution A in thirty patients. In ten patients, 10% phosphoric acid was added to the dilute sulfuric acid used (to be termed solution B). Failure rates and modes of failure were recorded for a 6-month period.(ABSTRACT TRUNCATED AT 250 WORDS)
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            CAD/CAM Ceramic Restorative Materials for Natural Teeth

            Advances in computer-aided design (CAD) / computer-aided manufacturing (CAM) technologies and their ease of application enabled the development of novel treatment concepts for modern prosthodontics. This recent paradigm shift in fixed prosthodontics from traditional to minimally invasive treatment approaches is evidenced by the clinical long-term success of bonded CAD/CAM glass-ceramic restorations. Today, defect-oriented restorations, such as inlays, onlays, and posterior crowns, are predominately fabricated from glass-ceramics in monolithic application. The variety of CAD/CAM ceramic restorative systems is constantly evolving to meet the increased demands for highly aesthetic, biocompatible, and long-lasting restorations. Recently introduced polymer-infiltrated ceramic network CAD/CAM blocks add innovative treatment options in CAD/CAM chairside 1-visit restorations. The material-specific high-edge stability enables the CAD/CAM machinability of thin restoration margins. Full-contour zirconia restorations are constantly gaining market share at the expense of bilayered systems. Advancements in material science and bonding protocols foster the development of novel material combinations or fabrication techniques of proven high-strength zirconia ceramics. CAD/CAM applications offer a standardized manufacturing process resulting in a reliable, predictable, and economic workflow for individual and complex teeth-supported restorations. More evidence from long-term clinical studies is needed to verify the clinical performance of monolithic polymer-infiltrated ceramic network and zirconia teeth-supported minimally invasive and extensive restorations.
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              Polyetheretherketone-a suitable material for fixed dental prostheses?

              To study the surface properties of polyetheretherketone (PEEK) and its bond strength with two veneering resins after different conditioning methods as well as fracture load of PEEK three-unit fixed dental prostheses (FDPs).
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                Author and article information

                Journal
                J Adhes Dent
                J Adhes Dent
                JAD
                The Journal of Adhesive Dentistry
                Quintessence Publishing Co Inc.
                1461-5185
                1757-9988
                2022
                23 December 2022
                : 24
                : b3710327
                Affiliations
                [a ] Research Assistant, Department of Prosthodontics, Faculty of Dentistry, Gazi University, Ankara, Turkey. Idea, hypothesis, performed experiments, wrote manuscript.
                [b ] Professor, Department of Prosthodontics, Faculty of Dentistry, Gazi University, Ankara, Turkey. Experimental design, proofread the manuscript, contributed substantially to discussion.
                Author notes
                [*] Correspondence: Dr. Bahar Tekli, Department of Prosthodontics, Faculty of Dentistry, Gazi University Bişkek Street 4, Emek, Çankaya/Ankara, Turkey 06490. Tel: +90-536-676-1289; e-mail: dtbahartekli@ 123456gmail.com
                Article
                3290
                10.3290/j.jad.b3710327
                11734265
                36562250
                01c70504-2062-40f5-88ae-cfa1e82c8bdf
                © 2022 by Quintessence Publishing Co Inc.

                This work is licensed under the Creative Commons Attribution 4.0 International License. To view a copy of this license, visit http://creativecommons.org/licenses/by/4.0/ or send a letter to Creative Commons, PO Box 1866, Mountain View, CA 94042, USA.

                History
                : 17 September 2021
                : 07 December 2022
                Funding
                Funded by: Gazi University Scientific Research Projects Coordination Unit, 03/2020-07;
                This study was supported by Gazi University Scientific Research Projects Coordination Unit under grant number 03/2020-07.
                Categories
                Adhesive Dentistry

                pekk,ceramic,surface roughness,shear bond strength.
                pekk, ceramic, surface roughness, shear bond strength.

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