Wear Resistance, Color Stability and Displacement Resistance of Milled PEEK Crowns Compared to Zirconia Crowns under Stimulated Chewing and High-Performance Aging

Recently, polyetheretherketone (PEEK) has been introduced to the dental market as a high-performance and chemically inert biomaterial. This study aimed to compare the wear resistance, abrasiveness, color stability, and displacement resistance of zirconia and PEEK milled crowns. An ideal tooth prepar...

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Main Authors: Simone Shah Abhay, Dhanraj Ganapathy, Deepak Nallaswamy Veeraiyan, Padma Ariga, Artak Heboyan, Pokpong Amornvit, Dinesh Rokaya, Viritpon Srimaneepong
Format: Article
Language:English
Published: MDPI AG 2021-10-01
Series:Polymers
Subjects:
Online Access:https://www.mdpi.com/2073-4360/13/21/3761
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author Simone Shah Abhay
Dhanraj Ganapathy
Deepak Nallaswamy Veeraiyan
Padma Ariga
Artak Heboyan
Pokpong Amornvit
Dinesh Rokaya
Viritpon Srimaneepong
author_facet Simone Shah Abhay
Dhanraj Ganapathy
Deepak Nallaswamy Veeraiyan
Padma Ariga
Artak Heboyan
Pokpong Amornvit
Dinesh Rokaya
Viritpon Srimaneepong
author_sort Simone Shah Abhay
collection DOAJ
description Recently, polyetheretherketone (PEEK) has been introduced to the dental market as a high-performance and chemically inert biomaterial. This study aimed to compare the wear resistance, abrasiveness, color stability, and displacement resistance of zirconia and PEEK milled crowns. An ideal tooth preparation of a first maxillary molar was done and scanned by an intraoral scanner to make a digital model. Then, the prosthetic crown was digitally designed on the CAD software, and the STL file was milled in zirconia (CaroZiir S, Carol Zircolite Pvt. Ltd., Gujarat, India) and PEEK (BioHpp, Bredent GmbH, Senden, Germany) crowns using five-axis CNC milling machines. The wear resistance, color stability, and displacement resistance of the milled monolithic zirconia with unfilled PEEK crowns using a chewing simulator with thermocyclic aging (120,000 cycles) were compared. The antagonist wear, material wear, color stability, and displacement were evaluated and compared among the groups using the Wilcoxon–Mann–Whitney U-test. Zirconia was shown to be three times more abrasive than PEEK (<i>p</i> value < 0.05). Zirconia had twice the wear resistance of PEEK (<i>p</i> value < 0.05). Zirconia was more color stable than PEEK (<i>p</i> value < 0.05). PEEK had more displacement resistance than zirconia (<i>p</i> value < 0.05). PEEK offers minimal abrasion, better stress modulation through plastic deformation, and good color stability, which make it a promising alternative to zirconia crown.
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spelling doaj.art-8e487025251c437dbe0f169ddebafeec2023-11-22T21:28:20ZengMDPI AGPolymers2073-43602021-10-011321376110.3390/polym13213761Wear Resistance, Color Stability and Displacement Resistance of Milled PEEK Crowns Compared to Zirconia Crowns under Stimulated Chewing and High-Performance AgingSimone Shah Abhay0Dhanraj Ganapathy1Deepak Nallaswamy Veeraiyan2Padma Ariga3Artak Heboyan4Pokpong Amornvit5Dinesh Rokaya6Viritpon Srimaneepong7Department of Prosthodontics, Saveetha Dental College and Hospital, Saveetha Institute of Medical and Technical Sciences, Chennai 600077, IndiaDepartment of Prosthodontics, Saveetha Dental College and Hospital, Saveetha Institute of Medical and Technical Sciences, Chennai 600077, IndiaDepartment of Prosthodontics, Saveetha Dental College and Hospital, Saveetha Institute of Medical and Technical Sciences, Chennai 600077, IndiaDepartment of Prosthodontics, Saveetha Dental College and Hospital, Saveetha Institute of Medical and Technical Sciences, Chennai 600077, IndiaDepartment of Prosthodontics, Saveetha Dental College and Hospital, Saveetha Institute of Medical and Technical Sciences, Chennai 600077, IndiaGolden Jubilee Medical Centre, Mahidol University, Nakon Pathom, Salaya 73170, ThailandDepartment of Clinical Dentistry, International College of Dentistry, Walailak University, Bangkok 10400, ThailandDepartment of Prosthodontics, Faculty of Dentistry, Chulalongkorn University, Bangkok 10330, ThailandRecently, polyetheretherketone (PEEK) has been introduced to the dental market as a high-performance and chemically inert biomaterial. This study aimed to compare the wear resistance, abrasiveness, color stability, and displacement resistance of zirconia and PEEK milled crowns. An ideal tooth preparation of a first maxillary molar was done and scanned by an intraoral scanner to make a digital model. Then, the prosthetic crown was digitally designed on the CAD software, and the STL file was milled in zirconia (CaroZiir S, Carol Zircolite Pvt. Ltd., Gujarat, India) and PEEK (BioHpp, Bredent GmbH, Senden, Germany) crowns using five-axis CNC milling machines. The wear resistance, color stability, and displacement resistance of the milled monolithic zirconia with unfilled PEEK crowns using a chewing simulator with thermocyclic aging (120,000 cycles) were compared. The antagonist wear, material wear, color stability, and displacement were evaluated and compared among the groups using the Wilcoxon–Mann–Whitney U-test. Zirconia was shown to be three times more abrasive than PEEK (<i>p</i> value < 0.05). Zirconia had twice the wear resistance of PEEK (<i>p</i> value < 0.05). Zirconia was more color stable than PEEK (<i>p</i> value < 0.05). PEEK had more displacement resistance than zirconia (<i>p</i> value < 0.05). PEEK offers minimal abrasion, better stress modulation through plastic deformation, and good color stability, which make it a promising alternative to zirconia crown.https://www.mdpi.com/2073-4360/13/21/3761PEEKzirconiacrownsbiomaterialsbiodegradationCAD/CAM
spellingShingle Simone Shah Abhay
Dhanraj Ganapathy
Deepak Nallaswamy Veeraiyan
Padma Ariga
Artak Heboyan
Pokpong Amornvit
Dinesh Rokaya
Viritpon Srimaneepong
Wear Resistance, Color Stability and Displacement Resistance of Milled PEEK Crowns Compared to Zirconia Crowns under Stimulated Chewing and High-Performance Aging
Polymers
PEEK
zirconia
crowns
biomaterials
biodegradation
CAD/CAM
title Wear Resistance, Color Stability and Displacement Resistance of Milled PEEK Crowns Compared to Zirconia Crowns under Stimulated Chewing and High-Performance Aging
title_full Wear Resistance, Color Stability and Displacement Resistance of Milled PEEK Crowns Compared to Zirconia Crowns under Stimulated Chewing and High-Performance Aging
title_fullStr Wear Resistance, Color Stability and Displacement Resistance of Milled PEEK Crowns Compared to Zirconia Crowns under Stimulated Chewing and High-Performance Aging
title_full_unstemmed Wear Resistance, Color Stability and Displacement Resistance of Milled PEEK Crowns Compared to Zirconia Crowns under Stimulated Chewing and High-Performance Aging
title_short Wear Resistance, Color Stability and Displacement Resistance of Milled PEEK Crowns Compared to Zirconia Crowns under Stimulated Chewing and High-Performance Aging
title_sort wear resistance color stability and displacement resistance of milled peek crowns compared to zirconia crowns under stimulated chewing and high performance aging
topic PEEK
zirconia
crowns
biomaterials
biodegradation
CAD/CAM
url https://www.mdpi.com/2073-4360/13/21/3761
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