Clinical performance of custom‐milled polyetherketoneketone (PEKK) posts and cores: A 12‐month follow‐up randomized controlled pilot study

Abstract Objectives Comparing the survival rate and the cumulative success rates of custom‐milled polyetherketone ketone posts and cores (MPP) with prefabricated fiber posts (PFP) in restoring compromised endodontically treated premolars. Material and Methods This was a randomized, double‐blind, par...

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Main Authors: Naif Ghanem, Hasan Ali, Nasser Bahrli, Hazem Hassan
Format: Article
Language:English
Published: Wiley 2024-04-01
Series:Clinical and Experimental Dental Research
Subjects:
Online Access:https://doi.org/10.1002/cre2.854
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author Naif Ghanem
Hasan Ali
Nasser Bahrli
Hazem Hassan
author_facet Naif Ghanem
Hasan Ali
Nasser Bahrli
Hazem Hassan
author_sort Naif Ghanem
collection DOAJ
description Abstract Objectives Comparing the survival rate and the cumulative success rates of custom‐milled polyetherketone ketone posts and cores (MPP) with prefabricated fiber posts (PFP) in restoring compromised endodontically treated premolars. Material and Methods This was a randomized, double‐blind, parallel, two‐arm controlled pilot study. A total of 24 patients (12 males, 12 females), each had a compromised lower premolar, needed a root canal treatment and to be restored with post and core. Patients were randomly allocated into two groups, MPP‐group: restored with MPP, and PFP‐group: restored with PFP and composite cores. After that, premolars were restored with single porcelain fused to metal (PFM) crowns. Clinical and radiographic follow‐ups were conducted after 3, 6, and 12 months. The Kaplan–Meier, log‐Rank, and χ2 tests were used to investigate differences between the two groups at the 0.05 significance level. Results The survival rate after 12 months in the MPP and PFP groups was 66.7% and 100%, respectively. Meanwhile, the cumulative success rates were 63.6% and 100% in the same order. The log‐rank test showed a significant difference between the two groups (p = .031). The difference in cumulative success rates was also significant, as the χ2 test revealed (p = .011). Conclusion The PFP group showed a higher success rate than the MPP group and according to the failure types, PEKK posts seem to be inferior to PFP in terms of the mechanical properties and bonding to resin mechanism. Trial registration: ISRCTN, ISRCTN13456471. October, 14, 2019. (https://doi.org/10.1186/ISRCTN13456471ISRCTN13456471).
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spelling doaj.art-bfac437ee8a846c39327be3c2eeac3562024-04-16T09:42:17ZengWileyClinical and Experimental Dental Research2057-43472024-04-01102n/an/a10.1002/cre2.854Clinical performance of custom‐milled polyetherketoneketone (PEKK) posts and cores: A 12‐month follow‐up randomized controlled pilot studyNaif Ghanem0Hasan Ali1Nasser Bahrli2Hazem Hassan3Department of Fixed Prosthodontics, Faculty of Dentistry Tishreen University Latakia SyriaDepartment of Pediatric Dentistry, Faculty of Dentistry Tishreen University Latakia SyriaDepartment of Fixed Prosthodontics, Faculty of Dentistry Tishreen University Latakia SyriaDepartment of Orthodontics, Faculty of Dentistry Tishreen University Latakia SyriaAbstract Objectives Comparing the survival rate and the cumulative success rates of custom‐milled polyetherketone ketone posts and cores (MPP) with prefabricated fiber posts (PFP) in restoring compromised endodontically treated premolars. Material and Methods This was a randomized, double‐blind, parallel, two‐arm controlled pilot study. A total of 24 patients (12 males, 12 females), each had a compromised lower premolar, needed a root canal treatment and to be restored with post and core. Patients were randomly allocated into two groups, MPP‐group: restored with MPP, and PFP‐group: restored with PFP and composite cores. After that, premolars were restored with single porcelain fused to metal (PFM) crowns. Clinical and radiographic follow‐ups were conducted after 3, 6, and 12 months. The Kaplan–Meier, log‐Rank, and χ2 tests were used to investigate differences between the two groups at the 0.05 significance level. Results The survival rate after 12 months in the MPP and PFP groups was 66.7% and 100%, respectively. Meanwhile, the cumulative success rates were 63.6% and 100% in the same order. The log‐rank test showed a significant difference between the two groups (p = .031). The difference in cumulative success rates was also significant, as the χ2 test revealed (p = .011). Conclusion The PFP group showed a higher success rate than the MPP group and according to the failure types, PEKK posts seem to be inferior to PFP in terms of the mechanical properties and bonding to resin mechanism. Trial registration: ISRCTN, ISRCTN13456471. October, 14, 2019. (https://doi.org/10.1186/ISRCTN13456471ISRCTN13456471).https://doi.org/10.1002/cre2.854custom‐milled post and corepolyetherketone ketoneprefabricated fiber postssurvival rate
spellingShingle Naif Ghanem
Hasan Ali
Nasser Bahrli
Hazem Hassan
Clinical performance of custom‐milled polyetherketoneketone (PEKK) posts and cores: A 12‐month follow‐up randomized controlled pilot study
Clinical and Experimental Dental Research
custom‐milled post and core
polyetherketone ketone
prefabricated fiber posts
survival rate
title Clinical performance of custom‐milled polyetherketoneketone (PEKK) posts and cores: A 12‐month follow‐up randomized controlled pilot study
title_full Clinical performance of custom‐milled polyetherketoneketone (PEKK) posts and cores: A 12‐month follow‐up randomized controlled pilot study
title_fullStr Clinical performance of custom‐milled polyetherketoneketone (PEKK) posts and cores: A 12‐month follow‐up randomized controlled pilot study
title_full_unstemmed Clinical performance of custom‐milled polyetherketoneketone (PEKK) posts and cores: A 12‐month follow‐up randomized controlled pilot study
title_short Clinical performance of custom‐milled polyetherketoneketone (PEKK) posts and cores: A 12‐month follow‐up randomized controlled pilot study
title_sort clinical performance of custom milled polyetherketoneketone pekk posts and cores a 12 month follow up randomized controlled pilot study
topic custom‐milled post and core
polyetherketone ketone
prefabricated fiber posts
survival rate
url https://doi.org/10.1002/cre2.854
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AT nasserbahrli clinicalperformanceofcustommilledpolyetherketoneketonepekkpostsandcoresa12monthfollowuprandomizedcontrolledpilotstudy
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