In Vitro Assessment of the Cell Metabolic Activity, Cytotoxicity, Cell Attachment, and Inflammatory Reaction of Human Oral Fibroblasts on Polyetheretherketone (PEEK) Implant–Abutment

The purpose of this research is to compare the cytotoxicity of polyetheretherketone (PEEK) and polyetherketoneketone (PEKK) with conventional dental implant–abutment materials, namely titanium alloy (Ti-6Al-4V) and yttria-stabilized tetragonal zirconia polycrystal (Y-TZP), to evaluate the cell metab...

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Main Authors: Tzu-Yu Peng, Yin-Hwa Shih, Shih-Min Hsia, Tong-Hong Wang, Po-Jung Li, Dan-Jae Lin, Kuo-Ting Sun, Kuo-Chou Chiu, Tzong-Ming Shieh
Format: Article
Language:English
Published: MDPI AG 2021-09-01
Series:Polymers
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Online Access:https://www.mdpi.com/2073-4360/13/17/2995
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author Tzu-Yu Peng
Yin-Hwa Shih
Shih-Min Hsia
Tong-Hong Wang
Po-Jung Li
Dan-Jae Lin
Kuo-Ting Sun
Kuo-Chou Chiu
Tzong-Ming Shieh
author_facet Tzu-Yu Peng
Yin-Hwa Shih
Shih-Min Hsia
Tong-Hong Wang
Po-Jung Li
Dan-Jae Lin
Kuo-Ting Sun
Kuo-Chou Chiu
Tzong-Ming Shieh
author_sort Tzu-Yu Peng
collection DOAJ
description The purpose of this research is to compare the cytotoxicity of polyetheretherketone (PEEK) and polyetherketoneketone (PEKK) with conventional dental implant–abutment materials, namely titanium alloy (Ti-6Al-4V) and yttria-stabilized tetragonal zirconia polycrystal (Y-TZP), to evaluate the cell metabolic activity, cytotoxicity, and inflammation potential of human oral fibroblasts (HOF) on these materials. Disk-shaped specimens were designed and prepared via a dental computer-aided manufacturing technology system. Surface topography, roughness, and free energy were investigated by atomic force microscope and contact angle analyzer; cell metabolic activity and cytotoxicity by MTT assay; and morphological changes by scanning electron microscopy (SEM). The effect of pro-inflammatory gene expression was evaluated by RT-qPCR. The obtained data were analyzed with one-way analysis of variance and post-hoc Tukey’s honest significant difference tests. PEEK and PEKK exhibited higher submicron surface roughness (0.04 μm) and hydrophobicity (>80°) than the control. Although the cell activity of PEEK was lower than that of Ti-6Al-4V and Y-TZP for the first 24 h (<i>p</i> < 0.05), after 48 h there was no difference (<i>p</i> > 0.05). According to the cell cytotoxicity and the pro-inflammatory cytokine gene expression assays, there was no difference between the materials (<i>p</i> > 0.05). SEM observations indicated that HOF adhered poorly to PEKK but properly to Ti-6Al-4V, Y-TZP, and PEEK. PEEK and PEKK show comparable epithelial biological responses to Ti-6Al-4V and Y-TZP as implant–abutment materials. Between the two polymeric materials, the PEEK surface, where the HOF showed better cell metabolic activity and cytotoxicity, was a more promising implant–abutment material.
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spelling doaj.art-d400529ca1d3474582cba796315ee10c2023-11-22T11:06:29ZengMDPI AGPolymers2073-43602021-09-011317299510.3390/polym13172995In Vitro Assessment of the Cell Metabolic Activity, Cytotoxicity, Cell Attachment, and Inflammatory Reaction of Human Oral Fibroblasts on Polyetheretherketone (PEEK) Implant–AbutmentTzu-Yu Peng0Yin-Hwa Shih1Shih-Min Hsia2Tong-Hong Wang3Po-Jung Li4Dan-Jae Lin5Kuo-Ting Sun6Kuo-Chou Chiu7Tzong-Ming Shieh8School of Dentistry, College of Dentistry, China Medical University, Taichung 40402, TaiwanDepartment of Healthcare Administration, College of Medical and Health Science, Asia University, Taichung 41354, TaiwanSchool of Nutrition and Health Sciences, Taipei Medical University, Taipei 11031, TaiwanTissue Bank, Chang Gung Memorial Hospital, Taoyuan 33305, TaiwanSchool of Dentistry, College of Dentistry, China Medical University, Taichung 40402, TaiwanSchool of Dentistry, College of Dentistry, China Medical University, Taichung 40402, TaiwanSchool of Dentistry, College of Dentistry, China Medical University, Taichung 40402, TaiwanDivision of Oral Diagnosis and Family Dentistry, Tri-Service General Hospital, National Defense Medical Center, Taipei 11490, TaiwanSchool of Dentistry, College of Dentistry, China Medical University, Taichung 40402, TaiwanThe purpose of this research is to compare the cytotoxicity of polyetheretherketone (PEEK) and polyetherketoneketone (PEKK) with conventional dental implant–abutment materials, namely titanium alloy (Ti-6Al-4V) and yttria-stabilized tetragonal zirconia polycrystal (Y-TZP), to evaluate the cell metabolic activity, cytotoxicity, and inflammation potential of human oral fibroblasts (HOF) on these materials. Disk-shaped specimens were designed and prepared via a dental computer-aided manufacturing technology system. Surface topography, roughness, and free energy were investigated by atomic force microscope and contact angle analyzer; cell metabolic activity and cytotoxicity by MTT assay; and morphological changes by scanning electron microscopy (SEM). The effect of pro-inflammatory gene expression was evaluated by RT-qPCR. The obtained data were analyzed with one-way analysis of variance and post-hoc Tukey’s honest significant difference tests. PEEK and PEKK exhibited higher submicron surface roughness (0.04 μm) and hydrophobicity (>80°) than the control. Although the cell activity of PEEK was lower than that of Ti-6Al-4V and Y-TZP for the first 24 h (<i>p</i> < 0.05), after 48 h there was no difference (<i>p</i> > 0.05). According to the cell cytotoxicity and the pro-inflammatory cytokine gene expression assays, there was no difference between the materials (<i>p</i> > 0.05). SEM observations indicated that HOF adhered poorly to PEKK but properly to Ti-6Al-4V, Y-TZP, and PEEK. PEEK and PEKK show comparable epithelial biological responses to Ti-6Al-4V and Y-TZP as implant–abutment materials. Between the two polymeric materials, the PEEK surface, where the HOF showed better cell metabolic activity and cytotoxicity, was a more promising implant–abutment material.https://www.mdpi.com/2073-4360/13/17/2995polyaryletherketonepolyetheretherketonepolyetherketoneketoneCAD/CAMdigital dentistryimplant–abutment
spellingShingle Tzu-Yu Peng
Yin-Hwa Shih
Shih-Min Hsia
Tong-Hong Wang
Po-Jung Li
Dan-Jae Lin
Kuo-Ting Sun
Kuo-Chou Chiu
Tzong-Ming Shieh
In Vitro Assessment of the Cell Metabolic Activity, Cytotoxicity, Cell Attachment, and Inflammatory Reaction of Human Oral Fibroblasts on Polyetheretherketone (PEEK) Implant–Abutment
Polymers
polyaryletherketone
polyetheretherketone
polyetherketoneketone
CAD/CAM
digital dentistry
implant–abutment
title In Vitro Assessment of the Cell Metabolic Activity, Cytotoxicity, Cell Attachment, and Inflammatory Reaction of Human Oral Fibroblasts on Polyetheretherketone (PEEK) Implant–Abutment
title_full In Vitro Assessment of the Cell Metabolic Activity, Cytotoxicity, Cell Attachment, and Inflammatory Reaction of Human Oral Fibroblasts on Polyetheretherketone (PEEK) Implant–Abutment
title_fullStr In Vitro Assessment of the Cell Metabolic Activity, Cytotoxicity, Cell Attachment, and Inflammatory Reaction of Human Oral Fibroblasts on Polyetheretherketone (PEEK) Implant–Abutment
title_full_unstemmed In Vitro Assessment of the Cell Metabolic Activity, Cytotoxicity, Cell Attachment, and Inflammatory Reaction of Human Oral Fibroblasts on Polyetheretherketone (PEEK) Implant–Abutment
title_short In Vitro Assessment of the Cell Metabolic Activity, Cytotoxicity, Cell Attachment, and Inflammatory Reaction of Human Oral Fibroblasts on Polyetheretherketone (PEEK) Implant–Abutment
title_sort in vitro assessment of the cell metabolic activity cytotoxicity cell attachment and inflammatory reaction of human oral fibroblasts on polyetheretherketone peek implant abutment
topic polyaryletherketone
polyetheretherketone
polyetherketoneketone
CAD/CAM
digital dentistry
implant–abutment
url https://www.mdpi.com/2073-4360/13/17/2995
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