An overview of applications of PEEK polymer in prosthodontics.


Main Article Content

Mohammed Cheruvu Ashraf
M Sujesh
C Ravikumar
A Rajanikanth
Chalapathi Rao Duggineni
K Sunitha

Abstract

The rapid evolution of computer-aided design and computer-aided manufacturing (CAD-CAM) led to the introduction of newer materials that could be precisely milled for the fabrication of dental prostheses. PEEK (PolyEtherEtherKetone) has been explored for a number of applications for clinical dentistry, including removable dental prostheses, fixed dental prostheses, implant-supported prostheses, resin-bonded fixed dental prostheses and implant-retained overdentures. The major beneficial property of PEEK is its lower Young's modulus, and as elastic as bone, providing a cushioning effect and reduction of stress transferred to abutment teeth. It is a material with high biocompatibility, good mechanical properties, high-temperature resistance, chemical stability, polishability, good wear resistance, and high bond strength with luting cements. Further, PEEK is also recommended for a wide range of CAD-CAM fabricated fixed and removable prostheses, fabrication of occlusal splints, intra-radicular posts, implant abutments and provisional restorations. PEEK material shows a property of radiolucency, which is advantageous for the evaluation of both osseointegration and tissue surrounding the implant on computed tomography. Considering these properties, PEEK is increasingly being used in implantology.

Article Details


How to Cite
Ashraf, M. C. ., Sujesh, M., Ravikumar, C., Rajanikanth, A., Duggineni, C. R., & Sunitha, K. (2022). An overview of applications of PEEK polymer in prosthodontics. International Journal of Dental Materials, 4(2), 42–45. https://doi.org/10.37983/IJDM.2022.4204
Author Biographies

Mohammed Cheruvu Ashraf, Mamata Dental College & Hospital

Postgraduate Student, Mamatha Dental College & Hospital, Giriprasad Nagar, Khammam, Telangana, India.

M Sujesh, Mamata Dental College & Hospital

Professor, Department of Prosthodontics, Mamata Dental College & Hospital, Khammam, Telangana, India.

C Ravikumar, Mamata Dental College & Hospital

Professor, Department of Prosthodontics, Mamata Dental College & Hospital, Khammam, Telangana, India.

A Rajanikanth, Mamata Dental College & Hospital

Professor, Department of Prosthodontics, Mamata Dental College & Hospital, Khammam, Telangana, India.

Chalapathi Rao Duggineni, Mamata Dental College & Hospital

Professor, Department of Prosthodontics, Mamata Dental College & Hospital, Khammam, Telangana, India.

K Sunitha, Mamata Dental College & Hospital

Reader, Department of Prosthodontics, Mamata Dental College & Hospital, Khammam, Telangana, India.

References

  1. Najeeb S, Zafar MS, Khurshid Z, Siddiqui F. Applications of polyetheretherketone (PEEK) in oral implantology and prosthodontics. J Prosthodont Res 2016;60:12-9. https://doi.org/10.1016/j.jpor.2015.10.001
  2. Toth JM, Wang M, Estes BT, Scifert JL, Seim III HB, Turner AS. Polyetheretherketone as a biomaterial for spinal applications. Biomater. 2006;27(3):324-34. https://doi.org/10.1016/j.biomaterials.2005.07.011
  3. Kurtz SM, Devine JN. PEEK biomaterials in trauma, orthopedic, and spinal implants. Biomater. 2007;28:4845-69. https://doi.org/10.1016/j.biomaterials.2007.07.013
  4. Rees JS, Jacobsen PH. The elastic moduli of enamel and dentine. Clin Mater. 1993;14(1):35-9. https://doi.org/10.1016/0267-6605(93)90045-9
  5. Skinner HB. Composite technology for total hip arthroplasty. Clin Orthop Relat Res. 1988 (235):224-36. https://doi.org/10.1097/00003086-198810000-00022
  6. Vaezi M, Yang S. A novel bioactive PEEK/HA composite with controlled 3D interconnected HA network. Int J Bioprinting. 2015 ;1(1): 66-76. https://doi.org/10.18063/IJB.2015.01.004
  7. Zoidis P, Papathanasiou I, Polyzois G. The Use of a modified poly ether ether ketone (PEEK) as an alternative framework material for removable dental prostheses. A clinical report. J Prosthet Dent 2015;25:580-84. https://doi.org/10.1111/jopr.12325
  8. Xin H, Shepherd DE, Dearn KD. Strength of poly-ether-ether-ketone: Effects of sterilisation and thermal ageing. Polymer Testing. 2013;32(6):1001-5. https://doi.org/10.1016/j.polymertesting.2013.05.012
  9. Sheiko N, Kékicheff P, Marie P, Schmutz M, Jacomine L, Perrin-Schmitt F. PEEK (polyether-ether-ketone)-coated nitinol wire: Film stability for biocompatibility applications. Appl Surf Sci. 2016;389:651-65. https://doi.org/10.1016/j.apsusc.2016.07.159
  10. Schwitalla A, Müller WD. PEEK dental implants: a review of the literature. J Oral Implantol. 2013;39(6):743-9. https://doi.org/10.1563/AAID-JOI-D-11-00002
  11. Garcia-Gonzalez D, Rusinek A, Jankowiak T, Arias A.Mechanical impact behavior of polyether-ether-ketone (PEEK). Compos Struct. 2015;124:88-99. https://doi.org/10.1016/j.compstruct.2014.12.061
  12. Kurtz SM, editor PEEK Biomaterials Handbook., William Andrew Publishing.2019:263-280. https://doi.org/10.1016/B978-0-12-812524-3.00015-6
  13. Zhou L, Qia Y, Zhu Y, Liu H, Gan K, Guo J. The effect of different surface treatments on the bond strength of PEEK composite materials. Dent Mater 2014;30:e209-15. https://doi.org/10.1016/j.dental.2014.03.011
  14. Rahmitasari F, Ishida Y, Kurahashi K, Matsuda T, Watanabe M, Ichikawa T. PEEK with reinforced materials and modifications for dental implant applications. Dent J. 2017;5(4):35. https://doi.org/10.3390/dj5040035
  15. Leonhardt A, Gröndahl K, Bergström C, Lekholm U. Long-term follow-up of osseointegrated titanium implants using clinical, radiographic and microbiological parameters. Clin Oral Implants Res 2002;13:127-132. https://doi.org/10.1034/j.1600-0501.2002.130202.x
  16. AL Rabab'ah M, Hamadneh W, Alsalem I, Khraisat A, Abu Karaky A. Use of High Performance Polymers as Dental Implant Abutments and Frameworks: A Case Series Report. J Prosthodont. 2019;28(4):365-372. https://doi.org/10.1111/jopr.12639
  17. Karunagaran S, Paprocki GJ, Wicks R, & Markose S. A review of implant abutments-abutment classification to aid prosthetic selection. J Tenn Dent Assoc 2013;93(2):18-23. https://doi.org/10.1111/jopr.12161
  18. Zoidis P, &Papathanasiou I. Modified PEEK resin-bonded fixed dental prosthesis as an interim restoration after implant placement. J Prosthet Dent. 2016;116(5):637-641. https://doi.org/10.1016/j.prosdent.2016.04.024
  19. Blatz MB, et al. Zirconia abutments for single-tooth implants--rationale and clinical guidelines. J Oral Maxillofac Surg. 2009;67(11):74-81. https://doi.org/10.1016/j.joms.2009.07.011
  20. Gomes AL, J. Montero, Zirconia implant abutments: a review. Med Oral Patol Oral Cir Bucal 2011;16(1):e50-55. https://doi.org/10.4317/medoral.16.e50
  21. Grupp TM, Giurea A, Miehlke RK, et al. Biotribology of a new bearing material combination in a rotating hinge knee articulation. Acta Biomater. 2013; 9:7054–7063. https://doi.org/10.1016/j.actbio.2013.02.030
  22. Lee KS, Shin JH, Kim JE, et al. Biomechanical Evaluation of a Tooth Restored with High Performance Polymer PEKK Post-Core System: A 3D Finite Element Analysis [published correction appears in Biomed Res Int. 2017;2017:7196847]. Biomed Res Int. 2017;2017:1373127. https://doi.org/10.1155/2017/1373127
  23. Maekawa M, Kanno Z, Wada T, Hongo T, Doi H, Hanawa T, et al. Mechanical properties of orthodontic wires made of super engineering plastic. Dent Mater J. 2015;34:114–9. https://doi.org/10.4012/dmj.2014-202
  24. Wiesli MG, &Özcan M. High-performance polymers and their potential application as medical and oral implant materials: a review. Implant Dent. 2015; 24(4):448-457. https://doi.org/10.1097/ID.0000000000000285
  25. Stephan A, et al. A wealth of possible applications for high-performance polymers. Quintessenz Zahntech 2013;(3):2-10.
  26. Sarot JR, Contar CMM, da Cruz ACC, de Souza Magini R. Evaluation of the stress distribution in CFR-PEEK dental implants by the three-dimensional finite element method. J Mater Sci Mater Med. 2010;21:2079–85. https://doi.org/10.1007/s10856-010-4084-7
  27. Koch F, Weng D, Kramer S, Biesterfeld S, Jahn- Eimermacher A, Wagner W. Osseointegration of one-piece zirconia implants compared with a titanium implant of identical design: a histomorphometric study in the dog. Clin Oral Implants Res. 2010;21:350–6. https://doi.org/10.1111/j.1600-0501.2009.01832.x