Retention and Surface Roughness of Polyetherketoneketone (PEKK) Vs. Acetal Resin Framework in Kennedy Class IV Removable Partial Dentures: An In Vitro Study

Mohamed Abdel Hakim Abdel Aal, Iman A. El-asfahani, Tarek AbdAllah Mahmoud, Doaa Tawfik hassan
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Abstract

Aim of study : to evaluate retention & surface roughness of PEKK & Acetal Resin frameworks in Kennedy class IV RPD. Materials and methods: Twelve partial denture frameworks were constructed for this study, acrylic resin (AR) model of Kennedy class IV maxillary arch was constructed & RPD design was established. Abutment preparations were made; digital scanning & RPD framework was virtually designed in 3D format. The STL file was transferred to 5-axis milling machine for milling the PEKK blanks producing PEKK frameworks. For acetal resin frameworks, the STL file was used to print an AR 3D printed framework which was flasked, after which the acetal resin frameworks were produced by injection molding technique. A Universal testing machine was used to evaluate retention of RPD frameworks at different simulated time intervals. The surface roughness of the RPD frameworks were evaluated using 3D optic profilometer at a fixed selected area in all frameworks. Results: The PEKK partial denture framework showed statistically insignificant higher mean values compared to acetal resin at baseline, 3 & 6 months. A significant difference was noticed at the 1, 1.5, 2, 2.5 & 3 year cycles. There was an insignificant difference between the surface roughness of the PEKK & acetal resin frameworks. Conclusion: Within the limitations of this study, it can be concluded that the PEKK may provide significantly better retention compared to acetal resin in Kennedy Class IV partial denture frameworks. However, both materials showed an insignificant difference regarding their surface roughness.
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肯尼迪 IV 类可摘局部义齿中聚醚酮酮 (PEKK) 与乙缩醛树脂骨架的固位和表面粗糙度:体外研究
研究目的:评估肯尼迪四级 RPD 中 PEKK 和乙缩醛树脂框架的固位和表面粗糙度。材料和方法:为本研究构建了十二个局部义齿框架,构建了肯尼迪四级上颌牙弓的丙烯酸树脂(AR)模型,并设计了RPD。进行基台预备;数字化扫描并以三维格式虚拟设计 RPD 框架。将 STL 文件传输到五轴铣床,用于铣削 PEKK 坯料,制作 PEKK 框架。对于乙缩醛树脂框架,则使用 STL 文件打印 AR 3D 打印框架,并对其进行烧瓶处理,然后通过注塑成型技术生产乙缩醛树脂框架。使用万能试验机评估 RPD 框架在不同模拟时间间隔内的保持力。使用三维光学轮廓仪在所有框架的固定选定区域评估 RPD 框架的表面粗糙度。结果:与乙缩醛树脂相比,PEKK 部分义齿框架在基线、3 个月和 6 个月时的平均值较高,这在统计学上并不显著。在 1 年、1.5 年、2 年、2.5 年和 3 年的周期内,两者之间存在明显差异。PEKK 和乙缩醛树脂框架的表面粗糙度差异不大。结论在本研究的局限性范围内,可以得出结论:在肯尼迪四级局部义齿框架中,PEKK 的固位力可能明显优于乙缩醛树脂。不过,两种材料在表面粗糙度方面的差异并不明显。
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