An Explorative Evaluation on the Influence of Filler Content of Polyetheretherketone (PEEK) on Adhesive Bond to Different Luting Resin Cements

Polyetheretherketone (PEEK) is considered one of the most innovative prosthetic materials of the last few decades. Its chemically inert behavior and high biocompatibility make it a promising material in many areas of dentistry. The aim of this study was to test whether PEEK with different TiO2 filler contents achieves comparable bond strength values when using different resin cements. N = 70 PEEK samples each with different TiO2 filler content (20 wt.% TiO2 vs. 5 wt.% TiO2 vs. no filler as a control group) were divided into seven groups and cemented with various conventional (ResiCem, RelyX Ultimate, Variolink Esthetic DC) and self-adhesive resin cements (RelyXUnicem 2, Bifix SE, Panavia SA Cement Plus, SpeedCem). The shear strength of the bond was assessed after 24 h and after 25,000 thermal loading cycles. Mann-Whitney U and Wilcoxon tests were used for statistical analysis (significance level: α = 0.05). PEEK without filler showed the highest mean shear strength (24.26 MPa using RelyX Ultimate), then high-filled PEEK (22.90 MPa using ResiCem) and low-filled PEEK (21.76 MPa using RelyX Ultimate). Conventional resin cements generally achieved slightly higher adhesive strengths than self-adhesive resin cements. It appears that the filler content does not affects the adhesive bond strengths.