用于种植体支撑和保留的可移除义齿的PEEK部件的物理和机械行为的体外分析。

IF 2.1 4区 医学 Q2 DENTISTRY, ORAL SURGERY & MEDICINE International Journal of Prosthodontics Pub Date : 2023-11-01 DOI:10.11607/ijp.6819
Mariana Lima da Costa Valente, Geyson Galo da Silva, Luciano Bachmann, José Augusto Marcondes Agnelli, Cândido Dos Reis
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引用次数: 5

摘要

目的:研究聚醚醚酮(PEEK)在热循环前后的物理和力学行为,以及它作为一种更耐用的假体组件在种植体支持和保留的可移除义齿(I-RDP)中的潜在用途。材料和方法:对使用减法(n=20)获得的直径为9mm、厚度为2mm的试样进行粗糙度和表面硬度评估,并使用直径为4mm、高度为3mm的附件测量保持力,使用具有两个球形基牙植入物的聚氨酯基质(MDL,Intra-Lock International)来模拟下颌牙槽嵴。使用类似技术将总共40个附着物(n=20对)放置在丙烯酸树脂块中,用于直接临床拾取覆盖义齿阴性附着物,然后进行2900次插入/移除循环,以模拟24个月的覆盖义齿使用。在热循环前后(5°C至55°C,10000次循环),通过傅里叶变换红外光谱(FTIR)、x射线衍射(XRD)和差示扫描量热法(DSC)进行物理分析。Shapiro-Wilk检验验证正态分布后,采用单因素方差分析法分析表面粗糙度和硬度,采用Bonferroni调整的双向方差分析法评估保留力(α=.05)。结果:热循环不改变PEEK表面粗糙度或硬度(P>0.05),热循环试验后观察到最高的平均值(P=.006)。结论:基于FTIR、XRD和DSC结果,热循环后PEEK结晶度降低,并且该聚合物的物理和机械行为与所提出的应用兼容,表明PEEK是I-RDP具有更大耐久性的组分。Int J Prostodont 2023;36:612-619。
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An In Vitro Analysis of the Physical and Mechanical Behavior of a PEEK Component for an Implant-Supported and Retained Removable Dental Prosthesis.

Purpose: To investigate the physical and mechanical behaviors of polyether ether ketone (PEEK) before and after thermocycling, as well as its potential use as a more durable prosthetic component for implant-supported and -retained removable dental prostheses (I-RDPs).

Materials and methods: Roughness and surface hardness were evaluated in specimens obtained using the subtractive method (n = 20) with a diameter of 9 mm and a thickness of 2 mm, and retention force was measured using attachments with a diameter of 4 mm and a height of 3 mm. For fatigue resistance testing, a polyurethane matrix with two ball abutment implants (MDL, Intra-Lock International) was used to simulate the mandibular alveolar ridge. A total of 40 attachments (n = 20 pairs) were placed in acrylic resin blocks using an analog technique for the direct clinical pickup of overdenture female attachments, then submitted to 2,900 insertion/removal cycles to simulate 24 months of overdenture use. Physical analyses were performed by Fourier-transform infrared spectroscopy (FTIR), x-ray diffraction (XRD), and differential scanning calorimetry (DSC) before and after thermocycling (5°C to 55°C for 10,000 cycles). After normal distribution was verified by Shapiro-Wilk test, one-way ANOVA was applied to analyze the surface roughness and hardness, and two-way ANOVA with Bonferroni adjustment was used to assess the retention force (α = .05).

Results: Thermocycling did not change the PEEK surface roughness or hardness (P > .05). As for the retention force, the highest average was observed after the thermocycling test (P = .006).

Conclusion: Based on the FTIR, XRD, and DSC results, PEEK crystallinity decreased after thermocycling, and the physical and mechanical behaviors of this polymer were compatible with the proposed application, suggesting that PEEK is a component of greater durability for I-RDPs. Int J Prosthodont 2023;36:612-619.

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来源期刊
International Journal of Prosthodontics
International Journal of Prosthodontics 医学-牙科与口腔外科
CiteScore
3.20
自引率
4.30%
发文量
82
审稿时长
6-12 weeks
期刊介绍: Official Journal of the European Association for Osseointegration (EAO), the International College of Prosthodontists (ICP), the German Society of Prosthodontics and Dental Materials Science (DGPro), and the Italian Academy of Prosthetic Dentistry (AIOP) Prosthodontics demands a clinical research emphasis on patient- and dentist-mediated concerns in the management of oral rehabilitation needs. It is about making and implementing the best clinical decisions to enhance patients'' quality of life via applied biologic architecture - a role that far exceeds that of traditional prosthetic dentistry, with its emphasis on materials and techniques. The International Journal of Prosthodontics is dedicated to exploring and developing this conceptual shift in the role of today''s prosthodontist, clinician, and educator alike. The editorial board is composed of a distinguished team of leading international scholars.
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