The Journal of Korean Academy of Prosthodontics (대한치과보철학회지)

The Korean Academy of Prosthodonitics (대한치과보철학회)
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Case series of implant-supported fixed prostheses using a high-performance polymer (PEKK) framework veneered with three different materials for six years

고기능성 폴리머(PEKK)를 프레임워크로 하는 임플란트 지지 고정성 보철물의 6년 경과관찰 증례

  • Yeon-Kyung Park (Department of Dentistry, Korea University Guro Hospital) ;
  • Ji-Suk Shim (Department of Dentistry, Korea University Guro Hospital) ;
  • Jeong-Yol Lee (Department of Dentistry, Korea University Guro Hospital)
  • Received : 2023.08.17
  • Accepted : 2023.10.15
  • Published : 2024.01.31
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Abstract

As a high-performance polymer, Polyetherketoneketone (PEKK) has good biocompatibility and excellent physical properties and is used in several areas, including dentistry. Many successful cases of implant-supported fixed prostheses with a PEKK framework have been reported; however, a long-term observation of the reported cases and discussion of complications are not available. In this case report, we present three cases of implant-supported fixed prostheses with a PEKK framework veneered with composite resin, lithium disilicate crown, and high-impact polymethyl methacrylate (PMMA), and discuss their 6-year follow-up results.

고기능성 폴리머 중 하나인 Polyetherketoneketone (PEKK)는 좋은 생체적합성과 우수한 물성을 가져 치과 영역을 포함한 다양한 분야에서 사용되고 있다. 이러한 PEKK를 프레임워크로 하는 임플란트 지지 고정성 보철물에 관한 성공적인 증례들이 많이 보고되어 왔으나, 보고된 증례에 대한 장기간의 관찰과 합병증에 관한 고찰은 부족한 상태이다. 이에 본 증례보고에서는 PEKK 프레임워크를 composite resin, lithium disilicate crown, high-impact polymethyl methacrylate PMMA로 각각 veneering하여 임플란트 지지 고정성 보철 수복을 한 세 가지 증례와 각각의 6년간의 경과관찰 결과를 소개하고 이를 고찰해 보고하고자 한다.

Keywords

References

  1. Han KH, Lee JY, Shin SW. Implant- and tooth-supported fixed prostheses using a high-performance polymer (Pekkton) framework. Int J Prosthodont 2016;29:451-4.  https://doi.org/10.11607/ijp.4688
  2. Drago C, Howell K. Concepts for designing and fabricating metal implant frameworks for hybrid implant prostheses. J Prosthodont 2012;21:413-24.  https://doi.org/10.1111/j.1532-849X.2012.00835.x
  3. 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 Prosthodont 2016;25:580-4.  https://doi.org/10.1111/jopr.12325
  4. Abdulmajeed AA, Lim KG, Narhi TO, Cooper LF. Complete-arch implant-supported monolithic zirconia fixed dental prostheses: a systematic review. J Prosthet Dent 2016;115:672-7.e1.  https://doi.org/10.1016/j.prosdent.2015.08.025
  5. Gama LT, Duque TM, Ozcan M, Philippi AG, Mezzomo LAM, Goncalves TMSV. Adhesion to high-performance polymers applied in dentistry: a systematic review. Dent Mater 2020;36:e93-108.  https://doi.org/10.1016/j.dental.2020.01.002
  6. Alqurashi H, Khurshid Z, Syed AUY, Rashid Habib S, Rokaya D, Zafar MS. Polyetherketoneketone (PEKK): an emerging biomaterial for oral implants and dental prostheses. J Adv Res 2020;28:87-95.  https://doi.org/10.1016/j.jare.2020.09.004
  7. Stawarczyk B, Bahr N, Beuer F, Wimmer T, Eichberger M, Gernet W, Jahn D, Schmidlin PR. Influence of plasma pretreatment on shear bond strength of self-adhesive resin cements to polyetheretherketone. Clin Oral Investig 2014;18:163-70.  https://doi.org/10.1007/s00784-013-0966-7
  8. Zhou L, Qian 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
  9. Fuhrmann G, Steiner M, Freitag-Wolf S, Kern M. Resin bonding to three types of polyaryletherketones (PAEKs)-durability and influence of surface conditioning. Dent Mater 2014;30:357-63.  https://doi.org/10.1016/j.dental.2013.12.008
  10. Lee KS, Shin MS, Lee JY, Ryu JJ, Shin SW. Shear bond strength of composite resin to high performance polymer PEKK according to surface treatments and bonding materials. J Adv Prosthodont 2017;9:350-7.  https://doi.org/10.4047/jap.2017.9.5.350
  11. Ciftci Y, Canay S. The effect of veneering materials on stress distribution in implant-supported fixed prosthetic restorations. Int J Oral Maxillofac Implants 2000;15:571-82. 
  12. Juodzbalys G, Kubilius R, Eidukynas V, Raustia AM. Stress distribution in bone: single-unit implant prostheses veneered with porcelain or a new composite material. Implant Dent 2005;14:166-75.  https://doi.org/10.1097/01.id.0000165030.59555.2c
  13. Kang KH, Park JH, Lee JY, Shin SW. Implant supported prosthesis with high performance polymers using a double scanning method. J Korean Acad Prosthodont 2017;55:305-10.  https://doi.org/10.4047/jkap.2017.55.3.305
  14. ISO 10477. Dentistry-polymer-based crown and veneering materials. International Standards Organization (ISO); Geneva; Switzerland, 2020. 
  15. Stawarczyk B, Silla M, Roos M, Eichberger M, Lumkemann N. Bonding behaviour of polyetherketoneketone to methylmethacrylate- and dimethacrylate-based polymers. J Adhes Dent 2017;19:331-8. 
  16. Stawarczyk B, Keul C, Beuer F, Roos M, Schmidlin PR. Tensile bond strength of veneering resins to PEEK: impact of different adhesives. Dent Mater J 2013;32:441-8. https://doi.org/10.4012/dmj.2013-011
  17. Kamonwanon P, Yodmongkol S, Chantarachindawong R, Thaweeboon S, Thaweeboon B, Srikhirin T. Wear resistance of a modified polymethyl methacrylate artificial tooth compared to five commercially available artificial tooth materials. J Prosthet Dent 2015;114:286-92.  https://doi.org/10.1016/j.prosdent.2015.01.013
  18. Dede DO, Kucukekenci AS, Kahveci C. Influence of chairside surface treatments on the shear bond strength of PEKK polymer to veneering resin materials: An in vitro study. J Prosthet Dent 2021;125:703.e1-7.  https://doi.org/10.1016/j.prosdent.2020.10.031
  19. Kilic M, Dede DO, Kucukekenci AS. Comparing the shear bond strength of veneering materials to the PAEKs after surface treatments. BMC Oral Health 2023;23:185. 
  20. Tekli B, Ergun G. Evaluation of the bond strength of polyetherketoneketone to dental ceramic. J Adhes Dent 2022;24:445-57.