Exploring polyetheretherketone in dental implants and abutments: A focus on biomechanics and finite element methods

Hanna, Eddie Gazo; Amine, Semaan; Prasad, Benrose; Younes, Khaled

doi:10.1515/rams-2024-0031

Abstract

This review article investigates the properties and applications of polyetheretherketone (PEEK) in the field of dental implantology. PEEK has emerged as a significant material of interest due to its mechanical strength, biocompatibility, and radiolucency. The article provides a detailed examination of PEEK’s biocompatibility and the various reinforcements that enhance its performance, including PEEK/HA, PEEK/β-TCP–TiO₂, and CFR-PEEK. Focusing on dental applications, we discuss PEEK’s use in implant abutments, fixed dental prostheses, implants, and its commercial forms available for dental use. Further, the mechanical behavior of PEEK and its composites is analyzed, including its elastic behavior under various stress conditions and wear resistance. Moreover, the article conducts an integrative systematic review on the stress distribution in dental implants or abutments made from reinforced PEEK composites, assessed through finite element analysis. The aim of this review is to provide insights into the current state of research, the benefits, challenges, and future prospects of PEEK in implantology, and the biomechanical evaluation methods that underpin the development of this promising material.

References

Blatz, M. B., G. Chiche, O. Bahat, R. Roblee, C. Coachman, and H. O. Heymann. Evolution of aesthetic dentistry. Journal of Dental Research, Vol. 98, 2019, pp. 1294–1304.
Search in Google Scholar Back to article
Gazo Hanna, E., K. Younes, R. Roufayel, M. Khazaal, and Z. Fajloun. Engineering innovations in medicine and biology: Revolutionizing patient care through mechanical solutions. Heliyon, Vol. 10, No. 4.
Search in Google Scholar Back to article
Committee on Polymer Science and Engineering, National Research Council. Read ‘polymer science and engineering: The shifting research frontiers’ at NAP.edu, The National Academies Press, Washington, DC, 1994.
Search in Google Scholar Back to article
Rokaya, D., V. Srimaneepong, J. Sapkota, J. Qin, K. Siraleartmukul, and V. Siriwongrungson. Polymeric materials and films in dentistry: An overview. Journal of Advanced Research, Vol. 14, 2018, pp. 25–34.
Search in Google Scholar Back to article
Gazo-Hanna, E., A. Poitou, P. Casari, and L. Juras. Study of interply slip during thermoforming of continous fiber composite materials. In Proceedings of The18th International Conference on Composite Materials (ICCM-18), Jeju Island, Korea, 2011. https://www.iccm-central.org/Proceedings/ICCM18proceedings/data/2.%20Oral%20Presentation/Aug22(Monday)/M11%20Processing%20and%20Manufacturing%20Technologies/M11-6-IF0306.pdf.
Search in Google Scholar Back to article
Tigmeanu, C. V., L. C. Ardelean, L.-C. Rusu, and M. L. Negrutiu. Additive manufactured polymers in dentistry, current state-of-the-art and future perspectives-A review. Polymers, Vol. 14, 2022, id. 3658.
Search in Google Scholar Back to article
Gazo Hanna, E. Recycling of waste mixed plastics blends (PE/PP). Journal of Engineering Science & Technology Review, Vol. 12, No. 2, 2019, pp. 87–92.
Search in Google Scholar Back to article
Burg, K. J. L., and S. W. Shalaby. PES and PEEK. Encyclopedia of materials: Science and technology, K. H. J. Buschow, Cahn, R. W., Flemings, M. C., et al., (Eds.). Elsevier, Oxford, 2003, pp. 6837–6839.
Search in Google Scholar Back to article
Ling, X., X. Jing, C. Zhang, and S. Chen. Polyether Ether Ketone (PEEK) properties and its application status. IOP Conference Series: Earth and Environmental Science, Vol. 453, 2020, id. 012080.
Search in Google Scholar Back to article
Kurtz, S. M. and J. N. Devine. PEEK biomaterials in trauma, orthopedic, and spinal implants. Biomaterials, Vol. 28, 2007, pp. 4845–4869.
Search in Google Scholar Back to article
Panayotov, I. V., V. Orti, F. Cuisinier, and J. Yachouh. Polyetheretherketone (PEEK) for medical applications. Journal of Materials Science. Materials in Medicine, Vol. 27, 2016, id. 118.
Search in Google Scholar Back to article
Wei, Z., Z. Zhang, W. Zhu, and X. Weng. Polyetheretherketone development in bone tissue engineering and orthopedic surgery. Frontiers in Bioengineering and Biotechnology, Vol. 11, 2023. accessed 19 September 2023. https://www.frontiersin.org/articles/10.3389/fbioe.2023.1207277.
Search in Google Scholar Back to article
Mian, S. H., K. Moiduddin, S. M. Elseufy, and H. Alkhalefah. Adaptive mechanism for designing a personalized cranial implant and its 3D printing using PEEK. Polymers, Vol. 14, 2022, id. 1266.
Search in Google Scholar Back to article
Sikder, P., B. T. Challa, and S. K. Gummadi. A comprehensive analysis on the processing-structure-property relationships of FDM-based 3-D printed polyetheretherketone (PEEK) structures. Materialia, Vol. 22, 2022, id. 101427.
Search in Google Scholar Back to article
Hanemann, T., A. Klein, S. Baumgärtner, J. Jung, D. Wilhelm, and S. Antusch. Material extrusion 3D printing of PEEK-based composites. Polymers, Vol. 15, 2023, id. 3412.
Search in Google Scholar Back to article
Okdeh, N., G. Mahfouz, J. Harb, J. M. Sabatier, R. Roufayel, E. Gazo Hanna, et al. Protective role and functional engineering of neuropeptides in depression and anxiety: An overview. Bioengineering, Vol. 10, 2023, id. 258.
Search in Google Scholar Back to article
Fabris, D., J. C. Souza, F. S. Silva, M. Fredel, J. Mesquita-Guimarães, Y. Zhang, et al. The bending stress distribution in bilayered and graded zirconia-based dental ceramics. Ceramics International, Vol. 42, 2016, pp. 11025–11031.
Search in Google Scholar Back to article
Fabris, D., J. C. M. Souza, F. S. Silva, M. Fredel, M. Gasik, and B. Henriques. Influence of specimens’ geometry and materials on the thermal stresses in dental restorative materials during thermal cycling. Journal of Dentistry, Vol. 69, 2018, pp. 41–48.
Search in Google Scholar Back to article
Macedo, J. P., J. Pereira, J. Faria, J. Souza, J. L. Alves, J. López-López, et al. Finite element analysis of peri-implant bone volume affected by stresses around Morse taper implants: Effects of implant positioning to the bone crest. Computer Methods in Biomechanics and Biomedical Engineering, Vol. 21, 2018, pp. 655–662.
Search in Google Scholar Back to article
Bins-Ely, L., D. Suzuki, R. Magini, C. Benfatti, W. Teughels, B. Henriques, et al. Enhancing the bone healing on electrical stimuli through the dental implant. Computer Methods in Biomechanics and Biomedical Engineering, Vol. 23, 2020, pp. 1041–1051.
Search in Google Scholar Back to article
Khaohoen, A., T. Sornsuwan, P. Chaijareenont, et al. Biomaterials and Clinical Application of Dental Implants in Relation to Bone Density—A Narrative Review. Journal of Clinical Medicine, Vol. 12, 2023, id. 6924.
Search in Google Scholar Back to article
Shash, Y. H., M. T. El-Wakad, M. A. A. El-Dosoky, et al. Evaluation of stresses on mandible bone and prosthetic parts in fixed prosthesis by utilizing CFR-PEEK, PEKK and PEEK frameworks. Scientific Reports, Vol. 13, 2023, id. 11542.
Search in Google Scholar Back to article
Shash, Y. H., M. T. El-Wakad, M. A. A. Eldosoky, et al. Evaluation of stress and strain on mandible caused using ‘All-on-Four’ system from PEEK in hybrid prosthesis: finite-element analysis. Odontology / the Society of the Nippon Dental University, Vol. 111, 2023, pp. 618–629.
Search in Google Scholar Back to article
Ghazal-Maghras, R., J. Vilaplana-Vivo, F. Camacho-Alonso, et al. Properties of polyetheretheretherketone (PEEK) implant abutments: A systematic review. Journal of Clinical and Experimental Dentistry, Vol. 14, 2022, pp. e349–e358.
Search in Google Scholar Back to article
Taha, D., P. F. Cesar, and A. Sabet. Influence of different combinations of CAD-CAM crown and customized abutment materials on the force absorption capacity in implant supported restorations – In vitro study. Dental Materials, Vol. 38, 2022, pp. e10–e18.
Search in Google Scholar Back to article
Ortega-Martínez, J., L. M. Delgado, M. Ortiz-Hernández, et al. In vitro assessment of PEEK and titanium implant abutments: Screw loosening and microleakage evaluations under dynamic mechanical testing. Journal of Prosthetic Dentistry, Vol. 127, 2022, pp. 470–476.
Search in Google Scholar Back to article
Chokaree, P., P. Poovarodom, P. Chaijareenont, et al. Biomaterials and Clinical Applications of Customized Healing Abutment—A Narrative Review. Journal of Functional Biomaterials, Vol. 13, 2022, id. 291.
Search in Google Scholar Back to article
Suphangul, S., D. Rokaya, C. Kanchanasobhana, et al. PEEK Biomaterial in Long-Term Provisional Implant Restorations: A Review. Journal of Functional Biomaterials, Vol. 13, 2022, id. 33.
Search in Google Scholar Back to article
Mourya, A., R. Nahar, S. K. Mishra, et al. Stress distribution around different abutments on titanium and CFR-PEEK implant with different prosthetic crowns under parafunctional loading: A 3D FEA study. Journal of Oral Biology and Craniofacial Research, Vol. 11, 2021, pp. 313–320.
Search in Google Scholar Back to article
Ouldyerou, A., A. Merdji, L. Aminallah, et al. Biomechanical performance of Ti-PEEK dental implants in bone: An in-silico analysis. Journal of the Mechanical Behavior of Biomedical Materials, Vol. 134, 2022, id. 105422.
Search in Google Scholar Back to article
Ragupathi, M., V. Mahadevan, N. S. Azhagarasan, et al. Comparative evaluation of the wear resistance of two different implant abutment materials after cyclic loading – An in vitro study. Contemporary Clinical Dentistry, Vol. 11, 2020, pp. 229–236.
Search in Google Scholar Back to article
Bataineh, K. and M. Al Janaideh. Effect of different biocompatible implant materials on the mechanical stability of dental implants under excessive oblique load. Clinical Implant Dentistry and Related Research, Vol. 21, 2019, pp. 1206–1217.
Search in Google Scholar Back to article
Wazeh, A. M., M. I. El-Anwar, R. M. G. Atia, et al. 3D FEA Study On Implant Threading Role on Selection of Implant and Crown Materials. Open Access Macedonian Journal of Medical Sciences, Vol. 6, 2018, pp. 1702–1706.
Search in Google Scholar Back to article
Gallagher, E. A., S. Lamorinière, and P. McGarry. Multi-axial damage and failure of medical grade carbon fibre reinforced PEEK laminates: Experimental testing and computational modelling. Journal of the Mechanical Behavior of Biomedical Materials, Vol. 82, 2018, pp. 154–167.
Search in Google Scholar Back to article
Kaleli, N., D. Sarac, S. Külünk, et al. Effect of different restorative crown and customized abutment materials on stress distribution in single implants and peripheral bone: A three-dimensional finite element analysis study. The Journal of Prosthetic Dentistry, Vol. 119, 2018, pp. 437–445.
Search in Google Scholar Back to article
Sampaio, M., M. Buciumeanu, B. Henriques, et al. Comparison between PEEK and Ti6Al4V concerning micro-scale abrasion wear on dental applications. Journal of the Mechanical Behavior of Biomedical Materials, Vol. 60, 2016, pp. 212–219.
Search in Google Scholar Back to article
Sampaio M., M. Buciumeanu, E. Askari, et al. Effects of poly-ether-ether ketone (PEEK) veneer thickness on the reciprocating friction and wear behavior of PEEK/Ti6Al4V structures in artificial saliva. Wear, Vol. 368–369, 2016, pp. 84–91.
Search in Google Scholar Back to article
Schwitalla, A. D., T. Spintig, I. Kallage, et al. Pressure behavior of different PEEK materials for dental implants. Journal of the Mechanical Behavior of Biomedical Materials, Vol. 54, 2016, pp. 295–304.
Search in Google Scholar Back to article
Schwitalla, A. D., M. Abou-Emara, T. Spintig, et al. Finite element analysis of the biomechanical effects of PEEK dental implants on the peri-implant bone. Journal of Biomechanics, Vol. 48, 2015, pp. 1–7.
Search in Google Scholar Back to article
Schwitalla, A. D., T. Spintig, I. Kallage, et al. Flexural behavior of PEEK materials for dental application. Dental Materials, Vol. 31, 2015, pp. 1377–1384.
Search in Google Scholar Back to article
Najeeb, S., M. Zafar, Z. Sultan, K. Khurshid, and F. Siddiqui. Applications of PEEK in oral implantology and prosthodontics. Journal of Prosthodontic Research. Vol. 60, No. 1, 2015, pp. 12–19.
Search in Google Scholar Back to article
Lee, W.-T., J.-Y. Koak, Y.-J. Lim, et al. Stress shielding and fatigue limits of poly-ether-ether-ketone dental implants. Journal of biomedical materials research. Part B, Applied biomaterials, Vol. 100, 2012, pp. 1044–1052.
Search in Google Scholar Back to article
«metal-free» le Biopik - PDF Free Download, https://docplayer.fr/113494536-Metal-free-le-biopik.html (accessed 27 September 2023). 2010.
Search in Google Scholar Back to article
Sarot, J. R., C. M. M. Contar, A.C.C.da Cruz, et al. Evaluation of the stress distribution in CFR-PEEK dental implants by the three-dimensional finite element method. Journal of Materials Science. Materials in Medicine, Vol. 21, 2010, pp. 2079–2085.
Search in Google Scholar Back to article
Ferguson, S. J., J. M. A. Visser, and A. Polikeit. The long-term mechanical integrity of non-reinforced PEEK-OPTIMA polymer for demanding spinal applications: experimental and finite-element analysis. European Spine Journal, Vol. 15, 2006, pp. 149–156.
Search in Google Scholar Back to article
Cho, D.-Y., W.-R. Liau, W.-Y. Lee, et al. Preliminary experience using a polyetheretherketone (PEEK) cage in the treatment of cervical disc disease. Neurosurgery, Vol. 51, 2002, pp. 1343–1349. discussion 1349 – 1350.
Search in Google Scholar Back to article
Costa-Palau, S., J. Torrents-Nicolas, M. Brufau-de Barberà, et al. Use of polyetheretherketone in the fabrication of a maxillary obturator prosthesis: a clinical report. Journal of Prosthetic Dentistry, Vol. 112, 2014, pp. 680–682.
Search in Google Scholar Back to article
Horák, Z., D. Pokorný, P. Fulín, et al. Polyetheretherketone (PEEK). Part I: prospects for use in orthopaedics and traumatology. Acta Chirurgiae Orthopaedicae et Traumatologiae Cechoslovaka, Vol. 77, 2010, pp. 463–469.
Search in Google Scholar Back to article
Zhou, H., V. K. Goel, and S. B. Bhaduri. A fast route to modify biopolymer surface: A study on polyetheretherketone (PEEK). Materials Letters, Vol. 125, 2014, pp. 96–98.
Search in Google Scholar Back to article
Cook, S. D. and A. M. Rust-Dawicki. Preliminary evaluation of titanium-coated PEEK dental implants. The Journal of Oral Implantology, Vol. 21, 1995, pp. 176–181.
Search in Google Scholar Back to article
Meningaud, J.-P., F. Spahn, and J.-M. Donsimoni. After titanium, peek?. Revue de Stomatologie et de Chirurgie Maxillo-Faciale, Vol. 113, 2012, pp. 407–410.
Search in Google Scholar Back to article
Hanasono, M. M., N. Goel, and F. DeMonte. Calvarial reconstruction with polyetheretherketone implants. Annals of Plastic Surgery, Vol. 62, 2009, pp. 653–655.
Search in Google Scholar Back to article
Poulsson, A. H. C., D. Eglin, S. Zeiter, et al. Osseointegration of machined, injection moulded and oxygen plasma modified PEEK implants in a sheep model. Biomaterials, Vol. 35, 2014, pp. 3717–3728.
Search in Google Scholar Back to article
Nakahara, I., M. Takao, T. Goto, et al. Interfacial shear strength of bioactive-coated carbon fiber reinforced polyetheretherketone after in vivo implantation. Journal of Orthopaedic Research, Vol. 30, 2012, pp. 1618–1625.
Search in Google Scholar Back to article
Nakahara, I., M. Takao, S. Bandoh, et al. In vivo implant fixation of carbon fiber-reinforced PEEK hip prostheses in an ovine model. Journal of Orthopaedic Research, Vol. 31, 2013, pp. 485–492.
Search in Google Scholar Back to article
Ma, R. and T. Tang. Current Strategies to Improve the Bioactivity of PEEK. International Journal of Molecular Sciences, Vol. 15, 2014, pp. 5426–5445.
Search in Google Scholar Back to article
Wang, L., S. He, X. Wu, et al. Polyetheretherketone/nano-fluorohydroxyapatite composite with antimicrobial activity and osseointegration properties. Biomaterials, Vol. 35, 2014, pp. 6758–6775.
Search in Google Scholar Back to article
Liao, C., Y. Li, and S. C. Tjong. Polyetheretherketone and Its Composites for Bone Replacement and Regeneration. Polymers (Basel), Vol. 12, 2020, id. 2858.
Search in Google Scholar Back to article
Zheng, Z., P. Liu, X. Zhang, et al. Strategies to improve bioactive and antibacterial properties of polyetheretherketone (PEEK) for use as orthopedic implants. Mater Today Bio, Vol. 16, 2022, id. 100402.
Search in Google Scholar Back to article
Zheng, Y., C. Xiong, S. Zhang, et al. Bone-like apatite coating on functionalized poly(etheretherketone) surface via tailored silanization layers technique. Materials Science and Engineering: C, Vol. 55, 2015, pp. 512–523.
Search in Google Scholar Back to article
Richard-Isaac, A. Évaluation du Polyétheréthercétone (PEEK) en implantologie orale : intérêts, limites et perspectives [PhD thesis]. Revue de Littérature, 2016, id. 71.
Search in Google Scholar Back to article
Bonnheim, N., F. Ansari, M. Regis, et al. Effect of carbon fiber type on monotonic and fatigue properties of orthopedic grade PEEK. Journal of the Mechanical Behavior of Biomedical Materials, Vol. 90, 2019, pp. 484–492.
Search in Google Scholar Back to article
Qin, W., Y. Li, J. Ma, et al. Mechanical properties and cytotoxicity of hierarchical carbon fiber-reinforced poly (ether-ether-ketone) composites used as implant materials. Journal of the Mechanical Behavior of Biomedical Materials, Vol. 89, 2019, pp. 227–233.
Search in Google Scholar Back to article
Smółka, W., M. Dworak, B. Noworyta, M. Gubernat, J. Markowski, and M. Błażewicz. Mechanical and biological properties of carbon fiber-reinforced PEEK composite materials intended for laryngeal prostheses. Engineering of Biomaterials, Vol. 22, 2019, pp. 2–8.
Search in Google Scholar Back to article
Gowda, E. M., S. R. Iyer, K. Verma, and S. Murali Mohan. Evaluation of PEEK composite dental implants: A comparison of two different loading protocols. Journal of Dental Research and Reports; 1. Epub ahead of print, Vol. 1, January 2018, pp. 1–5.
Search in Google Scholar Back to article
Barkarmo, S., A. Wennerberg, M. Hoffman, et al. Nano-hydroxyapatite-coated PEEK implants: A pilot study in rabbit bone. Journal of biomedical materials research. Part A, Vol. 101A, 2013, pp. 465–471.
Search in Google Scholar Back to article
Najeeb, S., Z. Khurshid, J. P. Matinlinna, et al. Nanomodified Peek Dental Implants: Bioactive Composites and Surface Modification – A Review. International Journal of Dentistry, Vol. 2015, 2015, id. e381759.
Search in Google Scholar Back to article
Lai, Y. H., M. C. Kuo, J. C. Huang, et al. On the PEEK composites reinforced by surface-modified nano-silica. Materials Science and Engineering: A, Vol. 458, 2007, pp. 158–169.
Search in Google Scholar Back to article
Díez-Pascual, A. M. and A. L. Díez-Vicente. Nano-TiO2 Reinforced PEEK/PEI Blends as Biomaterials for Load-Bearing Implant Applications. ACS Applied Materials & Interfaces, Vol. 7, 2015, pp. 5561–5573.
Search in Google Scholar Back to article
Rahmitasari, F., Y. Ishida, K. Kurahashi, et al. PEEK with Reinforced Materials and Modifications for Dental Implant Applications. Dent J (Basel), Vol. 5, 2017, id. 35.
Search in Google Scholar Back to article
Wheeler, S. L. Eight-year clinical retrospective study of titanium plasma-sprayed and hydroxyapatite-coated cylinder implants. International Journal of Oral and Maxillofacial Implants, Vol. 11, 1996, pp. 340–350.
Search in Google Scholar Back to article
Fu, Q., M. Gabriel, F. Schmidt, et al. The impact of different low-pressure plasma types on the physical, chemical and biological surface properties of PEEK. Dental Materials, Vol. 37, 2021, pp. e15–e22.
Search in Google Scholar Back to article
Almasi, D., N. Iqbal, M. Sadeghi, et al. Preparation Methods for Improving PEEK’s Bioactivity for Orthopedic and Dental Application: A Review. International Journal of Biomaterials, Vol. 2016, 2016, id. 8202653.
Search in Google Scholar Back to article
Kruse, H. V., D. R. McKenzie, J. R. Clark, et al. Plasma ion implantation of 3D-printed PEEK creates optimal host conditions for bone ongrowth and mineralisation. Plasma Processes and Polymers, Vol. 18, 2021, id. 2000219.
Search in Google Scholar Back to article
Han, C.-M., E.-J. Lee, H.-E. Kim, et al. The electron beam deposition of titanium on polyetheretherketone (PEEK) and the resulting enhanced biological properties. Biomaterials, Vol. 31, 2010, pp. 3465–3470.
Search in Google Scholar Back to article
Tekin, S., S. Cangül, Ö. Adıgüzel, et al. Areas for use of PEEK material in dentistry. International Dental Research, Vol. 8, 2018, pp. 84–92.
Search in Google Scholar Back to article
Rupawat, D., D. Nallaswamy, J. Somasundaram, et al. An Invitro Chewing Simulation Study Comparing the Wear Resistance Behavior of Polyetheretherketone-Layered Composite Crown and Ceramic-Layered Zirconia Crown. Cureus, Vol. 15, 2023, id. e46439.
Search in Google Scholar Back to article
Coray, R., M. Zeltner, and M. Özcan. Fracture strength of implant abutments after fatigue testing: A systematic review and a meta-analysis. Journal of the Mechanical Behavior of Biomedical Materials, Vol. 62, 2016, pp. 333–346.
Search in Google Scholar Back to article
Koutouzis, T., J. Richardson, and T. Lundgren. Comparative Soft and Hard Tissue Responses to Titanium and Polymer Healing Abutments. Journal of Oral Implantology, Vol. 37, 2011, pp. 174–182.
Search in Google Scholar Back to article
Al-Rabab’ah, M., W. Hamadneh, I. Alsalem, et al. Use of High Performance Polymers as Dental Implant Abutments and Frameworks: A Case Series Report. Journal of Prosthodontics, Vol. 28, 2019, pp. 365–372.
Search in Google Scholar Back to article
Al-Zordk, W., A. Elmisery, and M. Ghazy. Hybrid-abutment-restoration: effect of material type on torque maintenance and fracture resistance after thermal aging. International Journal of Implant Dentistry, Vol. 6, 2020, id. 24.
Search in Google Scholar Back to article
Zarone, F., R. Sorrentino, T. Traini, et al. Fracture resistance of implant-supported screw- versus cement-retained porcelain fused to metal single crowns: SEM fractographic analysis. Dental Materials, Vol. 23, 2007, pp. 296–301.
Search in Google Scholar Back to article
Freitas, A. C., E. A. Bonfante, E. P. Rocha, et al. Effect of implant connection and restoration design (screwed vs. cemented) in reliability and failure modes of anterior crowns. European Journal of Oral Sciences, Vol. 119, 2011, pp. 323–330.
Search in Google Scholar Back to article
Atsü, S. S., M. E. Aksan, and A. C. Bulut. Fracture Resistance of Titanium, Zirconia, and Ceramic-Reinforced Polyetheretherketone Implant Abutments Supporting CAD/CAM Monolithic Lithium Disilicate Ceramic Crowns After Aging. The International Journal of Oral & Maxillofacial Implants, Vol. 34, 2019, pp. 622–630.
Search in Google Scholar Back to article
Rozeik, A. S., M. S. Chaar, S. Sindt, et al. Cellular properties of human gingival fibroblasts on novel and conventional implant-abutment materials. Dental Materials, Vol. 38, 2022, pp. 540–548.
Search in Google Scholar Back to article
Neodent. Gm Customizable Healing Abutment. Strautmann, Gm Customizable Healing Abutment, Peek/Titanium, 7.0X5.5 mm (2024).
Search in Google Scholar Back to article
Neodent, G. M. Pro Peek Abutment, Titanium/Peek, 6.0X5.5 mm. Strautmann, GM Pro Peek Abutment, Titanium/Peek, 6.0X5.5 mm (2024).
Search in Google Scholar Back to article
Wang, B., M. Huang, P. Dang, et al. PEEK in fixed dental prostheses: Application and adhesion improvement. Polymers (Basel), Vol. 14, 2022, id. 2323.
Search in Google Scholar Back to article
Alothman, Y. and M. S. Bamasoud. The success of dental veneers according to preparation design and material type. Open Access Macedonian Journal of Medical Sciences, Vol. 6, 2018, pp. 2402–2408.
Search in Google Scholar Back to article
Papathanasiou, I., P. Kamposiora, G. Papavasiliou, et al. The use of PEEK in digital prosthodontics: A narrative review. BMC Oral health, Vol. 20, 2020, id. 217.
Search in Google Scholar Back to article
Mayinger, F., D. Micovic, A. Schleich, et al. Retention force of polyetheretherketone and cobalt-chrome-molybdenum removable dental prosthesis clasps after artificial aging. Clinical Oral Investigations, Vol. 25, 2021, pp. 3141–3149.
Search in Google Scholar Back to article
Silva Júnior, E. V., R. T. Basting, C. P. Turssi, et al. Precision of polyether ether ketone (PEEK) or cobalt-chrome implant bar fit to implants after mechanical cycling. Acta odontológica latinoamericana : AOL, Vol. 36, 2023, pp. 71–77.
Search in Google Scholar Back to article
Zoidis, P. and I. Papathanasiou. Modified PEEK resin-bonded fixed dental prosthesis as an interim restoration after implant placement. The Journal of Prosthetic Dentistry, Vol. 116, 2016, pp. 637–641.
Search in Google Scholar Back to article
Sarfraz, S., P.-H. Mäntynen, M. Laurila, et al. Comparison of Titanium and PEEK Medical Plastic Implant Materials for Their Bacterial Biofilm Formation Properties. Polymers (Basel), Vol. 14, 2022, id. 3862.
Search in Google Scholar Back to article
Pérez-Pevida, E., D. Chávarri-Prado, M. Diéguez-Pereira, et al. Consequences of Peri-Implant Bone Loss in the Occlusal Load Transfer to the Supporting Bone in terms of Magnitude of Stress, Strain, and Stress Distribution: A Finite Element Analysis. BioMed Research International, Vol. 2021, 2021, id. 3087071.
Search in Google Scholar Back to article
Torstrick, F. B., A. S. P. Lin, D. Potter, et al. Porous PEEK improves the bone-implant interface compared to plasma-sprayed titanium coating on PEEK. Biomaterials, Vol. 185, 2018, pp. 106–116.
Search in Google Scholar Back to article
Ma, R. and D. Guo. Evaluating the bioactivity of a hydroxyapatite-incorporated polyetheretherketone biocomposite. Journal of Orthopaedic Surgery and Research, Vol. 14, 2019, id. 32.
Search in Google Scholar Back to article
Invibio Biomaterial Solutions - Advancing Implantable Devices. Invibio, 2024. https://invibio.com/en/ (accessed 12 October 2023).
Search in Google Scholar Back to article
BioHPP - Analogue and digital workflows, 2024. https://www.bredent-implants.com/products-solutions/therapies/skyonics-therapies/skyonics-biohpp-sky-elegance/ (accessed 12 October 2023).
Search in Google Scholar Back to article
Themes UFO. Physical and Mechanical Properties of Dental Materials. Pocket Dentistry. https://pocketdentistry.com/physical-and-mechanical-properties-of-dental-materials-2/(2020, accessed 10 October 2023)
Search in Google Scholar Back to article
Accelerator, A. Mechanical properties of biomaterials: Most up-to-date encyclopedia, news & reviews. . Academic Accelerator, 2007. https://academic-accelerator.com/encyclopedia/mechanical-properties-of-biomaterials(accessed 10 October 2023)
Search in Google Scholar Back to article
Kewalramani Kewalramani, N. Análisis in vitro de la elasticidad y la flexión del Peek. https://hdl.handle.net/20.500.14352/19990(2018, accessed 10 October 2023) Master Thesis, Universidad Complutense Madrid
Search in Google Scholar Back to article
Carpenter, R. D., B. S. Klosterhoff, F. B. Torstrick, et al. Effect of porous orthopaedic implant material and structure on load sharing with simulated bone ingrowth: A finite element analysis comparing titanium and PEEK. Journal of the Mechanical Behavior of Biomedical Materials, Vol. 80, 2018, pp. 68–76.
Search in Google Scholar Back to article
Sandler, J., P. Werner, M. S. P. Shaffer, et al. Carbon-nanofibre-reinforced poly(ether ether ketone) composites. Composites, Part A: Applied Science and Manufacturing, Vol. 33, 2002, pp. 1033–1039.
Search in Google Scholar Back to article
Attia, M. A., T. E. Shokry, and M. Abdel-Aziz. Effect of different surface treatments on the bond strength of milled polyetheretherketone posts. Journal of Prosthetic Dentistry, Vol. 127, 2022, pp. 866–874.
Search in Google Scholar Back to article
Wu, H., Y. Guo, and W. Guo. Effect of carbon-fiber-reinforced polyetheretherketone on stress distribution in a redesigned tumor-type knee prosthesis: a finite element analysis. Frontiers in Bioengineering and Biotechnology, Vol. 11. https://www.frontiersin.org/articles/10.3389/fbioe.2023.1243936 (2023, accessed 5 October 2023).
Search in Google Scholar Back to article
Gao, X., M. Fraulob, and G. Haïat. Biomechanical behaviours of the bone–implant interface: a review. Journal of the Royal Society Interface, Vol. 16, 2019, id. 20190259.
Search in Google Scholar Back to article
Mechanical Properties of Titanium Used in Dental Implants | Inside Dentistry, 2021. https://cdeworld.com/courses/5297-mechanical-properties-of-titanium-used-in-dental-implants (accessed 5 October 2023).
Search in Google Scholar Back to article
Vallittu, P. K. Some aspects of the tensile strength of unidirectional glass fibre-polymethyl methacrylate composite used in dentures. Journal of Oral Rehabilitation, Vol. 25, 1998, pp. 100–105.
Search in Google Scholar Back to article
Comparative Study of Chemical and Mechanical Surface Treatment Effects on Shear Bond Strength of PEEK to Veneering Ceramic, 2021. http://quintpub.com/journals/ijp/abstract.php?iss2_id=1809&article_id=22252 (accessed 5 October 2023).
Search in Google Scholar Back to article
Fabris, D., J. P. A. Moura, M. C. Fredel, et al. Biomechanical analyses of one-piece dental implants composed of titanium, zirconia, PEEK, CFR-PEEK, or GFR-PEEK: Stresses, strains, and bone remodeling prediction by the finite element method. Journal of biomedical materials research. Part B, Applied biomaterials, Vol. 110, 2022, pp. 79–88.
Search in Google Scholar Back to article
Yoon, H. G., H. K. Oh, D.-Y. Lee, et al. 3-D finite element analysis of the effects of post location and loading location on stress distribution in root canals of the mandibular 1st molar. Journal of Applied Oral Science, Vol. 26, 2018, id. e20160406.
Search in Google Scholar Back to article
Cavalli, V., M. Giannini, and R. M. Carvalho. Effect of carbamide peroxide bleaching agents on tensile strength of human enamel. Dental Materials, Vol. 20, 2004, pp. 733–739.
Search in Google Scholar Back to article
Sano, H., B. Ciucchi, W. G. Matthews, et al. Tensile Properties of Mineralized and Demineralized Human and Bovine Dentin. Journal of Dental Research, Vol. 73, 1994, pp. 1205–1211.
Search in Google Scholar Back to article
Chun, K., H. Choi, and J. Lee. Comparison of mechanical property and role between enamel and dentin in the human teeth. Journal of Dental Biomechanics, Vol. 5, 2014, id. 1758736014520809.
Search in Google Scholar Back to article
Tamrakar, S. K., S. K. Mishra, R. Chowdhary, et al. Comparative analysis of stress distribution around CFR‑PEEK implants and titanium implants with different prosthetic crowns: A finite element analysis. Dent Med Probl, Vol. 58, 2021, pp. 359–367.
Search in Google Scholar Back to article
Maekawa, M., Z. Kanno, T. Wada, et al. Mechanical properties of orthodontic wires made of super engineering plastic. Dental Materials Journal, Vol. 34, 2015, pp. 114–119.
Search in Google Scholar Back to article
Martin, R. B. and J. Ishida. The relative effects of collagen fiber orientation, porosity, density, and mineralization on bone strength. Journal of Biomechanics, Vol. 22, 1989, pp. 419–426.
Search in Google Scholar Back to article
García-González, M., S. Blasón-González, I. García-García, et al. Optimized Planning and Evaluation of Dental Implant Fatigue Testing: A Specific Software Application. Biology (Basel), Vol. 9, 2020, id. 372.
Search in Google Scholar Back to article
Materiales Dentales de Ricardo Luis Macchi | Editorial Médica Panamericana, 2007. https://www.medicapanamericana.com/co/libro/materiales-dentales-version-digital (accessed 11 October 2023).
Search in Google Scholar Back to article
Phillips’ Science of Dental Materials, https://www.booktopia.com.au/phillips-science-of-dental-materials-chiayi-shen/ebook/9780323697569.html (accessed 11 October 2023).
Search in Google Scholar Back to article
Beer, F. P., J. T. DeWolf, and E. R. Johnston Mechanics of materials, New York [u.a.] : McGraw-Hill, http://archive.org/details/mechanicsofmater00ferd_1 (1992, accessed 11 October 2023).
Search in Google Scholar Back to article
Shash, Y. H., M. M. Dohiem, M. T. Elwakad, and M. Eldosoky. Effect of bar material on the biomechanical performance of hybrid dental prosthesis. In 2021 3rd Novel Intelligent and Leading Emerging Sciences Conference (NILES), pp. 37–40.
Search in Google Scholar Back to article
Oswal, M. M., U. N. Amasi, M. S. Oswal, et al. Influence of three different implant thread designs on stress distribution: A three-dimensional finite element analysis. The Journal of the Indian Prosthodontic Society, Vol. 16, 2016, pp. 359–365.
Search in Google Scholar Back to article
Darvish, D., S. Khorramymehr, and M. Nikkhoo. Finite Element Analysis of the Effect of Dental Implants on Jaw Bone under Mechanical and Thermal Loading Conditions. Mathematical Problems in Engineering, Vol. 2021, 2021, id. e9281961.
Search in Google Scholar Back to article
Dorogoy, A., D. Rittel, K. Shemtov-Yona, et al. Modeling dental implant insertion. Journal of the Mechanical Behavior of Biomedical Materials, Vol. 68, 2017, pp. 42–50.
Search in Google Scholar Back to article
Lu, Y. 11 - Computational modelling of bone microstructure. In Computational Modelling of Biomechanics and Biotribology in the Musculoskeletal System, 2nd edn Z. Jin, Li, J., Chen, Z., (Eds.), Woodhead Publishing, pp. 251–276.
Search in Google Scholar Back to article

Exploring polyetheretherketone in dental implants and abutments: A focus on biomechanics and finite element methods

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