Skip to main navigation menu Skip to main content Skip to site footer

Prototyped Temporary Abutments as an Alternative to Polyether Ether Ketone Temporary Abutments

Abstract

A very important stage in the oral rehabilitation process of patients with dental implants is the provisionalization, which gives an idea of the future restoration and allows the creation of the gum emergency profile, but also allows the patient to have an aesthetic and functional solution until the definitive prostheses are manufactured. To support the provisional restoration, temporary abutments are used; these can be metallic or polymeric. Currently, the most implant-producing companies supply temporary abutments made of polyether ether-ketone (PEEK), an aesthetic material with good mechanical properties but with poor adherence to polymethylmethacrylate (PMMA). Considering that PMMA is the most used material for the manufacture of temporary crowns, but its adhesion with the current abutments is not the best, different investigations have been carried out to improve this union. This work proposes the use of temporary abutments manufactured by 3D printing from a photopolymer resin, which has already had other applications in the dental field. The mechanical properties of the prefabricated PEEK abutments were compared with the abutments obtained by 3D printing, finding that in the comprehension tests, the PEEK abutments performed better with a statistically significant difference; no significant differences were found in the flexion tests; while in the adherence tests resin abutments had a better performance, the difference being statistically significant.

Keywords

implantology, oral rehabilitation, photopolymer resin, polyether ether ketone, prototyping, temporary abutments

PDF XML

Author Biography

Carlos-Humberto Valencia-Llanos

Roles: Conceptualization, Research, Methodology, Writing – Review and editing.

Mario-Fernando Muñoz-Vélez

Roles: Conceptualization, Research, Methodology, Writing - Original draft, Procurement of funds, Writing – Review and editing.

Martha-Lucia Rodríguez-Paz

Roles: Conceptualization, Writing - Original draft, Procurement of funds, Writing – Review and editing.

Isabella Mosquera-Victoria

Roles: Conceptualization, Research, Methodology, Writing - Original draft.

Carlos-Alberto Viveros-Rebolledo

Roles: Conceptualization, Writing - Original draft.

Maria-Alejandra Barragán-Paredes

Roles: Conceptualization, Research, Methodology, Writing - Original draft, Writing – Review and editing.


References

  1. Y. Wang, D. Bäumer, A. K. Ozga, G. Körner, A. Bäumer, “Patient satisfaction and oral health-related quality of life 10 years after implant placement,” BMC Oral Health, vol. 21, no. 1, pp. 1–14, 2021. https://doi.org/10.1186/s12903-020-01381-3 DOI: https://doi.org/10.1186/s12903-020-01381-3
  2. J. Pitta, J. Bijelic-Donova, F. Burkhardt, V. Fehmer, T. Närhi, I. Sailer, “Temporary Implant-Supported Single Crowns Using Titanium Base Abutments: An In Vitro Study on Bonding Stability and Pull-out Forces,” The International Journal of Prosthodontics, vol. 33, no. 5, pp. 546–552, 2020. https://doi.org/10.11607/ijp.6778 DOI: https://doi.org/10.11607/ijp.6778
  3. E. Mijiritsky, A. Barone, I. C. Cinar, K. Nagy, M. Shacham, “3D considerations and outcomes of immediate single implant insertion and provisionalization at the maxillary esthetic zone: A long-term retrospective follow-up study of up to 18 years,” Journal of Clinical Medicine, vol. 10, no. 18, pp. 8–18, 2021. https://doi.org/10.3390/jcm10184138 DOI: https://doi.org/10.3390/jcm10184138
  4. A. Barone, S. Marconcini, E. Giammarinaro, E. Mijiritsky, F. Gelpi, U. Covani, “Clinical Outcomes of Implants Placed in Extraction Sockets and Immediately Restored: A 7-Year Single-Cohort Prospective Study,” Clinical Implant Dentistry and Related Research, vol. 18, no. 6, pp. 1103–1112, 2016. https://doi.org/10.1111/cid.12393 DOI: https://doi.org/10.1111/cid.12393
  5. K. W. Slagter, G. M. Raghoebar, D. F. M. Hentenaar, A. Vissink, H. J. A. Meijer, “Immediate placement of single implants with or without immediate provisionalization in the maxillary aesthetic region: A 5-year comparative study,” Journal of Clinical Periodontology, vol. 48, no. 2, pp. 272–283, 2021. https://doi.org/10.1111/jcpe.13398 DOI: https://doi.org/10.1111/jcpe.13398
  6. Q. Cheng, Y.-Y. Su, X. Wang, S. Chen, “Clinical Outcomes Following Immediate Loading of Single-Tooth Implants in the Esthetic Zone: A Systematic Review and Meta-Analysis,” The International Journal of Oral and Maxillofacial Implants, vol. 35, no. 1, pp. 167–177, 2020. https://doi.org/10.11607/jomi.7548 DOI: https://doi.org/10.11607/jomi.7548
  7. R. Agustín-Panadero, B. Serra-Pastor, A. Roig-Vanaclocha, J. L. Román-Rodriguez, A. Fons-Font, “Mechanical behavior of provisional implant prosthetic abutments,” Medicina Oral, Patologia Oral, Cirugia Bucal, vol. 20, no. 1, pp. 94–102, 2015. https://doi.org/10.4317/medoral.19958 DOI: https://doi.org/10.4317/medoral.19958
  8. Y. N. Raico Gallardo, I. Hidalgo López, A. Díaz Saravia, “Diferentes sistemas de pilares protésicos sobre implantes,” Revista Estomatológica Herediana, vol. 21, no. 3, p. 159, 2014. https://doi.org/10.20453/reh.v21i3.231 DOI: https://doi.org/10.20453/reh.v21i3.231
  9. M. Ferrari, M. Carrabba, A. Vichi, C. Goracci, and M. C. Cagidiaco, “Influence of Abutment Color and Mucosal Thickness on Soft Tissue Color,” The International Journal of Oral and Maxillofacial Implants, vol. 32, pp. 393–399, 2017. https://doi.org/10.11607/jomi.4794 DOI: https://doi.org/10.11607/jomi.4794
  10. J. L. Y. Yang, H. Shuai, “Review: Recent Progress on Poly ( ether ether Ketone) and its Composites for Biomedical, Machinary, energy and Aerospace Applications,” Journal of Harbin Institute of Technology (New Series), vol. 27, no. 3, pp. 243–258, 2020
  11. L. Bathala, V. Majeti, N. Rachuri, N. Singh, S. Gedela, “The Role of Polyether Ether Ketone (Peek) in Dentistry - A Review,” Journal of Medicine and Life, vol. 12, no. 1, pp. 5–9, 2019. https://doi.org/10.25122/jml-2019-0003 DOI: https://doi.org/10.25122/jml-2019-0003
  12. M. S. Zafar, “Prosthodontic applications of polymethyl methacrylate (PMMA): An update,” Polymers (Basel), vol. 12, no. 10, pp. 1–35, 2020. https://doi.org/10.3390/polym12102299 DOI: https://doi.org/10.3390/polym12102299
  13. L. M. Campaner, M. P. Motta Silveira, G. Schmitt de Andrade, A. L. Souto Borges, M. A. Bottino, A. M. de Oliveira Dal Piva, R. Lo Giudice, P. Ausiello, J. P. Mendes Tribst, “Influence of polymeric restorative materials on the stress distribution in posterior fixed partial dentures: 3D finite element analysis,” Polymers (Basel), vol. 13, no. 5, pp. 1–11, 2021. https://doi.org/10.3390/polym13050758 DOI: https://doi.org/10.3390/polym13050758
  14. P. Chaijareenont, S. Prakhamsai, P. Silthampitag, H. Takahashi, “Effects of different sulfuric acid etching concentrations on PEEK surface bonding to resin composite,” Dental Materials Journal, pp. 1–8, 2018. https://doi.org/10.4012/dmj.2017-141 DOI: https://doi.org/10.4012/dmj.2017-141
  15. L. T. Gama, T. M. Duque, M. Özcan, A. G. Philippi, L. A. M. Mezzomo, T. M. S. V. Gonçalves, “Adhesion to high-performance polymers applied in dentistry: A systematic review,” Dental Materials, vol. 36, no. 4, pp. e93–e108, 2020. https://doi.org/10.1016/j.dental.2020.01.002 DOI: https://doi.org/10.1016/j.dental.2020.01.002
  16. M. Kern, F. Lehmann, “Influence of surface conditioning on bonding to polyetheretherketon (PEEK),” Dental Materials, vol. 28, no. 12, pp. 1280–1283, 2012. https://doi.org/10.1016/j.dental.2012.09.010 DOI: https://doi.org/10.1016/j.dental.2012.09.010
  17. S. Bukhari, B. J. Goodacre, A. AlHelal, M. T. Kattadiyil, P. M. Richardson, “Three-dimensional printing in contemporary fixed prosthodontics: A technique article,” The Journal of Prosthetic Dentistry, vol. 119, no. 4, pp. 530–534, 2018. https://doi.org/10.1016/j.prosdent.2017.07.008 DOI: https://doi.org/10.1016/j.prosdent.2017.07.008
  18. J. Jockusch, M. Özcan, “Additive manufacturing of dental polymers: An overview on processes, materials and applications,” Dental Materials Journal, vol. 39, no. 3, pp. 345–354, 2020. https://doi.org/10.4012/dmj.2019-123 DOI: https://doi.org/10.4012/dmj.2019-123
  19. D. Beer, J. Russell, J. DeWolf, J. Mazurek, Mechanics of Materials, Seventh Ed., no. 1. New York: McGraw-Hill Higher Education, 2001
  20. P. J. Herrera-Franco, L. T. Drzal, “Comparison of methods for the measurement of fibre / matrix adhesion in composites,” Composites, vol. 23, no. 1, pp. 2–27, 1992 DOI: https://doi.org/10.1016/0010-4361(92)90282-Y
  21. S. M. Park, J. M. Park, S. K. Kim, S. J. Heo, J. Y. Koak, “Flexural strength of 3D-printing resin materials for provisional fixed dental prostheses,” Materials (Basel), vol. 13, no. 18, pp. 1–14, 2020. https://doi.org/10.3390/ma13183970 DOI: https://doi.org/10.3390/ma13183970
  22. G. Fuhrmann, M. Steiner, S. Freitag-Wolf, M. Kern, “Resin bonding to three types of polyaryletherketones (PAEKs) - Durability and influence of surface conditioning,” Dental Materials, vol. 30, no. 3, pp. 357–363, 2014. https://doi.org/10.1016/j.dental.2013.12.008 DOI: https://doi.org/10.1016/j.dental.2013.12.008
  23. A. Barto, K. S. Vandewalle, W. Lien, K. Whang, “Repair of resin-veneered polyetheretherketone after veneer fracture,” The Journal of Prosthetic Dentistry, vol. 125, no. 4, pp. 704.e1-704.e8, 2021. https://doi.org/10.1016/j.prosdent.2020.10.020 DOI: https://doi.org/10.1016/j.prosdent.2020.10.020

Downloads

Download data is not yet available.