Aim: The aim of the present study was to clinically assess the performance of BioHPP PEEK material when used for inlay restoration and to compare it with widely used zirconia inlays. This clinical study was undertaken to evaluate their performance in terms of retention, colour matching, marginal discoloration, marginal adaptation, secondary caries, surface texture, wear-anatomic form, postoperative sensitivity and fracture resistance using the modified Ryge's criteria. Settings and Design: In vivo - prospective clinical study. Material and Methods: A total of 40 patients were selected based on inclusion and exclusion criteria requiring inlays. The patients were further divided in two groups: Group A - Consisted of 20 permanent maxillary and mandibular carious posterior teeth restored with BioHPP PEEK inlays and Group B - Consisted of 20 permanent maxillary and mandibular carious posterior teeth restored with CAD/CAM zirconia inlays (sintered monolithic zirconia, Zolid, Amann Girrbach AG, Koblach, Austria). Two prosthodontists, who were blinded to the study groups, evaluated the restorations. In cases of widely different scores, the observers re-evaluated the restorations and reached a consensus. Restorations were evaluated at the end of 1 week (base line), 3 months, 6 months, and 12 months, using modified Ryge's criteria. Statistical Analysis Used: Chi- square' test, 'Fisher's exact' test and 'z' test. Results: 90% of the BioHPP PEEK inlays were rated satisfactory in comparison to 95% of zirconia inlays. Sensitivity score was 10% in BioHPP PEEK inlays and 15% in zirconia inlays. No significant difference was encountered with other parameters in this study. Conclusion: The BioHPP PEEK when used as indirect aesthetic restorations was found to be satisfactory with relatively low rate of fracture over an observation period of one year in comparison to zirconia inlays in posterior teeth. The BioHPP PEEK can be a suitable alternative with high level of accuracy in terms of retention, marginal quality and aesthetics.
Microleakage is the clinically detectable passage of bacteria, fluids, molecules or ions between a cavity wall and the restorative materials applied to it. This study was conducted to evaluate and compare the microleakage in Class II nanocomposite restorations, with resin-modified glass ionomer liner(group I), nanofilled flowable composite liner(group II) & without liner(group III). Thirty six non carious upper premolar teeth extracted for orthodontic purposes were selected. Standard class II cavities were prepared. The teeth were then randomly & equally divided into three groups with 12 teeth in each group. The teeth were subjected to thermocycling. After that apex of each tooth was sealed with acrylic resin and the teeth were painted with two coats of nail varnish, except for the area of 2 mm from the periphery of the restorations. The coated teeth were immersed in buffered (Ph 7) 0.5% methylene blue dye for 48 hours. Teeth were sectioned & observed under stereomicroscope of 10X magnification. At gingival level, Group I exhibited slightly lesser microleakage than group II but was not statistically significant. Group I showed no significant difference between microleakage at occlusal and gingival level (Z=1.732; P=0.083). However, in Group II and Group III, there was significantly greater microleakage at the gingival level (Z= 2.162 and 3.162; P=0.002 and 0.002, respectively). Both resin-modified glass ionomer and flowable composite can be used as liners under nano composite restorations as reduction in microleakage was comparable.
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