Marginal healing using Polyetheretherketone as healing abutments: an experimental study in dogs

Rea, Massimiliano; Ricci, Sara; Ghensi, Paolo; Lang, Niklaus P.; Botticelli, Daniele; Soldini, Claudio

doi:10.1111/clr.12854

Cited by 23 publications

(25 citation statements)

References 17 publications

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“…Finally, 54 articles were included in present systematic review. Detailed data of the incorporated studies are listed as: 36 invitro studies in Table and 18 invivo studies in Table on PEEK material to find its efficacy as dental implant material .…”

Section: Resultsmentioning

confidence: 99%

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PEEK materials as an alternative to titanium in dental implants: A systematic review

Mishra¹,

Chowdhary

2018

Clin Implant Dent Rel Res

150

121

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Purpose Evaluation of the available research on PEEK materials to find that whether PEEK material has favorable properties and can enhance osseointegration, so that they can be utilize as implants material. Materials and Methods An electronic and structured systematic search was undertaken in May 2018, without any restrictions of time in the Medline/Pubmed, Sci‐hub, Ebscohost, Cochrane, and Web of Science databases. To identify other related references further hand search was done. Articles related to PEEK and their applications in implants were only included. Articles not available in abstract form and article other than English language were excluded. Results Initially, the search resulted in 153 papers. Independent screenings of the abstracts were done by the reviewers to identify the articles related to the question in focus. Sixty‐two studies were selected out of which 10 were further excluded due to not in English language. Two additional papers were obtained after hand searching, and finally 54 articles were included in the review. Conclusions Surface modification of PEEK seems to enhance the cell adhesion, proliferation, biocompability, and osteogenic properties of PEEK implant materials. PEEK had also influence the biofilm structure and reduces the chances of periimplant inflammations. Further research and more number of controlled clinical trials on PEEK implant is required in near future so that it can replace titanium in future.

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Section: Resultsmentioning

confidence: 99%

“…PEEK abutments are recommended for fixed provisional restorations when the prosthesis has to remain in oral cavity for 1 to 3 months. Reinforced PEEK is emerging as an effective alternative to Ti abutments for preservation of soft tissue stability, bone height, and biocompatibility …”

Section: Discussionmentioning

confidence: 99%

PEEK materials as an alternative to titanium in dental implants: A systematic review

Mishra¹,

Chowdhary

2018

Clin Implant Dent Rel Res

150

121

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“…However, PTVs were measured with just titanium healing abutments in these studies. Today, many manufacturers fabricate PEEK healing abutments as an alternative to titanium healing abutments because of their superior properties such as white color, biocompatibility, and ability to be shaped and modified . However no study exists evaluating the reliability of EPT devices when the PEEK healing abutments are used.…”

Section: Discussionmentioning

confidence: 99%

“…More recently healing abutments made of polymers such as polyetheretherketone (PEEK) which have been used in orthopedic surgery for over 20 years are introduced because of esthetic reasons and maintaining the health of peri‐implant soft tissues during healing. Although titanium healing abutments have been the gold standard in dental implant care for many years, it has been shown that PEEK may be preferred for the trans‐mucosal portion of the implant‐abutment complex during healing for esthetic or technical reasons . Several studies have confirmed the positive healing outcomes of PEEK healing abutments.…”

Section: Introductionmentioning

confidence: 99%

“…Although titanium healing abutments have been the gold standard in dental implant care for many years, it has been shown that PEEK may be preferred for the trans‐mucosal portion of the implant‐abutment complex during healing for esthetic or technical reasons . Several studies have confirmed the positive healing outcomes of PEEK healing abutments. PEEK healing abutments can be chosen instead of titanium healing abutments because of their inert chemical properties, white color, and biocompatibility .…”

Section: Introductionmentioning

confidence: 99%

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The behavior of polyetheretherketone healing abutments when measuring implant stability with electronic percussive testing

Dayan

Bural

Geçkili

2018

Clin Implant Dent Rel Res

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Background It is unknown whether it is possible to measure implant stability with polyetheretherketone (PEEK) healing abutments using electronic percussive testing (EPT). Purpose To investigate the reliability of the percussive test values (PTVs) measured with PEEK healing abutments and to compare them with the PTVs measured with titanium healing abutments. Material and Methods Thirty dental implants were inserted into the fresh pelvis belonging to a cow. Titanium healing abutments (2 and 5 mm), PEEK healing abutments (5 mm), and prepable standard titanium abutments (5 mm) were screwed to the implants, respectively, and PTVs were measured by two examiners using a wireless EPT device. Differences in PTVs between different dental implant components were evaluated using Friedman's test with post hoc Wilcoxon signed‐rank test and Bonferroni correction. Inter and intra‐observer reliabilities were detected using interclass correlation coefficients (ICCs) Results The mean PTVs obtained using the PEEK healing abutments were significantly higher than the mean PTVs obtained using the other abutments for both examiners (P < .01). The ICCs for intra‐observer reliability were detected as poor for PEEK healing abutments; and excellent for the other abutment types for both examiners. The ICCs for the inter‐observer reliability between the two examiners were poor (0.25) for PEEK healing abutments, and excellent for the 2 and 5 mm titanium healing abutments and for standard abutments (0.82, 0.84 and 0.93, respectively). Conclusion Within the limitations of this in vitro study, it may be concluded that EPT measurements should be avoided using PEEK healing abutments because of the poor reliability.

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Material characterization and Streptococcus oralis adhesion on Polyetheretherketone (PEEK) and titanium surfaces used in implantology

D’Ercole

Cellini

Pilato

et al. 2020

J Mater Sci: Mater Med

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The aim of this study was to evaluate the interaction between Streptococcus oralis and Polyetheretherketone (PEEK), a novel material recently introduced in implantology. The topographical characterization and the Streptococcus oralis adhesion on this material were compared with other titanium surfaces, currently used for the production of dental implants: machined and double etched (DAE). The superficial micro-roughness of the PEEK discs was analyzed by scanning electron microscopy (SEM) and, the Energy Dispersive Spectrometer (EDS) analyzed their chemical composition. Atomic Force Microscopy (AFM) was used to characterize the micro-topography and the sessile method to evaluate the wettability of the samples. Microbiological analysis measured the colony forming units (CFUs), the biomass (OD570 detection) and the cell viability after 24 and 48 h after Streptococcus oralis cultivation on the different discs, that were previously incubated with saliva. Results showed that PEEK was characterized by a micro-roughness that was similar to machined titanium but at nano-level the nano-roughness was significantly higher in respect to the other samples. The EDS showed that PEEK superficial composition was characterized mainly by Carbonium and Oxygen. The hydrophilicity and wetting properties of PEEK were similar to machined titanium; on the contrary, double etched discs (DAE) samples were characterized by significantly higher levels (p < 0.05). PEEK was characterized by significant lower CFUs, biomass and viable cells in respect to the titanium surfaces. No differences were found between machined and DAE. The anti-adhesive and antibacterial properties showed by PEEK at 24 and 48 h against a pioneer such as S. oralis, could have an important role in the prevention of all pathologies connected with biofilm formation, like peri-implantitis in dentistry or prosthetic failures in orthopedics.

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Marginal healing using Polyetheretherketone as healing abutments: an experimental study in dogs

Abstract: The coronal level of the hard and soft tissues allows the conclusion that the use of PEEK as healing abutments may be indicated.

Cited by 23 publications

References 17 publications

PEEK materials as an alternative to titanium in dental implants: A systematic review

PEEK materials as an alternative to titanium in dental implants: A systematic review

The behavior of polyetheretherketone healing abutments when measuring implant stability with electronic percussive testing

Material characterization and Streptococcus oralis adhesion on Polyetheretherketone (PEEK) and titanium surfaces used in implantology

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