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正畸聚醚醚酮(PEEK)保持器失败:一例病例报告的扫描电子显微镜分析及可能的失败机制

Failed Orthodontic PEEK Retainer: A Scanning Electron Microscopy Analysis and a Possible Failure Mechanism in a Case Report.

作者信息

Zecca Piero Antonio, Bocchieri Salvatore, Carganico Andrea, Caccia Margherita, Fastuca Rosamaria, Borgese Marina, Levrini Luca, Reguzzoni Marcella

机构信息

Department of Medicine and Innovative Technologies, University of Insubria, 21100 Varese, Italy.

Department of Biomedical and Dental Sciences, Morphological and Functional Images, University of Messina, 98122 Messina, Italy.

出版信息

Dent J (Basel). 2024 Jul 18;12(7):223. doi: 10.3390/dj12070223.

DOI:10.3390/dj12070223
PMID:39057010
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11276184/
Abstract

This study presents a scanning electron microscopy analysis of a failed PEEK retainer in an orthodontic patient. After 15 months of use, the patient reported a gap opening between teeth 41 and 42. The PEEK retainer was removed and sent for electron microscope analysis. To investigate the failure, scanning electron microscopy was employed to assess the microstructure and composition of the retainer at various magnifications. These findings suggest that the failure of the PEEK retainer was multifaceted, implicating factors such as material defects, manufacturing flaws, inadequate design, environmental factors, and patient-related factors. In conclusion, this scanning electron microscopy analysis offers valuable insights into the failure mechanisms of PEEK retainers in orthodontic applications. Further research is necessary to explore preventive strategies and optimize the design and fabrication of PEEK retainers, minimizing the occurrence of failures in orthodontic practice.

摘要

本研究展示了对一名正畸患者中失败的聚醚醚酮(PEEK)保持器的扫描电子显微镜分析。使用15个月后,患者报告41号牙和42号牙之间出现间隙。取出PEEK保持器并送去进行电子显微镜分析。为了研究失败原因,采用扫描电子显微镜在不同放大倍数下评估保持器的微观结构和成分。这些发现表明,PEEK保持器的失败是多方面的,涉及材料缺陷、制造瑕疵、设计不足、环境因素和患者相关因素等。总之,这种扫描电子显微镜分析为正畸应用中PEEK保持器的失败机制提供了有价值的见解。有必要进行进一步研究以探索预防策略并优化PEEK保持器的设计和制造,从而在正畸实践中尽量减少失败的发生。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/83d8/11276184/4ba8066a7816/dentistry-12-00223-g005.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/83d8/11276184/d9ce6750337f/dentistry-12-00223-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/83d8/11276184/9a9aa27ae427/dentistry-12-00223-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/83d8/11276184/e6d36cd0550d/dentistry-12-00223-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/83d8/11276184/53b811afebe8/dentistry-12-00223-g004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/83d8/11276184/4ba8066a7816/dentistry-12-00223-g005.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/83d8/11276184/d9ce6750337f/dentistry-12-00223-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/83d8/11276184/9a9aa27ae427/dentistry-12-00223-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/83d8/11276184/e6d36cd0550d/dentistry-12-00223-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/83d8/11276184/53b811afebe8/dentistry-12-00223-g004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/83d8/11276184/4ba8066a7816/dentistry-12-00223-g005.jpg

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本文引用的文献

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Assessment of mechanical characteristics of polyetheretherketone as orthodontic fixed lingual retainers.聚醚醚酮作为正畸固定舌侧保持器的力学特性评估。
J Dent Sci. 2023 Oct;18(4):1804-1811. doi: 10.1016/j.jds.2023.05.026. Epub 2023 Jun 8.
2
Adult patient expectations and satisfaction: Can they be influenced by viewing the three-dimensional predicted outcome before fixed orthodontic treatment of dental crowding?成人患者的期望和满意度:在固定正畸治疗牙列拥挤前观看三维预测结果能否对此产生影响?
J World Fed Orthod. 2023 Dec;12(6):269-279. doi: 10.1016/j.ejwf.2023.08.005. Epub 2023 Sep 28.
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Inadvertent side effects of fixed lingual retainers : An in vitro study.
固定舌侧保持器的意外副作用:一项体外研究。
J Orofac Orthop. 2024 May;85(3):223-232. doi: 10.1007/s00056-022-00432-4. Epub 2022 Nov 11.
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Present and Theoretical Applications of Poly-Ether-Ether-Ketone (PEEK) in Orthodontics: A Scoping Review.聚醚醚酮(PEEK)在正畸学中的当前及理论应用:一项范围综述
Materials (Basel). 2022 Oct 22;15(21):7414. doi: 10.3390/ma15217414.
5
PEEK polymer in orthodontics: a scoping review.聚醚醚酮聚合物在口腔正畸学中的应用:范围综述。
Eur J Paediatr Dent. 2022 Jun;23(2):137-139. doi: 10.23804/ejpd.2022.23.02.10.
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Tailoring the biologic responses of 3D printed PEEK medical implants by plasma functionalization.通过等离子体功能化定制 3D 打印 PEEK 医用植入物的生物响应。
Dent Mater. 2022 Jul;38(7):1083-1098. doi: 10.1016/j.dental.2022.04.026. Epub 2022 May 11.
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A Fully Digital Workflow for PEEK Fixed Retainers.聚醚醚酮固定保持器的全数字工作流程。
J Clin Orthod. 2021 Apr;55(4):249-253.
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"Clinical comparison of bond failure rate between two types of mandibular canine-canine bonded orthodontic retainers- a randomized clinical trial".“两种下颌尖牙-尖牙粘接式保持器的粘接失败率临床比较——一项随机临床试验”。
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