Department of Prosthodontics, Future University in Egypt, St. Teseen, New Cairo 1, Cairo Governorate, New Cairo, 11835, Egypt.
Department of Prosthodontics, Cairo University in Egypt, Giza, Egypt.
Clin Oral Investig. 2024 Aug 6;28(9):468. doi: 10.1007/s00784-024-05831-y.
OBJECTIVE: this study aimed to digitally compare wear behavior and retention between PEEK and nylon retentive inserts used in locator-retained, mandibular implant overdentures when attachment design and size were standardized. MATERIALS AND METHODS: A total of sixty-four inserts (32 PEEK and 32 nylon inserts); were picked-up in implant overdentures. Overdentures of both groups were submerged in artificial saliva and mounted to chewing simulator. After 480,000 chewing cycles (equivalent to 2 years of clinical use) all inserts were scanned by scanning electron microscope (SEM), then all acquired images were digitally analyzed by software to detect and compare quantitative and qualitative changes of inserts in both groups. On the other hand, retention of both groups was measured by universal testing machine and the collected data was statistically analyzed using one-way Analysis of Variance (ANOVA) test with significance level set at P ≤ 0.05. RESULTS: PEEK inserts showed significantly higher mean retentive values compared to the nylon inserts in the control group. Also, PEEK retentive inserts exhibited statistically lower mean wear values than the control group P ≥ 0.000. Qualitative investigation revealed significant and more pronounced changes in the surface roughness of nylon inserts compared to PEEK ones. CONCLUSIONS: Regarding retention, wear behavior and dimension stability, PEEK can be recommended as retentive insert material in cases of locator-retained mandibular implant overdentures. CLINICAL RELEVANCE: PEEK inserts offer enhanced retention, reduced wear, and greater dimensional stability over two years time interval. Clinically, this reduces prosthodontic maintenance and adjustments, improving patient satisfaction and long-term prosthetic success.
目的:本研究旨在数字化比较定位器固位、下颌种植覆盖义齿中使用的 PEEK 和尼龙固位体在附件设计和尺寸标准化时的磨损行为和保留情况。
材料和方法:从种植覆盖义齿中取出 64 个固位体(32 个 PEEK 和 32 个尼龙固位体)。两组覆盖义齿均浸泡在人工唾液中,并安装在咀嚼模拟器上。经过 480000 次咀嚼循环(相当于 2 年临床使用)后,所有固位体均通过扫描电子显微镜(SEM)进行扫描,然后通过软件对所有获取的图像进行数字化分析,以检测和比较两组固位体的定量和定性变化。另一方面,通过万能试验机测量两组的保留力,使用单向方差分析(ANOVA)检验对收集的数据进行统计学分析,显著性水平设为 P ≤ 0.05。
结果:与对照组的尼龙固位体相比,PEEK 固位体的平均保留值明显更高。此外,与对照组相比,PEEK 固位体的平均磨损值更低,差异具有统计学意义(P ≥ 0.000)。定性研究表明,与 PEEK 相比,尼龙固位体的表面粗糙度发生了更显著和更明显的变化。
结论:就保留力、磨损行为和尺寸稳定性而言,PEEK 可作为定位器固位的下颌种植覆盖义齿的固位体材料。
临床意义:PEEK 固位体在两年的时间间隔内提供了增强的保留力、减少的磨损和更大的尺寸稳定性。在临床实践中,这减少了修复体的维护和调整,提高了患者的满意度和长期修复体的成功率。
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