Investigating the Effect of Polyetheretherketone (PEEK) Veneers on Bond Strength and Discoloration When Repairing Various Composites.

OBJECTIVES

This study aimed to examine the impact of the strength and color change of composite materials that could be utilized in the repair of polyetheretherketone (PEEK) veneer fractures.

METHODS

The 220 nanoceramic-filled PEEK specimens used in the study were divided into four groups, and color measurements were made on a gray background (n=55): Group N, 1-mm-thick monochromatic composite; Group NN, 2-mm-thick monochromatic composite; Group F, 1-mm-thick 2-mm-diameter short fiber-reinforced composite, placed in the center and polymerized; and Group FF, 2-mm-thick 2-mm-diameter short fiber-reinforced composite, placed in the center and polymerized. The remaining mating surfaces were restored by filling with monochromatic composite and adhesion strength testing by re-measuring the color.

RESULTS

The results of the two-way ANOVA indicated that there was a significant color change caused by both thickness and composite type (p<0.001). Additionally, a significant difference in bond strength was observed between the groups.

CONCLUSION

In PEEK restorations, short fiber-reinforced composites significantly increase bond strength, while the use of monochromatic composites of a certain thickness ensures that color change remains within acceptable limits.

SIGNIFICANCE

Although PEEK has a superior mechanical structure, it does not meet the aesthetic expectations and needs to be veneered. However, fractures are frequently seen due to low bond strength. Therefore, this study is important because it aims to provide guidance to clinicians on aesthetic and mechanical methods that can be used in PEEK prosthesis repair.