Effectiveness of PEEK Framework in Comparison to Metal Framework for Fixed Dental Prosthesis: A Systematic Review
Rupawat D Kamlesh, Deepak Nallaswamy, Dhanraj Ganapathy
Discoloration, Fixed dental prosthesis, Fracture resistance, Marginal adaptation, Metal ceramic, PEEK, Porcelain fused to metal
Citation Information :
Kamlesh RD, Nallaswamy D, Ganapathy D. Effectiveness of PEEK Framework in Comparison to Metal Framework for Fixed Dental Prosthesis: A Systematic Review. World J Dent 2022; 13 (1):80-86.
Aim: This systematic review was done to evaluate Polyether Ether Ketone (PEEK) over metal-ceramic alloy as a fixed partial denture framework.
Materials and methods: This review adhered to the PRISMA guidelines for conducting and reporting systematic reviews and meta-analyses. Three independent reviewers screened the literature pertinent to PEEK in fixed dental prosthetic applications with time limits from the years 1995 January to 2020 January. The search strategy was done based on PICO formulation. PICO analysis was used to create a search questionnaire, and a complete search was piloted in PubMed, Cochrane, Embase, Ovid, Science Direct databases for related manuscripts. Following screening and final selection, all the relevant information from the articles was extracted, tabulated, analyzed, and interpreted.
Results: 140 papers were rejected grounded on the title and the abstract from the 165 publications found after perusing all databases. Twenty papers were eliminated based on our inclusion and exclusion criteria, leaving only five researches to be included based on their central data. Meta-analysis could not be initiated due to the heterogeneity of the selected articles.
Conclusion: Based on this systematic review, PEEK-fixed partial dentures are reported to show better esthetics and despite the fact, PEEK frameworks showed equivalent mechanical properties as metal alloys, there is insufficient evidence to validate superior mechanical properties compared to its metal counterpart. Hence future studies are required in this field for further understanding and authentication.
Clinical significance: PEEK can be effectively used as an appropriate superstructure for dental implants, temporary abutments, implant aided bars, framework for removable prostheses, and fixed dental prostheses.
Svanborg P, Stenport V, Eliasson A. Fit of cobalt-chromium implant frameworks before and after ceramic veneering in comparison with CNC-milled titanium frameworks. Clin Exp Dent Res 2015;1(2):49–56. DOI: 10.1002/cre2.9
Jokstad A, Gökçe M, Hjortsjö C. A systematic review of the scientific documentation of fixed partial dentures made from fiber-reinforced polymer to replace missing teeth. Int J Prosthodont 2005;18(6):489–496. DOI:10.1016/j.prosdent.2006.05.021
Yoshida K, Tsuo Y, Atsuta M. Bonding of dual-cured resin cement to zirconia ceramic using phosphate acid ester monomer and zirconate coupler. J Biomed Mater Res B Appl Biomater 2006;77(1):28–33. DOI: 10.1002/jbm.b.30424
Kurtz SM, Devine JN. PEEK biomaterials in trauma, orthopedic, and spinal implants. Biomaterials 2007;28(32):4845–4869. DOI: 10.1016/j.biomaterials.2007.07.013
Skirbutis G, Dzingutė A, Masiliūnaitė V, et al. A review of PEEK polymer's properties and its use in prosthodontics. Stomatologija 2017;19(1):19–23.
Pascual A, Toma M, Tsotra P, et al. On the stability of PEEK for short processing cycles at high temperatures and oxygen-containing atmosphere. Polym Degrad Stab 2019;165:161–169. DOI: 10.1016/j.polymdegradstab.2019.04.025
Nazari V, Ghodsi S, Alikhasi M, et al. Fracture strength of three-unit implant supported fixed partial dentures with excessive crown height fabricated from different materials. J Dent 2016;13(6): 400–406.
Stawarczyk B, Beuer F, Wimmer T, et al. Poly Ether Ether ketone—a suitable material for fixed dental prostheses? J Biomed Mater Res Part B Appl Biomater 2013;101(7):1209–1216. DOI: 10.1002/jbm.b.32932
Pjetursson BE, Sailer I, Makarov NA, et al. All-ceramic or metal-ceramic tooth-supported fixed dental prostheses (FDPs)? A systematic review of the survival and complication rates. Part II: multiple-unit FDPs. Dent Mater 2015;31(6):624–639. DOI: 10.1016/j.dental.2015.02.013
Tekin S, Değer Y, Demirci F. Evaluation of the use of PEEK material in implant-supported fixed restorations by finite element analysis. Niger J Clin Pract 2019;22(9):1252–1258. DOI: 10.4103/njcp.njcp_144_19
Goldin EB, Boyd NW, Goldstein GR, et al. Marginal fit of leucite-glass pressable ceramic restorations and ceramic-pressed-to-metal restorations. J Prosthet Dent 2005;93(2):143–147. DOI: 10.1016/j.prosdent.2004.10.023
Pera P, Gilodi S, Bassi F, et al. In vitro marginal adaptation of alumina porcelain ceramic crowns. J Prosthet Dent 1994;72(6):585–590. DOI: 10.1016/0022–3913(94)90289–5
Schlenz MA, Vogler JAH, Schmidt A, et al. Chairside measurement of the marginal and internal fit of crowns: a new intraoral scan–based approach. Clin Oral Investig 2020;24(7):2459–2468. DOI: 10.1007/s00784–019-03108–3
Schlenz MA, Schmidt A, Wöstmann B, et al. In vitro comparison of analog versus digital impressions of the periodontally compromised dentition focused on interdental areas. Int J Comput Dent 2019;22(2):131–138.
Roy MS, Tewary S, Sanyal P, et al. An in vivo study to compare the marginal fit accuracy of crowns prepared using two different materials. J Evol Med Dent Sci 2019;8(24):1930–1934. DOI: 10.14260/jemds/2019/424
Nawafleh NA, Mack F, Evans J, et al. Accuracy and reliability of methods to measure marginal adaptation of crowns and FDPs: a literature review. J Prosthodont 2013;22(5):419–428. DOI: 10.1111/jopr.12006
Zoidis P, Papathanasiou I, Polyzois G. The use of a modified Poly-Ether-Ether-Ketone (PEEK) as an alternative framework material for removable dental prostheses. A clinical report. J Prosthodont 2016;25(7):580–584. DOI: 10.1111/jopr.12325
Stawarczyk B, Schmid P, Roos M, et al. Spectrophotometric evaluation of Poly Ether Ether ketone (PEEK) as a core material and a comparison with gold standard core materials. Materials 2016;9(6):491–501. DOI: 10.3390/ma9060491
Santos Heloisa RB, Ávila Gisseli B, Carvalho Geraldo AP, et al. Biomechanical behavior of tooth-supported fixed partial prostheses components with two different infrastructures: metal and Polyether Ether ketone (PEEK). Oral Health Dent Manag 2019;18(3):1–5. DOI: 10.35248/2247–24188.8.131.524