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Effect of Aging on Fracture Resistance and Torque Loss of Restorations Supported by Zirconia and Polyetheretherketone Abutments: An in Vitro Study Publisher Pubmed



Ghodsi S1 ; Tanous M2 ; Hajimahmoudi M3 ; Mahgoli H3
Authors
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Authors Affiliations
  1. 1. Associate professor, Dental Research Center, Dentistry Research Institute, Department of Prosthodontics, School of Dentistry, Tehran University of Medical Sciences, Tehran, Iran
  2. 2. Fellowship in Implant Dentistry, Department of Prosthodontics, School of Dentistry, Tehran University of Medical Sciences, International Campus, Tehran, Iran
  3. 3. Assistant professor, Department of Prosthodontics, School of Dentistry, Tehran University of Medical Sciences, Tehran, Iran

Source: Journal of Prosthetic Dentistry Published:2021


Abstract

Statement of problem: New materials have been developed for digital processing, including implant abutments, but studies on their mechanical properties are lacking. Purpose: The purpose of this in vitro study was to compare the effect of aging on the fracture resistance, failure mode, and torque loss of restorations made of zirconia and ceramic-reinforced polyetheretherketone (PEEK) abutments with titanium bases. Material and methods: Titanium-based PEEK and zirconia abutments were milled and veneered with composite resin or feldspathic porcelain in the form of maxillary first premolars (n=10). All the specimens were subjected to an aging process and were assessed after every 250 000 cycles under a stereomicroscope, and torque loss was recorded with an electronic torque meter. Fracture resistance was measured under static load (crosshead speed of 1 mm/min), and failure modes and final torque were determined. A t test was conducted for statistical analyses (α=.05). Results: The fracture resistance of the zirconia restorations was significantly greater than the PEEK-based restorations (P=.001). Torque losses were not significantly different after aging (P=.18); however, significant difference was recorded after the fracture test (P=.007). The effect of fracture load was significantly greater for the zirconia group (P<.001). Unlike with the zirconia group, the failure mode in the PEEK-based restorations was mainly adhesive and favorable (9 of 10 specimens). Conclusions: Ceramic-reinforced PEEK abutments had acceptable resistance to fracture, a favorable failure mode, and successfully sustained the aging process. © 2020 Editorial Council for the Journal of Prosthetic Dentistry