International Journal of Clinical Pediatric Dentistry

Register      Login

VOLUME 18 , ISSUE 1 ( January, 2025 ) > List of Articles

ORIGINAL RESEARCH

Evaluation of the Shear Peel Bond Strength of the Computer-aided Design/Computer-aided Manufacturing Polyetheretherketone Band for Space Maintainer: An In Vitro Study

Osama S Mohamed, Inas Karawia, Alaa Hosny Gaber, Mohamed Ashraf Hall

Keywords : Bond strength, Computer-aided Design/computer-aided Manufacturing band, Polyetheretherketone material, Space maintainer, Stainless steel band

Citation Information : Mohamed OS, Karawia I, Gaber AH, Hall MA. Evaluation of the Shear Peel Bond Strength of the Computer-aided Design/Computer-aided Manufacturing Polyetheretherketone Band for Space Maintainer: An In Vitro Study. Int J Clin Pediatr Dent 2025; 18 (1):75-79.

DOI: 10.5005/jp-journals-10005-3028

License: CC BY-NC 4.0

Published Online: 14-02-2025

Copyright Statement:  Copyright © 2025; The Author(s).


Abstract

Background and aim: Computer-aided design/computer-aided manufacturing (CAD/CAM)-fabricated space maintainers offer a reliable alternative to traditionally fabricated stainless steel (SST) appliances, avoiding their commonly encountered drawbacks. The aim of this study is to evaluate the shear peel bond strength of the CAD/CAM polyetheretherketone (PEEK) space maintainer in comparison with an SST one. Materials and methods: The study was conducted on 50 molars, divided into two groups: a customized PEEK band (study group) and a prefabricated SST orthodontic molar band (control group). The crowns of the study group were scanned using a lab scanner, the bands were designed using ExoCAD software, and the PEEK disks were milled. The inner surfaces of the PEEK bands were sandblasted, etched, rinsed, and dried. Both bands were cemented to the teeth using self-etch dual-cure resin cement. The sheer peel bond of the bands was tested twice, both before and after cementation, using an electromechanical tensile universal testing machine. The data were analyzed using Statistical Package for the Social Sciences (SPSS) software. Results: Prior to cementation, the peel bond strength of the PEEK band (0.02 ± 0.01) was significantly higher than the SST band (0.01 ± 0.00) (p = 0.000). Additionally, the PEEK band's shear peel bond strength (0.58 ± 0.18) following cementation with self-etch dual-cure dental resin cement was considerably higher than the SST band's shear peel bond strength (0.49 ± 0.24) (p = 0.04). Conclusion: PEEK bands designed with CAD/CAM technology showed a better shear peel bond than SST bands, both before and following cementation, which imply that PEEK might provide a dependable alternative for traditional SST bands used in pediatric dentistry.


PDF Share
  1. Barbería E, Lucavechi T, Cárdenas D, et al. Free-end space maintainers: design, utilization and advantages. J Clin Pediatr Dent 2006;31(1):5–8.
  2. Mittal S, Sharma A, Sharma AK, et al. Banded versus single-sided bonded space maintainers: a comparative study. Indian J Dent Sci 2018;10(1):29–36.
  3. Bayardo RE. Anterior space maintainer and regainer. ASDC J Dent Child 1986;53(6):452–455.
  4. Pawar BA. Maintenance of space by innovative three-dimensional-printed band and loop space maintainer. J Indian Soc Pedod Prev Dent 2019;37(2):205–208.
  5. Dhanotra KG, Bhatia R. Digitainers-digital space maintainers: a review. Int J Clin Pediatr Dent 2021;14(Suppl 1):S69–S75.
  6. Guo H, Wang Y, Zhao Y, et al. Computer-aided design of polyetheretherketone for application to removable pediatric space maintainers. BMC Oral Health 2020;20:1–10.
  7. Kurtz SM, Devine JN. PEEK biomaterials in trauma, orthopedic, and spinal implants. Biomaterials 2007;28(32):4845–4869.
  8. Alsadon O, Wood D, Patrick D, et al. Fatigue behavior and damage modes of high performance poly-ether-ketone-ketone PEKK bilayered crowns. J Mech Behav Biomed Mater 2020;110:103957.
  9. Lu WJ, Chen WC, Srimaneepong V, et al. Fracture characteristics of commercial PEEK dental crowns: combining the effects of aging time and TiO2 content. Polymers 2023;15(12):2720.
  10. Vaezi M, Yang S. A novel bioactive PEEK/HA composite with controlled 3D interconnected HA network. Int J Bioprint 2015;1(1):66–76.
  11. Stawarczyk B, Bähr N, Beuer F, et al. Influence of plasma pretreatment on shear bond strength of self-adhesive resin cements to polyetheretherketone. Clin Oral Investig 2014;18:163–170.
  12. Schmidlin PR, Stawarczyk B, Wieland M, et al. Effect of different surface pre-treatments and luting materials on shear bond strength to PEEK. Dent Mater 2010;26(6):553–559.
  13. Iso T. Dental materials—guidance on testing of adhesion to tooth structure. 1994:1–14.
  14. Monisha RJ, Indumathi K, Tamil S, et al. Comparative evaluation of shear bond strength of two different GICs in pediatric dentistry: an in vitro study. Int J Health Sci 2000;6:5874–5881.
  15. Krithikadatta J, Gopikrishna V, Datta M. CRIS guidelines (Checklist for Reporting In-vitro Studies): a concept note on the need for standardized guidelines for improving quality and transparency in reporting in-vitro studies in experimental dental research. J Conserv Dent 2014;17(4):301–304.
  16. AboulAzm NS, Sharaf AA, Dowidar KM, et al. Effectiveness of CAD/CAM PEEK fabricated space maintainer in children: a randomized controlled clinical trial. Alex Dent J 2023;48(2):1–8.
  17. Essawy K, Gomaa YF, Ali Khattab NM. Clinical performance of CAD/CAM fixed functional space maintainer made of poly ether ether ketone (PEEK). Min J Med Res 2021;32(4):7–12.
  18. Kaur J, Singh A, Sadana G, et al. Evaluation of shear peel bond strength of different adhesive cements used for fixed space maintainer cementation: an in vitro study. Int J Clin Pediatr Dent 2021;14(2):175–179.
  19. Wang Q, Zhang Z, Zhong S, et al. Clinical application of a digital semi-rigid bridge space maintainer fabricated from polyetheretherketone for premature loss of primary molars. BMC Oral Health 2023;23(1):944.
  20. Alabbadi AA, Abdalla EM, Hanafy SA, et al. A comparative study of CAD/CAM fabricated polyether ether ketone and fiber-glass reinforcement composites versus metal lingual retainers under vertical load (an in vitro study). BMC Oral Health 2023;23(1):583.
  21. Abdullah AO, Tsitrou EA, Pollington S. Comparative in vitro evaluation of CAD/CAM vs conventional provisional crowns. J Appl Oral Sci 2016;24(3):258–263.
  22. Papathanasiou I, Kamposiora P, Papavasiliou G, et al. The use of PEEK in digital prosthodontics: a narrative review. BMC Oral Health 2020;20(1):217.
PDF Share
PDF Share

© Jaypee Brothers Medical Publishers (P) LTD.