Int J Stomatol

Int J Stomatol ›› 2020, Vol. 47 ›› Issue (3): 297-303.doi: 10.7518/gjkq.2020041

• Case Reports • Previous Articles     Next Articles

Computer aided design and computer aided manufacturing-constructed polyetheretherketone removable partial dentures: a clinical report

Lu Yuqing,Min Jie,Chen Xin,Liu Chunxu,Dong Bo,Yue Li,Yu Haiyang()   

  1. State Key Laboratory of Oral Diseases & National Clinical Research Center for Oral Diseases & Dept. of Prosthodontics 2, West China Hospital of Stomatology, Sichuan University, Chengdu 610041, China
  • Received:2019-07-05 Revised:2019-12-05 Online:2020-05-01 Published:2020-05-08
  • Contact: Haiyang Yu E-mail:yhyang6812@scu.edu.cn
  • Supported by:
    Innovation Project of Graduate Education and Teaching Reform of Education Department of Sichuan Province(2014)

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Abstract:

Polyetheretherketone (PEEK) is a novel polymer compound with desirable mechanical properties and biosafety. It has been gradually used in the fields of prosthodontics, implantation, and orthodontics in recent years. Although the clinical application of PEEK in the frameworks of removable partial dentures has been reported, no related clinical studies on removable partial dentures fabricated with PEEK have been reported. In this case, a digital workflow was used to fabricate removable partial dentures with frameworks, artificial teeth, and bases using PEEK as the denture material. Immediate restoration was conducted on an 83-year-old patient with maxillary and mandibular dentition defects. Satisfactory results were observed at 3-6 months follow-up after treatments.

Key words: polyetheretherketone, removable partial denture, computer aided design

CLC Number: 

  • R783.1

TrendMD: 

Fig 1

Intraoral condition"

Fig 2

Scanning of the plaster models and occlusal relationship"

Fig 3

The design of removable partial dentures"

Fig 4

Export STL data of the dentures"

Fig 5

The completed PEEK removable partial denture"

Fig 6

Restorative effect"

Tab 1

Comparison of the advantages and disadvantages of removable partial dentures with 3 materials"

材料 优点 缺点
常规金属支架可摘局部义齿 1）高强度 1）制作步骤多、加工时间较长、需多次复诊
2）耐疲劳,不易变形 2）美观性较差
3）耐腐蚀 3）较重,舒适度一般
4）性能稳定、可靠 4）成品人工牙有时无法满足患者的个性化需要
5）不易复制
PEEK支架可摘局部义齿 1）可保护基牙 1）制作步骤多、加工时间较长、需多次复诊
2）质轻、舒适度高 2）可能加重牙槽嵴的负担
3）美观、无金属色 3）成品人工牙有时无法满足患者的个性化需要
4）易于复制 4）不易复制
5）长期修复效果有待观察
整体切削PEEK可摘局部义齿 1）制作步骤少、加工时间短,可即刻修复 1）适用于后牙缺失,修复前牙时需饰面
2）可个性化设计人工牙 2）可能加重牙槽嵴的负担
3）不存在多材料结合界面,避免人工牙脱落等情况 3）长期修复效果有待观察
4）可保护基牙
5）质轻、舒适度高
6）美观、无金属色
7）易于复制
[1] Lee WT, Koak JY, Lim YJ , et al. Stress shielding and fatigue limits of poly-ether-ether-ketone dental im-plants[J]. J Biomed Mater Res B Appl Biomater, 2012,100(4):1044-1052.
doi: 10.1002/jbm.b.32669 pmid: 22331553
[2] Hallab NJ, McAllister K, Brady M , et al. Macro-phage reactivity to different polymers demonstrates particle size- and material-specific reactivity: PEEK-OPTIMA® particles versus UHMWPE particles in the submicron, micron, and 10 micron size ranges[J]. J Biomed Mater Res Part B Appl Biomater, 2012,100(2):480-492.
doi: 10.1002/jbm.b.31974 pmid: 22102421
[3] Webster TJ, Patel AA, Rahaman MN , et al. Anti-infective and osteointegration properties of silicon nitride, poly(ether ether ketone), and titanium im-plants[J]. Acta Biomater, 2012,8(12):4447-4454.
doi: 10.1016/j.actbio.2012.07.038 pmid: 22863905
[4] Zoidis P, Papathanasiou I, Polyzois G . The use of a modified poly-ether-ether-ketone (PEEK) as an alter-native framework material for removable dental pros- theses. A clinical report[J]. J Prosthodont, 2016,25(7):580-584.
doi: 10.1111/jopr.12325 pmid: 26216668
[5] Hahnel S, Scherl C, Rosentritt M . Interim rehabili-tation of occlusal vertical dimension using a double-crown-retained removable dental prosjournal with polyetheretherketone framework[J]. J Prosthet Dent, 2018,119(3):315-318.
doi: 10.1016/j.prosdent.2017.02.017 pmid: 28641822
[6] Tannous F, Steiner M, Shahin R , et al. Retentive forces and fatigue resistance of thermoplastic resin clasps[J]. Dent Mater, 2012,28(3):273-278.
doi: 10.1016/j.dental.2011.10.016 pmid: 22130464
[7] Zoidis P, Bakiri E, Polyzois G . Using modified pol-yetheretherketone (PEEK) as an alternative material for endocrown restorations: a short-term clinical report[J]. J Prosthet Dent, 2017,117(3):335-339.
doi: 10.1016/j.prosdent.2016.08.009 pmid: 27692583
[8] Tada Y, Hayakawa T, Nakamura Y . Load-deflection and friction properties of PEEK wires as alternative orthodontic wires[J]. Materials (Basel), 2017,10(8):E914.
doi: 10.3390/ma10080914 pmid: 28792437
[9] Harb IE, Abdel-Khalek EA, Hegazy SA . CAD/CAM constructed poly(etheretherketone) (PEEK) frame-work of Kennedy ClassⅠremovable partial denture: a clinical report[J]. J Prosthodont, 2019,28(2):e595-e598.
doi: 10.1111/jopr.12968 pmid: 30345575
[10] 李景辉, 宋培智, 陈官辉 , 等. 铸造义齿中网状支架的设计[J]. 上海口腔医学, 1995,4(3):159-161.
Li JH, Song PZ, Chen GH , et al. Design of mesh support in cast dentures[J]. Shanghai J Stomatol, 1995,4(3):159-161.
[11] 任贤云, 管玉堂, 张伶 . 上前牙覆盖义齿与常规可摘义齿人工牙脱落基托折断的比较[J]. 口腔颌面修复学杂志, 2000, 1(3): 151, 176.
Ren XY, Guan YT, Zhang L . Comparison of broken artificial teeth and base of upper anterior overdenture and conventional removable denture[J]. Chin J Pros-thodont, 2000, 1(3): 151, 176.
[12] 祝海霆, 吴琳 . 可摘局部义齿卡环疲劳的影响因素[J]. 口腔医学, 2012,32(3):184-186.
Zhu HT, Wu L . Factors affecting fatigue of clasps in removable partial denture[J]. Stomatology, 2012,32(3):184-186.
[13] Sadek SA . Comparative study clarifying the usage of PEEK as suitable material to be used as partial den-ture attachment and framework[J]. Open Access Maced J Med Sci, 2019,7(7):1193-1197.
doi: 10.3889/oamjms.2019.287 pmid: 31049106
[14] Al-Rabab’ah M, Hamadneh W, Alsalem I , et al. Use of high performance polymers as dental implant abutments and frameworks: a case series report[J]. J Prosthodont, 2019,28(4):365-372.
doi: 10.1111/jopr.12639 pmid: 28513977
[15] Zok FW, Miserez A . Property maps for abrasion resistance of materials[J]. Acta Mater, 2007,55(18):6365-6371.
doi: 10.1016/j.actamat.2007.07.042
[16] Abdullah AO, Tsitrou EA, Pollington S . Comparative in vitro evaluation of CAD/CAM vs conventional provisional crowns[J]. J Appl Oral Sci, 2016,24(3):258-263.
doi: 10.1590/1678-775720150451 pmid: 27383707
[17] Kern M, Lehmann F . Influence of surface condi-tioning on bonding to polyetheretherketon (PEEK)[J]. Dent Mater, 2012,28(12):1280-1283.
doi: 10.1016/j.dental.2012.09.010 pmid: 23036863
[18] Stawarczyk B, Thrun H, Eichberger M , et al. Effect of different surface pretreatments and adhesives on the load-bearing capacity of veneered 3-unit PEEK FDPs[J]. J Prosthet Dent, 2015,114(5):666-673.
doi: 10.1016/j.prosdent.2015.06.006 pmid: 26344191
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