An evaluation using micro-CT data of the stress formed in the crown and periodontal tissues from the use of Peek post and Peek crown: A 3D finite element analysis study

Abstract

Aim: Metal-supported ceramics as crown material and glass fibre posts as dental post materials are in frequent current use. In recent years, it has been claimed that stress-based biomechanical problems in dentistry can be resolved with the benefit of the low elasticity modulus of polyetheretherketone (PEEK) material. The aim of this study was to use finite element analysis (FEA) to compare the stresses formed by forces applied after the use of PEEK material as dental post and crown material as an alternative to glassfibre posts and metal-supported ceramic crowns.
 Material and Method: The stress analysis metthod used in this study was FEA. First, micro-computed tomography (micro-CT) images were obtained of a maxillary central incisor tooth and the data of the post materials scanned with a 3-dimensional (3D) laser scanner were uploaded to a computer program. 3D models were obtained with designs made in the computer program of all the materials. The modelling of a maxillary central tooth was completed using 2 different post materials (glassfibre and PEEK) and 2 different crown materials (metal ceramic and PEEK) and 4 groups were formed for analysis. By applying force of 100N at 135˚ from the absolute central point of the palatinal surface of the tooth, the stress values and distribution occurring in the 3D peiodontal models were compared. 
 Results: The use of PEEK post reduced the stresses occurring on the periodontal ligament (PDL) and the cortical bone, and caused no significant change in the stresses on the crown. The use of PEEK crown reduced the stresses occurring on the crown and increased the stresses occurring on the PDL and cortical bone.
 Conclusion: With further in vitro and clinical studies of PEEK material, it can be considered that within a short time PEEK post and PEEK crown could be in routine use in dentistry.