Retention Strength of Zirconia Crowns Cemented onto PEEK Abutments Using Two Different Types of Resin Cement With or Without Primer Application-An In Vitro Study.

Abstract

To evaluate the retention of zirconia crowns on polyetheretherketone (PEEK) abutments using different luting agents, with and without PEEK primer. A total of 100 PEEK abutment replicas were fabricated, airborne particle-abraded with aluminum oxide, and divided into four groups (n = 25). A total of 100 zirconia crowns were fabricated and cemented using either adhesive resin cement or self-adhesive resin cement with and without PEEK primer; thus, the groups were: group AA-P (adhesive cement with primer); group AA-N (adhesive cement without primer); group SA-P (self-adhesive cement with primer); and group SA-N (self-adhesive cement without primer). The specimens were thermocycled and subjected to crown pull-out tests. The values were recorded and analyzed using analysis of variance and post hoc analysis (α = .05). The mode of failure of debonded surfaces was evaluated using scanning electron microscopy. The pull-out force values were 3.13 ± 0.31 MPa for group AA-P, 1.77 ± 0.20 MPa for group AA-N, 2.10 ± 0.12 MPa for group SA-P, and 1.49 ± 0.18 MPa for group SA-N. Statistically significant differences were found between all four groups (P < .001). The specimens with PEEK primer applied showed higher values compared to nonprimed specimens for both cements tested. Scanning electron microscopy analysis showed more mixed failures for adhesive cement and more adhesive failures for self-adhesive resin cement. The maximum pull-out forces were recorded for zirconia crowns bonded to PEEK abutments with adhesive cement. The use of PEEK primer increased the pull-out values for both resin cements.