Abstract

This study investigates the suitability of Piezoelectric Direct Discharge Plasma as a tool for wetting behaviour modification of PEEK and dentin, and compares the results of this method with low-pressure plasma treatment and phosphoric acid etching. Static contact angle measurements were made, roughness was assessed using tactile measurement, and AFM and SEM images were taken. An optimum operating distance of ≤15 mm was determined for the plasma based on the water contact angle. Furthermore, it was demonstrated that despite only a fraction of the power, the PDD plasma also produces hydrophilic and nanostructured PEEK surfaces with a 38° water contact angle in the same plasma time. In contrast, the gold standard of dental surface modification of dentin—phosphoric acid etching—showed no measurable contact angle due to the exposed dentin tubules. Treatment with PDD plasma reduces the water contact angle of dentin from 65° to 43° and is not negative affected by water. Wet, PDD plasma-treated dentin samples show a water contact angle of only 26.5°. The dentin tubules exposed by chemical etching led to a significantly increased roughness. No comparable effect could be demonstrated for plasma treatment on dentin, but based on the contact angle measurements, a chemically strongly activated surface with strongly polar interaction behaviour can be assumed. The additional use of the PDD plasma technique to improve wetting could therefore have a positive effect on the adhesive bond between human dentin and polymeric dental restorative materials or, depending on the adhesive system, replace the etching process altogether.

Highlights

  • Due to the improvement of living conditions and healthcare in our society, the incidence of edentulism is currently decreasing among older people

  • This study focuses on the investigation of the Piezoelectric Direct Discharge (PDD) plasma treatment of dentin, which is the most important human dental hard tissue

  • The investigations carried out indicated that the use of PDD plasma on dental materials such as PEEK and human dentin results, in all cases, in a definite improvement in wettability

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Summary

Introduction

Due to the improvement of living conditions and healthcare in our society, the incidence of edentulism is currently decreasing among older people. Improving the wettability of the surface and the associated bond strength at the interface between tooth structure or restorative material and dental adhesives has always been a major research focus. Attractive in this context is the modification by means of an atmospheric pressure plasma using a hand-held plasma device which is suitable for manual use in chair-side procedures. PEEK is challenging for bonding applications due to its inert character. This is reflected, for example, Plasma 2021, 4, 389–398.

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