Surface treatments for polyetheretherketone (Peek): Effects on the bond strength to a resin cement and on the fatigue performance of a bonded glass-ceramic

Abstract

ObjectiveTo evaluate the effect of distinct surface treatments on Peek (polyetheretherketone) adhesion to the resin cement and the mechanical fatigue behavior of lithium disilicate adhesively bonded to it. Materials and methodsPeek slices embedded in plastic rings with self-curing acrylic resin were randomized into 4 groups for adhesion testing, considering the following surface treatment factors: Ctrl (just cleaned with 78 % isopropyl alcohol); Grinding (4219F diamond bur - 46 μm grain size); Air abrasion (45 μm aluminum oxide for 10 s); Sulfuric acid (acid etching for 30 s). All slices received a layer of adhesive agent; resin composite cylinder specimens (Ø = 3 mm; h = 3 mm) were produced and bonded onto the Peek slices using a dual resin cement for the shear bond strength tests (n = 20) through the wire-loop technique. Next, disc-shaped specimens of Peek (Ø = 10 mm; thickness: 2 mm) and lithium disilicate (LD) (Ø = 10 mm; thickness: 1 mm) were produced for the fatigue tests (n = 20) and paired. The LD was treated (5 % hydrofluoric acid for 20 s + silane agent) and adhesively bonded (with dual resin cement) onto Peek (treated with the previously mentioned surface treatments). The fatigue tests were performed with a step-stress approach (20 Hz; 10,000 cycles/step; initial load: 100 N; step-size: 50 N). Roughness, contact angle, topography and fractographic analysis were performed. The adhesive data was analyzed by one-way ANOVA and Tukey post-hoc tests, while the fatigue data were subjected to survival analysis (Kaplan Meier and Mantel-cox post hoc tests). ResultsOnly the air abrasion surface treatment was able to improve the bond strength between Peek and resin cement (p < 0.05); the Grinding and Sulfuric acid groups were similar to the Ctrl. All surface treatments promoted similar fatigue performance. ConclusionAir abrasion promoted increased bond strength between Peek and resin cement, having no detrimental effect on fatigue behavior. Overall, the mechanical behavior under fatigue of a lithium disilicate glass-ceramic was not influenced by the Peek substrate surface treatments.