The Effects of Different Beverages on Fracture Resistance of CAD/CAM Monolithic PEEK and Monolithic Zirconia Crowns

Abstract

Aim: To assess the impact of various beverages on the fracture resistance of CAD/CAM polyetheretherketone (PEEK) and monolithic zirconia materials. Materials and Method: We fabricated eighty CAD/CAM materials from PEEK polymer (CopraPeek; Whitepeaks Dental Solutions GmbH, Germany) and monolithic zirconia (inCoris TZI; Dentsply Sirona Systems GmbH, Bensheim, Germany), with ten samples per group. These samples were submerged in either distilled water, cola, coffee, or red wine and stored at 37°C for 12 days. We utilized a universal testing machine (Lloyd LRX; Lloyd Instruments Ltd., West Sussex, UK) to measure each sample’s fracture resistance. The t-test provided a comparison of normally distributed variables between the two groups. For multiple group comparisons, we executed an analysis of variance (ANOVA). Results: A statistically significant difference was observed between the PEEK and zirconia groups in terms of maximum load and elastic load-bearing capacity values (p˂0.05), with zirconia materials yielding higher values. However, there was no critical difference in these measures obtained from different solutions for neither PEEK nor zirconia samples (p>0.05). Conclusion: CAD/CAM monolithic PEEK material stored in various solutions demonstrated lower fracture resistance and elastic strength than monolithic zirconia materials. Despite this, PEEK exhibited the highest fracture resistance to intraoral occlusal forces. Accordingly, due to its chemically inert nature and superior force absorption, we recommend PEEK as a viable alternative material for posterior crowns in fixed restorations.