Shear bond strength of composite resin to high performance polymer PEKK according to surface treatments and bonding materials

  • Lee, Ki-Sun (Department of Prosthodontics, Korea University Guro Hospital) ;
  • Shin, Myoung-Sik (Graduate School of Clinical Dentistry, Korea University) ;
  • Lee, Jeong-Yol (Department of Prosthodontics, Korea University Guro Hospital) ;
  • Ryu, Jae-Jun (Department of Prosthodontics, Korea University Anam Hospital) ;
  • Shin, Sang-Wan (Department of Prosthodontics, Korea University Guro Hospital)
  • Received : 2016.10.18
  • Accepted : 2017.03.21
  • Published : 2017.10.31


PURPOSE. The object of the present study was to evaluate the shear bonding strength of composite to PEKK by applying several methods of surface treatment associated with various bonding materials. MATERIALS AND METHODS. One hundred and fifty PEKK specimens were assigned randomly to fifteen groups (n = 10) with the combination of three different surface treatments (95% sulfuric acid etching, airborne abrasion with $50{\mu}m$ alumina, and airborne abrasion with $110{\mu}m$ silica-coating alumina) and five different bonding materials (Luxatemp Glaze & Bond,, All-Bond Universal, Single Bond Universal, and Monobond Plus with Heliobond). After surface treatment, surface roughness and contact angles were examined. Topography modifications after surface treatment were assessed with scanning electron microscopy. Resin composite was mounted on each specimen and then subjected to shear bond strength (SBS) test. SBS data were analyzed statistically using two-way ANOVA, and post-hoc Tukey's test (P<.05). RESULTS. Regardless of bonding materials, mechanical surface treatment groups yielded significantly higher shear bonding strength values than chemical surface treatment groups. Unlike other adhesives, MDP and silane containing self-etching universal adhesive (Single Bond Universal) showed an effective shear bonding strength regardless of surface treatment method. CONCLUSION. Mechanical surface treatment behaves better in terms of PEKK bonding. In addition, self-etching universal adhesive (Single Bond Universal) can be an alternative bonding material to PEKK irrespective of surface treatment method.



Supported by : Institute of Clinical Dental Research, Korea University


  1. Stawarczyk B, Jordan P, Schmidlin PR, Roos M, Eichberger M, Gernet W, Keul C. PEEK surface treatment effects on tensile bond strength to veneering resins. J Prosthet Dent 2014;112:1278-88.
  2. Fuhrmann G, Steiner M, Freitag-Wolf S, Kern M. Resin bonding to three types of polyaryletherketones (PAEKs)-durability and influence of surface conditioning. Dent Mater 2014;30:357-63.
  3. Schwitalla A, Muller WD. PEEK dental implants: a review of the literature. J Oral Implantol 2013;39:743-9.
  4. Kurtz SM, Devine JN. PEEK biomaterials in trauma, orthopedic, and spinal implants. Biomaterials 2007;28:4845-69.
  5. Toth JM, Wang M, Estes BT, Scifert JL, Seim HB 3rd, Turner AS. Polyetheretherketone as a biomaterial for spinal applications. Biomaterials 2006;27:324-34.
  6. Tetelman ED, Babbush CA. A new transitional abutment for immediate aesthetics and function. Implant Dent 2008;17:51-8.
  7. Tannous F, Steiner M, Shahin R, Kern M. Retentive forces and fatigue resistance of thermoplastic resin clasps. Dent Mater 2012;28:273-8.
  8. Stawarczyk B, Keul C, Beuer F, Roos M, Schmidlin PR. Tensile bond strength of veneering resins to PEEK: impact of different adhesives. Dent Mater J 2013;32:441-8.
  9. Schmidlin PR, Stawarczyk B, Wieland M, Attin T, Hammerle CH, Fischer J. Effect of different surface pre-treatments and luting materials on shear bond strength to PEEK. Dent Mater 2010;26:553-9.
  10. Hallmann L, Mehl A, Sereno N, Hammerle C. The improvement of adhesive properties of PEEK through pre-treatments. Appl Surface Sci 2012;258:7213-8.
  11. Kern M, Lehmann F. Influence of surface conditioning on bonding to polyetheretherketon (PEEK). Dent Mater 2012; 28:1280-3.
  12. Kukiattrakoon B, Thammasitboon K. Optimal acidulated phosphate fluoride gel etching time for surface treatment of feldspathic porcelain: on shear bond strength to resin composite. Eur J Dent 2012;6:63-9.
  13. Guler AU, Yilmaz F, Yenisey M, Guler E, Ural C. Effect of acid etching time and a self-etching adhesive on the shear bond strength of composite resin to porcelain. J Adhes Dent 2006;8:21-5.
  14. Narhi TO, Tanner J, Ostela I, Narva K, Nohrstrom T, Tirri T, Vallittu PK. Anterior Z250 resin composite restorations: oneyear evaluation of clinical performance. Clin Oral Investig 2003;7:241-3.
  15. Lohbauer U, von der Horst T, Frankenberger R, Kramer N, Petschelt A. Flexural fatigue behavior of resin composite dental restoratives. Dent Mater 2003;19:435-40.
  16. Shu S, Kobayashi H, Okubo M, Sabarudin A, Butsugan M, Umemura T. Chemical anchoring of lauryl methacrylatebased reversed phase monolith to 1/16'' o.d. polyetheretherketone tubing. J Chromatogr A 2012;1242:59-66.
  17. Stawarczyk B, Beuer F, Wimmer T, Jahn D, Sener B, Roos M, Schmidlin PR. Polyetheretherketone-a suitable material for fixed dental prostheses? J Biomed Mater Res B Appl Biomater 2013;101:1209-16.
  18. Kadoma Y. Surface treatment agent for dental metals using a thiirane monomer and a phosphoric acid monomer. Dent Mater J 2002;21:156-69.
  19. Chen L, Suh BI, Brown D, Chen X. Bonding of primed zirconia ceramics: evidence of chemical bonding and improved bond strengths. Am J Dent 2012;25:103-8.
  20. Shin YJ, Shin Y, Yi YA, Kim J, Lee IB, Cho BH, Son HH, Seo DG. Evaluation of the shear bond strength of resin cement to Y-TZP ceramic after different surface treatments. Scanning 2014;36:479-86.
  21. Yi YA, Ahn JS, Park YJ, Jun SH, Lee IB, Cho BH, Son HH, Seo DG. The effect of sandblasting and different primers on shear bond strength between yttria-tetragonal zirconia polycrystal ceramic and a self-adhesive resin cement. Oper Dent 2015;40:63-71.
  22. Yoshida K, Tsuo Y, Atsuta M. Bonding of dual-cured resin cement to zirconia ceramic using phosphate acid ester monomer and zirconate coupler. J Biomed Mater Res B Appl Biomater 2006;77:28-33.
  23. Matinlinna JP, Vallittu PK. Bonding of resin composites to etchable ceramic surfaces - an insight review of the chemical aspects on surface conditioning. J Oral Rehabil 2007;34:622-30.
  24. Lung CY, Matinlinna JP. Aspects of silane coupling agents and surface conditioning in dentistry: an overview. Dent Mater 2012;28:467-77.

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