Master of Science, The Ohio State University, 2024, Dentistry
Statement of problem: The introduction of carbon fiber-reinforced PEEK polymer screw in two-piece zirconia implants, facilitated the development of “metal-free" implant solutions. However, the literature lacks studies on the performance of such a screw joint assembly, particularly regarding reverse torque values.
Purpose: To evaluate the effect of artificial aging and cyclic loading on reverse torque values and survival rates of carbon fiber-reinforced PEEK polymer screws in two-piece zirconia.
Materials and Methods: A total of 20 implants were divided into two main groups. The testing group utilized 10 zirconia implants (NobelPearl Tapered RP 4.2 x 10 mm, Nobel BioCare, Kloten, Switzerland) with carbon fiber-reinforced polymer screws (VICARBO®, NobelPearl, Nobel BioCare, Kloten, Switzerland) to retain the zirconia crown cemented on zirconia abutments (NobelPearl abutment straight IX RP 1). The control group used 10 titanium implants (NobelReplaceTM Conical Connection, RP 4.3 x 10 mm, Nobel BioCare, Kloten, Switzerland) with titanium alloy screws (Clinical Screw Conical Connection, Nobel BioCare, Kloten, Switzerland) to retain zirconia crowns cemented on titanium abutments (Snappy abutment 5.5 CC RP 1.5, Nobel BioCare, Kloten, Switzerland). Implants were cemented into twenty glass cloth reinforced epoxy resin cylinders (G10, National Electrical Manufacturers Association, Rosslyn, Virginia, USA) using a dual-cured resin (Rock Core, Zest dental solutions, California, USA). All zirconia crowns were digitally designed to an identical shape maxillary central incisors, milled from zirconia blanks (IPS e.max ZirCAD Prime 25 x 98.5mm, Ivoclar, Vivadent USA), sintered, and then cemented with resin cement (Panavia V5, Kuraray Noritake, Okayama, Japan). A total of 60 screws were used in 6 groups. In the first two groups (T24 and Z24) a torque limiting wrench (NobelPearl Manual Torque Wrench, Nobel BioCare, Kloten, Switzerland) was used to deliver the manufacture's recomm (open full item for complete abstract)
Committee: Shereen Azer (Advisor); Hanin Hammoudeh (Committee Member); Damian Lee (Committee Member)
Subjects: Dentistry