Bonding Behavior Between Polyetheretherketone and Polymethylmethacrylate Acrylic Denture Polymer.

To investigate the impact of pretreatment and conditioning on shear bond strength (SBS), surface free energy (SFE) and surface roughness (SR) between polyetheretherketone (PEEK) and cold-cured polymethylmethacrylate (PMMA). PEEK substrates (Dentokeep PEEK Disc, nt-trading) were air abraded with Al2O3 particles of different grain sizes applied with varying pressure at 1) 0.2 MPa - 50 µm Al2O3; 2) 0.4 MPa - 50 µm Al2O3; 3) 0.2 MPa - 110 µm Al2O3; 4) 0.4 MPa - 110 µm Al2O3; or 5) without air abrasion (n = 172/group). Surface properties were quantified using SFE and SR (n = 10/group), and scanning electron microscope imaging (n = 2/group). Substrates were conditioned with a) Visio.link (VL, Bredent); b) Scotchbond Universal (SU, 3M Oral Care); c) Bonding Fluid (BF, Schütz Dental); or d) without conditioning (WC; n = 40/subgroup) and bonded to the polymer (Futura Jet, Schütz Dental). SBS and fracture types were determined before and after 10,000 thermal cycles (n = 20/subgroup). Univariate ANOVA, Kruskal-Wallis test, Mann-Whitney U-test, Kaplan-Meier survival estimates, and Weibull distribution were computed (p < 0.05). Ciba-Geigy tables and the chi-squared test were used to analyze fracture type distributions. An increase in particle size and pressure resulted in similar or increased SBS, Weibull characteristic strength, and Weibull moduli (p < 0.001 - 0.046). The lowest results were observed for the control group (without air abrasion), while pretreatment with 0.4 MPa - 110 µm Al2O3 presented the highest values (p < 0.001). In comparison with the other conditioning procedures, VL showed high (p < 0.001 - 0.03), and SU and WC low SBS (p < 0.001 - 0.006). Although it did not influence SFE, an increase in particle size and pressure led to an increased SR (p < 0.001). Pretreatment with 0.4 MPa - 110 µm Al2O3 can be recommended to increase bonding properties between PEEK and PMMA. Application of adhesives such as VL can enhance SBS further.