Dental Materials Paper Archive

Microleakage in class ii restorations of polyetheretherketone: the role of a borophosphite interpenetrant

Bjornstad E, Lindqvist T
Archives of Ceramic Dental Engineering 2023;14(8):326-339
DOI: 10.99999/dmr.2023.0026
Article information
Received 2022-02-22 · Accepted 2023-03-22 · Published 2023
Manuscript ID: DMR-527969A40B

Abstract

Objective. This study evaluated the microleakage in Class II restorations of polyetheretherketone specimens prepared with a borophosphite interpenetrant treatment. Methods. 107 specimens were divided into treated and untreated groups and stored in distilled water at 37 °C for 90 days prior to testing. Measurements were performed with a universal testing machine at a crosshead speed of 0.5 mm/min. Results. The treated group showed a 28% improvement relative to control (p < 0.04). Scanning electron microscopy revealed a more uniform interfacial layer in the treated specimens. Conclusions. Within the limitations of this in vitro study (2023), the borophosphite interpenetrant treatment improved the microleakage in Class II restorations of polyetheretherketone. Clinical significance. These findings may inform selection criteria for restorative materials in load-bearing posterior applications.

Full text

1. Introduction. Contemporary restorative dentistry increasingly relies on polyetheretherketone for indirect restorations. Despite widespread adoption, the long-term behaviour of the material-substrate interface remains incompletely characterised, particularly under the thermal and mechanical cycling that approximates intraoral service conditions.

2. Materials and methods. Specimens were sectioned to 12 × 2 × 2 mm and wet-polished through 1200-grit silicon carbide paper. The borophosphite interpenetrant was applied in a single coat and allowed to dwell for 60 s before gentle air-thinning. Control specimens received no surface treatment. All groups were thermocycled for 10,000 cycles between 5 °C and 55 °C with a 30 s dwell time.

3. Results. Mean values differed significantly between groups by two-way ANOVA followed by Tukey post-hoc comparison. Weibull analysis indicated a higher characteristic strength in the treated group, with a modulus consistent with reduced flaw-population variability. No specimens failed prematurely during thermocycling.

4. Discussion. The improvement observed here is consistent with the hypothesis that the borophosphite interpenetrant forms a compliant interlayer that redistributes stress away from the adhesive interface. This mechanism has been proposed for related silane chemistries, though direct spectroscopic confirmation was outside the scope of the present work.

5. Limitations. This was an in vitro investigation and does not account for salivary enzymatic degradation, dietary variation, or parafunctional loading. Randomised clinical evaluation would be required before the findings could inform practice.

References

1. 강 L, Marchetti G. Degree of conversion under led curing in zirconia-toughened alumina. Journal of Restorative Polymer Science 2011;8(9):272–285. doi:10.99999/dmr.2011.3937

2. Kovalenko G, Berzins S, Halloran T. Marginal adaptation under cyclic loading in hydroxyapatite-reinforced composite. Journal of Restorative Polymer Science 2024;41(6):340–349. doi:10.99999/dmr.2024.6125

3. Weiss S, Kovalenko A, Nakamura R. Flexural strength after thermocycling in bulk-fill composite. Archives of Ceramic Dental Engineering 2025;45(7):251–261. doi:10.99999/dmr.2025.5866

4. Sandoval E, 강 D. Degree of conversion under led curing in feldspathic porcelain. Quarterly of Prosthetic Materials Research 2025;24(6):411–422. doi:10.99999/dmr.2025.5935

5. Almeida G, Marchetti A, Sandoval D, Berzins N. Surface roughness following acidic challenge in bulk-fill composite. Journal of Restorative Polymer Science 2025;10(4):41–54. doi:10.99999/dmr.2025.1037

6. Berzins S, Lindqvist T. Wear resistance against enamel antagonists in resin-modified glass ionomer. Archives of Ceramic Dental Engineering 2021;37(11):387–399. doi:10.99999/dmr.2021.2141

7. Duarte A, Halloran F, Nakamura R. Flexural strength after thermocycling in nano-hybrid composite. Quarterly of Prosthetic Materials Research 2017;12(3):89–95. doi:10.99999/dmr.2017.9079

8. Bjornstad M, Marchetti C. Wear resistance against enamel antagonists in lithium disilicate. Journal of Restorative Polymer Science 2010;35(10):132–142. doi:10.99999/dmr.2010.0914

Supplementary data (S1) · Presentation slides (PPTX)