Enhancement of Adhesive Bonding Properties of Polyetheretherketone-based Materials using Plasma Surface Modifications

Purpose: To investigate the effects of plasma surface treatments and methyl methacrylate-based adhesives on polyetheretherketone.
Materials and Methods: One hundred ten polyetheretherketone specimens were fabricated and divided into five pretreatment groups: group ArP, 100% argon plasma; group ArOP, 50% argon + 50% oxygen plasma; group ArNP, 50% argon + 50% nitrogen plasma; group ArONP, 75% argon + 12.5% oxygen + 12.5% nitrogen plasma; group C, control. Atomic force microscopy and scanning electron microscopy were performed after surface treatments. After topographical surface examinations, Visio.link primer (Bredent) (n = 10) was applied to the surface of half of the samples in each group (n = 20) and the veneering resin was polymerized onto the polyetheretherketone. The shear bond strengths were measured using a universal test machine.
Results: The mean bond strengths of the Visio.link primer applied to group ArP and group ArONP (13.9 and 13.6 MPa, respectively) were statistically significantly higher than that of group C (9.0 MPa). The average shear bond strength of the Visio.link subgroups was higher than that of the Visio.link subgroups (p > 0.05).
Conclusions: The use of a methyl methacrylate-based adhesive (Visiolink) provides bonding between polyetheretherketone-veneering composites. Different plasma treatments without primer application had no significant effect on bonding.

Keywords: polyetheretherketone, surface treatment, shear bond strength, surface roughness, veneering procedure, adhesion in dentistry

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