Retentive Forces and Deformation of Fitting Surface in RPD Clasp Made of Polyether-Ether-Ketone (PEEK)

Background: Polyetheretherketone (PEEK) has provided the option to fabricate RPDs with aesthetics unlike metal RPDs, but little attention has been paid to its suitability, especially towards the retentive forces and deformation of the clasp. This study aimed to examine the retentive forces and the fitting surface (inner surface) deformation of clasps made from PEEK and compare it with cobalt-chromium (Co-Cr) clasp. Methods: Forty-two circumferential clasps (14 Co-Cr and 28 PEEK) were fabricated and divided into two groups with clasp undercuts (0.25 mm and 0.5 mm) with thicknesses of 1 mm and 1.5 mm. Each was examined for retentive forces after cycle test on its abutment for 360 cycles. Initial and final retentive forces were recorded. The fitting surface deformation was determined using 3-Matic research analysis software. Results: The results revealed that highest mean initial retentive force was of Co-Cr clasps with 0.50 mm undercut 22.26 N (+/- 10.15 N), and the lowest was the 1 mm PEEK clasps with 0.25 mm undercut 3.35 N (+/- 0.72 N) and highest mean final retentive force was the Co-Cr clasps with 0.50 mm undercut 21.40 N (+/- 9.66 N), and the lowest was the 1 mm PEEK clasps with 0.25 mm undercut 2.71 N (+/- 0.47 N). PEEK clasps had a lower retentive force than Co-Cr clasps with 0.50 undercut. PEEK clasps (1.5 mm) at 0.25 mm undercut had the least deformation (35.3 mu m). PEEK showed significantly less deformation (p <= 0.014) than Co-Cr. Conclusion: The deformation of PEEK clasps fitting surface was lower than Co-Cr clasps and retentive forces were close to the Co-Cr clasps, suggesting the use of PEEK as an aesthetic clasp option for RPD framework.

Automated summary

This study compared the retentive forces and fitting surface deformation of PEEK and Co-Cr clasps. The results showed that Co-Cr clasps had higher initial and final retentive forces, while PEEK clasps had lower deformation. PEEK clasps with 1.5mm thickness and 0.25mm undercut had the least deformation.