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June 1, 2026Journal of Prosthetic DentistryOpen Access

Effect of surface treatments on the bond strength of PEEK to resin cements: A systematic review and meta-analysis

Sarah Emille Gomes da Silva João Vitor do Nascimento Santos S F Fakhtei Husam Haj Yahya Rodrigo Othávio de Assunção e Souza João Paulo Mendes Tribst Amanda Maria de Oliveira Dal Piva

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Key Points

This review aims to evaluate how various surface pretreatment methods affect the adhesion strength of PEEK to resin cements.
Systematic review and meta-analysis of 22 studies published until October 2025
In vitro evaluations included studies assessing bond strength after different surface treatments
Databases searched: PubMed, Scopus, Embase, and Web of Science for relevant studies.
Sulfuric acid etching significantly improved bond strength (SMD=3.88; 95% CI:2.00-5.76) compared to no surface treatment.
Airborne-particle abrasion also improved adhesion but was less effective than sulfuric acid etching (SMD=1.81; 95% CI:1.19-2.43).
Thermocycling reduced the effectiveness of sulfuric acid etching compared to nonaged specimens (SMD=0.73; 95% CI:0.25-1.71).

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Implication

Systematic review compares different surface treatments' effectiveness on bond strength of PEEK to resin cements, indicating optimal methods.

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Cite This Study

Silva et al. (2026) studied this question.

synapsesocial.com/papers/6a362de1db0793dc1a535df7 https://doi.org/10.1016/j.prosdent.2026.05.042

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