Evidence map›Paper›PMID 40087258›Full record

ArticleOdontology2025

Mode of failure and finite element analysis of custom-made PEEK post-core (milled and pressed).

Nour Abdelmohsen, Marwa Wahsh, Maged Zohdy, Ghada Abdelfattah, Abdulaziz Alhotan, Ashraf Refaie, Christoph Bourauel, Tarek M Elshazly

Abstract read
In one paragraph

Article in Odontology, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

2 citing papers in PubMed.

  1. Article
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

8 authors.

Nour AbdelmohsenDepartment of Fixed Prosthodontics, Faculty of Dentistry, University of Ain Shams, Cairo, Egypt.
Marwa WahshDepartment of Fixed Prosthodontics, Faculty of Dentistry, University of Ain Shams, Cairo, Egypt.
Maged ZohdyDepartment of Fixed Prosthodontics, Faculty of Dentistry, University of Ain Shams, Cairo, Egypt.
Ghada AbdelfattahDepartment of Fixed Prosthodontics, Faculty of Dentistry, University of Ain Shams, Cairo, Egypt.
Abdulaziz AlhotanDepartment of Dental Health, College of Applied Medical Sciences, King Saud University, Riyadh, Saudi Arabia.
Ashraf RefaieDental School, Oral Technology, University Hospital Bonn, Welschnonnenstr. 17, 53111, Bonn, Germany.
Christoph BourauelDental School, Oral Technology, University Hospital Bonn, Welschnonnenstr. 17, 53111, Bonn, Germany.
Tarek M ElshazlyDental School, Oral Technology, University Hospital Bonn, Welschnonnenstr. 17, 53111, Bonn, Germany. tarek.m.elshazly@gmail.com.ORCID http://orcid.org/0000-0002-3219-9048

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

To compare experimentally the failure modes of endodontically treated teeth restored with custom-made polyetheretherketone (PEEK) post-core (milled and pressed) to those restored with the standard technique of customized fiberglass posts with composite cores, and to analyze numerically stress distribution patterns in each system using the finite element analysis (FEA). Experimentally, 21 mandibular premolars were endodontically treated, prepared for post-restoration, mounted in resin mold, decapitated, and assigned to three groups: M (milled PEEK), P (pressed PEEK), and C (control group; ready-made fiberglass posts customized with resin composite). All post-core restorations were cemented and subjected to thermocycling. Failure modes were visually evaluated after fracture by means of a universal testing machine. Numerically, stress analysis was assessed using FEA, based on digital models designed to replicate the experimental setup. Milled PEEK posts showed a uniformly favorable failure mode across all specimens (100%), whereas pressed PEEK and customized fiberglass posts displayed more variable failure modes, yet with a higher proportion of favorable outcomes. Numerically, the highest VME stress values were in the cervical half of the post area (up to 62.7 MPa), with minimal differences between milled and pressed PEEK posts. PEEK posts had greater stress concentrations in the cervical area of the post area, while fiberglass posts showed slightly higher stress in the middle and apical areas. Custom-made milled and pressed PEEK posts are effective for restoring endodontically treated teeth, with milled PEEK posts showing the most favorable failure mode and stress distribution pattern.

Indexed as

Dental Prosthesis DesignDental Restoration FailureKetonesPolyethylene GlycolsPost and Core TechniqueTooth, NonvitalBenzophenonesComposite ResinsDental Stress AnalysisFinite Element AnalysisGlassHumansMaterials TestingPolymersBenzophenonesComposite ResinsfiberglassKetonespolyetheretherketonePolyethylene GlycolsPolymersCAD/CAMEndodonticsFEMPEEKRestorative dentistryStress analysis

Identifiers

PMID40087258
PMCPMC12450832

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.