Evidence map›Paper›PMID 41957596›Full record

ArticleBMC oral health2026

Evaluation of marginal and internal adaptation of implant-supported PEEK crowns fabricated by 3D printing, milling, and pressing: a micro-CT analysis.

Aliaa Ibrahim Mahrous, Mostafa El-Shazly, Mahitab Mansour, Alshaimaa Ahmed Shabaan, Mohamed Mokhtar, Ahmed Tawfik, Mohamed Mostafa Radwan

Abstract read
In one paragraph

Article in BMC oral health, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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0citing papers in PubMed
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1 · What the graph read from it

What it found

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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

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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

0 citing papers in PubMed.

No citing paper in PubMed yet.

4 · The record

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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

7 authors.

Aliaa Ibrahim MahrousFixed Prosthodontics Department, Faculty of Dentistry, Fayoum University, Fayoum, Egypt. aim11@fayoum.edu.eg.ORCID 0000-0002-7910-9759
Mostafa El-ShazlyFixed Prosthodontics Department, Faculty of Dentistry, Fayoum University, Fayoum, Egypt.ORCID 0009-0004-8088-2759
Mahitab MansourDental Biomaterials, Faculty of Dentistry, October University for Modern Sciences and Arts, Giza, Egypt.ORCID 0000-0003-1261-2795
Alshaimaa Ahmed ShabaanOral and Maxillofacial Surgery, Faculty of Dentistry, Fayoum University, Fayoum, Egypt.ORCID 0000-0002-6105-4999
Mohamed MokhtarProsthodontic Department, Faculty of Dentistry, October University for Modern Sciences and Arts, Giza, Egypt.ORCID 0000-0002-3108-6121
Ahmed TawfikResearch fellow at EPSRC Future Advanced Metrology Hub, University of Huddersfield, Huddersfield, UK.ORCID 0000-0002-4871-5369
Mohamed Mostafa RadwanFixed prosthodontic Department, Faculty of Dentistry, Bani Suif University, Beni-Suef, Egypt.ORCID 0000-0003-0324-5305

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectivesThis study aimed to evaluate and compare the marginal adaptation and internal gap of implant-supported crowns fabricated from polyetheretherketone (PEEK) using CAD-CAM milling, heat pressing, and 3D printing, employing non-destructive micro-computed tomography (µCT).

methodsThis in-vitro study used thirty PEEK crowns (n = 10 per group) that were fabricated using CAD-CAM milling (MP), heat pressing (PP), and 3D printing (3DP) and seated on standardized zirconia abutments. Marginal and internal gaps were quantitatively assessed using high-resolution µCT scanning (voxel size: 9.2 μm) at 12 predetermined locations per crown in sagittal and coronal planes. Measurements included marginal gaps (mesial and distal), finish line gaps, and internal gaps at axial walls, occlusal surfaces, and internal line angles. Non-parametric statistical tests (Kruskal-Wallis and Dunn’s post hoc with FDR correction) were applied, with significance set at P < 0.05.

resultsAll measurement sites showed statistically significant differences between the groups (P < 0.001), with large effect sizes. Milled crowns exhibited the smallest occlusal gaps and superior adaptation at the occlusal surface (P < 0.001), while 3D-printed crowns demonstrated the best adaptation along axial walls and internal angles. Pressed crowns consistently showed the largest marginal and internal gaps across most regions. All fabrication techniques demonstrated marginal gap values within the clinically acceptable threshold (< 120 μm); however, statistically significant differences were observed in both marginal and internal adaptation among the three groups (P < 0.001).

conclusionsFabrication technique significantly affects the marginal adaptation and internal gap of implant-supported PEEK crowns. While milled crowns showed optimal occlusal adaptation, 3D-printed crowns provided the best internal conformity along axial surfaces. Pressed PEEK restorations exhibited the poorest adaptation. These findings underscore the importance of technique selection in optimizing clinical outcomes of PEEK-based implant prostheses. CLINICAL SIGNIFICANCE: Marginal adaptation and internal fit affect the biological and mechanical success of implant crowns. Milling and 3D printing showed better adaptation than heat pressing, supporting techniques that improve longevity and reduce complications.

Indexed as

CrownsDental Marginal AdaptationDental Prosthesis DesignDental Prosthesis, Implant-SupportedKetonesPolyethylene GlycolsPrinting, Three-DimensionalBenzophenonesComputer-Aided DesignHumansIn Vitro TechniquesPolymersX-Ray MicrotomographyZirconiumBenzophenonesKetonespolyetheretherketonePolyethylene GlycolsPolymersZirconiumzirconium oxideAccuracyAdditive ManufacturingDental ImplantsDigital dentistryPolyetheretherketone

Identifiers

PMID41957596
PMCPMC13109875

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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.