Biomechanical comparison of the efficacy of Cfr-PEEK and titanium systems in the fixation following sagittal split advancement osteotomy: a biomechanical study

Abstract Background This study evaluates the efficacy of carbon fiber reinforced Polyetheretherketone (Cfr-PEEK) in fixation after sagittal split ramus osteotomy (SSRO) by comparing it with titanium in vitro. Methods Twenty-eight sheep hemimandibles were randomly assigned to four groups for SSRO sur...

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Main Authors: Esengul Sen, Damla Torul
Format: Article
Language:English
Published: BMC 2025-01-01
Series:BMC Oral Health
Subjects:
Online Access:https://doi.org/10.1186/s12903-025-05418-3
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author Esengul Sen
Damla Torul
author_facet Esengul Sen
Damla Torul
author_sort Esengul Sen
collection DOAJ
description Abstract Background This study evaluates the efficacy of carbon fiber reinforced Polyetheretherketone (Cfr-PEEK) in fixation after sagittal split ramus osteotomy (SSRO) by comparing it with titanium in vitro. Methods Twenty-eight sheep hemimandibles were randomly assigned to four groups for SSRO surgery. Fixation was performed with a 4-hole titanium mini plate for 5 mm advancement in Group 1, with a 4-hole Cfr-PEEK mini plate for 5 mm advancement for Group 2, with a 4-hole titanium mini plate for 10 mm advancement for Group 3, and with a 4-hole Cfr-PEEK mini plate for 10 mm advancement for Group 4. A linear vertical load of 50 N was applied to all models from the molar region. Displacement values were recorded digitally. Results There was a significant difference among the displacement values of four groups (p < 0.05). The highest displacement values were observed in group 2 and the lowest in group 3. The Cfr-PEEK plates’ fixed groups showed lower displacement values than their titanium counterparts. Conclusions According to this study, Cfr-PEEK provides better stability than titanium by considering the displacement values. However, future experimental and clinical studies that include larger samples and different designs need to be done.
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spelling doaj-art-67949c7c611a46ea886bebfea9a9e3462025-01-26T12:55:17ZengBMCBMC Oral Health1472-68312025-01-012511510.1186/s12903-025-05418-3Biomechanical comparison of the efficacy of Cfr-PEEK and titanium systems in the fixation following sagittal split advancement osteotomy: a biomechanical studyEsengul Sen0Damla Torul1Department of Oral and Maxillofacial Surgery, Tokat Gaziosmanpaşa UniversityDepartment of Oral and Maxillofacial Surgery, Ordu UniversityAbstract Background This study evaluates the efficacy of carbon fiber reinforced Polyetheretherketone (Cfr-PEEK) in fixation after sagittal split ramus osteotomy (SSRO) by comparing it with titanium in vitro. Methods Twenty-eight sheep hemimandibles were randomly assigned to four groups for SSRO surgery. Fixation was performed with a 4-hole titanium mini plate for 5 mm advancement in Group 1, with a 4-hole Cfr-PEEK mini plate for 5 mm advancement for Group 2, with a 4-hole titanium mini plate for 10 mm advancement for Group 3, and with a 4-hole Cfr-PEEK mini plate for 10 mm advancement for Group 4. A linear vertical load of 50 N was applied to all models from the molar region. Displacement values were recorded digitally. Results There was a significant difference among the displacement values of four groups (p < 0.05). The highest displacement values were observed in group 2 and the lowest in group 3. The Cfr-PEEK plates’ fixed groups showed lower displacement values than their titanium counterparts. Conclusions According to this study, Cfr-PEEK provides better stability than titanium by considering the displacement values. However, future experimental and clinical studies that include larger samples and different designs need to be done.https://doi.org/10.1186/s12903-025-05418-3Biomechanical stabilityIsoelastic materialOrthognathic surgeryPolyetheretherketoneAlloplastic implant
spellingShingle Esengul Sen
Damla Torul
Biomechanical comparison of the efficacy of Cfr-PEEK and titanium systems in the fixation following sagittal split advancement osteotomy: a biomechanical study
BMC Oral Health
Biomechanical stability
Isoelastic material
Orthognathic surgery
Polyetheretherketone
Alloplastic implant
title Biomechanical comparison of the efficacy of Cfr-PEEK and titanium systems in the fixation following sagittal split advancement osteotomy: a biomechanical study
title_full Biomechanical comparison of the efficacy of Cfr-PEEK and titanium systems in the fixation following sagittal split advancement osteotomy: a biomechanical study
title_fullStr Biomechanical comparison of the efficacy of Cfr-PEEK and titanium systems in the fixation following sagittal split advancement osteotomy: a biomechanical study
title_full_unstemmed Biomechanical comparison of the efficacy of Cfr-PEEK and titanium systems in the fixation following sagittal split advancement osteotomy: a biomechanical study
title_short Biomechanical comparison of the efficacy of Cfr-PEEK and titanium systems in the fixation following sagittal split advancement osteotomy: a biomechanical study
title_sort biomechanical comparison of the efficacy of cfr peek and titanium systems in the fixation following sagittal split advancement osteotomy a biomechanical study
topic Biomechanical stability
Isoelastic material
Orthognathic surgery
Polyetheretherketone
Alloplastic implant
url https://doi.org/10.1186/s12903-025-05418-3
work_keys_str_mv AT esengulsen biomechanicalcomparisonoftheefficacyofcfrpeekandtitaniumsystemsinthefixationfollowingsagittalsplitadvancementosteotomyabiomechanicalstudy
AT damlatorul biomechanicalcomparisonoftheefficacyofcfrpeekandtitaniumsystemsinthefixationfollowingsagittalsplitadvancementosteotomyabiomechanicalstudy