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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Bibliographic Details
Main Authors: Esengul Sen, Damla Torul
Format: Article
Language:English
Published: BMC 2025-01-01
Series:BMC Oral Health
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Online Access:https://doi.org/10.1186/s12903-025-05418-3
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Summary: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.
ISSN:1472-6831