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The aim was to investigate the impact of material combinations and removal and insertion cycles on their retention forces.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Materials and methods<\/jats:title>\n                    <jats:p>\n                      CAD\/CAM-fabricated cobalt\u2013chromium\u2013molybdenum (CoCr) and zirconia (ZrO\n                      <jats:sub>2<\/jats:sub>\n                      ) primary crowns were combined with polyetheretherketone (PEEK), polyetherketoneketone (PEKK), CoCr, and ZrO\n                      <jats:sub>2<\/jats:sub>\n                      secondary crowns (four combinations included PEEK\/PEKK secondary crowns in a thickness of 0.5 mm bonded to the CoCr tertiary construction), resulting in 12 different material combinations: CoCr\u2013PEEK; CoCr\u2013PEKK; CoCr\u2013ZrO\n                      <jats:sub>2<\/jats:sub>\n                      ; CoCr\u2013CoCr; CoCr\u2013PEEK 0.5; CoCr\u2013PEKK 0.5; ZrO\n                      <jats:sub>2<\/jats:sub>\n                      \u2013PEEK; ZrO\n                      <jats:sub>2<\/jats:sub>\n                      \u2013PEKK; ZrO\n                      <jats:sub>2<\/jats:sub>\n                      \u2013ZrO\n                      <jats:sub>2<\/jats:sub>\n                      , ZrO\n                      <jats:sub>2<\/jats:sub>\n                      \u2013CoCr; ZrO\n                      <jats:sub>2<\/jats:sub>\n                      \u2013PEEK 0.5; and ZrO\n                      <jats:sub>2<\/jats:sub>\n                      \u2013PEKK 0.5 (\n                      <jats:italic>n<\/jats:italic>\n                      = 15 pairings per material combination). Pull-off tests were performed with a universal testing machine initially and after 500, 5000, and 10,000 removal and insertion cycles in a mastication simulator. Descriptive statistics with the Kolmogorov\u2013Smirnov, Kruskal\u2013Wallis, and Mann\u2013Whitney\n                      <jats:italic>U<\/jats:italic>\n                      tests were computed (\n                      <jats:italic>\u03b1<\/jats:italic>\n                      = 0.05).\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      The tested parameters, material combination, and removal and insertion cycles had significant impact on the retention force values (\n                      <jats:italic>p<\/jats:italic>\n                      &lt; 0.001). An increase in removal and insertion cycles was associated with a decrease in retention forces within CoCr and ZrO\n                      <jats:sub>2<\/jats:sub>\n                      secondary crowns, regardless of the primary crown material. In contrast, PEEK and PEKK secondary crowns presented higher retention load values after 10,000 cycles than initially.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>Different material combinations behaved differently after simulated removal and insertion regimens. This difference should be considered during treatment planning.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Clinical relevance<\/jats:title>\n                    <jats:p>Telescopic crown systems should be made of materials with predictable retention forces that do not deteriorate with time. The implementation of new materials and technologies facilitates reproducibility and time-saving fabrication.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1007\/s00784-023-05027-w","type":"journal-article","created":{"date-parts":[[2023,4,22]],"date-time":"2023-04-22T07:01:44Z","timestamp":1682146904000},"page":"4007-4016","update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":9,"title":["Impact of material combinations and removal and insertion cycles on the retention force of telescopic systems"],"prefix":"10.1007","volume":"27","author":[{"given":"Danka","family":"Micovic Soldatovic","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Maximiliane","family":"Bitter","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"John","family":"Meinen","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Karin Christine","family":"Huth","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Anja","family":"Liebermann","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Bogna","family":"Stawarczyk","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"297","published-online":{"date-parts":[[2023,4,22]]},"reference":[{"key":"5027_CR1","doi-asserted-by":"publisher","first-page":"6003","DOI":"10.1007\/s00784-022-04622-7","volume":"26","author":"P Molinero-Mourelle","year":"2022","unstructured":"Molinero-Mourelle P, Bischof F, Yilmaz B, Schimmel M, Abou-Ayash S (2022) Clinical performance of tooth implant-supported removable partial dentures: a systematic review and meta-analysis. 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