Fracture loads of all-ceramic crowns under wet and dry fatigue conditions.

PURPOSE: The aim of this study was to test the hypothesis that fracture loads of fatigued dental ceramic crowns are affected by testing environment and luting cement. MATERIALS AND METHODS: One hundred and eighty crowns were prepared from bovine teeth using a lathe. Ceramic crowns were prepared from three types of ceramic systems: an alumina-infiltrated ceramic, a lithia-disilicate-based glass ceramic, and a leucite-reinforced ceramic. For each ceramic system, 30 crowns were cemented with a composite resin cement, and the remaining 30 with a resin-modified glass ionomer cement. For each ceramic system and cement, ten specimens were loaded to fracture without fatiguing. A second group (n = 10) was subjected to cyclic fatigue and fracture tested in a dry environment, and a third group (n = 10) was fatigued and fractured in distilled water. The results were statistically analyzed using one-way ANOVA and Tukey HSD test. RESULTS: The fracture loads of ceramic crowns decreased significantly after cyclic fatigue loading (p

Evaluation of fracture toughness of human dentin using elastic-plastic fracture mechanics.

Dentin, the mineralized tissue forming the bulk of the tooth, lies between the enamel and the pulp chamber. It is a rich source of inspiration for designing novel synthetic materials due to its unique microstructure. Most of the previous studies investigating the fracture toughness of dentin have used linear-elastic fracture mechanics (LEFM) that ignores plastic deformation and could underestimate the toughness of dentin. With the presence of collagen (approximately 30% by volume) aiding the toughening mechanisms in dentin, we hypothesize that there is a significant difference between the fracture toughness estimated using LEFM (Kc) and elastic-plastic fracture mechanics (EPFM) (KJc). Single-edge notched beam specimens with in-plane (n=10) and anti-plane (n=10) parallel fractures were prepared following ASTM standard E1820 and tested in three-point flexure. KJc of the in-plane parallel and anti-plane parallel specimens were found to be 3.1 and 3.4 MPa m 1/2 and Kc were 2.4 and 2.5 MPa m 1/2, respectively. The fracture toughness estimated based on KJc is significantly greater than that estimated based on Kc (32.5% on average; p<0.001). In addition, KJc of anti-plane parallel specimens is significantly greater than that of in-plane parallel specimens. We suggest that, in order to critically evaluate the fracture toughness of human dentin, EPFM should be employed.

Fractographic analyses of zirconia-based fixed partial dentures.

OBJECTIVES: Advances in ceramic processing techniques enable clinicians and ceramists to fabricate all-ceramic fixed partial dentures (FPDs) for posterior regions using high-strength yttria-stabilized tetragonal zirconia polycrystals (Y-TZP). However, failures occur in ceramic FPDs due to their design. The objectives of this study were to determine the site of crack initiation and the causes of fracture in clinically failed zirconia-based ceramic FPDs. METHODS: Five clinically failed four-unit Y-TZP-based FPDs (Cercon ceramics, DeguDent GmbH, Hanau, Germany) were retrieved and analyzed. The fragments containing the fracture origins in the veneers (Cercon Ceram S Veneering Ceramic, DeguDent GmbH, Hanau, Germany) of two samples were missing but the rest of veneer structures were present. The other three samples had their veneers intact. Fracture surfaces were examined using fractographic techniques, utilizing both optical and scanning electron microscopes (SEM). Quantitative fractography and fracture mechanics principles were used to estimate the stresses at failure. RESULTS: Primary fractures initiated from the gingival surfaces of connectors at veneer surfaces in four out of the five samples. However, critical flaw sizes could be measured in three of the five cases since fracture origins were lost in the remaining two due to local fragmentation at the crack initiation site. Delaminations between glass veneer and zirconia core were observed in Y-TZP-based FPDs and a secondary fracture initiated from the zirconia core. Secondary fracture controlled the ultimate failure. Failure stresses of the fixed partial dentures that failed due to zirconia fracture ranged from 379 to 501 MPa. Fractures that had origins on the glass veneer surface had failure stresses between 31 and 38 MPa. SIGNIFICANCE: Primary fractures in clinically failed Y-TZP-based FPDs initiated from the veneer surfaces. Interfacial delamination in glass veneer/zirconia core bilayer dental ceramic structures controlled the secondary fracture initiation sites and failure stresses in Y-TZP-based fixed partial dentures.

Analysis of subcritical crack growth in dental ceramics using fracture mechanics and fractography.

OBJECTIVES: The aim of this study was to test the hypothesis that the flexural strengths and critical flaw sizes of dental ceramic specimens will be affected by the testing environment and stressing rate even though their fracture toughness values will remain the same. METHODS: Ceramic specimens were prepared from an aluminous porcelain (Vitadur Alpha; VITA Zahnfabrik, Bad Säckingen, Germany) and an alumina-zirconia-glass composite (In-Ceram Zirconia; VITA Zahnfabrik). Three hundred uniaxial flexure specimens (150 of each material) were fabricated to dimensions of 25 mmx4 mmx1.2 mm according to the ISO 6872 standard. Each group of 30 specimens was fractured in water using one of four different target stressing rates ranging on a logarithmic scale from 0.1 to 100 MPa/s for Vitadur Alpha and from 0.01 to 10 MPa/s for In-Ceram Zirconia. The fifth group was tested in inert environment (oil) with a target stressing rate of 100 MPa/s for Vitadur Alpha and 1000 MPa/s for In-Ceram Zirconia. The effects of stressing rate and environment on flexural strength, critical flaw size, and fracture toughness were analyzed statistically by Kruskal-Wallis one-way ANOVA on ranks followed by post hoc comparisons using Dunn's test (alpha=0.05). In addition, 20 Vitadur Alpha specimens were fabricated with controlled flaws to simplify fractography. Half of these specimens were fracture tested in water and half in oil at a target stressing rate of 100 MPa/s, and the results were compared using Mann-Whitney rank sum tests (alpha=0.05). A logarithmic regression model was used to determine the fatigue parameters for each material. RESULTS: For each ceramic composition, specimens tested in oil had significantly higher strength (P0.05). Specimens tested at faster stressing rates had significantly higher strength (P0.05). Regarding critical flaw size, stressing rate had a significant effect for In-Ceram Zirconia specimens (P0.05). Fatigue parameters, n and lnB, were 38.4 and -12.7 for Vitadur Alpha and were 13.1 and 10.4 for In-Ceram Zirconia. SIGNIFICANCE: Moisture assisted subcritical crack growth had a more deleterious effect on In-Ceram Zirconia core ceramic than on Vitadur Alpha porcelain. Fracture surface analysis identified fracture surface features that can potentially mislead investigators into misidentifying the critical flaw.

The effects of viscoelastic parameters on residual stress development in a zirconia/glass bilayer dental ceramic.

OBJECTIVES: The aim of this study was to test the hypothesis that the residual stresses in a zirconia-based bilayer dental composite system can be tailored through heat treatment above and below the glass transition temperature of glass veneers. METHODS: Ceramic bilayer disc specimens were prepared from a zirconia core and a glass veneer. Each bilayer ceramic group was heat treated 40 degrees C below, 20 degrees C and 40 degrees C above and at the glass transition temperature of the glass veneer, and cooled using a fast or a slow cooling rate. Specimens were tested for flexure strength using a biaxial bending fixture. Residual stresses were calculated using a fracture mechanics approach. RESULTS: Heat treatments produced significant differences (p < or =0.05) between the mean flexural strengths of the heat treatment groups when the specimens were cooled using a fast cooling rate. However, there was not a significant difference (p >0.05) between the mean flexural strengths of the heat treatment groups when a slow cooling rate was used. Fractures initiated from the veneer surfaces of the specimens. SIGNIFICANCE: Heat treatment above and below the glass transition temperature of the veneer layer, and the cooling rate have a significant effect on the flexural strength of the bilayer ceramic laminates. The existence of residual compressive stress is the most likely reason for the observed strength increases. Residual stresses can be modified using the elastic-viscoelastic relaxation behavior of a glass veneer.

Failure analysis of clinically failed all-ceramic fixed partial dentures using fractal geometry.

OBJECTIVE: The goal of this study was to test the hypothesis that fracture toughness of the veneers in clinically failed zirconia-based fixed partial dentures (FPDs) is not significantly different from that of the in vitro group and to determine the potential reasons for their failures. METHODS: Fracture toughness values of the veneer layers in clinically failed zirconia core/glass veneer FPDs (n=4) and laboratory prepared glass veneer bar specimens (n=6) were determined using fractal analysis. A modified slit island technique was employed to measure the fractal dimensional increment (D*) of the two studied groups. The fracture toughness (K(C)) values were estimated using equation K(C)=Ea(o)(1/2)D*(1/2), where E is the elastic modulus and a(o) is a characteristic length parameter. Fracture toughness (K(C)) values of the specimens calculated using fractal analysis and fractography were statistically compared using a paired t-test. RESULTS: The average fracture toughness of the veneer in clinically FPDs (0.5+/-0.05 MPam(1/2)) is not significantly different (p>0.05) from that of the bar specimens (0.6+/-0.1 MPam(1/2)). The reasons for the early failures in FPDs could be occlusal overloading, stress corrosion, fatigue or improper structure design. SIGNIFICANCE: Fractal analysis is shown to be an alternative analytic tool for clinically failed ceramic restorations, especially for those with fracture origins chipped off during mastication and hence could not be analyzed using other techniques, such as fractography.