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Journal of Dental Research
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Biomaterials & Bioengineering

Veneer vs. Core Failure in Adhesively Bonded All-ceramic Crown Layers

J.J.-W. Lee1, J.-Y. Kwon2, S. Bhowmick1, I.K. Lloyd3, E.D. Rekow4 and B.R. Lawn1,*

1 Materials Science and Engineering Laboratory, National Institute of Standards and Technology, 100 Bureau Drive, Mail Stop 8520, Gaithersburg, MD 20899-8520, USA;
2 School of Nano and Advanced Materials Engineering, Changwon National University, Changwon, Kyung-Nam, Korea;
3 Department of Materials Science and Engineering, University of Maryland, College Park, MD 20742-2115, USA; and
4 New York University College of Dentistry, 345 East 24th Street, New York, NY 10010, USA

Correspondence: * corresponding author, brian.lawn{at}nist.gov


    ABSTRACT
 TOP
 ABSTRACT
 INTRODUCTION
 MATERIALS & METHODS
 RESULTS
 DISCUSSION
 REFERENCES
 
Joining a brittle veneer to a strong ceramic core with an adhesive offers potential benefits over current fabrication methods for all-ceramic crowns. We tested the hypothesis that such joining can withstand subsurface radial cracking in the veneer, from enhanced flexure in occlusal loading, as well as in the core. Critical conditions to initiate fractures were investigated in model crown-like layer structures consisting of glass veneers epoxy-joined onto alumina or zirconia cores, all bonded to a dentin-like polymer base. The results showed a competition between critical loads for radial crack initiation in the veneers and cores. Core radial cracking was relatively independent of adhesive thickness. Zirconia cores were much less susceptible to fracture than alumina, attributable to a relatively high strength and low modulus. Veneer cracking did depend on adhesive thickness. However, no significant differences in critical loads for veneer cracking were observed for specimens containing alumina or zirconia cores.

Key Words: adhesive joining • glass • occlusal loading • veneer failure • core failure


    INTRODUCTION
 TOP
 ABSTRACT
 INTRODUCTION
 MATERIALS & METHODS
 RESULTS
 DISCUSSION
 REFERENCES
 
In a recent study, we considered the possibility of using resin-based interlayer adhesives to join a porcelain-like veneer onto a stiff and strong ceramic core in the fabrication of all-ceramic crowns (Lee et al., 2007a). Such adhesives offer a simple means for bonding 2 independently fabricated layers, providing a barrier to crack propagation from one layer to the next (Clegg et al., 1991; Lee et al., 2007a). In that earlier study, a model system consisting of a 1 mm glass veneer layer was bonded onto a much thicker glass substrate layer, and we tested the support capacity of the adhesive by measuring the critical load to initiate a radial crack in the veneer undersurface from loading at the top surface with a spherical indenter. Introduction of a compliant adhesive caused the veneer to flex, with resultant tensile stress at the veneer undersurface. The critical loads could be maintained above those experienced in normal occlusal biting function by suitably increasing the modulus or diminishing the thickness of the adhesive. However, that test procedure ignored one important feature of all-ceramic crowns. In reality, any such veneer/adhesive/core ’crown’ must itself be cemented onto a compliant dentin substrate, in which case the core itself becomes subject to flexure in occlusal loading and therefore susceptible to the same kind of radial cracking as the veneer (Deng et al., 2003; Lawn et al., 2007; Rekow and Thompson, 2007). Thus, proper design of adhesively joined veneer/core bilayers must account for the effects of interlayer thickness and modulus on the relative loads to produce fracture in both the veneer and the core.

In this study, we investigated this issue by testing a model flat-layer system consisting of a glass veneer of thickness dv = 1.0 mm bonded to an alumina or zirconia core of thickness dc = 0.5 mm with an epoxy adhesive interlayer of variable thickness h (Fig. 1Go). The ensuing ’crown’ structure was cemented onto a polycarbonate substrate. This system may be considered representative of a porcelain-veneered all-ceramic crown on dentin. The transparency of the glass and the polycarbonate allowed for direct observation of radial crack initiation in the veneer and core layers (Deng et al., 2002; Lee et al., 2007a). We measured and compared critical loads to initiate veneer and core radial cracks, and provided basic relations for calculating these loads in terms of elastic modulus and strength of the material components. We used these measurements to test the hypothesis that adhesive joining can withstand radial cracking of the veneer from enhanced flexure in occlusal loading.


Figure 1
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Figure 1. Schematic of glass/adhesive/core/substrate layer system in contact loading, indicating radial cracking at veneer and core bottom surfaces and showing key variables. Layer structure consists of veneer of modulus Ev and thickness dv joined with adhesive of modulus Ei and thickness h to core of modulus Ec and thickness dc, on substrate of modulus Es. Indenter of radius r at load P induces tensile stresses at bottom of veneer and core layers.

 

    MATERIALS & METHODS
 TOP
 ABSTRACT
 INTRODUCTION
 MATERIALS & METHODS
 RESULTS
 DISCUSSION
 REFERENCES
 
Materials from a previous study were used to fabricate the layer systems depicted in Fig. 1Go (Hermann et al., 2006; Bhowmick et al., 2007; Lee et al., 2007a). Veneers were glass plates of 1-mm thickness. Glass plates were used because they are transparent, with mechanical properties similar to those of porcelain. The side walls were polished to allow for side viewing of veneer cracking during testing. Cores were plates of alumina (AD995, CoorsTek, Golden, CO, USA) or yttria-tetragonal-stabilized zirconia (Lava Frame, 3M ESPE, Morrow, GA, USA) with 0.5-mm thickness. Some glass plates of the same thickness were used as control cores for baseline comparison. Polycarbonate substrates (Makrolon®, Bayer Material Science AG, Leverkusen, Germany) of 12.5-mm thickness were used as a dentin-like base. In one set of specimens, the bottom surfaces of the veneer and core plates were abraded with 600-grit SiC, to introduce controlled flaws and thus to promote crack initiation (Chai et al., 1999; Zhang et al., 2006). In another set of specimens, the glass and ceramic plates’ undersurfaces were, respectively, etched and carefully polished, to inhibit crack initiation for comparative testing.

Epoxy resin (Harcos Chemicals, Bellesville, NJ, USA) was used as a joining adhesive. This material lies at the low end of compliance for dental adhesives, and so represents a worst case as far as veneer vulnerability is concerned. Opposing veneer and core surfaces were first cleaned thoroughly and then bonded under light mechanical pressure, with spacers between the layers to attain prescribed interlayer thickness over a range h = 5 µm to 500 µm.

The finished layer structures were indented with a tungsten carbide sphere (radius, 3.18 mm) to represent occlusal contact (Bhowmick et al., 2007; Lee et al., 2007a). Video cameras were placed so that we could view the onset of radial cracking within the veneer (side view) and the core (subsurface view through the polycarbonate base). No delamination or other mode of fracture was observed in any of these experiments.

Properties of the materials used in the present study are shown in the Table Go(Hermann et al., 2006; Bhowmick et al., 2007; Lee et al., 2007a). Uncertainties in the values listed in this TableGo were much greater than experimental uncertainties in the measured loads and layer thicknesses (Fig. 1Go), so that scatter in subsequent data could be ascribed predominantly to material variation.


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Table. Modulus E and Strength S for Materials in This Study
 

    RESULTS
 TOP
 ABSTRACT
 INTRODUCTION
 MATERIALS & METHODS
 RESULTS
 DISCUSSION
 REFERENCES
 
Results were obtained for critical loads to initiate radial cracks in terms of properties of the veneer (v), adhesive interlayer (i), core (c), and substrate (s), over a range of adhesive thickness h. A plot of critical load Pv for veneer failure is shown as a function of h, for specimens with abraded veneer undersurfaces (Fig. 2aGo). Datapoints are results of individual tests, with each symbol representing a different core material. The point with error bar is the mean and standard deviation for 20 tests on specimens with zirconia cores at one clinically representative adhesive thickness, h = 100 µm. A similar mean and standard deviation were measured for 13 specimens with alumina cores, but that dataset overlaps the zirconia-core data and hence is omitted from the plot. An unpaired Student’s t test showed no significance difference (p >> 0.05) between the sets of alumina-and zirconia-core data at thickness h = 100 µm. The individual datapoints for different cores appear to overlap within scatter over the entire range of h, further confirming little effect of underlying core or substrate material on veneer failure. Observe that critical load Pv diminishes steadily with increasing h, by a factor of more than five over the thickness range 5 µm to 500 µm. The solid curve in the Fig. is a universal fit using material parameters from the TableGo along with the following equation for critical load (Chai and Lawn, 2000, 2002):


Figure 2
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Figure 2. Plot of critical load Pv and Pc for veneer and core radial cracking in glass/epoxy/ceramic-core/polycarbonate system as a function of epoxy adhesive thickness h, veneer and core thicknesses dv = 1.0 mm and dc = 0.5 mm. (a) Veneer fracture. Datapoints are experimental results of individual tests (n = 63), each symbol representing a different core ceramic. Point with error bar is mean and standard deviation of tests on specimens with zirconia cores, for adhesive layer thickness h = 100 µm (n = 20). Solid line is prediction from Eqs. 1 and 2. (b) Core fracture. Datapoints are experimental results of individual tests (n = 31), each symbol representing a different core ceramic. (Note no data for zirconia, because of premature veneer failure.) Horizontal solid lines are predictions from Eqs. 3 and 4.

 

Formula 1(1)

where d = layer thickness, E modulus, S strength, and B' is an interlayer thickness-dependent term,


Formula 2(2)

with constants B = 1.35, β= 0.18, and {gamma}= 0.84 (Chai and Lawn, 2002). Note the absence of dc or Ec in Eqs. 1 and 2, substantiating the observed insensitivity of Pv to core properties. [This insensitivity to core properties remains valid provided that h and dc do not become too small relative to dv, or that Ec does not become smaller than Ev (Chai and Lawn, 2002; Kim et al., 2003).]

An analogous plot of critical load Pc for core failure as a function of adhesive thickness h is shown, for veneers with etched undersurfaces (Fig. 2bGo). Again, each symbol represents a different core material. Data are shown only for alumina and glass cores, since veneer failure always preempts zirconia core failure. There is no evidence of systematic variation in Pc with h for each of the core material systems tested, indicating that adhesive thickness is not a great factor in core failure. The solid line is a prediction using material parameters from the TableGo along with the relation (Deng et al., 2003)


Formula 3(3)

with D = dv + dc = veneer + core thickness, and effective modulus


Formula 4(4)

where {varepsilon} = Ev/Ec and {delta} = dv/dc. Note that there is no appearance of Ei or h in Eqs. 3 and 4, indicating an insensitivity to the adhesive material. (Strictly speaking, interlayer thickness h should be included in D in Eq. 3, but this will become important only in the region of large h, where veneer failure dominates anyway.) The predicted horizontal lines from these equations pass through the data for each core material, independent of h within the experimental scatter. Note also that Pc is greater for alumina than for glass cores, but smaller than predicted for zirconia, as may be expected.

The analysis in Eqs. 1–4, validated by the above data fits (Figs. 2a, 2bGo), provides the basis for evaluating the issue of veneer vs. core failure for clinically relevant systems on "design maps". To illustrate, we show calculations (Fig. 3Go) of critical loads Pv and Pc for crown systems consisting of a typical dental porcelain bonded with a relatively stiff filled composite (Wang et al., 2007) to alumina or zirconia cores, all cemented to a dentin substrate (with cement modulus close to that of dentin, and once more using parameters in the TableGo). Switching from epoxy with modulus Ei = 2.35 GPa to a filled composite adhesive with Ei = 20 GPa shifts the critical load for veneers up by a factor of about 3 (cf. Pv curves in Figs. 2aGo and 3Go). At the same time, use of a dentin instead of polycarbonate substrate shifts the critical load for cores up by about a factor of only 2 (cf. Pc curves in Figs. 2bGo and 3Go). In the case of zirconia cores, failure occurs almost exclusively in the veneer. To place these calculations in a clinical context, it may be noted that typical occlusal biting forces can lie well in excess of 100 N (McLean, 1979; Kelly, 1999). The benefits of a thin adhesive (h < 100 µm) with sufficiently large modulus (Ei > 20 GPa) are evident from such calculations.


Figure 3
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Figure 3. Calculated values of critical load Pv and Pc as function of adhesive thickness h for porcelain/filled-composite/core/dentin, with alumina and zirconia cores.

 

    DISCUSSION
 TOP
 ABSTRACT
 INTRODUCTION
 MATERIALS & METHODS
 RESULTS
 DISCUSSION
 REFERENCES
 
We used a simple contact loading test to evaluate the effectiveness of polymer-based adhesives as a means of bonding brittle veneers (glass) to ceramic cores (alumina and zirconia). Such adhesives offer the potential for simplified fabrication of all-ceramic dental crowns, in which veneer and core are prepared independently prior to joining, without the time-consuming hand-layering, drying, and fusing processes currently in use. Future technologies, such as direct-write fabrication and robocasting, are exciting prospects in this context (Lewis et al., 2006; Strub et al., 2006). The use of high-modulus adhesives to join such layers may minimize any potential swelling of an interlayer during subsequent oral function (Wang et al., 2007). Adhesive joining also avoids the need for matching the coefficients of thermal expansion so essential in traditional porcelain fusion procedures, and provides an internal barrier to crack propagation from one layer to the next (Lee et al., 2007b). [A previous study on systems close to those used here indicated that any residual stresses from shrinkage of the adhesive during curing, provided the interlayers are sufficiently thin, should be negligibly small compared with typical thermal mismatch stresses (Hermann et al., 2006).] Consequently, the system used here affords a model system for an understanding of the role of interlayer properties well beyond current dental technologies.

The contact test compares critical loads Pv and Pc to produce radial fractures at the bottom surfaces of veneer and core layers, respectively. Analysis of experimental data on model glass-veneer/ceramic-core test specimens (thickness ratio, 1 mm/0.5 mm) bonded onto dentin-like substrates validates the theoretical relations in Eqs. 1 to 4, and thereby provides a sound physical basis for predicting fracture responses of real crown material systems. In the context of adhesive joining, the main requirement is to ensure that veneer failure never occurs. Practically, this may be achieved by choosing the join conditions so as to maintain Pv higher than Pc, and the core properties so that Pc always exceeds occlusal biting forces (>> 100 N) (McLean, 1979; Kelly, 1997, 1999). Design maps indicating critical load conditions for given material systems provide a useful graphic methodology for quantifying susceptibility to veneer and core failure.

Of principal interest in this study is the role of the adhesive interlayer properties in determining such failure susceptibility. Changes in adhesive thickness h or modulus Ei can lead to substantial shifts in the critical load Pv for veneer fracture. Clearly, keeping the adhesive layer sufficiently thin is crucial for protection of the veneer, the more so for higher biting forces. By way of example, a porcelain veneer of thickness 1 mm seated on an adhesive interlayer of thickness h = 100 µm and modulus Ei = 20 GPa is predicted, from Eq. 1, to withstand biting forces up to 600 N. Further increasing the adhesive modulus would allow the veneer to sustain even higher forces. These considerations would appear to provide a strong motivation for the development of stiffer adhesives for joining (Wang et al., 2007).

The equations also enable us to predict the role of core material properties, namely, modulus Ec and strength Sc. Of these properties, strength would appear to be the more important, because it is subject to more variation (TableGo). On this measure, the results confirm that alumina is inferior to high-strength zirconia in providing resistance to core failure. Core modulus also plays a role, because the stiffer alumina core supports a greater share of the applied load, reducing Pc in Eq. 3 and thereby increasing core vulnerability still further (Miranda et al., 2001). Recall, however, that the critical loads to cause radial cracking in the overlying veneer are wholly insensitive to the core properties (provided the core remains stiffer than the veneer).

In this paper, we have examined the competition between veneer and core radial crack modes. Other fracture modes may occur under extreme conditions (Lawn et al., 2007): cone cracks may initiate at the veneer top surface, particularly in contacts with small radii; and delamination may occur at the bonding interface if the adhesive bonding is not strong enough. Both these additional modes may be exacerbated in fatigue loading. Nevertheless, intercomparison between the two radial fracture modes remains a simple means of assessing relative susceptibilities of veneer and core failure, and offers a convenient route for the evaluation of prospective joining materials for processing of all-ceramic crowns.


    ACKNOWLEDGMENTS
 
This work was supported by a grant from the US National Institute of Dental and Craniofacial Research (PO1 DE10976). The use of equipment, instruments, or materials in this study does not imply recommendation by the National Institute of Standards and Technology.

Received for publication August 31, 2007. Revision received November 20, 2007. Accepted for publication December 14, 2007.


    REFERENCES
 TOP
 ABSTRACT
 INTRODUCTION
 MATERIALS & METHODS
 RESULTS
 DISCUSSION
 REFERENCES
 

  • Bhowmick S, Meléndez-Martínez JJ, Zhang Y, Lawn BR (2007). Design maps for failure of all-ceramic layer structures in concentrated cyclic loading. Acta Mater 55:2479–2488.
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Journal of Dental Research, Vol. 87, No. 4, 363-366 (2008)
DOI: 10.1177/154405910808700408


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