Fracture surface analysis of dental ceramics: clinically failed restorations

Fractography was used to study all-ceramic restorations that had failed clinically. Some basic tenets of fracture mechanics and fractography are reviewed and related to the examination of clinically failed all-ceramic restorations. Dicor and Cerestore restorations that had failed either at trial placement or 17 to 36 months postcementation were evaluated. Failed Dicor restorations were studied to determine the origin of failure and calculate the intraoral stress at failure. Descriptive information regarding crack origin and crack path were obtained from failed restorations constructed of first-generation Cerestore. A majority of the crowns apparently failed from the internal surface, indicating this as the highest tensile surface and/or the location of the largest flaws. Flaws were identified as being related to fabrication or inherent in the ceramic microstructure.