The effect of adhesive failure and defects on the stress distribution in all-ceramic crowns

Yonggang Liu, Yuanzhi Xu, Bo Su, Dwayne Arola, Dongsheng Zhang*

*Corresponding author for this work

Research output: Contribution to journalArticle (Academic Journal)peer-review

10 Citations (Scopus)
343 Downloads (Pure)


Objectives: To explore the effect of adhesive failure and defects between the crown and cement on the stress distribution within all-ceramic crowns and the corresponding risk of failure. Methods: An IPS e.max crown of lithium disilicate produced by CAD/CAM for a first mandibular molar was modeled using finite element analysis based on X-ray micro-CT scanned images. Predefined debonding states and interfacial defects between the crown and cement were simulated using the model. The first principal stress distribution of the crown and cement was analyzed under a vertical occlusal load of 600 N. A concept of failure risk was proposed to evaluate the crown. Results: Stress concentrations in the crown were identified on the occlusal surface surrounding the region of loading, beneath the area of loading and at the margin of the interior surface. Stress concentrations in the cement were also evident at the boundary of the debonded areas. The lower surface of the crown is safe to sustain the 600 N vertical load, but the top surface of the cement would undergo cohesive failure. According to the evaluation of failure risk of the crown, the conditions of highest risk corresponded to the conditions with highest percentage of cement damage. The risk of failure is not only associated with debonding between the crown and cement, but also associated with its distribution. Conclusions: Debonding related defects and cementing defects are more deleterious to the interfacial stress than debonding itself. The axial wall plays a critical role in maintaining the principal tensile stress of the crown at an acceptable level.

Original languageEnglish
Number of pages10
JournalJournal of Dentistry
Early online date29 May 2018
Publication statusE-pub ahead of print - 29 May 2018


  • Ceramic crown
  • Debonding
  • Defects
  • Failure risk
  • Finite element analysis (FEA)
  • Lithium disilicate


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