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during the clinical service life of the crowns, the cantilever design often led to debonding at the restoration-cement-tooth interface. in order to analyze the effects of cantilever design, cantilevers of 2, 4, 6 and 8 mm were prepared. the cantilevers were inserted at the center of the crowns’ occlusal surface, between lingual and buccal cusp inclines, in the same manner as for the monolithic crowns. they were submitted to a fatigue test, with cyclic loads of 350 n. two crowns were prepared for each cantilever size and the fatigue test was performed after 1,500,000 cycles. the specimens were inspected under a stereomicroscope (mz6 leica) after 1,500,000 and 2,000,000 cycles. the specimens were excluded from the study if any of the following situations were observed: catastrophic or cohesive fracture of the crown, indenters debonded or cracked or the adhesive system degraded. the amount of adhesive remaining on the crown surface was measured after finishing the test by using a wet gauze. the amount of adhesive was assessed by subtracting the remaining thickness of the adhesive from the initial thickness. differences between the measured thickness and the exact thickness measured by digital caliper were always less than 0.05 mm. specimens were stored in water during the fatigue test. after the test, the specimens were removed from the mold and any residual adhesive was removed by hand-rubbing the surface.

when the entire indentation area was examined, damage was scored as no damage (n), when the crack diameter was less than 10 µm. when the crack diameter was higher than 10 µm, the damage was classified as inner cone (ic), outer cone (oc) or radial (r) according to the fracture mode (see figure 1 ). the damage score was calculated as the sum of the scores for each damage mode, resulting in maximum score of 20. for specimens that received the enamel layer, the data were analyzed by one-way anova followed by tukey post-hoc test (α = 0.05). when the enamel layer was not used, data were analyzed by kruskal-wallis test followed by dunn test (α = 0.

the data were analyzed with 1-way anova followed by tukey post-hoc test (α = 0.05). the test was performed using sigmaplot 13.0 software (systat software inc; san jose, ca, usa). the results are presented as means ± standard deviation (sd) and median and 25% and 75% percentiles. nonparametric kruskal-wallis test was applied to compare damage scores among groups. mann-whitney u test was performed to compare the damage scores among groups (α = 0.
if the crowns are bonded to tooth structure, debonding is likely to occur during function. the debonding of composite is often attributed to the occurrence of fatigue cracks. the damage to the tooth/restoration interface is also a major failure mode in ceramic crowns. the stress associated with oral function is transferred to the composite and ceramic, which may lead to debonding77- albrecht c, ferencz jl. failure and debonding of resin-based restorative materials in the oral environment: a literature review. j dent res. 2013;92(7):1210-5. or complete delamination of the interface88- ralston jr, davis t. the interface of adhesive and restorative materials. j biomed mater res. 1999;44(2):171-87. and fracture of the interface99- ibanez p, bosch f, herranz-garcia j. failure patterns of tooth-composite bonded prostheses: a literature review. 2013;92(3):444-50. thus, debonding of the composite is a major failure mode for ceramic and composite-based crowns. the inner surface of the crowns may also sustain fatigue damage, but this is not a major failure mode. radial cracks are also a potential source of stress concentration and crack propagation, and may contribute to increased wear and early failure of the crowns.
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