Abstract Objectives. to understand the resistance to cyclic and static contact loading of feldspathic porcelain on dental zirconia (3Y-TZP), in order to understand the partial failure of porcelain (chipping or cracking). Methods. Hertzian contact techniques were used to evaluate the appearance of damage as a ring crack in terms of applied load and number of cycles in air and simulated saliva Results. Static contact loading showed the presence of stress corrosion cracking in the porcelain; the environmental crack growth in air was determined from the results of time to damage under static load. There was also a contribution of fatigue effects due to the interactions of the crack with the microstructure. From the obtained results, a time to failure was estimated depending on the materi al counterpart. Cracking can occur on porcelain coatings if the contact counterpart is teeth or porcelain in a time interval of a few years, consistent with clinical studies. Significance. Contact loading, particularly against teeth or other ceramic materials can be a significant cause of failure and chipping of feldspathic porcelain on zirconia, especially if the patient suffers from bruxism. Protection, by e.g. a guard, against repetitive contact against the porcelain can increase the lifetime of the veneer. Keywords: Feldspathic dental porcelain, zirconia, Hertzian contact, fracture, fatigue. 1. Introduction Feldspathic dental porcelains on zirconia are increasingly being used in dental restorations due to their aesthetic appearance similar to natural teeth as well as biocompatibility, corrosion resistance and mechanical properties [1-3]. The fracture of dental porcelains and ceramics is a problem affecting the integrity of the dental components [1]. High masticatory forces may induce fracture or deformation in the dental restoration that can lead to premature failure [2], but the majority of failures occur after some time. Studies of zirconia-based restorations reported fracture, chipping, and/or delamination as the predominant failure modes primarily in single crowns and bridges, without observing framework failures [4-8]. These failures are attributed to different reasons, such as low fracture toughness, inappropriate framework support, low cohesiveness, shear forces between the zirconia framework and veneering porcelain as well as thickness reduction or cracking after occlusal contact in the oral environment [1,9-11]. Different papers in the literature described veneering porcelain failures after 2 to 5 years of functioning with rates ranging from 0 to 30% depending on the material and service time [6,12-15]. One example is the study of twenty-seven patients with 33 zirconia fixed partial dentures (FPDs) examined during five-years, reported by Sailer et al [6], where 15.2% of the FPDs presented chipping of the veneering porcelain. Likewise, Vult von Steyern et al [7], reported a study of 23 five-unit FPDs that were fabricated for 18 patients on a total of 56 abutments. They were clinically followed for 24 months, where 15% of the failures were observed in the porcelain. Tinschert et al [15], reported the study of 46 patients with FPDs monitored for 3 years. In four cases chipping in the veneering porcelain occurred. Kelly [16] calculated the mean failure load versus days of function, assuming 1 million cycles per year, from data collected of analogues of single-unit prostheses fabricated according to common dental laboratory and clinical practices. Under wet cyclic loading a prediction from 1 to 7 years to failure was determined. All the previous studies report failure after a time under service, but do not discuss in detail the failure from a material viewpoint, where contact fatigue and stress corrosion cracking (SCC) of the porcelain may be a relevant cause of failure. Stress corrosion cracking refers to crack propagation of small pre-existing flaws under sustained loads usually in presence of water [1,14] and contact fatigue refers to the crack extension due to the degradation of the microstructure by cyclic contact loading [1,19,20], and it is usual that both mechanisms act simultaneously. During the mastication process, the magnitude of the forces range between 3 and 364 N over cuspal radii of 2–4 mm with chewing cycles spanning from 0.25 to 0.70 seconds. It is estimated that the contact loading period per each day is of 15 to 30 minutes [4,12,16-18]. Therefore, cyclic contact loads can be a relevant factor for damaging the dental prosthesis. Masticatory loads and curvature of the teeth can be closely simulated by Hertzian contact loading, where the concentrated stress field result in progressive local damage accumulation [2, 11, 19-21]. This technique permits to follow the full evolution of contact damage, from initial cracking to final failure [16, 22]. Recently, we have presented [19] the study of monotonic contact of the feldespathic porcelain on dental zirconia, where the first ring crack appeared in a load range between 40 and 200 N depending on the sphere radii and additional concentric ring cracks and small radial crack that caused removal of material between cracks was observed with higher loads between 80 and 750 N. The aim of the present work is to investigate the contact fatigue response of feldspathic porcelain on dental zirconia, by employing static and cyclic Hertzian indentation tests to assess the stress corrosion cracking and the fatigue of the material, respectively. 2. Experimental Procedure 2.1. Material Preparation Tetragonal zirconia polycrystalline powder stabilized with 3 mol% yttria (3Y-TZP, Tosoh, Japan) was isostatically pressed at 200 MPa to cylinders of 10 mm in diameter, which were sintered for 1hour at 1200 oC. The cylinders were cut in discs of 3 mm thick and polished with a 120 grit SiC disc and fired for 5 min at 700 oC (Vita Vacumat 40T furnace) for cleaning. The discs were immersed for 2 min within YZ Coloring Liquid LL1 (VITA Zahnfabrik, Germany) and sintered for 2 hours at 1450 oC. Final grain size was 0.3 0.1 m (measured by linear interception method) with a density of 6.03 0.01 g·cm-3 (measured by Archimedes method), yielding 99.9% of the theoretical density. Subsequently, zirconia discs were coated with feldspathic porcelain (Vita VM9, Zahnfabrik VITA, Bad Sackingen, Germany). A porcelain coating of around 150 m porcelain was applied and fired for one minute at 950 °C. Then, a thicker layer of around 500 m was applied and fired at 910 oC for one minute. Both treatments were carried out in a Vita Vacumat 40T furnace. Samples were finally lightly polished with 30 m diamond suspension followed by colloidal silica. 2.2. Mechanical Testing The Hertzian contact loading tests were performed using a servo-hydraulic Instron universal machine (model 8511) with tungsten carbide-cobalt spheres (WC-Co) with a ratio (Re) of 1.25 mm. Three different types of tests were performed: 1) Static tests on air, 2) Cyclic tests on air and 3) Cyclic tests on artificial saliva medium with a composition given in table 1 and a ph of 6.7 [23]. <<table 1>> The monotonic critical load to obtain the first brittle damage (full ring crack), Prc=70 N have been previously reported [19]. Therefore, static tests were performed applying a maximum loads, Pmax lower than Prc in air (relative humidity ∼ 40%) and at a load rate of 5 Ns-1. After removing the load, the indentation imprint was observed by optical and laser confocal microscope (Olympus BX41M and Olympus LEXT OLS 3100 respectively). If no ring cracking was observed, a new test was performed in another location with longer holding time, for a maximum time of 104 seconds. Once damage was detected, other tests were done with shorter contact time (less than 5%) in order to determine the time for full ring cracking. The time for ring cracking, trc was defined as that for which at least three tests presented this damage. The ring cracking under artificial saliva was evaluated by applying the same loads, Pmax, that in static test. Cyclic loading was applied by means of a sinusoidal waveform at a frequency, f= 10 Hz and with a load ratio (R = Pmin/Pmax) of 0.1. The number of cycles for ring cracking (Nrc) were determined by the same methodology as before. The samples for cyclic contact in artificial saliva were tested after several days of immersion in same medium at 37 oC. Fig.1 presents an image of the set-up for the artificial saliva test. <<Fig. 1>> 3. Results 3.1. Stress Corrosion Cracking Under Static Contact Loading in Air Fig. 2, presents the apparition of damage as a function of time under static contact tests in air with constant applied loads Pmax, lower than the critical load Prc=70 N. From this figure it is seen that the material is sensitive to contact SCC even in presence of air, as full-ring crack appears for Pmax values less than Prc. Fig. 3, shows the images of the full-ring crack and partial ring crack of the points indicated in Fig. 2. This may be a consequence of the relative humidity present in the environment. The crack growth as a function of time (dc/dt) under static loading is related to the stress intensity factor KI, through: 𝑑𝑐 𝑑𝑡 𝐾 𝑛 = 𝜐0 (𝐾 𝐼 ) , 𝐾𝐼 < 𝐾𝐼𝑐 𝐼𝑐 (1) Where o is a material dependent constant, KIc is the fracture toughness of the material and n is the crack velocity exponent [3, 20-22, 24-26]. In the case of contact loading, the exact value of KI is not analytical due to the high variations of the stress field. A relationship between the critical load and the cracking time for prolonged times has been proposed by Pavon et al assuming that the ring crack coalesces from the different pre-existing microcracks [25]. 𝑃2𝑛⁄3 𝑡𝑟𝑐 = 𝑐𝑜𝑛𝑠𝑡𝑎𝑛𝑡 (2) Calculating the slope of the curve in Fig. 2, a value n =18 was obtained. This value was contained in the values range 9 to 60 of stress corrosion cracking exponent for ceramics reported previously in literature [20, 25] <<Fig. 2>> <<Fig. 3>> 3.2. Cyclic Hertzian loading in air and in artificial saliva Cyclic tests in air and artificial saliva environments were performed to determine the number of cycles for ring cracking (Nrc), as presented in Fig. 4. The results of these tests show that the dental porcelain is sensitive to cyclic loading and that the damage induced in presence of artificial saliva is greater than in air. It is important to recall that when a cyclic test is performed, both SCC and fatigue are operating at the same time. When performing the tests in artificial saliva, it is expected that SCC will be more pronounced due to the humid environment. <<Fig. 4>> To observe the damage evolution in air and in artificial saliva environments, a cyclic load with a maximum constant load of 50 N was applied and the damage induced was followed with the number of cycles. The results are presented in Fig. 5. In both environments the first damage observed was a ring crack, although in saliva the ring crack appeared sooner. As the number of cycles progresses, several other damages become evident, specially the generation of secondary concentric ring cracks which may develop into cone cracks, probably produced by hydraulic pumping [27,28], and wear tracks produced by the elastic mismatch between the material and the indenter. A few radial cracks may be also observed. As the number of cycles is increased, multi-ring cracking and some material removal between ring cracks can be appreciated. It has to be noted that the damage typology and sequence will be influenced by the substrate. Being zirconia a relative stiff and tough material, damage will be produced manly at the coating. In case that a more compliant substrate is used, other type of damage can appear, such as delamination or radial cracking at the interface. The relationship between the critical load and the number of cycles for cracking (Nf) cannot be represented by a single potential law. It is clear that the experimental points at high maximum load follow a different slope than at small loads. For each part of the curve a straight line can be plotted of the type [29]: m Pmax ·N f constant (3) With an exponent m which is similar to that for the high static loads studied, while for small cyclic loads the value of m is equal to calculating the slope of the curve in Fig. 4. The m exponent value was found equal to 39 [29, 30]. In any case, no large radial cracks and no inelastic deformation were observed, measured by confocal microscopy. <<Fig. 5>> 4. Discussion From the results presented here on static and cyclic contact tests, the first question that may arise is whenever there is really a true fatigue effect produced by cyclic loading, or the results of cyclic contact testing may be attributed to the stress corrosion cracking of the glassy phase. The effect of the SCC can be deconvoluted from the fatigue effect following the work of Evans and Fuller [20], by assuming that the failure under cyclic loading is due to the same population of defects and the crack growth mechanism present in the static load, the loading/unloading in the Hertzian contact test simulate a series of small increments of constant load, and that the compressive loads do not induce crack growth. Under these assumptions, if the only mechanism was SCC without any fatigue, the time to fracture under cyclic loads can be calculated to be around 10 times lower than under static loading at the same maximum load. This prediction is presented in Fig. 6, together with the experimental curves for static and cyclic loads. In this figure, it can be seen that the experimental curve obtained under cyclic loading is below the theoretical curve which is calculated under the assumption that only SCC is the degradation mechanism. This clearly indicates that there is a mechanical fatigue effect, So, despite the fact that SCC is the leading mechanism on degradation, mechanical fatigue is also a contributing factor to the growth of cracks. <<Fig. 6>> A comparison between the morphology of a ring crack in air and saliva medium is presented in Fig. 7, showing the images of ring cracks in air under static contact for 2.6 min and artificial saliva under cyclic contact for 6000 cycles for the same maximum constant load (P=60 N) for both situations. In this figure it can be seen that both cracks are similar, but the one produced by cyclic loading presents a higher amount of tortuosity, probably due to the interaction of the leucite particles with the crack. The cyclic tests under artificial saliva produced an earlier apparition of cracking in the samples. In figure 7, it is seen that the crack path is slightly more tortuous, due to the relative motion between crack faces and the possible interaction between leucite particles and the crack tip. <<Fig. 7>> During cyclic loading, inner ring cracks appear after a high number of cycles. These inner cracks are exclusive of cyclic loading and will develop into cone cracks inside the material. This fracture is due to hydraulic pumping of fluid inside the material due to the fluctuation of stress fields from compressive to tensile as the load is cycled, as described by Lawn et al [27, 28] for other brittle materials. From the experimental results, one could attempt to estimate the lifetime of these materials under more realistic conditions. First of all, although for low times, stress corrosion cracking is the most relevant crack forming mechanism, for longer times the cyclic degradation of the material is the relevant factor in producing fracture. In addition, as said before, under cyclic conditions some secondary cracks can appear which will also be detrimental for the structural integrity of the component. Therefore, for estimating the lifetime of these materials the curve obtained for cyclic loading under artificial saliva has been chosen. These results are in agreement with the ones found by Kim et al. [4] using sliding contact loading on bilayers and trilayers systems of porcelain/zirconia and polycarbonate. One further consideration to take into account is the fact that the testing has been performed with a WC-Co hard metal sphere, whereas under real conditions the contact counterpart will be food, teeth or other dental prosthesis which have a lower elastic modulus. This difference in elastic modulus will provoke a difference in the critical load necessary for apparition of cracks. If the friction between indenter and material is assumed to be low due to the presence of a fluid, ring crack fracture will be produced by a the critical tensile stress (tm) along the contact perimeter: 𝜎𝑡𝑚 = 1 2 (1 − 2𝜈) p (3) 0 This stress is proportional to the mean pressure between the indenter and the material (p0): p = 0 1 4 2⁄3 𝑃 𝜋𝑎2 = 𝜋 (3) 𝐸 eff ( 𝑅 2⁄3 ) 𝑃1⁄3 (4) where a is the contact radius, and Eeff is the effective modulus between the sample and the indenter which it is defined as: 1 𝐸 eff = 1−𝜈 2 𝐸 + 1−𝜈𝑖2 𝐸𝑖 (5) If the contact loading is produced between two dental prosthesis the contact pressure for chewing loads of 40-250 N [31] is 797-1469 MPa, which is significantly lower than the contact pressure of an WC-Co indenter (1166-2148 MPa for the same loads), if the contact is produced between a natural teeth and a prosthesis, the range of contact loads is between 3-364 N and the contact pressure ranges between 367 and 1819 MPa. In Fig. 8 the contact pressure against days to failure is presented, assuming that the number of chewing cycles per day is up to approximately1400 [33], including the experimental points and the obtained fitting. Using the contact pressures above estimated, the lifetime for a prosthesis which is in contact against teeth or dental prosthesis is around 1 to 4 years while in the case of contact against a softer material is much larger than the lifetime of a person since the pressures range is around 30 and 151 MPa, for an average of 2·106 to 4·106 years, clearly an infinite life criteria for the material. The calculated failure time of between 1 and 4 years is agreement with clinical reports by different authors [6, 7, 12, 14, 33-35]. << Fig. 8>> Therefore, one of the causes of failure of dental porcelain coatings on zirconia prosthesis can be attributed to the cyclic contact loading that the material suffers against other teeth or dental prosthesis, which is the case of bruxism. In absence of significant bruxism, cyclic contact loading against food will not produce significant damage on the material, and can be discarded as a source of failure. In case of bruxism, it is then recommended to protect the dental prosthesis from suffering cyclic contacts (e.g. by an occlusal splint). 5. Conclusions Feldspathic porcelain veneer is sensitive to both static contact loads and cyclic loads. Both mechanisms act simultaneously and are more relevant under artificial saliva environments. Only ring crack and cone crack were observed in the material, without inelastic deformation or other secondary cracks. Extrapolation of the results show that cyclic contact loading of the porcelain against teeth or other ceramic prosthesis can be the cause of premature cracking and failure. Therefore, proper guard against hard contact can be a mean of increasing the lifetime of the coating. Acknowledgments The authors acknowledge the grant received through of MAT2008-03398/MAT project of Ministry of Science and Innovation of Spain. A. R would like to thank the grant received by the Generalitat de Catalunya (2009SGR01285). References [1] Yu HY, Cai ZB, Ren PD, Zhu MH, Zhou ZR. Friction and wear behavior of dental feldspathic porcelain. Wear 2006;261:611–21. [2] Peumans M, Van Meerbeek B, Lambrechts P, Vanherle G. Porcelain veneers: a review of the literature. Journal of Dentistry 2000;28:163–77. [3] Cesar PF, Soki FN, Yoshimura HN, Gonzaga CC, Styopkin V. Influence of leucite content on slow crack growth of dental porcelains. Dental Materials 2008;24:1114–22. [4] Kim J-W, Kim J-H, Janal MN, Zhang Y. Damage maps of veneered zirconia under simulated mastication. Journal of Dental Research 2008;87(12):1127–32. [5] Tholey MJ, Swain MV, Thiel N. SEM observations of porcelain Y-TZP interface. Dental Materials 2009;25:857–62. [6] Sailer I, Fehér A, Filser F, Gauckler LJ, Lüthy H, Hämmerle CH. Five-year clinical results of zirconia frameworks for posterior fixed partial dentures. The International Journal of Prosthodontics 2007;20(4):383–8. [7] Vult Von Steyern P, Carlson P, Nilner K. All-ceramic fixed partial dentures designed according to the DC-Zirkon® technique. A 2-year clinical study. Journal of Oral Rehabilitation 2005;32:180–7. [8] Fischer J, Stawarczyk B, Tomic M, Strub JR, H.F. Hämmerle C. Effect of thermal misfit between different veneering ceramics and zirconia frameworks on in vitro fracture load of single crowns. Dental Materials Journal 2007;26(6):766–72. [9] Rizkalla AS, Jones DW. Indentation fracture toughness and dynamic elastic moduli for commercial feldspathic dental porcelain materials. Dental Materials 2004;20:198–206. [10] Guess PC, Kulis A, Witkowski S, Wolkewitz M, Zhang Y, Strub JR. Shear bond strengths between different zirconia cores and veneering ceramics and their susceptibility to thermocycling. Dental Materials 2008;24:1556–67. [11] Lee JJ-W, Kwon J-Y, Chai H, Lucas PW, Thompson VP, Lawn BR. Fracture modes in human teeth. Journal of Dental Research 2009;88(3):224–8. [12] Peterson IM, Pajares A, Lawn BR, Thompson VP, Rekow ED. Mechanical characterization of dental ceramics by Hertzian contacts. Journal of Dental Research 1998;77(4):589–602. [13] Komine F, Blatz MB, Matsumura H. Current status of zirconia-based fixed restorations. Journal of Oral Science 2010;52(4):531–9. [14] Coelho PG, Silva NR, Bonfante EA, Guess PC, Rekow ED, Thompson VP. Fatigue testing of two porcelain-zirconia all-ceramic crown systems. Dental Materials 2009;25:1122–7. [15] Tinschert J, Schulze KA, Natt G, Latzke P, Heussen N, Spiekermann H. Clinical Behavior of zirconia-based fixed partial dentures made of DC-Zirkon: 3-year results. International Journal of Prosthodontics 2008;21(3):217–22. [16] Kelly JR. Clinically relevant approach to failure testing of all-ceramic restorations. The Journal of Prosthetic Dentistry 1999;81(6):652–61. [17] Lawn BR. Indentation of ceramics with spheres: A century after Hertz. Journal of the American Ceramic Society 1998;81(8):1977–94. [18] Kim J-W, Kim J-H, Thompson VP, Zhang Y. Sliding contact fatigue damage in layered ceramic structures. Journal of Dental Research 2007;86(11):1046–50. [19] Rueda AO, Seuba J, Anglada M, Jiménez-Piqué E. Tomography of indentation cracks in feldspathic dental porcelain on zirconia. Dental Materials 2013;29:348–56. [20] Evans AG, Fuller ER. Crack propagation in ceramics materials under cyclic loading conditions. Metallurgical Transactions 1974;5(1):27–33. [21] Munz D, Fett T. Ceramics. Mechanical properties, failure behaviour, materials selection. 2nd ed. New York, USA: Springer;1999. [22] Jiménez-Piqué E, Ceseracciu L, Chalvet F, Anglada M, Portu G. Hertzian contact fatigue on alumina/alumina-zirconia laminated composites. Journal of the European Ceramic Society 2005;25:3393–401. [23] Rodríguez-Hernández AG, Muñoz-Tabares JA, Godoy-Gallardo M, Juárez A, Gil F-J. S. sanguinis adhesion on rough titanium surfaces: Effect of culture media. Materials Science and Engineering 2013;C33: 714–720 [24] Lee C-S, Kim DK, Sánchez J, Miranda P, Pajares A, Lawn BR. Rate effects in critical loads for radial cracking in ceramic coatings. Journal of the American Ceramic Society 2002;85(8):2019–24. [25] Pavón J, Jiménez-Piqué E, Anglada M, López-Esteban S, Saiz E, Tomsia AP. Stress – corrosion cracking by indentation techniques of a glass coating on Ti6Al4V for biomedical applications. Journal of the European Ceramic Society 2006;26:1159–69. [26] Wachtman JB, Cannon WR, Matthewson MJ. Mechanical properties of ceramics.2nd ed. New Jersey, USA: Wiley; 2009. [27] Chai H, Lawn BR. Hydraulically pumped cone fracture in bilayers with brittle coatings. Scripta Materialia 2006;55:343–6. [28] Chai H, Lawn BR. Hydraulically pumped cone fracture in brittle solids. Acta Materialia 2005;53:4237–44. [29] Pavón J, Jiménez-Piqué E, Anglada M, Saiz E, Tomsia AP. Monotonic and cyclic Hertzian fracture of a glass coating on titanium-based implants. Acta Materialia 2006;54:3593–603. [30] Ritchie RO. Mechanisms of fatigue-crack propagation in ductile and brittle solids. International Journal of Fracture 1999;100:55–83. [31] Craig RG, Powers JM. Restorative Dental Materials. 11th ed. Missouri, USA: Mosby; 2002. [32] Kelly JR. Ceramics in restorative and prosthetic dentistry. Annual Review of Materials Research 1997;27:443–68. [33] Guess PC, Att W, Strub JR. Zirconia in fixed implant prosthodontics. Clinical Implant Dentistry and Related Research 2012;14(5):633–45. [34] Lawn BR, Deng Y, Thompson VP. Use of contact testing in the characterization and design of all-ceramic crownlike layer structures: A review. The Journal of Prosthetic Dentistry 2001;86(5):495–510. [35] Della Bona A, Kelly JR. The clinical success of all-ceramic restorations. The Journal of the American Dental Association 2008;139:8–13.