Clinical evidence suggests that using a resin luting agent rather than
a traditional cement reduces the fracture incidence of glass-ceramic
crowns. There is some evidence from stress analysis and fractography t
o indicate that fracture failure is typically initiated from their int
ernal surface. The objective of this study was to determine if surface
treatments and cement coatings of the fracture-initiating surface aff
ected fracture stresses of ceramic discs in vitro. Glass-ceramic discs
were cast, crystallized, and given various treatments. The discs were
fractured with a ball-on-ring of balls biaxial fixture in air. The ma
ximum stresses at the ceramic-coating interface were calculated using
the bi-layer material equations. ANOVA and Tukey's multiple range test
revealed that resin coating the fracture-initiating surface increased
the biaxial fracture strength of the glass-ceramic discs by 33%. The
effect was not reduced by short-term water storage. Etching alone did
not significantly alter strength. The results suggest that crack-bridg
ing is the most likely mechanism for the strengthening. Selecting tech
niques and materials that are likely to enhance crack-bridging may be
a practical method of improving the performance of ceramic dental rest
orations.