This in vitro study aimed to evaluate the fatigue behavior of occlusal veneers (OVs) made of lithium disilicate and composition-gradient multilayered zirconia at different thicknesses, incorporating both experimental and theoretical analyses to predict long-term performance. Seventy-two OVs with ceramic layer thicknesses of 0.5 mm, 1.0 mm, and 1.5 mm were fabricated and adhesively bonded to dentin analog composite abutments. All specimens underwent thermomechanical fatigue testing, involving cyclic loading (49 N, 1.6 Hz, 1.2 million cycles) and thermocycling (5–55 °C), simulating five years of clinical function. Fracture patterns were analyzed using light microscopy and scanning electron microscopy. A fatigue lifetime model based on plate-on-foundation theory and slow crack growth was applied to estimate cycles to radial failure. No complete fractures or debonding occurred. However, 50% of 0.5 mm zirconia OVs developed flexural radial cracks from the intaglio surface, while all lithium disilicate and zirconia veneers ≥1.0 mm remained intact. Theoretical predictions closely matched the experimental outcomes, indicating that 0.5 mm zirconia performance aligned with the lower-bound fatigue estimates for 5Y-PSZ. Results suggest that lithium disilicate offers superior fatigue resistance at minimal thickness, while thin zirconia is prone to subsurface cracking. A minimum thickness of 0.7 mm is recommended for zirconia-based OVs.
Prott et al. (2025) studied this question.