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Group 1 anatomic cusps with chamfer finish line (ACC), group 2: flat cusp with chamfer finish line (FCC), group 3: anatomic cusp reduction with proximal steps (ACS), group 4: flat cups reduction with proximal steps (FCS). The teeth were restored using translucent monolithic zirconia (IPS e.max ZirCAD, Ivoclar, FL). Cementation was performed using adhesive resin cement. Specimens were stored in water at 37\u00a0\u00b0C for 45 days then followed by cyclic loading fatigue for 120,000 cycles. Finally, specimens were fractured under compressive load in Newton (N) using a universal testing machine. A stereo microscope and scanning electron microscope (SEM) were used to examine and categorize the failure pattern modes. Two and one-way ANOVAs and Post hoc Tukey tests were used for statistical analyses.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>Group ACC demonstrated the highest fracture resistance (4371\u2009\u00b1\u2009440), followed by ACS group (3995\u2009\u00b1\u2009274) and FCC group (3954\u2009\u00b1\u2009698), FCS group showed the lowest fracture load (3483\u2009\u00b1\u2009567).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>Both cusp design and margin design affected fracture resistance. Anatomical cusp with chamfer finish line showed the highest fracture resistance.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1186\/s12903-025-07456-3","type":"journal-article","created":{"date-parts":[[2026,1,12]],"date-time":"2026-01-12T10:34:29Z","timestamp":1768214069000},"update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":1,"title":["Fracture resistance of translucent zirconia overlay restoration with different preparation designs"],"prefix":"10.1186","volume":"26","author":[{"given":"Yousra Ahmed","family":"Awad","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Lamia","family":"Dawood","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Mohamed","family":"El-Anwar","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ahmed","family":"Attia","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"297","published-online":{"date-parts":[[2026,1,12]]},"reference":[{"key":"7456_CR1","doi-asserted-by":"publisher","first-page":"122","DOI":"10.1016\/j.dental.2024.11.003","volume":"41","author":"DM Nasr","year":"2025","unstructured":"Nasr DM, Abdelraheem IM, Watts DC, Silikas N, Borba M, Alharbi N, Althaqafi KA, Elraggal A. 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All the experimental protocols were approved by the ethical committee at Faculty of Dentistry, Mansoura University with reference number (M0104023 FP). Teeth extracted for therapeutic reasons unrelated to the study were collected, with prior informed consent from healthy individuals who were seeking dental care at the Outpatient Dental Clinic, Faculty of Dentistry at Mansoura University.","order":2,"name":"Ethics","group":{"name":"EthicsHeading","label":"Ethics approval and consent to participate"}},{"value":"Not applicable.","order":3,"name":"Ethics","group":{"name":"EthicsHeading","label":"Consent for publication"}},{"value":"The authors declare no competing interests.","order":4,"name":"Ethics","group":{"name":"EthicsHeading","label":"Competing interests"}}],"article-number":"193"}}