Effects of third-order torque on frictional force of self-ligating brackets

Comparison of torque expression among passive self-ligating brackets with different slot depths: An in vitro study

INTRODUCTION

The aim of this study was to assess the interaction between a 0.019×0.025-inch (″) stainless steel archwire and two types of passive self-ligating brackets with the same slot height (0.022″) and different slot depths (0.028″ and 0.026″, and to measure the archwire/slot play as well as to compare the torque expression with archwire torsions of 12°, 24°, and 36°.

MATERIAL AND METHODS

An experimental device was developed along with a universal testing machine to measure torque expression in two types of brackets with 0.028″ and 0.026″ slot depths. Analysis of variance (ANOVA) and Tukey's test were performed to identify the differences between groups.

RESULTS

The 0.026″ slot bracket presented greater archwire/slot play when compared to the 0.028″ bracket. Torque expression with torsions of 24° and 36° were significantly higher in the 0.028″ depth brackets when compared to the 0.026″ depth brackets.

CONCLUSION

The 0.022″×0.026″ passive self-ligating brackets attached with a 0.019″×0.025″ stainless steel archwire provided no greater torque control when compared to 0.022″×0.028″ passive self-ligating brackets.

Effects of a ceramic active self-ligating bracket on retraction/tipping/ rotation of canine, premolar mesialization, and transverse arch dimensions: A preliminary single-blind split-mouth randomized clinical trial

BACKGROUND

There is no clinical study on ceramic self-ligating brackets (SLBs). Therefore, this preliminary study was conducted for the first time to address its effects.

MATERIALS AND METHODS

This split-mouth randomized trial was performed on 32 quadrants in 16 orthodontic patients needing extraction of maxillary premolars and distalization of canines. In each blinded patient, right/left sides were randomized into control (ceramic bracket) and experimental (ceramic SLB) groups. Dental stone models were taken before canine retraction and 3 months into retraction. Models were digitized as three-dimensional models. Changes were measured on superimposed models. Groups were compared using Wilcoxon signed-rank test (α = 0.05, β = 0.1).

RESULTS

Both bracket types caused significant changes after 3 months in terms of all assessed clinical outcomes (P ≤ 0.002). Compared to conventional ceramic brackets (control), ceramic SLBs reduced retraction rate (P = 0.001), canine rotation (P = 0.001), canine tipping (P = 0.002), and arch expansion at the canine site (P = 0.003). However, the extents of anchorage loss (P = 0.796) and arch constriction in the premolar area (P = 0.605) were not statistically different between the bracket types.

CONCLUSION

Compared to conventional metal-lined ceramic brackets, active ceramic SLB can increase the duration of canine distalization, while reducing canine rotation and tipping (inducing more bodily movements). The loss of anchorage with ceramic SLB was similar to that of conventional ceramic bracket after 3 months of treatment (considering the lower rate of SLB canine retraction during that time). Both brackets similarly constricted the arch at the premolar site. In the canine area, they expanded the arch, with the SLB causing smaller extents of expansion.

A comparative analysis of the frictional resistance of esthetic orthodontic wires

Abstract Introduction The orthodontic movement is directly influenced by the ability of orthodontic wires to slide through brackets and tubes. Therefore, the main concern during orthodontic movement corresponds to the frictional forces generated at the bracket-orthodontic wire interface. Objective This study aimed to evaluate the frictional resistance of esthetic orthodontic wires. Material and method Fifty test brackets were obtained and divided into five groups (n = 10) based on the type of rectangular orthodontic wire, as follows: conventional metallic wire (Morelli, Brazil) (G1, control group) and esthetic wires (G2, Ortho Organizer; G3, Tecnident; G4, Trianeiro; and G5, TP Orthodontics). The following materials and conditions were used: 0.019 x 0.025-inch wires, ceramic brackets with edgewise prescription, torque and/or angulation of 0°, and 0.022 x 0.028-inch slots. The specimens were tested for their tensile strength using an Instron universal test machine at a speed of 1.0 mm / min and a load cell of 500N. The tensile strength data were analyzed by one-way analysis of variance (ANOVA) followed by Tukey’s post-hoc test, with a 5% significance level. Result The frictional resistance (N) of the metallic orthodontic wire (8.07 ± 0.43) was significantly higher than that of the esthetic wires: Ortho Organizer (4.01 ± 0.25), Tecnident (3.87 ± 0.31), Trianeiro (4.47 ± 0.26) and TP Orthodontics (4.49 ± 0.30) (p <0.05), with no significant difference between them (p> 0.05). Conclusion To conclude, the esthetic orthodontic wires tested herein showed less frictional resistance as compared to the conventional metallic wire.

Resistance to sliding in orthodontics: misconception or method error? A systematic review and a proposal of a test protocol

Resistance to sliding (RS) between the bracket, wire, and ligature has been largely debated in orthodontics. Despite the extensive number of published studies, the lack of discussion of the methods used has led to little understanding of this phenomenon. The aim of this study was to discuss variables affecting RS in orthodontics and to suggest an operative protocol. The search included PubMed©, Medline©, and the Cochrane Library©. References of full-text articles were manually analyzed. English-language articles published between January 2007 and January 2017 that performed an in vitro analysis of RS between the bracket, wire, and ligature were included. Study methods were analyzed based on the study design, description of materials, and experimental setup, and a protocol to standardize the testing methods was proposed. From 404 articles identified from the database search and 242 records selected from published references, 101 were eligible for the qualitative analysis, and six for the quantitative synthesis. One or more experimental parameters were incompatible and a meta-analysis was not performed. Major factors regarding the study design, materials, and experimental setup were not clearly described by most studies. The normal force, that is the force perpendicular to the sliding of the wire and one of the most relevant variable in RS, was not considered by most studies. Different variables were introduced, often acting as confounding factors. A protocol was suggested to standardize testing procedures and enhance the understanding of in vitro findings.

Mechanical properties of orthodontic wires covered with a polyether ether ketone tube

OBJECTIVES

To evaluate the esthetics and frictional force of an orthodontic wire passed through a newly designed tube made of a polyether ether ketone (PEEK) resin.

MATERIALS AND METHODS

Two types of standard PEEK tubes were prepared at 0.5 × 0.6ф and 0.8 × 0.9ф, and different archwires were passed through the tubes. Color values were determined according to brightness and hues. Friction was assessed with different bracket-wire combinations, and surface roughness was determined by stereomicroscopy before and after the application of friction.

RESULTS

The PEEK tube showed a color difference that was almost identical to that of coated wires conventionally used in clinical practice, indicating a sufficient esthetic property. The result of the friction test showed that the frictional force was greatly reduced by passing the archwire through the PEEK tube in almost all of the archwires tested.

CONCLUSIONS

Use of the new PEEK tube demonstrated a good combination of esthetic and functional properties for use in orthodontic appliances.

Mechanical and frictional properties of aesthetic orthodontic wires obtained by hard chrome carbide plating

Background/purpose

Although aesthetic wire coating has been increasing in demand, it has problems that changes in mechanical properties and increase in frictional force. The aim of this study was to evaluate the coating of the wire, as characterized by aesthetics, in terms of low and constant friction and mechanical properties.

Materials and methods

Hard chrome carbide-plated (HCCP) wires (HCCP group), commercially available polymer-coated wires (P group), rhodium-coated wires (R group), and uncoated wires (control group) were used. For all wire types, a stainless steel wire of dimensions 0.017 inch × 0.025 inch was used. They were evaluated by three-point bending, friction testing, surface observation, and colorimetric testing.

Results

The HCCP group was not significantly different from the control group in terms of flexural strength (σ) and flexural modulus (E) (σ: p = 0.90, E: p = 0.35). However, it was significantly inferior compared to the three other groups in terms of the maximum static and kinetic frictional forces under both dry and wet conditions (p < 0.05). In the surface observation, scratches were observed on the wire after the friction test. In the colorimetric test, no significant difference was observed between the HCCP group and the R group (p > 0.05).

Conclusion

The mechanical properties of the HCCP wire were not significantly different compared to the control group. The frictional force of the HCCP wire was significantly lower than the other group. Therefore, the HCCP wire was suggested to increase the efficiency of tooth movement in clinics.

Characterization of the coatings covering esthetic orthodontic archwires and their influence on the bending and frictional properties

OBJECTIVE

To analyze the coatings covering esthetic orthodontic wires and the influence of such coatings on bending and frictional properties.

MATERIALS AND METHODS

Four commercially available, coated esthetic archwires were evaluated for their cross-sectional dimensions, surface roughness (R_a), nanomechanical properties (nanohardness, nanoelastic modulus), three-point bending, and static frictional force. Matched, noncoated control wires were also assessed.

RESULTS

One of the coated wires had a similar inner core dimension and elasticity compared to the noncoated control wire, and no significant differences between their static frictional forces were observed. The other coated wires had significantly smaller inner cores and lower elasticity compared to the noncoated wires, and one of them showed less static frictional force than the noncoated wire, while the other two coated wires had greater static frictional force compared to their noncoated controls. The dimension and elastic modulus of the inner cores were positively correlated (r = 0.640), as were frictional force and total cross-sectional (r = 0.761) or inner core (r = 0.709) dimension, elastic modulus (r = 0.777), nanohardness (r = 0.802), and nanoelastic modulus (r = 0.926). The external surfaces of the coated wires were rougher than those of their matched controls, and the R_a and frictional force were negatively correlated (r = -0.333).

CONCLUSIONS

Orthodontic coated wires with small inner alloy cores withstand less force than expected and may be unsuitable for establishing sufficient tooth movement. The frictional force of coated wires is influenced by total cross-section diameter, inner core diameter, nanohardness, nanoelastic modulus, and elastic modulus.

Comparative evaluation of efficacy of self-ligating interactive bracket with conventional preadjusted bracket: A clinical study

Aims and Objectives:

This clinical study was conducted to compare the interactive self-ligating twin brackets and the standard double width brackets for their efficiency in Rate of Retraction.

Materials and Methods:

A total of 20 patients with Angle's class I or class II or class III dento-alveolar malocclusions between the age group of 18-25 years were selected. 10 patients in each group both males and females were randomly selected for the study. Ten patients were bonded using conventional brackets (Group I) the other ten patients were bonded using Interactive self-ligating brackets (Group II). The Rate of retraction was quantified using the scanned models. Pretreatment and post treatment models were taken and scanned to measure the amount of Incisor movement and Anchor loss.

Results:

(1) Interactive Self-ligating brackets showed significant Rate of retraction when compared with conventional brackets on right and left quadrant. (Group I 0.545 ± .205: Group II 0.827 ± .208 P = .013*) (Group I 0.598 ± .160: Group II 0.804 ± .268 P = .071) (2) Interactive self-ligating brackets when compared with conventional brackets had significant amount of incisor movement on right and left quadrant. (Group I 3.51 ± .548: Group II 4.38 ± .1.06 P = .047*) and (Group I 3.66 ± .899: Group II 4.67 ± 1.02 P = .047*) (3) Conventional brackets showed significant Amount of Anchor loss when compared with that of Interactive self-ligating brackets on right and left quadrant. (Group I .948 ± .392: Group II 0.501 ± .229 P = .013*). In the left side (Group I 0.861 ± .464: Group II 0.498 ± .227 P = .060).

Conclusion:

The interactive self-ligating brackets show more efficiency in Rate of Retraction, Amount of Incisor movement and Amount of Anchor loss when compared with the conventional brackets.