English AJODO 2004
English AJODO 2004
English AJODO 2004
This in vitro study compared the force-deflection behavior of 6 superelastic nickel-titanium orthodontic
archwires (0.016 ⫻ 0.022 in) under controlled moment and temperature. To simulate leveling, maxillary
canine brackets and first molar tubes were bonded in such a manner as to remove the tip and angulation from
the system. The wires (n ⫽ 10) were passively self-ligated into stainless steel brackets attached to an acrylic
jig to simulate the maxillary arch. A testing machine recorded deactivations of 3 distances (5, 4, and 3 mm)
at 37°C in the canine position. Force-deflection measurements were recorded from the deactivations only.
Forces produced during deactivation, at deflections of 2.5, 2.0, and 1.5 mm, were compared by analysis of
variance. Significant differences (P ⬍ 0.0001) in forces were observed among the wires at the various
deflections. All wires exhibited superelastic behavior, and rankings were derived according to statistically
significant differences for each deflection distance. (Am J Orthod Dentofacial Orthop 2004;126:110-2)
O
rthodontic archwires, through their engage- elastic Ni-Ti is its ability to produce light, continuous
ment with the bracket, generate biomechanical forces over long ranges of activation.4,5 When this wire
forces necessary to move the teeth. Orthodon- begins to recover its original shape, it provides a light,
tists are constantly searching for the most effective continuous force to the dentition and supporting perio-
archwire. An ideal archwire should move teeth with dontium without root resorption or necrosis.6,7 Numer-
light continuous forces, which would reduce the risks ous studies have discussed the properties of superelastic
of patient discomfort, periodontal ligament necrosis, Ni-Ti alloy.8-22
and undermining resorption.1 It would be a clinical The purpose of this study was to investigate the
advantage if an archwire could produce this constant force-deflection characteristics of the martensitic-active
delivery of force over a period of weeks or months. or heat-activated superelastic Ni-Ti wires, during large
Four archwire alloys with desirable properties are deflections, by using a modified bending test. This
currently used to accomplish this objective: stainless study details the comparison of forces achieved during
steel, cobalt-chromium, nickel-titanium (Ni-Ti), and the deactivation of a deflection test that attempts to
beta-titanium.2 imitate a clinical situation.
Superelastic Ni-Ti archwires have been widely
accepted for initial alignment of malocclusions mainly MATERIAL AND METHODS
because of their unique properties of superelasticity and
The deflection test used a device fabricated to simulate
shape memory.3 An impressive characteristic of super-
the movement of a maxillary canine. The jig included an
a
Graduate, Department of Orthodontics, University of Texas Health Science acrylic plate cut to resemble a typical maxillary arch, in
Center at Houston Dental Branch. which the portion holding the left canine bracket was free
b
Professor and chairman, Department of Orthodontics, University of Texas to move with the vertical application of forces. To
Health Science Center at Houston Dental Branch.
c
Professor, Department of Restorative Dentistry and Biomaterials; Director, simulate an intraoral clinical situation, maxillary 0.022 ⫻
Houston Biomaterials Research Center, University of Texas Health Science 0.028-in brackets and first molar tubes (Damon, Ormco,
Center at Houston Dental Branch. Glendora, Calif) were bonded to the lateral surface of the
d
Professor, Section of Restorative and Prosthetic Dentistry; Director, Graduate
Program in Dental Materials, Ohio State University, Columbus. acrylic plate. This was accomplished while the brackets
e
Associate professor, Department of Orthodontics, University of Texas Health were engaged to a full-size archwire to remove any
Science Center at Houston Dental Branch. angulations or torque from the system. The attachments
Reprint requests to: Professor Jeryl D. English, UT-Houston Dental Branch,
6516 M. D. Anderson Blvd., Houston, TX 77030-3402; e-mail, Jeryl.D. were bonded with an interbracket distance of 5 mm for
English@uth.tmc.edu. each segment. This distance was chosen as an average
Submitted, December 2003; revised and accepted, March 2004. clinical interbracket distance. Individual 0.016 ⫻ 0.022-in
0889-5406/$30.00
Copyright © 2004 by the American Association of Orthodontists. archwire specimens were inserted into the system and
doi:10.1016/j.ajodo.2004.03.012 engaged by using the passive cover provided by the
110
American Journal of Orthodontics and Dentofacial Orthopedics Mallory et al 111
Volume 126, Number 1
positive force. After 1.0 mm of deactivation, all wires 7. Kusy RP. The future of orthodontic materials: the long-term
began to “recover” and produce increasing amounts of view. Am J Orthod Dentofacial Orthop 1998;113:91-5.
8. Brantley WA, Eliades T. Orthodontic materials. Stuttgart, New
force until the 1.5-mm deflection point was reached. York: Thieme; 2001, p. 78 –103.
This explains how the forces for NM during the 5-mm 9. Bradley TG, Brantley WA, Culbertson BM. Differential scan-
activation became significantly higher than the 4-mm ning calorimetry (DSC) analyses of superelastic and nonsuper-
activation at 1.5-mm deflection. elastic nickel-titanium orthodontic wires. Am J Orthod Dentofa-
Filleul and Jordan23 reported not only that forces cial Orthop 1996;109:589-97.
10. Hurst CL, Duncanson MG Jr, Nanda RS, Angolkar PV. An
generated depended on the severity of the deformation, evaluation of the shape-memory phenomenon of nickel-titanium
but also that the crystalline structure and the temperature orthodontic wires. Am J Orthod Dentofacial Orthop 1990;98:
transition range (TTR) were equally important. Another 72-6.
study found that the TTR could be shifted to a higher 11. Barwart O. The effect of temperature change on the load value of
temperature in an alloy that forms stress-induced marten- Japanese NiTi coil springs in the superelastic range. Am J Orthod
Dentofacial Orthop 1996;110:553-8.
site during its activation. This would require a higher 12. Meling TR, Odegaard J. The effect of short-term temperature
temperature than expected to transform the stress-induced changes on superelastic nickel-titanium archwires activated in
martensite back to its austenite form. This also means that orthodontic bending. Am J Orthod Dentofacial Orthop 2001;119:
the TTR values given by the manufacturers might not be 263-73.
accurate in certain clinical situations.6 It has been sug- 13. Burstone CJ, Qin B, Morton JY. Chinese NiTi wire- a new
orthodontic alloy. Am J Orthod Dentofacial Orthop 1985;87:
gested that the stress-related TTR should be evaluated for 445-52.
the wires so that a more accurate clinical selection can be 14. Gurgel JA, Kerr S, Powers JM, LeCrone V. Force-deflection
made.6,26 Ideally, the crystalline structure of the alloys and properties of superelastic nickel-titanium archwires. Am J
the amounts of phase transformation should be confirmed Orthod Dentofacial Orthop 2001;120:378-82.
by either radiographic diffraction or differential scanning 15. Nakano H, Satoh K, Norris R, Jin T, Kaemgai T, Ishikawa F, et
al. Mechanical properties of several nickel-titanium alloy wires
calorimetry.8,9,19 in three-point bending tests. Am J Orthod Dentofacial Orthop
1999;115:390-5.
CONCLUSIONS
16. Oltjen JM, Duncanson MG, Ghosh J, Nanda RS, Currier GF.
This laboratory study compared the force-deflection Stiffness-deflection behavior of selected orthodontic wires. An-
performance of 6 commercially available 0.016 ⫻ gle Orthod 1997;67:209-18.
17. Tonner RIM, Waters NE. The characteristics of super-elastic
0.022-in heat-activated superelastic Ni-Ti archwires. NiTi wires in the three-point bending. Part 1: the effect of
The wires were tested with a device that simulated the temperature. Eur J Orthod 1994;16:409-19.
oral environment: a maxillary arch with a bonded 18. Tonner RIM, Waters NE. The characteristics of super-elastic
edgewise appliance. The results indicated that the wires NiTi wires in the three-point bending. Part 2: Intra-batch varia-
produce various amounts of force at different activation tion. Eur J Orthod 1994;16:421-5.
19. Wilkinson PD, Dysart PS, Hood JA, Herbison GP. Load-
distances. These were rank ordered by significant dif- deflection characteristics of superelastic nickel-titanium ortho-
ferences. C40 and NL produced the least amount of dontic wires. Am J Orthod Dentofacial Orthop 2002;121:483-95.
force in all 3 activation categories. The wire rankings 20. Kapila S, Angolkar PV, Duncanson MG, Nanda RS. Evaluation of
showed that there was a significant decrease in force for friction between edgewise stainless steel brackets and orthodontic
subsequent increases in activation distances. wires of four alloys. Am J Orthod Dentofacial Orthop 1990;98117-
26.
21. Pizzoni L, Ravnholt G, Melson B. Frictional forces related to
REFERENCES self-ligating brackets. Eur J Orthod 1998;20:238-91.
1. Proffit WR. Contemporary orthodontics. 3rd ed. St. Louis: 22. Meling TR, Odegaard J. The effect of temperature on the elastic
Mosby; 2000, p. 304. responses to longitudinal torsion of rectangular nickel titanium
2. Kusy RP. A review of contemporary archwires: their properties archwires. Angle Orthod 1998;68:357-68.
and characteristics. Angle Orthod 1997;67:197-208. 23. Filleul MP, Jordan L. Torsional properties of Ni-Ti and copper
3. Miura F, Mogi M, Ohura Y, Hamanaka H. The super-elastic Ni-Ti wires: the effect of temperature on physical properties. Eur
property of the Japanese NiTi alloy wire for the use in ortho- J Orthod 1997;10:637-46.
dontics. Am J Orthod Dentofacial Orthop 1986;90:1-10. 24. Mullins WS, Bagby MD, Norman TL. Mechanical behavior of
4. Chen R, Zhi YF, Arvystas MG. Advanced Chinese NiTi alloy thermo-responsive orthodontic archwires. Dent Mat 1996;12:
wire and clinical observations. Angle Orthod 1992;62:59-66. 308-14.
5. Miura F, Mogi M, Ohura Y, Karibe M. The super-elastic 25. Dowling PA, Jones WB, Lagerstrom L, Sandham JA. An
Japenese NiTi alloy wire for use in orthodontics. Part III. Studies investigation into the behavioural characteristics of orthodontic
on the Japanese NiTi alloy coil springs. Am J Orthod Dentofacial elastomeric modules. Br J Orthod 1998;25:197-202.
Orthop 1988;94:89-96. 26. Santoro M, Nicolay OF, Cangialosi TJ. Pseudoelasticity and
6. Santoro M, Beshers DN. Nickel-titanium alloys: stress-related thermoelasticity of nickel-titanium alloys: a clinically orientated
temperature transitional range. Am J Orthod Dentofacial Orthop review. Part I: temperature transitional ranges. Am J Orthod
2000;118:685-92. Dentofacial Orthop 2001;119:587-93.