The aim of this work is to describe and compare mechanical properties of eight widely used nickel–titanium orthodontic wires under uniform testing conditions and to determine the influence of the heat treatments on the loss of the superelasticity. Ten archwires from two batches from eight different manufacturers were evaluated. A three-point bending test was performed, in accordance with ISO 15841:2006, on 80 round nickel–titanium archwire segments of 0.016 inch. To obtain a load-deflection curve, the centre of each segment was deflected to 3.1 mm and then unloaded until force became zero. On the unloading curve, deflection at the end of the plateau and forces delivered at that point, and at 3, 2, 1 and 0.5 mm of deflection, were recorded. Plateau slopes were calculated from 3 and from 2 mm of deflection. Data obtained were statistically analysed to determine inter-brand, intra-brand and inter-batch differences (P < 0.05). The results show that at 2 mm of deflection, maximum differential force exerted among brands [Nitinol SuperElastic (1.999N)—Sentalloy M (1.001 N)] was 0.998 N (102 gf). The Nitinol SuperElastic plateau slope (0.353 N/mm) was the only one that was statistically different from 2 mm of deflection, as compared with the other brand values (0.129–0.155 N/mm). Damon Optimal Force described the gentlest slope from 3 mm of deflection (0.230 N/mm) and one of the longest plateaus. Titanol and Orthonol showed the most notable intra-brand differences, whereas inter-batch variability was significant for Nitinol (Henry Schein), Euro Ni–Ti and Orthonol. Superelasticity degree and exerted forces differed significantly among brands. Superelasticity of Nitinol SuperElastic was not observed, while Damon Optimal Force and Proclinic Ni–Ti Superelástico (G&H) showed the most superelastic curves. Intra-brand and inter-batch differences were observed in some brands. In all cases, the heat treatment at 600 °C produces precipitation in the matrix. The precipitates are rich in titanium and this fact produce changes in the chemical composition of the matrix and the loss of the superelasticity. At 400 °C these precipitates are not produced and the forces delivered by the wires are very similar with wires untreated.
This study aimed to compare the shear bond strength (SBS) and adhesive remaining index (ARI) using one conventional and two novel adhesive systems with clinical step reduction and direct and indirect bonding. A sample of 72 human premolars were divided into six groups of 12 samples. The first three groups (G1, G2, G3) were bonded with a direct technique, while the remaining groups (G4, G5, G6) were bonded by the indirect technique. Groups G1 and G4 used conventional acid-etching primer composite (XT); groups G2 and G5 used self-etching bonding (BO), and groups G3 and G6 had an acid-etching treatment followed by a self-adhesive composite (OC). All groups were exposed to thermocycling. Shear bond strength was analyzed with a universal test machine, and the ARI was examined with 4× magnification. The results showed statistically significant differences between the three adhesive systems. The highest strength values were observed in the XT group G1 (13.54 ± 4 MPa), while the lowest were shown in the BO G2 samples (5.05 ± 2 MPa). There was no significant difference between the direct or indirect bonding techniques on the three compared groups. The type of primer and bonding material significantly influenced the SBS. Values with self-etching bonding were below the minimum recommended for clinical use (5.9–7.8 MPa). There was no difference between indirect and direct bonding techniques. The lowest ARI scores (0–1) were observed in both self-etching and BO groups. Further clinical studies are needed to compare in vivo results.
Introduction: Several advantages have been established regarding the efficiency of self-ligating brackets (SL). In spite of some controversy surrounding this question in the literature, clinical results confirm that “arch development” requires fewer extractions. Objective: The objective of this study was to compare changes in the transverse and sagittal planes in patients treated with conventional ligating brackets (CL)as well as in patients treated with SL brackets and oversized arches. Methods: A sample was selected from a pool of 300 consecutive cases treated by a single clinician: 51 patients with SL brackets and oversized wires, and 55 with CL brackets. These two groups were compared with a control group of 20 patients. All plaster models were scanned and dental landmarks were measured to identify changes from commencement (T0) to conclusion (T1) of treatment. Lateral cephalograms were analyzed for changes in the lower incisor (IMPA) and the first lower molar distal angulation (MAng). Intraoperator reliability was tested with linear regression analysis. To assure all groups were comparable at T0, an ANOVA test with a 95%confidence interval (CI) was performed for all values. To assess changes from T0 to T1 in all groups, a Student’s t-test with 95% CI was used. Finally, results from the three groups were compared using an ANOVA-test (95% CI) and a post-hoc test. Results: Increases in all the transverse variables were recorded in the two groups treated (SL and CL), except for the lower intercanine distance in the SL group. IMPA difference from T0 to T1 was higher in the CL group, and molar distal angulation (MAng) took place in the SL group. Conclusions: Self-ligating brackets with oversized arches and conventional ligating brackets showed increases in all variables in the transverse plane, except for the SL group at the mandibular intercanine distance. In comparison with the CL group, fewer different IMPA values were observed in the SL group, in which distal molar angulation occurred.
Lack of standardization of the retention phase has led to many studies of stability of movements and characteristic of retainers, disregarding the enamel repercussions of fixed retention on this phase. This study aimed to analyze different methods of enamel polishing after detachment of orthodontic retainers. Forty-five healthy premolars were divided into three groups according to the polishing bur after debonding, and four specimens without intervention were used as control. A 0.038 × 0.015 inches gold chain was bonded between the premolars and then removed. The adhesive remnant was removed with three types of burs according to the study groups (Group 1: white stone at high speed; Group 2: high-speed handpiece with a 30-blade tungsten carbide bur; Group 3: low-speed handpiece and a 30-blade tungsten bur). After debonding and polishing, all samples were analyzed with a confocal microscopy on surface roughness parameters: Sa: Arithmetic mean of the height of the surface. Rq: Square mean of the height of the surface and Sz: Maximum surface height. Mechanical tests were carried out to determine the bonding stress of the retention adhered to the teeth using an electromechanical testing machine. The adhesion stress was 8.23 MPa (±0.87). The quality of the refinement of the enamel after debonding is essential in order to preserve its integrity. The use of the 30-blade tungsten carbide bur provides a smooth enamel surface after polishing.
Many advantages have been described surrounding self-ligating (SL) brackets compared to metallic conventional ligating (CL) brackets, such as: Less total treatment time, alignment efficiency, patient comfort, plaque retention, and low friction. The objective of this in vitro simulation was to know the variables that affect arch displacement in CL and SL brackets—active (ASL) and passive (PSL)—and analyze if static friction values are affected by bracket design, arch wire section, kind of ligature, and use of a friction reducer agent (FRA) in a wet state. Larger values of static friction were found in CL with metallic ligature (ML) (8.01 ± 1.08 N/mm) and elastic ligature (EL) (6.96 ± 0.48 N/mm). Lower values were found in PSL brackets combined with FRA (0.58 ± 0.21 N/mm). The study was carried out using different stereographical models of a maxillary upper right quadrant with canine, first and second premolar, and first molar bonded brackets. A section of 25 mm of 0.019 × 0.025” stainless steel arch with a rectangular section (SS) and hybrid section (HY) was inserted into the different bracket models. Static friction values were collected using a universal test machine in wet conditions and testing the effect of a friction reducer agent (FRA). To assure the reliability of the study, different wire combinations were repeated after two weeks by the same operator and a linear analysis of regression was done. Each bracket model analysis—with the different wires, use of the FRA, and comparison among brackets in similar conditions—was done using an ANOVA test with a confidence interval of 95% and comparative Post-Hoc tests (LSD). In this in vitro simulation we found higher static friction values in CL compared to ASL and PSL. In PSL, lower values were achieved. CL brackets using ML showed the highest static friction values with a great variability. In this setting, the use of HY wires did not reduce static friction values in ASL and PSL, while in CL brackets with EL friction the values were reduced significantly. An FRA combined with ASL reduced significantly static friction values but not with PSL. In the case of CL, the FRA effect was higher with SS and better than with HY wires. ML values were similar to ASL static friction. The direct extrapolation of the results might be inaccurate, since all these findings should be tested clinically to be validated.
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