Professional Documents
Culture Documents
Introduction
Optimum orthodontic tooth movement is produced by light
continuous
force. The challenge in designing and using an orthodontic
appliance is
to produce force system with these characteristics, creating forces
that
are neither too great nor too variable over time.
Ideally archwires are designed to move teeth with light, continuous
forces. Such forces may reduce the potential for patient
discomfort,
tissue hyalinization and undermining resorption.
STRAIN
ELASTIC LIMIT
PROPORTIONAL LIMIT
MODULUS OF ELASTICITY (E )
It represents relative stiffness or rigidity of the wire within elastic
range.
Also called YOUNG S MODULUS . So less the strain for the given
stress
greater will be the stiffness.
Stress
E = --------Strain
An ideal arch wire should have sufficient stiffness so as to
withstand
masticatory forces. But it should also be low enough so as to
provide
1. The ability to apply lower forces
2. A more constant force over time as the appliance
experiences deactivation.
3. Greater ease & accuracy in applying a given force.
YIELD STRENGTH
It is the point of stress at which the
material undergoes a SLIGHT
but permanent deformation.
Yield strength is slightly more than
proportional limit and for practical
purposes the same as proportional
limit.
RESILIENCE
It is defined as the amount of
energy
absorbed by a material when it is
stressed upto its proportional limit.
RANGE
It is the distance the wire will bend elastically before permanent
deformation occurs. It is associated with SPRING BACK
YS
Spring back -----E
An ideal arch wire should have large spring back , so it can be
deflected over larger distances without permanent deformation.
This provides the ability to apply large activations with resultant
increase in working time of the appliance .This enables to use
fewer
arch wires & it also minimizes intervals of adjustment , thus
decreasing no., of patient appointments.
STRENGTH = STIFFNESS X RANGE
FORMABILITY
STIFFNESS
The amount of force required to deflect or to bend
a wire.
The greater the diameter of an archwire the
greater the stiffness.
JOINABILITY
This is whether the material can be soldered or
welded.
BIOCOMPATABILITY
It includes resistance to corrosion & tissue
tolerance to
elements in the wire .
ENVIRONMENTAL STABILITY
It ensures the maintenance of desirable properties
of the wire for
extended periods of time after manufacture.
This in turn ensures predictable behavior of the
wire when in use.
CLASSIFICATION OF ORTHODONTIC
WIRES
1. By design or cross sectional form
2. By no of wires
3. By diameter
4. By composition
a) Gold wires
b) Stainless steel wires
c) Co Cr wires
d) Titanium based wires
e) Composite wires
GOLD ALLOYS
The composition of the alloys used in gold orthodontic wires is
similar to the Type IV gold casting alloys.
Composition
1.
Gold - 55 % to 65 % is typical ( can also have as low as 15 %)
2.
Copper 11% to 18%
3.
Ag - 10 % to 25%
4.
Palladium 5% to 10%
5.
Platinum 5 % to 10 %
6.
Nickel 1 % to 2%.
They acquire additional strengthening through the cold-working
incorporated
during the wire-drawing process. These wires can potentially be
strengthened
with the proper heat treatment, although they are typically used in
the as-drawn
condition.
Properties
1.Yield strength - 50,000 1,60,000 psi
2.Modulus of elasticity 100 GPa
Advantages
1.With the same cross section,Gold wires has less
force delivery than stainless steel wires.
2.Very formable
3.Good joinability
4.High corrosion resistance
Disadvantages
1.High cost
2.Decrease spring back
Composition:
Chromium 18 % to 25 %
Nickel 8 % to 12%
Carbon - < 0.2 %
Balance Mainly Iron
With the presence of chromium in the alloy, a coherent oxide
layer
formed that passivated the surface, thereby rendering the alloy
stainless.
When at least 8% nickel was present, the single phase structure
of
austenite was stabilized, and the overall corrosion resistance
was
enhanced.
Carbon content was purposely maintained below 0.20% to
reduce
the formation of chromium carbides structures that can
ultimately
foster the corrosion of austenitic steels.
The most commonly used types are AISI 302 and 304
stainless
steels, which contain approximately 18 percent chromium,
8 percent nickel, and less than 0.20 percent carbon.
The type 304 stainless steel has a slightly lower carbon and
higher
chromium specification.
These alloys derive most of their strength from
coldworking.
The microstructure demonstrates the typical ''fibrous"
appearance
associated with extensively elongated grains. This
microstructure
can be altered by short exposures to high temperatures,
which is
why soldering procedures have to be undertaken carefully.
Properies
YS 1100 to 1500 MPa
E - 160 to 180 GPa
Advantages
1. Good formability
2. Good joinability
3. Least friction
4. Good corrosion resistance
5. Decreased cost
Disadvantages
1 .High Modulus of Elasticity causes high forces. So smaller
diameter wires are used to decrease force levels .But this
results in
Poorer fit in brackets and may cause loss of control during
tooth
movement.
2. Needs soldering to reinforce joints. These soldered joints
corrode
in oral cavity.
Stainless steel, however, was not destined to enjoy the
predominance in the marketplace that gold had enjoyed for
so
many years before.
Cobalt-chromium alloys
In the 1950s, the Elgin Watch Company developed a complex alloy
whose primary ingredients were cobalt, chromium, iron, and
nickel .
This cobalt-chromium alloy was marketed as Elgiloy by Rocky
Mountain Orthodontics.
Properties
Yield Strengh - 830 to 1000 MPa
Elastic modulus - 160 to 190 GPa
Advantages
Spring back similar to SS
High formability
Can be soldered but technique demanding
Excellent corrosion resistance
Soft - Blue
Ductile - Yellow
Semi resilient - Green
Resilient - Red
TYPES:
1. Triple stranded wires
2. Coaxial wires 5 or 6 stranded wires wrapped around
one central strand. The cross section might be round or
flat.
ADVANTAGES :
Multistranded wires are able to sustain large elastic
deflection in
bending. Because of their low apparent modulus of elasticity
in
bending , theses wires apply low forces for a given
deflection when
compared with single solid SS wires.
AUSTRALIAN WIRES
1.
2.
3.
4.
5.
6.
7.
Ni Ti wires
B- Titanium wires or TMA wires
Alpha Titanium wires
Japanese NiTi wires
Chinese NiTi wires
Copper NiTi wires
Timolium wires
CONVENTIONAL NITINOL
In the late 60s, the Office of the Navy was actively
studying new types of alloys that exhibited a shape
memory effect (SME).
PHASE TRANSFORMATION :
There are 2 major NiTi phases in nickel titanium wires
1. Austenitic NiTi
2. Martensitic NiTi
Austenitic NiTi has a ordered BCC structure that occurs at
High
temperature & Low stresses. It is relatively rigid & unyielding.
Martensitic NiTi has a distorted monoclinic , triclinic or
hexagonal
structure that forms at High stresses & Low temperatures.
In this phase the wire is said to be ductile & readily capable of
plastic deformation.
Shape memory
It is a phenomenon occurring in the alloy that is
soft and readily
amenable to change in shape at a low temperature,
but it can easily
be reformed to its original configuration when it is
heated to a
suitable transition temperature.
Super elasticity
The "super-elastic property" is a phenomenon
that can be
described briefly. The stress value remains fairly
constant up to a
certain point of wire deformation. At the same
time, when the wire
deformation rebounds, the stress value again
remains fairly constant.
PROPERTIES :
1. Good spring back
2. Excellent flexibility
3. Low stiffness
4. High range
ADVANTAGES:
1. Large elastic deflections is capable in these wires
because of their flexibility & spring back effect.
2. Because of their low stiffness these wires produce
low forces. Also for a given amount activation they
produce more constant force than that produced
by SS wires.
3. Andreasen & morrow In AJO 1980 Nov indicate
that these wires are associated with fewer arch
wire changes , less chair side time , reduction in
time required to accomplish rotations & leveling &
less patient discomfort.
DISADVANTAGES:
1. Poor formability allows the wire best suitable only for pre adjusted
systems & so cannot be used in Begg or similar techniques which
require
formation of loops & coils etc.
2. Any first , second or third order bends have to be over prescribed
to
obtain the desired permanent bend.
3.The low stiffness provides inadequate stability at the completion of
treatment
4.Some patient are sensitive to Nickel.
5. NiTi also fractures readiliy when bent over a sharp edge. In
addition
bending also adversely affects the spring back property, & so loops &
stops or not recommended in these wire.
resistance
or by flame annealing the end of the wire. This makes the wire
dead soft
& it can be bent into any preferred configuration. A dark blue
color
indicates the attainment of desired annaeling temp.
Care should be taken not to over heat the wire because this
makes it
brittle.
Physical Properties
(Burstone et al AJO 1985 June )
1.Springback
Chinese NiTi wire has 1.4 times the springback of
nitinol wire and
4.6 times the springback of stainless steel wire.
2.Stiffness
With steel & Nitinol the avg unloading stiffness is same
regardless
of amount of activation. But not for Chinese NiTi.
At 80activation the average stiffness is 73% that of SS
& 36% that of Nitinol.
3.Temperature-dependent effects
Chinese NiTi wire, exhibits some small differences at varying
temperatures because material components have lower
transition
temperatures. The stiffness is approximately the same between
room temperature at 22C and mouth temperature at 37C.
At a temperature of 60C, the loading curve is slightly higher
and
the unloading curve loses its S shape and exhibits greater
permanent
deformation and less springback.
Since the wire is normally used between room temperature and
mouth temperature, these temperature-dependent effects are
clinically insignificant.
4.Time-dependent effects
Stainless steel wires are resistant to additional permanent deformation
that occurs with time. Some stress relaxation may occur, but the effects
are not significant.
When 0.016-inch stainless steel, nitinol, and Chinese NiTi wires were
engaged in brackets placed interproximally 3 mm apart with a 6.5 mm
occlusogingival discrepancy between the center bracket and the
adjacent
ones the wires remained tied in for periods of 1 minute, 1 hour, and 72
hours.
It showed that, over 1 minute, the Chinese NiTi wire deformed a
limited
amount,compared to the nitinol and stainless steel wires which
deformed
considerably.
COPPER NI TI WIRES
In 1994 Copper NiTi wires were introduced by Ormco
corporation.The addition copper to nickel titanium enhances
the
thermal reactive properties of the wires thereby enabling the
clinician to provide optimal forces for consistent tooth
movement.
It is available in three temperatures variants: 27C , 35 C &
40 C corresponding to the austenite finish temperature (Af )
for
the completion of martensite to austenite transformation.
Shape memory behavior is reported by the manufacturer to
occur
for each variant to occur to each variant at temperatures
exceeding
the specified temperature.
COMPOSITION:
All three Copper NiTi wires on elamental analysis
indicate that they
have very similar compositions.
1. Nickel 44%
2. Titanium 51%
3. Copper - < 5%
4. Chromium 0.2% to 0.3%
Kusy has reported that Copper NiTi contains nominally
5to6
Wt % cu & 0.2 to 0.5 wt% Cr.
The 27C variant contains 0.5% Cr to compensate for the
effect
of copper in raising the Af temp above that of the oral
environment.
The 35C & 40C variant contains 0.2% Cr.
Addition of copper:
It not only modifies the shape memory , but
also increases the stability of transformation
. It also helps to control hysteresis width &
improves corrosion resistance.The
superelastic wire contains Cu of 5 to 6 wt %
to increase strength & to reduce energy loss.
Unfortunately these benefits are associated
with an increase in phase transformation
temp above that of the ambient value in
mouth.Thus necessitates addition of 0.55 Cr.
35 C Copper NiTi :
1. DSC on this alloy shows two overlapping peaks
on heating ,corresponding to transformation
from martensite to
R phase followed by transformation from R
phase to austenite.
2. They generate mid- range constant force levels
when the wire reaches oral temp,.
Early engagement is easier with full size arch
wire due to lower loading forces.Unloading
forces are higher & more sustained than other
shape memory wires when it reaches body
temp,.
3. This variant is activated at normal body temp.
Beta titanium
Developed by Dr.Burstone in 1980.
One of Dr. Burstones primary objectives was to
produce
an alloy whose deactivation characteristics were about
one-third that of stainless steel or twice that of a
conventional martensitic stabilized nitinol. This led to
Ormco Corporations introduction of the low-stiffness
beta-phase titanium-molybdenum alloy known as
TMA.
COMPOSITION :
Titanium 77.8 %
Molybdenum 11.3%
Zirconium 6.6%
Tin - 4.3
At temperatures above 1,625 F pure titanium rearranges into a
body- centered cubic ( BCC) lattice, referred as beta phase.
With addition of elements like molybdenum or columbium, the
Ti based alloy can maintain its beta structure even when cooled
to
room temperature. So it is referred as Beta- stabilized titaniums .
The alloying and body-centered cubic structure impart a unique
set
of properties.
ADVANTAGES:
For orthodontic use, Advantages of this alloy are several
1. when compared with stainless steels, TMA produced
gentler linear forces per unit of deactivation and had
substantially more range and higher springback.
2. Excellent formability
The high formability of titanium allows the
fabrication of closing loops with or without helices.
The low stiffness of the material and its high
springback improve a loop of any given design or
allow for the maintenance of a given force system
with simpler designs, as in the elimination of helices
or loops.
3.
DISADVANTAGES
1. The coefficients of friction were the worst
of any of the orthodontic alloys, and
consequently its ability to accommodate
the sliding of teeth was limited .This
causes highest friction.
2. High cost.
ION IMPLANTATION:
Recently , the ion implantation process has been applied to
orthodontic wires. This process alters the surface composition of
the wire. It has been proposed that this process decreases the
frictional forces produced during tooth movement.
Implantation of nitrogen ions into the surface of this wire causes
surface hardening & can decrease frictional force by as much as
70% This process tends to increase stress fatique , hardness, &
wear
regardless of the composition of the material.
Laboratory data suggest that ion implantation of nitrogen into
TMA
wire will reduce both static & kinetic coefficients of friction
significantly. however these reductions are significant only when
both the wire & opposing bracket surface are implanted.
Katherine Kula & Proffit AJO 1998 studied the effect of ion
implantation of TMA wires on rate of space closure. They
concluded
that there was no significant difference between ion implanted &
Unimplanted TMA wires in sliding mechanics clinically.
Although the mechanical properties of Elgiloy and stainless steel
are
similar, the orthodontist can give the former a strengthening heat
treatment which allows manipulation of the wire in a softened
state.
This can be followed by a hardening heat treatment to obtain the
desired resilience.
COMPARISION OF IMPORTANT
PROPERTIES
Property
Cost
Stainless steel
Cobalt chromium
- TI
High
Ni Ti
low
Low
High
Force delivery
High
High
Intermediate
Low
Spring back
Low
Low
Intermediate
High
Formability
Good
Good
Excellent
Poor
Ease of joining
Welded joints
must be
reinforced
with
solders
Same as SS
Poor
Friction
Lowest
Low
Highest
Highest
CLINICAL APPLICATIONS
ALIGNMENT
Excellent strength.
Good springiness
.J.Burstone
(AJO 1981 July) as early as 1980s called VARIABLE
MODULUS ORTHODONTICS.
In general terms,
Appliance stiffness = Wire stiffness * Design stiffness
Design stiffness is dependent on factors like interbracket
distance
brought by incorporating loops & coils.
Ws - Wire stiffness is determined by a cross-sectional property
or
by the material stiffness dependent on materials property such
as
the modulus of elasticity.
Therefore an increase in appliance stiffness can brought about
not
only by change in appliance design or increase in cross section
thickness of the wire but also by selecting material with higher
modulus of elasticity while maintaining the same cross section.
ADVANTAGES:
1.The amount of play bt bracket & wire is not dictated by desired
wire stiffness but is under the total control of the clinician. once the
cross sectional size & shape have been established, the desired
stiffness can be implemented by selecting the alloy with appropriate
material stiffness.
2.The low Moduli of elasticity of the newer alloys the use of light ,
rectangular wire even during the early stages of treatment.
Rectangular wires are preferable over round wires because they can
be better oriented in the bracket in such a way that forces work out
in proper directions.
They further increase patient comfort by avoiding loops.
3.The selection of an appropriate alloy type & wire size may reduce
the no of archwires needed for alignment by reducing bracket /
wire play early in treatment.
Thomas stamm-ajo-2004
This study evaluated the Accuracy of 3rd order bends of NiTi
wires and determined the effects of high and low pressure for
maintaining the wire shape during memorizing heat
treatment.
A computer aided bending machine was used to incorporate
200 randomly determined torsional angles between 0 &60
into 30linear 0.016* 0.022 in Neosentalloy wires.
Results showed that 3rd order bends <30 can be made with
adequate
clinical accuracy with an error of 1 irrespective of pressure
applied.
With bends > 30 but < 40, the method with higher
pressure
offers greater precision than that with the lower pressure.
With torque bends > 40, the bending error with both
methods is
clinically unacceptable.
In general force applied to keep the wire in its bent shape
during
the memorizing heat treatment has an effect on the
accuracy of 3rd
order bends. Heat treatment methods that cannot keep the
wire in
its 3D shape should not be used.
The results indicated that no ionic release for the NiTi aging
solution, where as measurable nickel & traces of chromium
were
found in the SS bracket aging medium.
Concentration of the nickel chloride solution greater than
2mm
were found to reduce by more than 50% the viability & DNA
synthesis of fibroblasts. However neither orthodontic
materials
derived media had any effect on the survival & DNA
synthesis of
either cell.
SUPERCABLE
Hanson combined the mechanical advantage of
multistranded
cables with properties of superelastic wires to create a
superelastic
NiTi Coaxial wire called Supercable.
It contains 7 individual strand woven together to
maximize
flexibility and minimize force delivery.
ADVANTAGES:
Eliminates archwire bending.
Effective to control rotations, tipping & in
levelling.
Can use in severe crowding
Minimal patient discomfort & fewer visits.
COMBINED WIRES
Jose' L. Zuriarrain, et al -AJO 1996 Dec used
Combining mechanics
The key to success in a multi attachment straight
wire system is to have the ability to use light tipping
movements in combination with rigid translation and
to be able to vary the location of either, at any time
the need arises during treatment.
They used three specific combined wires for the
technique; Dual Flex-l, Dual Flex-2, and Dual Flex-3
(Lancer Orthodontics).
COMPOSITE WIRES
The arch wire is one of the main component of
multibracketed appliance, is usually made of metal
materials like SS , NiTi etc which are esthetically
inferior .The no of adult orthodontic patients are
steadily increasing & there is a demand for more
esthetic appliance. This laid the foundation for
inventing esthetic composite wires .
COATED WIRES
An investigation of the frictional properties of composite wires
against several orthodontic brackets showed that reinforcement
fibers were abrasively worn from the wire surfaces when tests
were
conducted at high normal forces or angulations. This potential
release of glass fibers within the oral cavity was considered
unacceptable, and a polymeric surface coating was suggested as
a
potential remedy.
The prerequisites for this coating material was that it should be
easily applicable in thin layers, be wear-resistant, and have low
frictional characteristics. In addition, the coating material
needed to
be biocompatible and transparent. One material that exhibited
all of
these properties was poly chloro-p-xylylene, which has been well
established for use in biomedical coating applications, such as
catheters and cardiac pacemakers.
conclusion
Recent advances in material science and technology has
resulted in an
array of newer arch wire materials, opening new vistas in
orthodontic
treatment. Materials with widely diverging properties are
on the market
today and their usage has profound implications on
appliance mechanics.
So it is upto the orthodontist to clearly outline the phases
of treatment
and select the arch wire most suited for attaining specific
goal of
treatment.