Escolar Documentos
Profissional Documentos
Cultura Documentos
1
Introduction
Wire is one of the important components of all most all orthodontic
appliances. Practically all orthodontic forces for which appliances are used exert
forces by means of wires not just any wire, but a wire properly selected in size,
shape, material, properties and properly bent to exert the desired force. An
understanding of the well balanced relationship that exists between the applied
techniques and the basic principles, leads to a broader application of skills to serve the
need of orthodontics.
An orthodontist spends much of his professional career handling wires and the
success or failure of many forms of treatment depends upon the correct selection of
wires, possessing adequate properties combined with careful manipulation beside
bracket and auxillaries. The search for correct materials has continued from the
beginning of dental art to the present time. Through the ages, dentistry has been
dependent to a great degree on the advances made by the contemporary art and
sciences for improvements in materials.
1
The materials used by orthodontists have changed rapidly in recent years and
will continue to do so in the future. As esthetic composite arch wires are introduced,
metallic arch wires are likely to be replaced for most orthodontic applications in the
same way as metals have been replaced by composites in aerospace industry.
Arch wires are reviewed in the order of their development, with emphasis on
specific properties and characteristics, such as strength, stiffness, range, formability
and weldability. Because an ideal material has not yet been found, arch wires should
be selected within the context of their intended use during treatment.
Over the last century, material science has made rapid progress. This has been
evident in our day to day life also. Orthodontics, particularly, has benefited largely
from this. In this branch of dentistry, not only have the materials been improved, but
also the philosophies have changed. Orthodontics has come a long way since the days
of the E-arch and various removable appliances used in the early 20th century. With
the introduction of the Edgewise appliance, newer materials have introduced in order
to make the most of these appliances. Wires which had good formability, increased
resilience and low cost were obviously favoured. This was probably the reason why
stainless steel (and Elgiloy) prevailed over the noble metal alloys.
The need of the Begg appliance was quite different from that of the traditional
edgewise appliance. This led Begg and Wilcock to produce a variety of stainless steel
that would provide low continuous forces over a long period of time. The NickelTitanium(Ni-Ti) alloys introduced in the 1970s showed some remarkable properties
of superelasticity and shape memory, although these could not be exploited clinically
at that time. The wires had limited formability, but could still be used in the
2
traditional edgewise appliance. The next generation of NiTi wires benefited a lot by
the pre adjusted edgewise appliance.
This appliance required lesser amount of bends incorporated into the wire, and
the A-NiTis perfectly suited this. However, introduction of the TMA wires bridged
the gap between stainless steel and Nickel Titanium alloys wires, with properties that
were intermediate to the two of these alloys.
Thus, one can see how the appliance philosophies and material science
progress is closely interrelated. All these wire alloys that were introduced and the
newer ones have individualistic and unique properties associated with them. In order
to use the newer wires, it is important to know as to why they have specific properties.
Review of Literature
2
Review of Literature
Rapid strides have been made in the field of arch wire materials. The urge for
better performance has resulted in the development of newer orthodontic wires with
promising physical properties.
PIERRE FAUCHARD, the father of modern dentistry in 1723 developed
what is probably the first orthodontic appliance in evolution of fixed orthodontic
appliance. It was called as Bandolet or Bow. It was flat piece of metal scalloped out
for the ideal position of the teeth. The teeth were ligated towards their positions. This
appliance was very heavy and unwieldy. It was also designed to expand the arch,
particularly the anterior teeth. FAUCHARD said If the teeth are much out of line and
cannot be corrected by means of thread, it is necessary to use a band of silver or gold.
The width of band should be less than the height of the teeth to which it is applied.
The band should neither be too stiff or too flexible. Two holes are made at each end,
and a thread passing partially forms a loop and by the pressure and support given the
inclined teeth will be made upright.2
4
Review of Literature
In 1757, Etienne Bourdet (1722 to 1789), the dentist to the king of France,
advocated the Fauchard method but went a step further by recommending only gold
strips on the labial surface of upper arch and lingual surface of lower arch. He wrote in
his book that The strings should be removed and retightened twice a week, until the
teeth have resumed their proper position that is to say, until the teeth of upper Jaw are
drawn forward so that no part of them is hidden behind those of the lower jaw.2
Leonard Koecker (1728 to 1850) in 1826, practicing in Philadelphia,
advertised that He supplies ligatures to teeth of an irregular position.2
Samuel S. Fitch MD, whose book entitled A system of dental surgery,
published in 1829, devoted a significant amount of information on irregularities of the
teeth. He was also the first one to classify malocclusion. His treatment consists of
Application of an instrument adapted to arch of the mouth, fastening a ligature on the
irregular tooth and removing the resistance of the lower teeth by placing some
intervening substances between the teeth of upper and lower jaw, so as to prevent
them from completely closing.2
Shearjashub Spooner (1809 to 1859) in 1838 found various types of
treatments, such as use of gold and silver plates to exert a gentle and continued
pressure to correct irregularities of teeth.2
William Lintott in 1841 described a bite opening appliance, which consisted
of a labial arch of a light bar of gold or silver passed around front surfaces of teeth by
means of ligatures (known as Indian twist) and the necks of irregular teeth with
pressure applied for movement.2
Review of Literature
Review of Literature
mechanism. This indicates that Angle was aware that the tooth moving forces
delivered by his earlier forms of orthodontic appliance were too great. This reduction
of tooth moving forces in each new orthodontic mechanism permitted greater control
of tooth movement. It made possible to move the teeth rapidly and reduced the pain
that patient had to bear during treatment.
Up to 1930,s the only orthodontic wire available was made of gold. In 1929
Lucien de Costa a Belgian and editor of Archives of orthodontics introduced
austenitic stainless steel orthodontic wire with greater strength, high modulus of
elasticity, good resistance to corrosion and low cost.
It was in between 1903 and 1921 that Harry Brearley of Sheffield, F.M.
Becket of USA, Beune Strauss and Edward Maurer of Germany shared the honor
for the development of the materials.
In 1937, Atkinson introduced Atkinson, s universal appliance. He used two
different forms of labial wire, one rectangular and one round and was designed to bring
about every tooth movement possible. A significant advancement in orthodontic
materials was made in late 30,s and 40,s when stainless steel wires became widely
available. The cobalt alloys were simultaneously developed in the mid century and this
has physical properties very similar to that of stainless steel. They had an advantage that
they could be supplied in softer and more formable state and then could be hardened by
heat treatment. The procedure increases its strength significantly.
In 1952 Dr. Begg in collaboration with Mr. A.J.Willcock sought to develop
tensile wire materials that were thin enough to distribute forces at an optimum level
Review of Literature
for tooth movement over a considerable period of time, over a long distance and with
minimal loss of force intensity. The wire was thick enough to resist masticatory stress.
The diameter of wire initially produced was progressively decreased from the thicker
diameter to 0.018 to 0.014 arch wire.4
Then came the most talked Niti wire which was invented in 60,s by William
F. Buchler, a research metallurgist at the Naval Ordinance Laboratory in Silver
Spring, Maryland (now called as Naval Surface Weapons Center). He did extensive
research and published his findings on the properties and uses of his new alloy. The
name Nitinol is an acronym derived from elements which comprises the alloy, Ni
from nickel, Ti from titanium and nol from Naval Ordinance Laboratory.
Niti was introduced to orthodontics by Andreasen and his associates. They
were attracted to unique properties of Niti alloy, such as high elastic limit and low
modules of elasticity.
In 1971, they reported the results of their investigation for clinical use and
subsequently Unitek Corporation started producing this wire for clinical use under
the trade name of Nitinol. It has an excellent spring back property but does not
possess shape memory or super elasticity because it has been manufactured by a work
hardening process.
Later developments related to Niti alloy came from China in Beijing in
General research institute for Non-ferrous metal in 1978, by DR. Hau-Chang Tien
and his colleagues with Niti a new super elastic orthodontic wire with high spring
back and low stiffness properties.9
Review of Literature
In the same year Furukawa electric company Ltd of Japan produced a new
type of Japanese Niti alloy possessing properties of excellent spring back, shape
memory and super elasticity.29
In 1980, Dr. Andreasen tested thermodynamic nitinol wires and introduced
them to clinical orthodontics. These wires can return to previously set shape when
heated to their transition temperature range (TTR). He was the first person to suggest
the use of shape changes in Nitinol wires to apply forces to the teeth in order to move
them orthodontically.
At around the same time in 1980, Charles J. Burstone and A. Jon Goldberg,
introduced new Beta-titanium alloy (Titanium-molybdenum alloy) in clinical use of
orthodontics. It has a unique balance of low stiffness, high spring back, good
formability and weldability which indicates its use in a wide range of clinical
applications.8
In 1985, Dr. C.J. Burstone reported the development of Chinese Niti alloy
and in 1986 Miura Fetal reported Japanese Niti alloy. These two alloys have a basic
austenitic grain structure and have the advantage of a transition in the internal
structure without requiring a significant temperature change to do this.
In 1988 Mr. A.J. Willcock Jr. of Australia developed a much harder, near
alpha-phase titanium alloy comprising of 6% Aluminum and 4% Vanadium for
orthodontic purposes.4 He also started the production of ultra high tensile stainless steel
fine round wire, supreme grade as per the request of Dr.Mollenhauer of Melbourne.
The wire was initially in the0.010 diameter and was further reduced to 0.009.
Review of Literature
10
Review of Literature
In 1995, the same year Rohit Sachdeva and Suchio Miyasaki introduced
copper-Niti alloy in family of Niti. Its an alloy of copper, nickel, titanium and
chromium.
Recently in 2001, Dead Soft Security Arch wires has been introduced by
Binder and Scott. These arches are bend to lie passively in all attachments.5
11
Classification
3
Classification
Arch wires can be broadly classified according to chemical composition,
microstructure and mechanical properties.
1)
12
Classification
OPTIFLEX ARCHWIRES
DEAD SOFT SECURITY ARCHWIRES
NICKEL TITANIUM ARCHWIRES
CONVENTIONAL
PSEUDOELASTIC
THERMODYNAMIC
2)
3)
According to Diameter
0.008 to 0.045 FOR INTRA ORAL APPLIANCES
0.045 to 0.60 FOR EXTRA ORAL APPLIANCES
13
Terminology / Definitions
4
Terminology / Definitions
MECHANICS 34
Is an area of study of physical science, which is concerned with the state of
rest or motion of bodies, subjected to forces.
FORCE
Force is defined as an act upon a body that changes or tends to change the
state of rest or motion of that particular body.
14
Terminology / Definitions
STRESS
Stress is the force per unit area acting on millions of atoms in a given plane of
a material OR Displacing forces measured across a given area.
When an external force acts upon a solid body, a reaction force results within
the body that is equal in magnitude but opposite in direction to the external force. The
external force will be called the load on the body. The internal forces divided by the
area over which it acts within the body is the resultant stress. It is measured in terms
of pounds/ square inch or psi.
STRAIN
Change in dimension is called as strain. Although strain is dimensionless
quantity, units such as m/m or cm/cm are often used to remind one of system of units
employed in actual measurements.
Strain may be
Elastic
Plastic
Combination of two
Elastic strain is reversible; it disappears after the strain is removed. Plastic
strain is permanent displacement of the atoms inside the material.
15
Terminology / Definitions
COMPRESSIVE STRESS
If a body is placed under a load that tends to compress or shorten it, the
internal resistance to such a load is called compressive stress. A compressive stress is
always accompanied by a compressive strain. With both tensile and compressive
stress, the forces are applied at right angles to the area over which they act.
SHEAR STRESS
A stress that tends to resist a twisting motion or sliding of one portion of a
body over another is a shear on shearing stress. A shear stress is always accompanied
by shear strain.
COMPLEX STRESSES
It is extremely difficult to induce a stress of a
single type in body. For example, when a wire is stretched,
the experimentally observed stress will be predominantly
tensile, but the shearing stresses and strain will also be present. Furthermore during
16
Terminology / Definitions
the deformation, since the volume of wire remains constant, it must decrease slightly
in cross-sectional area, a condition that obviously indicates the presence of
compressive stresses.
An example of complex stresses as shown in figure is produced by bending a
beam in three point loading. As can be seen, compressive, tensile and shear stresses
are present in various parts of structure.
ELASTIC LIMIT
If a small tensile stress is induced in a wire, the resulting strain may be such
that the wire will return to its original length (i.e. the atoms will move into their
regular positions) when the load is removed.
If the load is increased progressively in small increments, and then released
after each addition of stress, a stress value finally will be found at which the wire does
not return to its original length after it is unloaded. In such a case the wire is said to
have been stressed beyond its elastic limit. The elastic limit of a material is the
greatest stress to which a material can be subjected, such that it will return to its
original dimensions when the forces are released.
PROPORTIONAL LIMIT
If the wire discussed above is loaded in tension in small increments until the
wire ruptures without removal of load each time, and if each stress is plotted on a
vertical coordinate and corresponding strain is plotted on a horizontal coordinate, a
curve is obtained.
17
Terminology / Definitions
It can be noted that the curve starts as a straight line but gradually curves after
a certain stress value is exceeded. If a ruler is laid on a straight line portion of the
curve ( from O to P), and if the straight line is extended in a dotted line, the stress at
the point P, at which the curve digresses from a straight line, is known as the
proportional limit.
HOOKE, S LAW
It states that the stress is directly proportional to the strain in elastic
deformation. Since direct proportionality between two quantities is graphically a
straight line, the straight line portion of the graph in figure is confirmation of this law.
Since the proportional limit is the greatest stress possible in accordance with
this law, it may be defined as the greatest stress that may be produced in a material
such that the stress is directly proportional to strain.
YIELD STRENGTH
The yield strength is the stress required to produce the particular offset chosen.
The yield strength will always be greater than the elastic limit or proportional limit
and will vary with the offset chosen.
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Terminology / Definitions
The three terms elastic limit, proportional limit and yield strength are defined
differently but their magnitude are so nearly the same that for all practical purpose
the terms can often be used interchangeably.
MODULUS OF ELASTICITY
If any stress value equal to or less than the proportional limit is divided by its
corresponding strain value, a constant proportionality will result. This constant of
proportionality is known as modulus of elasticity or Youngs Modules (E).
Since the modules of elasticity is the ratio of stress to the strain, it follows that,
the less the strain for the given stress, the greater will be the value of the modulus.
For example, if a wire is difficult to bend, considerable stress must be induced before
a notable strain or deformation results. Such a material would posses a comparatively
high modulus of elasticity.
The formula for modules of elasticity in tension is derived as follows;
Let E = Modules of elasticity
F = Applied force on load
A = Cross- section of material under stress
e= Increase in length
l= Original length
Stress = F/A =s
Strain = e/l =
Then E = Stress = s
Strain = F/A = Fl
e/l
eA
19
Terminology / Definitions
The unit for modules of elasticity is forces per unit area (Mpa or Psi). This
property is indirectly related to other mechanical properties.
MAXIMAL FLEXIBILITY
It is defined as the strain that occurs when the material is stressed to its
proportional limit. The relation between the maximum flexibility, the proportional
limit and modules of elasticity may be expressed as follows:
Let
E = Modulus of elasticity
P = Proportional limit
m = Maximum Flexibility
Properties of Alloys
5
Properties of Alloys
The properties of orthodontic wires are the consequence of two principal
origins.
1)
2)
The particular nature of the drawing process including the heat treatment by
the manufacturers and clinician will have further significant effects on the
specific properties.
21
Properties of Alloys
per unit area, whereas strain is the internal distortion produced by the load, defined as
deflection per unit area.
Orthodontic arch wires and springs
can be considered as beams, supported
either only on one end (e.g. a spring
projecting from a removable appliance) or
from both ends (a segment of an arch wire
spanning between attachments on adjacent
teeth). If a force is applied to such a beam,
its response can be measured as the deflection produced by the force. Force and
deflection are external measurements.
CANTILEVER- A
UPPORTED BEAMS-B
22
Properties of Alloys
In tension, internal stress and strain can be calculated from force and
deflection by considering the area and length of the beam. For Orthodontic purposes,
three major properties of beam materials are critical in defining their clinical
usefulness i.e. strength, stiffness and range. Each can be defined by appropriate
reference to a force deflection or stress strain diagram.
Three different points on a stress-Strain diagram can be taken as representative
of the strength of a material. Each represents, in a somewhat different way, the
maximal load that the material can resist. The most conservative measurement is the
proportional limit, the point at which any permanent deformation is first observed. A
more practical indication is the point at which a deformation of 0.1% is measured; this
is defined as the yield strength. The maximum load that the wire can sustain- the
ultimate tensile strength is reached after some permanent deformation and is greater
than the yield strength. Since this ultimate strength determines the maximum force the
wire can deliver if used as a spring, it is important clinically, especially since yield
strength and ultimate strength differ much for titanium alloys. Strength is measured in
stress units (gm/cm square)
Stiffness and springiness are reciprocal properties.
Springiness = 1/stiffness
23
Properties of Alloys
24
Properties of Alloys
are between the elastic limit and the ultimate strength, therefore, are important in
determining clinical performance.
These three major properties have an important relationship.
Strength = Stiffness X Range.
Two other characteristics of some clinical importance can also be illustrated
with a stress strain diagram; resilience and formability. Resilience is the area under
the stress- strain curve out to the proportional limit. It represents the energy stored
capacity of the wire, which is a combination of strength and springiness. Formability
is the amount of permanent deformation that a wire can withstand before failing. It
represents the amount of permanent bending the wire will tolerate before it breaks.
The properties of an ideal wire material from orthodontic purposes can be
described largely in terms of these criteria:
High Strength
Low stiffness
High range
High formability.
In addition, the material should be weldable or solderable so that hooks or
stops can be attached to the wire. It should also be reasonable in cost. In
contemporary practice , no one arch wire material meets all these requirements , and
the best results are obtained by using specific arch wire materials for specific
purposes.
25
Properties of Alloys
1)
SPRING BACK
This is also referred to as maximum elastic deflection, maximum flexibility
2)
the modulus of elasticity. Low stiffness provides the ability to apply lower forces, a
more constant force overtime as the appliance experiences deactivation and greater
ease and accuracy in applying a given force.
26
Properties of Alloys
3)
FORMABILITY
High formability provides the ability to bend a wire into desired
configurations such as loops, coils and stops without fracturing the wire.
4)
the area under the line describing elastic deformation of the wire.
5)
6)
JOINABILITY
The ability to attach auxiliaries to orthodontic wires by welding or soldering
7)
FRICTION
Space closure and canine retraction in continuous arch wire techniques involve
a relative motion of bracket over wire. Excessive amount of bracket / wire friction
may result in loss of anchorage or binding accompanied by little or no tooth
movement. The preferred wire material for moving a tooth relative to the wire would
be one that produces the least amount of friction at the bracket / wire interface.
27
Manufacturing
6
Manufacturing
All stainless steel orthodontic wires are produced with the help of standard
formulas based on specifications of the American Iron and steel Institute.
The physical properties of metals are influenced at every step in production,
beginning with the selection and melting of alloying metals.
INGOT
Dentists are so used to forget that an orthodontic wire is actually a modified
cast. One of the critical steps in wire making is pouring the molten alloy into a mold
to produce an Ingot.
This Ingot is far from being a uniform chunk of metal. Like any casting it will
have varying degree of porosity and inclusions of slag in different part.
A magnified view of inside of Ingot would show it, to be made up of crystals
of component metals. In metallurgical terminology these crystals are usually called
28
Manufacturing
grains, and it is this granular structure which controls many of the mechanical
properties.
Grains in a crystal are found in definite patterns typical of individual metals,
but they are far from perfect because of conditions under which they must form.
When the Ingot is cooling and solidifying, many different grains are forming at once.
These growing crystals crowd and surround one another, so that the ingot
becomes a mesh work of many irregularly shaped grains of different materials. The
size and distribution of these grains are very dependent on the rate of cooling and the
size of the ingot.
The cooling and pouring processes affect the porosity as well as grain structure.
Porosity in the ingot comes from either of two sources, gases that are either dissolved in
the metal or produced by chemical reactions within the molten mass from bubbles
which are trapped in metal. As the ingot cools and shrinks, the late cooling interior
section shrinks inside an already hardened shell. This shell does not permit the volume
to adjust enough to the shrinkage, so additional voids of the vacuum results. So, before
further processing begins the ingot is trimmed to remove the undesirable parts.
The microstructure of a metal is the very basic of its physical properties and
mechanical performance and every step in production is directed at getting the most
out of the original grain structure of the ingot.
ROLLING
The first mechanical step in processing is rolling the ingot into a long bar. This
is done by a series of rollers which gradually reduce the ingot to a relatively smaller
29
Manufacturing
diameter. Through all this rolling and later processing into the final wire, the different
parts of original ingot never lose their identity.
The metal that was on the outside of the ingot forms the finest wire. Wire is
actually a grossly distorted ingot, thus it is easy to see that different pieces of wires
from the same batch can differ depending upon which part of ingot they came from.
The individual grains of the ingot also keep their identity through the rolling
process until certain heat treatment is applied. Each grain is elongated in the same
proportion as the Ingot. The squeezing, massaging action of rolling the Ingot has a very
important effect on the grain structure, actually increasing the strength of the metal.
Where the original crystal fitted together rather indifferently with gaps and
voids scattered among them, the mechanical action of rolling, forces them into long,
finger like shapes that are closely meshed together. This causes an increase in the
hardness or brittleness of the metal, as the grains are forced to interlock even more
highly with one another. This is a form of work hardening. Even the atoms which
make up the crystal structure are forced into new positions, filling in gaps and
irregularities that may have been left in original crystals.
Each pass through the rollers, increases this work hardening and finally the
structure becomes so locked up that it can no longer adjust enough to adapt to the
squeezing of the rollers. If rolling is continued beyond this point the surface will start
to show many small cracks and begin to crumble. Before this happens the rolling
process is stopped and the metal is annealed by heating to a suitable high temperature.
At annealing temperature the atoms become mobile enough to move about within the
30
Manufacturing
mass, breaking up the tight crystalline structure. When the metal is cooled again, the
annealed structure resembles that of the original casting but in more uniform form.
Grains size can be controlled in annealing by adjustment of the time and temperature
of annealing and rate of cooling.
DRAWING
After the ingot has been reduced to a fairly small diameter by rolling, it is
reduced to its final size by drawing. This a more precise process in which the wire is
pulled through a small hole in a die. This hole is slightly smaller than the original
diameter of the wire so that the walls of the die squeeze the wire uniformly from all
sides, as it passes through. This reduces the wire to the diameter of the die. Drawing
the wire subjects the entire surface of the wire to the same pressure instead of
squeezing from only two sides as in rolling.
Drawing is much precise process than rolling, but the effect on grain structure
is much the same. Before it is reduced to orthodontic wire/size, the wire must be
drawn through many series of dies and annealed several times along the way to
relieve work hardening.
These intermediate annealing is very important for strength and especially to
resistance to breakage. The purpose of heating and cooling a large coil of wire so that
all parts are treated alike is not as easy as it may seem. It must be done slowly to
prevent the outer coils from being heated more than those on the inside and
temperature must be carefully controlled.
31
Manufacturing
Even with the most careful procedures, situations can arise in which one side
of the coil or the inner or outer part will be affected differently. Variations such as
these can create many problems in sampling for quality control.
The actual no of drafts through the dies as well as frequency of annealing
depends on the alloy being drawn. Gold is extremely ductile and can be reduced
considerably with each draft. Ordinary carbon steel requires many more steps than
gold and stainless steel requires many more than carbon steel. Gold work hardness
slowly, so that it also needs less frequent annealing than the more rapidly work
hardening steel.
Hardness and spring properties of orthodontic wires depend almost entirely on
the effect of work hardening during manufacture. This means that the entire drawing
and annealing schedule must be carefully planned with the final size in mind. If the
metal is almost in need of another annealing at its final size, it will have maximum
work hardening and spring properties. If drawing is not carried out for enough time
after the last annealing, there will be too much residual softness.
Wires can be reduced through much of the range of orthodontic size without
an intermediate annealing. When wire is annealed in processing at one size and
different parts of the batch are then drawn to different final sizes, the smaller of these
wires will be subjected to more hardening. This effect is usually rather small and
because of different drawing schedules that are used, it is not consistent. Differences
in these cases make the smaller wire proportionally harder, which is desirable as long
as brittleness does not become excessive.
32
Manufacturing
RECTANGULAR WIRES
Rectangular wire can be made by drawing the materials through a rectangular
die or by rolling round wires to a rectangular shape. There appears to be no significant
difference in the wires formed by the two processes but is difficult to evaluate. Round
wires made by drawing, vary as much in physical properties as most of rectangular
wires. Therefore it would be unrealistic to attribute specific differences to rolling and
drawing process.
Drawing can however produce a sharper corner on a rectangular wire and this
can be an advantage in the application of torque.
33
7
Ideal Orthodontic Alloy
The ideal orthodontic wire for an active member is one that gives a high
maximal elastic load and low load deflection rate. The mechanical properties that
determine these characteristics are elastic limit and modules of elasticity. The ratio
between the elastic limit and modules of elasticity (EL/E) determines the desirability
of the alloy. The higher the ratio, the better will be the spring properties of wire. The
orthodontist should look for alloys that have high EL,s and low E,s . For an alloy to be
superior in spring properties, it must possess a significantly higher ratio.12
By contrast, in the reactive member of an appliance not only is a sufficiently
high elastic limit required but a high modulus of elasticity is also desirable. Since it is
common practice to use the same size of slot or tube opening throughout the
treatment, it is possible to use different alloys combined in the same appliance so that
the needs of both the active and reactive members can be served.
34
The alloy must have a reasonable resistance to corrosion caused by the fluids
of the mouth.
2)
It should have sufficient ductility so that it will not fracture under accidental
loading in the mouth or during fabrication of an appliance.
3)
It is desirable to have a wire that can be fabricated in a soft state and later heat
treated to a hard temper.
4)
35
with a safety factor, so that undue permanent deformation will not occur. Beyond this,
any attempt to reduce the size of cross- section to improve spring properties may well
lead to undesirable permanent deformation.
The fact that the load deflection rate varies as the fourth power of the diameter
in round wire suggest the critical nature of selection of proper cross-section. A piece
of 0.018 wire is not interchangeable with 0.020 wire, for with a similar activation,
the 0.20 wire will deliver almost twice as much force. In the selection of proper
cross-section for the rigid reactive members of an appliance, load deflection rate
rather than maximal elastic load is the prime consideration. Under normal
circumstances it is necessary to select a large enough wire cross- section, beyond the
needed maximal elastic load to have sufficient rigidity, so that a sufficiently high load
deflection rate exists.
Factors influencing load deflection
LOAD
DEFILATION RATE
MAXIMUM
INCREASE
MAXIMUM
DEFLECTION
Activation of wire
without changing length
decreased
No change
Increase
Activation in direction of
original bending
Increase
Increase
Alteration of cross
section to rectangular
form
If rate is maintained
as constant
Increase as 1/h
Increase as 1/h
MECHANICAL
PROPERTIES OF
WIRE
MODULUS OF
ELASTICITY
PROPORTIONAL
LIMIT
SP/E
Cross section(round)
1/d
Cross section(rectangle)
1/h
1/L
1/L
DESIGN FACTOR
Length/cantilever
36
A):
in more than one plane, a circular cross-section is the choice. The mechanical
properties of the round wire and cross-section tolerances are far superior to those of
other cross-sections. One of the problems of round wire is that, unless it is properly
oriented, activations may not rotate in the intended plane. Moreover, round wire may
rotate in the bracket and if certain loops are incorporated in wire, these can roll into
either the gingival or the check.
In cases of unidirectional activations, flat wire is the cross-section of choice as
more energy can be absorbed into a spring made of flat wire than of any other crosssection. Flat or ribbon wire can deliver lower load-deflection rates without permanent
deformation than can any other type of cross-section. Another advantage of flat wire
is that the problems of orientation of the wire can be more simply solved than with a
round cross-section.
Flat wire can be definitely anchored into a tube or a bracket so that it will not
spin during the deactivation of given spring. Flat wire can also be used in certain
situations when considerable tooth movement is required in one plane, while limited
tooth movement in other plane.
B):
superior to a round one because of the ease of orientation and greater multi directional
rigidity. This leads to more definite control of anchorage units also.
37
The selection of proper wire is based primarily on the load deflection rate
required in the appliance. Secondarily, it is dependent on the magnitude of the forces
& moments required. Sometimes 2 other factors can be used in selecting wire cross
section size.
1)
2)
A wire may also be selected because it is believed that the smaller the wire the
greater will be the amount of maximum elastic deflection possible; in other
words the smaller the wire the greater it will get deflected without permanent
deformations, but maximum elastic deflection varies inversely with the
diameter of wire.
The major reason why the orthodontist should select a particular wire size is
the stiffness of the wire or its load deflection rate. In a replacement technique, for
instance, the orthodontist might begin with a 0.014 wire that deflected over 2 mm
would give the desired force. After the tooth had moved 1 mm, the wire could be
replaced with a 0.018 which would give almost the same force with 1 mm of
activation.
38
Cs
(m)
(mm)
0.004
0.102
1.00
0.010
0.254
39.06
0.014
0.356
150.06
0.016
0.406
256.00
0.018
0.457
410.06
0.020
0.508
625.00
0.022
0.559
915.06
0.030
0.762
3164.06
0.036
0.994
6561.00
39
CS
mm
0.010 X 0.020
0.254X0.508
0.016X0.022
0.406X0.550
0.018X0.025
0.457X0.035
0.021X0.025
0.535X0.035
0.0215X0.028
0.546X0.711
Cross section
M
mm
0.016X0.016
0.406X0.406
0.018X0.018
0.457X0.457
0.021X0.021
0.531X0.531
FIRST
ORDER
130.52
1129.79
1805.10
2173.95
3129.83
SECOND
ORDER
132.63
297.57
966.87
1535.35
1845.37
CS
434
646.14
1289.69
In general terms,
Appliance stiffness = Wire stiffness x Design stiffness
40
Since, steel is currently the most commonly used alloy in orthodontics, its Ms
Number has been arbitrarily set at 1. Typical stiffness numbers for other alloys are
given in table. Although the modulus of elasticity is considered a constant, the history
of the wire (drawing process) may have some influence on the modulus. For practical
clinical purposes, however, the material stiffness number (Ms) can be used to
determine the relative amount of force that a wire will give per unit activation.
In addition to new alloys, braided wires have been used in orthodontics. Braids
take advantage of smaller cross-sections, which have higher maximum elastic
deflections, and in process produce wires that have relatively low stiffness. The
material stiffness numbers of representative braided wires is given in table.
1.00
TMA
0.42
Nitinol
0.26
Elgiloy blue
1.19
1.22
Braids
Twist-hex
0.18-0.20
Force -9
0.14-0.16
D-rect
0.04-0.08
Respond
0.07-0.08
The load deflection rate can be changed by maintaining wire size and varying
the load deflection rate as significantly as by altering the cross-section. Using the
principle of variable cross-section orthodontics, the amount of play between the
42
attachments and the wire can be varied, depending on the stiffness required. With
small low-stiffness wires, excessive play may lead to lack of control over tooth
movement.
On the other hand if the principle of variable modulus orthodontics is
employed, the clinician determines the amount of play required before selecting the
wire. In some instances more play is needed to allow freedom of movements of
brackets along the arch wire. In other situations little play is required to allow good
orientation and effective third-order movements. Once the desired amount of play has
been established, the stiffness of wire can be produced by using a material with a
proper material stiffness. In this way the play between the wire and the attachment is
not dictated by the stiffness required but is under the full control of the operator.
The variable modulus principle allows the orthodontist to use oriented
rectangular wires or square wires in light force, as well as heavy force applications
and stabilizations. A rectangular wire orients in the bracket and hence offers greater
control in delivering the desired force system. More important, when placed in the
brackets, the wire will not turn or twist to allow the forces to be dissipated in
improper directions.
WIRE LENGTH
The length of a member may influence the maximum elastic load and the load
deflection in a number of ways depending upon the configuration and loading of the
spring. The cantilever has been chosen to demonstrate the effect of length, since the
cantilever principle is widely used in orthodontic mechanisms.
43
Increasing the length of cantilever is a better way to reduce the load deflection
rate than is reducing the cross-section. Increasing the length of the cantilever
markedly reduces the load deflection rate; yet the maximal elastic load is not radically
altered, since it varies linearly with the length. Adding length within the practical
confines of the oral cavity is an excellent way of improving spring properties.
Increasing the length of a wire with vertical loops is one of the more effective means
of reducing load deflection rates for flexible members and at the same time, only
minimally altering their maximal elastic loads. However there are limitations in how
much the length can be increased. The distance between brackets in a continuous arch
is predetermined by tooth and bracket width. Vertical segments in the wire are limited
by occlusion and the extension of the muco-buccal fold.
44
AMOUNT OF WIRE
Additional length of wire may be incorporated in the form of loops and helices
or some other configuration. This tends to lower the load deflection rate and increases
the range of action of the flexible member. The maximal elastic load may or may not
be affected.
When a member is designed that incorporates additional wire, it is necessary
to locate properly the parts of the configuration where additional wire should be
placed and to determine the form that the additional wire should take.
If location and formation are properly done, it should be possible to lower the
load deflection rate without altering the maximal elastic load merely by adding the
least amount of wire that will achieve these ends.
The optimal place for additional wire is at cross-sections where bending
moment is largest. In the case of cantilever the position for additional wire would be at
the point of support, since here the bending moment is the greatest, almost 1000 gm.
Helical coils can be used to reduce the load deflection rate. The figure
illustrates the proper positioning of helical coil for this purpose. The load deflection
rate is maximally lowered for the given amount of wire used if the helix is placed at
the point of support rather than anywhere else along the length of wire.
45
46
and other types of configurations decrease the rigidity of wire and hence may be
responsible for some loss of control over the anchor units.
STRESS RAISERS
From a theoretical point of view, the force or stress required to permanently
deform a given wire can be calculated; however, in many instances the wire will
deform at values much lower than predicted ones because the presence of certain local
stress raisers increases the stress values in a wire far beyond what might be
predictable by commonly used engineering formulas.
Two common stress raisers are sudden changes in cross-sections and sharp
bends.
A:
Any nick in a wire will tend to raise the stress at that cross-section and hence
may be responsible for permanent deformation or fracture at this point. It is
therefore desirable to mark wires by other means than a file, particularly the
wires of smaller cross-sections used in the flexible member of an appliance.
B:
A sharp bend in a wire also may result in higher stress than those might be
predicted for a given cross-section of wire. A sudden sharp bend will far more
easily deform than a more rounded or gradual bend. Unfortunately, with a
continuous arch wire, the orthodontist is somewhat limited in space between
brackets and many times is required to make sharp bends because of this
limitation. Flexible member should be designed with gradual bends so that
they will be more free from permanent deformations than comparable ones
with sharp or sudden bends.
47
For example, three vertical loops might be compared: a squashed one, a plain
one and one with a helical coil. In terms of permanent deformation, the poorest design
would be loop A, which because of its squashed state has a very sharp bend at its
apex. The plain vertical loop B would be slightly superior, since the bending is more
gradual. Nevertheless a fairly sharp bend occurs at its apex.
The configuration with the most gradual bending is the loop with a helical coil
C. Not only would the helical coil enhance the flexible properties of the spring
because of its additional wire, but the each of gradual bend would further increase its
range of action without permanent deformation.
There are certain sections along a wire where stresses are maximal.
These may be called as critical sections. It has already been seen that in
sections where the bending moments are the largest, areas of high stress exist. These
critical sections are important from the point of view of design, for it is here that
permanent deformation is most likely to occur.
A number of precautions should be observed at critical sections. First stress
raisers should be avoided in these sections at all costs. A nick in a wire, for instance,
might not be so disastrous where the stresses are low, but might will lead to
48
deformation or fracture where the stress level is high. Second, the elastic limit of the
wire should be carefully watched at a critical section, lowering the elastic limit at
another place in the wire where the stresses are low, might not be too undesirable but
could be responsible for failure at a critical section.
Therefore in high stress areas it is desirable to use other means of attaching an
auxiliary than soldering or if soldering is to be used as a method of attachment, it
should be done with considerable care.
There are three rules to be kept in mind as far as designs of critical sections.
1)
2)
3)
DIRECTION OF LOADING
Not only is the manner of loading important, but the direction in which a
member is loaded can markedly influence its elastic properties. If a straight piece of
wire is bent so that permanent deformation occurs and an attempt is made to increase
the magnitude of the bend, bending in the same direction as had originally been done,
the wire is more resistant to permanent deformation than if an attempt had been made
to bend in the opposite direction. The wire is more resistant to permanent deformation
because certain residual stresses remain in it after the placement of the first bend. If a
bend is made in an orthodontic appliance, the maximal elastic load will not be the
same in all directions. It will be greatest in the direction that is identical to original
49
B-INCORRECT
50
FATIGUE OF METALS
Fatigue is the result of repeated stresses at a level, below that which would
normally cause failure. These stresses, usually in the low plastic deformation range,
gradually bring about additional work hardening until the metal finally fails in a
brittle fracture.
Below a certain stress level, a material can be subjected to repeated stresses
without fracture. But fatigue of metal is hastened tremendously by flaws of any kind,
even minute scratch. If there is a defect in the material, such as a scratch or an internal
flaw, the metal remaining around the defect will have to carry an added load and may
lead to failure.
51
on the basis of individual demands. Experience with specific materials is often the
only criteria in this regard.
During arch designing careful handling should be done. A wire should never
be marked or notched with a file or other sharp instrument. Smooth beaked pliers
should be used to avoid unnecessary damage to the surface, and pliers should be
selected and manipulated so as to avoid marking the wire with the sharp edge of the
beaks.
Smaller diameter wire have a broader working range and may not be so easily
stressed to the proportional limit, as a larger stiffer and seemingly stronger wire. For
this reason change to smaller diameter wire may be the only answer in some cases of
recurrent breakage.
Repeated bending at the same spot should be avoided. All adjustments should
be made away from high stress areas and previous bends at soldered joints should be
avoided, as wire adjacent to solder joints may be subjected to intergranular corrosion
initiated by heat soldering. This can be minimized by careful soldering but additional
protection will be provided by careful cleaning and electro polishing after the
procedure. Good surface finish eliminates many of the small stress raiser that can
initiate the process of failure.
52
Gold Wires
8
Gold Wires
Pure Gold is the noblest of all dental metals, rarely tarnishing and corroding in
the oral cavity. It is inactive chemically, and it is not affected by air, heat, moisture
and most solvents. It is the most ductile of all metals, as demonstrated by its ability
for a 1oz cylinder to be drawn into a wire 100 km long in length. It is the most
malleable of all metals, as shown by its ability to be hammered to a thickness of
0.00013 mm, about one third of thinnest gold foil used in dentistry.34,39
Pure gold is extremely soft, but after cold working, its hardness
( 52 to 75
53
Gold Wires
metal alloys were used routinely for orthodontic purpose because nothing else was
able to tolerate oral conditions.
COMPOSITION
There are two types of Gold wires recognized in American Dental Association
(ADA) specification no 7, year 1984.
Type I: They must contain at least 75% gold and platinum group metals.
Type II: They must contain at least 65% gold and platinum group metals.
In addition to Type I and II Gold wires used in orthodontics before 1950,s two
other types of wires were also used with high content of Gold in at least one of them.
Palladium-Gold-Platinum (P-G-P)
Because of their high fusion temperature and therefore high crystallization
temperature, they are especially useful as wires to be cast against and meet the
composition requirements for an ADA type I wire.
Palladium-Silver-Copper (P-S-C)
These wires are neither Type I nor Type II gold wires, but their mechanical
properties would meet the requirements for an ADA Type I or Type II alloy. The
corrosion resistance of palladium-silver dental alloy, both in cast and wrought forms,
is generally satisfactory.
The basic composition of alloys consists of Gold, platinum, palladium, silver,
copper, nickel and zinc. [Detail in Table]
54
Gold Wires
WIRE
TYPE
GOLD
PLATINUM
PALLIDUM
SILVER
COPPER
NICKEL
ZINC
ADA-I
54-66
7-18
0-8
9-12
10-15
0-2
0-0.6
ADA-II
60-67
0-7
0-10
8-21
10-20
0-6
0-1.7
P-G-P
25-30
40-50
25-30
16-17
P-S-C
0-1
42-44
38-41
16-18
2)
3)
4)
Copper: Copper contributes to the ability of the alloy to age harden. When
Copper is present, silver may be added to balance the colour.
5)
6)
Zinc: Zinc acts as a scavenger agent to obtain oxide free ingots, from which
the wires are drawn.
55
Gold Wires
FUSION TEMPERATURE
The minimum fusion temperature of an alloy is usually taken as a temperature
halfway between the liquidus and solidus temperature. Fusion temperature of wrought
wires must be known to ensure that the wires do not melt or lose their wrought
structure during normal soldering procedures.
According to ADA specification no 7, for a type I wire, this temperature is
9550 C (17510 F) or higher, for the type II wire the minimum fusion temperature
should be 8710 C (16000 F).
MECHANICHAL PROPERTIES
Yield Strength
Tensile Strength
Elongation
Fusion Temperature
TYPE
MPa
1000psi
MPa
1000PSI
ADA
TYPE I
582
125
991
117
13
995
1750
ADA
TYPE II
690
100
862
125
15
971
1400
Strength
Yield Strength
Tensile Strength
Elongation
Fusion Temperature
P-G-P
5921034
80-150
4621241
125-180
11-15
1300-1530
27307750
P-B-C
640-793
100-115
9651170
140-155
16-24
8-15
1050-1080
17101970
56
Gold Wires
57
Gold Wires
The tensile strength, proportional limit and hardness are reduced by such a
treatment but the ductility is increased.
The softening heat treatment is indicated for structures that are to be ground,
shaped, or otherwise cold worked, either in or out of the mouth. Although 7000 C is
an adequate average softening temperature, each alloy has its optimum temperature
and manufacturer should specify the most favorable temperature and time.
58
Gold Wires
Cold working is also the usual method of hardening gold alloy. Much more
cold working is required for Gold alloys than Steel to harden it. This is to adjust the
drawing and annealing schedule to compensate. Cold working is defined as deforming
a metal at temperature that are low compared with its melting temperatures i.e. any
plastic deformation of metal by hammering, drawing, cold forging, cold rolling or
bending. Gold alloy work hardens much more slowly and to lesser degree than Steel.
To the manufacturer, this low work hardening means that drawing is much easier,
with fewer intermediate anneals required to orthodontist. it means that these metals
are less brittle and will need much more manipulation before they have hardened
excessively.
Some special alloys such as those that are high in platinum, can be harden
materially by temperature manipulation, usually by heating to about 8000 F to 10000 F
and cooling slowly. The slow cooling permits optimum grain growth for the
production of a hard material.
59
Gold Wires
MICROSTUCTURE
The micro-structural appearance of cold-worked on wrought alloys is fibrous
with extremely elongated crystals. It results from the deformation of the grains during
the drawing operation to form the wire. Such a structure generally exhibits enhanced
mechanical properties as compared with corresponding cast structure. There is a
tendency for wrought alloys to recrystallize during heating operations. The extent of
crystallization is related directly to the duration of heating, the temperature employed,
and the cold work or strain energy imparted to the alloy when the wire was drawn.
Recrystallization is inversely related to the fusion temperature of the wire when
heating temperature and time are constant.
Because there is concomitant decrease in the mechanical properties of alloys
as recrystallization increases, so sufficient platinum and palladium should be present
to increase the fusion temperature of the wrought gold alloy wire. Therefore of all
those wires, the P-G-P wires are the most resistant to recrystallization.
Now a days the use of Gold alloys is markedly reduced because it is too soft to
use as an orthodontic appliance, its high cost, recent advances in the wire materials,
mechanical properties of the same and due to their low yield strength.
60
9
Stainless Steel Arch Wires
CARBON STEELS
Stainless steel is the most widely used and accepted material in orthodontics.
It is the major alloy system used in orthodontics. In the mid century stainless steel was
applied to dentistry and orthodontics. Although it was around 1920, that HARRY
BREALY OF SHEFFIELD, F.M.BECKET OF U.S.A. and BENNO STRAUSS
EDWARD MAURS of Germany shared the honor for the development of materials.
61
62
TYPE
(SPACE LATTICE)
CHROMIUM
NICKEL
CARBON
Ferratic(BCC)
11.5-27
0.20 max
Austantic(FCC)
16.0-26
7-22
0.25 max
Martenstic(BCT)
11.5-17
0-2.5
0.15-1.20
63
1.
series 400 stainless steels. This series no is shared with the martensitic alloys. The
ferritic alloys provide good corrosion resistance at a low cost, provided that high
strength is not required.
Because temperature change induces no phase change in the solid state, the
alloy is not hardenable by heat treatment. Also, ferritic stainless steel is not readily
work hardenable. This series of alloys finds little application in dentistry.
2.
400 designation with the ferritic alloys. They can be heat treated in the same manner
as plain carbon steels, with similar results. Because of their strength and hardness,
martensitic stainless steels are used for surgical and cutting instruments.
Corrosion resistance of martensitic stainless steel is less than that of the other
types and is reduced further following a hardening heat treatment. As usual, when the
strength and hardness increases, ductility decreases. It may decrease to as low as 2%
elongation for a high carbon martensitic stainless steel.
3.
Type 304 stainless steel has a similar composition, but the chief difference is
its reduced carbon content (0.08%).
Both 302 and 304 stainless steel may be designated as 18-8 stainless steel. They
are the types most commonly used by the orthodontist in the form of bands and wires.
Generally austenitic stainless steel is preferable to ferritic stainless steel
because of the following characteristics:
Greater ductility and ability to undergo cold work without fracturing.
Substantial strengthening during cold working.
Greater ease of welding.
Ability to fairly and readily overcome sensitization.
Less critical grain growth.
Comparative ease in forming.
MECHANICAL PROPERTIES
The property of readily strain hardened is a characteristic of austenitic
stainless steel. Part of this increase in hardness is ordinary strain hardening. But a
considerable amount is the result of phase change from a face centered to a body
centered lattice. This phase change can be readily demonstrated, since the body
centered lattice are ferromagnetic at room temperature, austenitic is non magnetic. It
is unfortunate that after strain hardening, a stainless steel wire can become fully
annealed in few seconds at a temperature of 7000 C to 8000 C. After such an
annealing, it has lost much of the range of elasticity or working range, so necessary to
a satisfactory orthodontic appliance. Because the annealing temperature involved in
65
TYPE
(SPACE LATTICE)
CHROMIUM
NICKEL
CARBON
Ferratic(BCC)
11.5-27
0.20 max
Austantic(FCC)
16.0-26
7-22
0.25 max
Martenstic(BCT)
11.5-17
0-2.5
0.15-1.20
The large modulus of elasticity of stainless steel and its associated high
stiffness necessitate the use of smaller wire for alignment of moderate and severely
displaced teeth. A reduction in wire size results in poorer fit in the bracket and may
cause loss of control during tooth movements. However, high stiffness is
advantageous in resisting deformation caused by extra oral and intra oral tractional
forces.
The yield strength to elastic modulus ratio indicates a lower spring back of
stainless steel than those of newer alloys. The stored energy of activated stainless steel
is substantially less than that of beta titanium and Nitinol wires. This implies that
stainless steel wire produces higher forces that dissipate over shorter periods than
nitinol wires, thus requiring more frequent activation or arch wire changes.
RARK and SHEARER have demonstrated the release of nickel and
chromium from stainless steel appliances.
Low levels of bracket/wire friction have been reported with experiments using
stainless steel wires. This signifies that stainless steel wire offer lower resistance to
tooth movement than other orthodontic alloys.
66
1.
than does carbon steel. At this temperature all of the effects of cold working are
eliminated and the metal returns to its softest, most workable state. Orthodontic bands
and ligature wires are usually supplied fully annealed. Cooling from the annealing
temperature must be rapid, usually by quenching. This rapid cooling is not an essential
part of the annealing process, but it is important for corrosion control.
2.
67
When a wire with such internal stresses is bend to produce a spring action,
there previously stressed areas can not do their full share.
If the applied force must be resisted by the stressed regions, a part of their
reserve of strength has already been used up by their limit of strength. If the internal
stress is in the same direction as the new load, the two actually augment each other. In
either case, action of the wire is weakened by the internal stress.
Stress relief eliminates such areas of stress within the wire and puts it into the
condition to work most effectively. As internal stresses are relieved, there may also be
some change in the shape of the wire. This is the second reason for stress relieving in
orthodontics. A wire that is bend to form an arch is full of residual stresses which tend
to return it towards its original form. This goes on gradually at ordinary temperature
causing a slow change in arch form (elastic memory). A stress relieving heat
treatment accelerates this change in shape so that the wire will be more stable. When
this treatment is applied to an arch, the form should always be checked and arch
reshaped if necessary after the heat treatment.
Stress relieving changes depend on both time and temperature, and they can be
controlled by the adjustment of either of these factors. In general, low temperature
treatment (4000 F to 7000 F) over a long period of time is most desirable. But, the arch
formed for a patient in the chair cannot be treated for hours or even for too many
minutes. Fortunately, most of the benefits of heat treatment can be produced in few
minutes or less at temperature of 8000 F. This is especially true if the wires have been
previously stress relieved in manufacturing to eliminate the stress in wire making
process.
68
The oven is the most reliable method for heat treatment because of relatively
uniform temperature.
1.
70
outside the soldering area which is in the sensitizing temperature range. Therefore this
method is useful only for small pieces.
2.
some elements which tie up with chromium or by keeping the carbon content
exceptionally low (below .08%). Titanium is often used for this purpose.
If titanium is introduced in an amount approximately six times the carbon
content, the precipitation of chromium carbide can be inhibited for a short period at
the temperatures ordinarily encountered in soldering procedures. Stainless steel that
have been treated in this manner are said to be stabilized. Stabilized steel is less
susceptible to intergranuler corrosion but it is still not 100% safe. Proper handling by
orthodontist can modify the advantage completely.
71
Kusy and Dilley investigated the strength, stiffness and springback properties
of multistranded wires in a bending mode of stress. They noted that the stiffness of a
triple stranded 0.0175 (3 x 0.008) stainless steel arch wire was similar to that of
0.010 single stranded stainless steel wire. The 0.0175multi stranded wire was 25%
stronger than 0.010 stainless steel wire.
The 0.0175 multi stranded wire and 0.016 nitinol showed similar stiff
nesses. However Nitinol tolerated 50% greater activation than the multi stranded
wires. The triple stranded wire was also half as stiff as a 0.016 beta titanium wire.26
Ingram, Gipe and Smith noted that titanium alloy wires and multi stranded
stainless steel wires have low stiffness when compared with solid stainless steel wires.
72
The investigators also found that most multi stranded wires had a spring back
similar to that of nitinol, but a larger spring back when compared with solid stainless
steel or beta-titanium wires and they have spring back properties that are relatively
independent of wire size.
73
111
Chrome-Cobalt -Nickel Alloy Archwire
Cobalt Chromium Nickel Orthodontic wires are very similar in
appearance, mechanical properties and joining characteristics to stainless steel wires,
but have a much different composition and considerably greater heat treatment
response.34,39 These alloys were originally developed for use as watch springs
(ELGILOY), but their properties are also excellent for orthodontic purpose. These
wires are available in four tempers: soft, ductile, semi resilient and resilient. The
differences in mechanical properties arise from proprietary variations in the wire
manufacturing process.
The wires are furnished to orthodontist in different gauges and cross-sectional
shapes with differing physical properties. Their resistance to tarnish and corrosion in
the mouth is excellent. They can be subjected to same welding and soldering
procedures as described for stainless steel orthodontic wires.
74
COMPOSITION:
COBALT
40%
CHROMIUM
20%
NICKEL
15%
MOLYBDENUM
7%
MANGANESE
2%
CARBON
.15%
BERYLLIUM
.04%
IRON
15.8%
The soft temper wires are popular with clinicians because they are easily
deformed and shaped into appliances, then heat treated to provide substantially
increased values of yield strength and resilience. The other tempers are less popular
than the soft temper because wires made from them have lower formability and are
somewhat higher in cost than stainless steel
HEAT TREATMENT
Cobalt-Chromium-Nickel alloy may be softened by heat soaking at 11000C to
12000C, followed by a rapid quench. The age hardening temperature range is 2600C to
6500C. For the alloy Elgiloy the alloy should be held at 4820C for 5 hours.
Ordinarily, the wires are heat treated before supplied to the user and may be
ordered in several degrees of hardness. In addition, the orthodontist can heat treat the
wires by placing them in an oven or by passing an electric current through them with
certain types of spot welders. A typical cycle would be 4820C for 7 to 12 minutes.
This heat treatment would increase the yield strength and decrease the ductility.
75
Alloys
Modulus of
Elasticity
(103 MPa [GPa]
0.2% Offset
yield strength
(MPa)
Ultimate
Tensile
Strength
Number of 90
degree cold
bends without
fracture
S.S
179
1579
2117
Co-Cr
184
1413
1682
NiTi
41.4
427
1489
B-TITANUM
71.7
931
1276
Wires made from this alloy should not be annealed. The resulting softening
effect cannot be reversed by subsequent heat treatment. Moreover, if only a portion of
a wire is annealed, severe embrittlement of adjacent sections may occur.
PHYSICAL PROPERTIES
Tarnish and corrosion resistance are excellent. Hardness, yield strength and
tensile strength are approximately the same as those of 18-8 stainless steel. Typical
mechanical properties of orthodontic wires are shown in table. Ductility in the
softened condition is greater than that of 18-8 stainless steel alloys and less than the
alloys in the hardened condition.
76
accompanies the increase in yield strength. A phase change as well as stress relief is
probably responsible. Caution must be used to avoid excessive embrittlement.
Although the optimum temperature range for the stress relief heat treatment is
most often reported at 3700C to 4800C, there appears to be no reason to exceed the
low temperature limit of 3700C when the wire is in nonstabilized grade of austenitic
stainless steel. Eleven minutes at approximately 3700 C results in a maximum
proportional limit for a severely cold worked appliance. This temperature is also
below the lower limit (4250 C) of the sensitization temperature range.
The softest Elgiloy (Blue) cannot be heat treated to become as brittle or hard
as the high spring temper, or hardest Elgiloy (Red) wire. To use Elgiloy properly the
user must be thoroughly familiar with it. A stress relief heat treatment not only
improves the working elastic properties of a wire appliance but also can reduce failure
caused by corrosion, which may occur in areas of high localized stress.
MECHANICAL PROPERTIES
With the exception of red temper Elgiloy, non heat treated co-cr wire have a
smaller spring back than stainless steel wires of comparable size, but this property can
be improved by adequate heat treatment. Optimum levels of heat treatment can be
confirmed by a dark straw colored wire or by use of temperature indication paste.
77
The advantage of co-cr wire over stainless steel wires includes greater
resistance to fatigue and distortion and longer function as a resilient spring. In most
other respects, the mechanical properties of co-cr wires are very similar to those of
stainless steel wires. Therefore stainless steel wires may be used instead of co-cr wires
of same size in clinical situations in which heat hardening capability and added
torsional strength of co-cr wires are not required.The high modulus of elasticity of cocr wires suggest that these wire deliver twice the force of Beta-titanium wires and four
times the force of Nitinol wires for equal amount of activation.
Co-cr wires have good formability and can be bent into many configurations
relatively easily. Caution should be exercised when soldering attachments to these
wires, since high temperature can cause annealing with resultant loss in yield and
tensile strength. Low fusing solder is recommended for this purpose.
ADVANTAGES
Relatively low cost, although greater than stainless steel
Proven biocompatibility from extensive clinical use
Outstanding formability in as-received condition.
Can be soldered and welded.
Excellent corrosion resistance in mouth.
DISADVANTAGES
High elastic force delivery
Lower spring back than stainless steel.
78
treated in bend areas and easily soldered without annealing. They are highly flexible
and resistant to set, fatigue and corrosion. The wire also offers reduced bracket
friction and greater spring efficiency than typical stainless steel wires.
A true arch form is available in sizes from 0.014 to 0.018 round and 0.016
x 0.022 to 0.019 x 0.025 rectangular.
2.
without breakage. Heat treatment increases the resiliency by 20%. The wires are
available in natural arch sizes of 0.016 x 0.016, 0.016 x 0.022 and 0.017 x
0.025.
79
Australian Archwires
11
Australian Archwires
Australian Archwires
In addition to variables like wire drawing and heat treatment, slight fluctuation in
the speed at which the wire is drawn through the dies affects its physical properties.
Additional variations can be caused by fluctuations in the rate at which the wire passes
the heat source, and this may combine to aggravate the variations introduced previously.
This quality control problem may result in a wire that is too soft or too brittle.
Another problem is that the wire may seem satisfactory, yet contains flaws which
cause breakage during arch fabrication.
One of the outstanding property of Australian wire is its resilience or ability to
spring back after having been deflected. This property can be checked by bending the
wire with the fingers while holding it with the pliers.
Australian wires are available in the following forms.
1.
Regular grade
White
2.
Regular plus
Green
3.
Special
Black
4.
Special plus
Orange
5.
Blue
6.
Supreme
Blue
REGULAR GRADE
Lowest grade and easiest to bend. Used for forming auxiliaries and can be
used for forming arch wires when distortion and bite opening is not a problem.
Available in sizes of 0.012, 0.014, 0.016, 0.018 and 0.020
81
Australian Archwires
Australian Archwires
Pre-warm the wire by sliding between the thumb and forefinger. Do not
attempt to straighten the wire by stripping between the plier beaks.
2.
Hold pliers very lightly when bending the wire. Do not squeeze or pull the
wire. Pliers must have smooth beaks, carbide tips are not recommended.
3.
Bend the wire very slowly pressing with the thumb or forefinger. Do not rotate
the pliers while beading loops and circles should be formed against the square
beak and beaks should be apart slightly.
4.
Never pinch the wire with the pliers before or during bending.
5.
no need for heat treatment and no margin for back bending to correct mistakes.
83
Australian Archwires
Relieving
crowding.-For
making
different
auxiliaries
like
MAA
0.011" wire can be used for aligning second molar towards the end of stage
III.
Resultant deformation
PULSE STRAIGHTENING
84
12
Nickel Titanium Arch Wires
85
CONVENTIONAL NITINOL
Niti was introduced to orthodontics by Dr. GEORGE ANDREASEN and his
associates. Largely through his efforts and those of the Unitek Company, the first
Nitinol alloy was marketed to orthodontists as Nitinol. Ironically, this first 50:50
composition of Nickel and titanium was a shape memory alloy in composition only.
Indeed this alloy was passive, as the shape memory effect had been suppressed
by cold working the wire during drawing. What was so attractive about this
martensitic stabilized alloy was its low force per unit of deactivation, i.e., its low
86
stiffness. Compared with the competition of the day, this wire was quite springy,
delivering only 1/5th to 1/6th the force per unit of deactivation and better meeting the
criteria of light, continuous force. When this stiffness was combined with its
outstanding range and high spring back, one might presume that this wire was the
ideal. It did not take long, however, before its lack of formidability was recognized as
limitation, especially when wires broke.
The lack of formability largely remains today, but the initial brittleness that
plagued the early nitinol product has long since been rectified.
PSEUDOELASTIC NITINOL
In addition to conventional Martensitic stabilized alloy, two other generic
nitinol type alloys are available today that are active, i.e. they undergo some form of
shape memory effect (SME) and are super elastic.
Two generic alloys are
1.
2.
important role during its mechanical deformation. Martensite represents the low
stiffness phase and austenite represents the high stiffness phase. Thus on loading, the
austenitic active alloy produces some three times the force per activation of the
conventional martensitic stabilized nitinol alloy. Fortunately this effect is short lived.
At first glance one would suspect that the mechanical properties are dismal, but
presenvence prevails, wherein the stiffness is comparable to that of martensitic
87
nitinol. In fact a stress induced phase transformation has occurred in which the
austenitic phase has transformed to the martensitic phase. Upon deactivation the
reverse occurs and martensitic phase is gradually transformed to the austenitic phase.
Because the spring back is nearly total, this series of clinical events is elastic despite
the fact that the appearance is quite non linear. Here the martensite reversibly
transforms to austenite and thereby changes shape to maintain force, represent the key
attribute to this nonlinear but nonetheless elastic alloy and is called pseudo elasticity.
Today several alloys are being marketed that utilize pseudo elasticity. Most common
of these is 270C super elastic copper niti described later.
THERMOELASTIC NITINOL
The third Nitinol type alloy in the market today is a martensitic active alloy
that ultimately exhibits a thermally induced Shape Memory Effect (SME). This is the
long awaited Nitinol alloy that Dr. ANDREASEN hoped to someday employ in
orthodontics. For many years the alloy compositions simply could not be controlled
precisely enough to make a uniform wire product. Transition temperature from
Martensitic to Austenitic had to occur in the region of ambient oral temperature, and
yet it was known that for every 150 parts per million variations in composition, a 1oC
change in transition temperature occurred. After a 20 years delay, MIURA showed
that surgical cases could be treated by preparing a series of arches in which the
desired shape was set by heat. Upon distortion and insertion into patients mouth, the
appliance would be activated by the warmth of oral cavity and return to its
predetermined shape. By capitalizing on thermo elasticity, a series of final arch forms
could be generated and thereby the practitioner could maintain control. Today the
thermo elastic effect is demonstrated in GAC internationals alloy, Sentalloy light.
88
54%
TITANIUM
44%
COBALT
2%
90
SUPER ELASTICITY
Inducing the austenitic to martensitic transition by stress can produce super
elasticity, a phenomenon which is employed with some Nickel orthodontic wires. If
alloy is stressed, it initially results in the strandard proportional stress-strain behavior.
However at a stress, sufficient to induce phase transformation, there is sufficient
increase in strain, referred to as super elasticity or pseudo elasticity.
This additional strain is due to the volume change that results from change in
crystal structure.
Nickel titanium alloy, therefore can be produced with either the austenitic or
mastensitic structure having varying degree of cold work and variations in transition
temperature. In general Nickel-titanium wire has relatively low modulus values and
larger working range. They are difficult to join and have to be joined by mechanical
crimps, since the alloy can neither be soldered nor welded.
OTHER PROPERTIES
Clinch back distal to molar buccal tube can be obtained by resistance or flame
annealing the end of the wire. This makes the wire dead soft and can be bent into
preferred configuration. A dark blue color indicates the desired annealing
temperature. Care should be taken not to overheat the wire because this makes it
brittle.
Findings on resistance to corrosion of nitinol wires have been inconsistent.
Although some investigators reports that nitinol is resistant to corrosion as stainless
steel, various authors have found nitinol to be more susceptible to corrosion than other
91
92
It is ideally suited for use with most pretorque and preangulated appliances
because tipping and up righting of the teeth can be initiated in the early stages of
treatment. When the case is nearing completion with a nitinol arch wire, there is very
little to be done in the way of placing compensating bends to upright roots, once the
spaces have been closed. In the treatment of extraction cases with pretorqued and
preangulated twin brackets and Nitinol, conventional auxiliary method of closing
spaces may be used along with headgear when needed. The use of nitinol with
pretorqued and preangulated brackets, require careful monitoring of tooth movements
because of wires high elasticity and more continuous force. Therefore time intervals
between appointments cannot be extended.
MECHANICAL PROPERTIES
The modulus of elasticity of nitinol is 41.4 x 103 Mpa, (6 x 106 psi), the yield
strength is 427 Mpa (62,000 psi), and the ultimate tensile strength is 1489 Mpa
(216,000 psi). These properties results in very low orthodontic forces when compared
with similarly constructed and activated stainless steel. The low stiffness in
combination with moderately high strength accounts for wires large elastic deflection
or working range. The alloy has limited formability.
Alloys
Modulus of
Elasticity
(103 MPa [GPa]
0.2% Offset
yield strength
(MPa)
Ultimate
Tensile
Strength
Number of 90
degree cold
bends without
fracture
S.S
179
1579
2117
Co-Cr
184
1413
1682
NiTi
41.4
427
1489
B-TITANUM
71.7
931
1276
93
94
The wire can be used for a longer period of time without changing and it can
shorter the treatment time needed in leveling the dentition. Nitinol has another
remarkable property of returning to a previously manufactured shape, when it is
heated through a transition temperature range. If we were to take advantage of this
property, the wire must first be set into the desired shape while undergoing a high
temperature heat treatment. After the wire has cooled to room temperature, it may be
deformed within certain strain limits. When heated to its unique TTR it will remember
its shape and return to the original configuration.
Nitinol wire after being deformed will spring back to its original shape by either
of two methods. First, it will experience a nearly complete spring back because of its
modulus of elasticity without heat, restoring the desired wire to its original shape.
Second it will experience a complete spring back from the deformed shape by
being placed in the TTR between 31 to 45oC. The average temperature of the mouth is
in this range and triggers the wire to assume the original shape bent into it.
The TTR of Nitinol can be adjusted by varying the Nickel and Cobalt content.
For orthodontic purpose, this thermal nitinol wire is alloyed so that the TTR
corresponds to the approximate temperature in the mouth and therefore allows part of
the wire memory property to be used for moving teeth.
95
demonstrates several differences in properties. Whereas the original Nitinol wires are
primarily in the martensitic phase at room temperature, the newer Niti wires have an
austenitic grain structure and 1.6 times greater spring back. When compared with
Nitinol, the Niti wires are also 36% stiff at 80% of activations and are not time
dependent with regard to stress relaxation.
The desirable mechanical properties of Nickel Titanium alloy wires and their
relatively high cost has prompted many clinicians to recycle these wires.
Nickel Titanium wires, especially those of newer pseudo elastic type,
undergoes phase changes as a result of heat treatment that substantially alter their
properties. KAPILA, HAUGEN and WATANABE noted that temperatures greater
than 600C increases the susceptibility of these newer austenitic Nickel Titanium wires
to plastic deformation and decreases their spring back. Since various forms of heat
treatment are often used for sterilization, further studies to determine the effects of
recycling in conjuncture with heat sterilizations are indicated.
96
tensile tests were conducted to determine weather the stiffness, strength or range of the
wires changes after disinfectant treatment. Further surface topography was also studied
with laser spectroscopy to see surface changes from tarnish and corrosion.
The result showed no significant changes in fundamental stiffness or inherent
strength of the wires after multiple disinfectant cycles. Wires showed no additional
surface pitting or corrosion.
STAGGERS and MARGESON studied the effects of various types of
sterilization on tensile strength of orthodontic wires. The sterilization methods
investigated were Dry heat using the Dentronix DDS 5000 dry heat sterilizer (3750 F
for 20 min), Autoclaving (2500F for 20 min) and ethylene oxide gas (4 hours). The
tested Niti wire was Sentalloy (GAC International).
Evaluation of sentalloy wire and dry heat sterilization demonstrated a
significant increase in tensile strength when compared after 0, 1 and 5 cycles.
Autoclaving santalloy wire also produced a significant increase in the tensile strength
of the wire after 1 and 5 cycles. Ethylene oxide sterilization of sentalloy wires
demonstrated no significant differences in tensile strength.
PROBLEMS ENCOUNTERED IN NICKEL TITANIUM ARCHWIRE
/DISADVANTAGES
Difficult to place permanent bends and cannot bend wire over sharp edge or into
complete loop
97
Tendency of arch wire to slide from side to side, sometimes causing them to stick
out beyond the terminal molar.
ADVANTAGES
Excellent spring back in bending, particularly for super elastic and shape memory
alloys.
Super elastic alloys can be heat treated by clinician to vary force delivery
characteristics.
A - COMPANY
1.
ALIGN TRUE
These are the only wires preformed in the true arch shape. Align is engineered
with high elasticity to easily engage brackets, even on severely malposed teeth. It
features exceptional shape memory and smooth low frictional surfaces. It also exerts
continuous low forces. The arch wires are available in 0.14 to 0.20 round and 0.016
x 0.016 to 0.021 x 0.025 rectangular sizes, in small, medium and large arches.
2.
nickel titanium wires. They provide the force needed to open the bite, close spaces
98
and align the curve of spee. These wires are available in 0.016 and 0.018 round and
0.016 x 0.022 to 0.021 x 0.025 rectangular wires.
B)
AMERICAN ORTHODONTICS
1.
Gold coated memory arches available only in 0.016 round, are coated with 24
carat gold and are especially cosmetic with ceramic or plastic brackets.
Permanent centre line memory arches have a gable bend at the midline that acts as
permanent reference point and a stop to prevent the wire from sliding through
either central bracket during unscrambling. They come in 0.016 and 0.018 round
sizes.
99
Reverse curve of spee memory arches feature built in leveling and light
continuous force for less wire bending and better control.
C)
DENTAURUM INTERNATIONAL
1.
REMITAN LITE
It is a super elastic nickel titanium wire with high elasticity and nearly
continuous force over a wide deflection range. The smooth surface virtually
eliminates friction and midlines are marked for easy placement. The wire delivers
gentle force, making it particularly suited to leveling phase, can reduce treatment time
and improve patients comfort. It is available in ideal arch form compatible with
preadjusted appliances.
D)
GAC INTERNATIONAL
1.
NEO SENTALLOY
This wire provides the capability of 3 dimensional control with a full size,
single strand arch wire from the beginning of treatment. It offers outstanding shape
memory and elasticity. Its heat activated light continuous forces are designed to
produce the ideal biological tooth movement.
2.
SUPER BRAID
It is eight stranded braided super elastic Nickel titanium wire designed for
100
E)
1.
workability of steel. Elastic hooks, tear drop and bayonet bends can be bent into the
wires, eliminating the need for auxiliaries.
BMA arch wires come in 0.016 and 0.018 round and 0.016 x0.016 to
0.019 x 0.025 rectangular sizes.
2.
faster results, reduced chair time, low bracket friction and relatively low cost. They come
in 0.012 to 0.020 round and 0.016 x 0.016 to 0.021 x 0.025 rectangular sizes.
3.
wire drifting and acts as a reference point. It comes in sizes of 0.016, 0.018 and
0.20 round.
4.
ORTHOCOSMETIC ELASTINOL
These arches have an esthetic coating that blends well with ceramic or plastic
101
5.
NITINOL
These arch wires are slightly stiffer than Elastinol, making them useful in the
initial leveling stages. The natural shape is designed to reduce the need for contouring.
6.
RETROARCH
Retro arch reverse curve super elastic nickel titanium arch wires have a
rocking chair shape that can open or close the bite quickly, consolidate the arch and
eliminates the excess curve of spee. Toe in bends helps eliminate mesiolingual
rotations and the extra wide form minimizes lingual drift of anterior teeth.
The arch wires are available in sizes of 0.014 to 0.018 round and 0.016 x
0.016 to 0.021 x 0.025 rectangular sizes.
F)
OREC CORPORATION
1.
provide optimum force distribution for leveling, aligning and rotation control.
102
2.
reflects in-out effects of the speed appliance. The wires are designed to facilitate
insertion into bracket and closure of speed bracket spring clips. Midlines are clearly
marked and rounded edge is always directed towards the labial. Speed wires are
available in upper and lower 0.017 x0.022 to 0.020 x 0.025 arch wire sizes.
G)
ORMCO CORPORATION
1.
NITI WIRE
Niti wire has an elastic range so great that it is virtually impossible to put a
closing forces while continuing the bite opening process. It allows retraction without
tipping of adjacent teeth into extraction sites or loss of incisor torque.
The posterior toe-in counteracts undesirable mesiolingual rotation of the
molars. Extra archwidth prevents lingual collapse in the extraction sites.
103
3.
H)
1.
NITANIUM ARCHES
Nitanium arches are Nickel titanium wires available in sizes from 0.014 to
I)
1.
ORTHONOL
Orthonol Nickel Titanium wire features great working range for fewer wire
changes and adjustments, resistance to deformation, excellent shape memory and light
continuous forces for patients comfort.
Its ultra smooth finish reduces bracket friction. Orthonol comes in 11 round
and rectangular sizes of preformed arches and in 5 rectangular sizes of straight
lengths.
J)
TP ORTHODONTICS
1.
REFLEX
Reflex super elastic Nickel Titanium arch wire is available in two arch forms.
104
UNITEK CORPORATION
1.
FLEXILOY
Flexiloy is made of a cobalt base Nickel alloy. In its initial work hardened
temper, it is especially useful for making complex bends and loops. Heat treatment
approximately doubles its spring temper. Flexiloy is available in two initial tempers,
Blue and Yellow.
2.
NITINOL ACTIVE
Because of its unique formation it delivers the light, continuous forces needed
for efficient tooth movement throughout treatment, yet with a slightly higher stiffness
than most super elastic wires. The added control allows it to hold bends longer than
other Nickel titanium wires.
105
13
Beta Titanium Arch Wires
COMPOSITION
Titanium
77.8%
Molybdenum
11.3%
Zarconium
6.6%
Tin
4.3%
The alloy is marketed in the form of straight wire lengths or preformed arches
under the trade name TMA or Titanium molybdenum alloy.
107
MECHANICAL PROPERTIES
The mechanical properties of many titanium alloys can be altered by heat
treatments that use the transformation from the to lattice structure. However, heat
treatment of the current orthodontic -titanium wire is not recommended.
Wrought Beta titanium orthodontic wire has an elastic modulus of 71.7 Gpa
and a yield strength between 860 and 1170 Mpa. These properties produce several
clinically desirable characteristics. The low elastic modulus yields large deflections
for low forces.
The high ratio of yield strength to elastic modulus produces orthodontic
appliances that can sustain large elastic activations when compared with stainless
steel devices of the same geometry.Beta titanium can be highly cold worked. The
wrought wire can be bent into various orthodontic configurations and has formability
comparable to that of austenitic stainless steel.
The modulus of elasticity of beta titanium is approximately twice that of
nitinol and less than one half that of stainless steel. Its stiffness makes its ideal in
applications where less force than steel is required but where lower modulus materials
would be inadequate to develop required force magnitudes.
Alloys
Modulus of
Elasticity
(103 MPa [GPa]
0.2% Offset
yield strength
(MPa)
Ultimate
Tensile
Strength
Number of 90
degree cold
bends without
fracture
S.S
179
1579
2117
Co-Cr
184
1413
1682
NiTi
41.4
427
1489
B-TITANUM
71.7
931
1276
108
It has been shown that the formability of Beta titanium orthodontic wire, as
measured by the ADA cold bend test, is similar to that of stainless steel. However the
titanium alloy cannot be bent over as sharp a radius as stainless steel, so that some
care in the selection of pliers and bending procedure is required. The Beta titanium
wire can be joined by welding alone and has good corrosion resistance.
WELDING
Clinically, satisfactory joints can be made by electrical resistance welding of
Beta titanium. Beta titanium joints of adequate strength and ductility can be produced
with the standard commercial welders available to the orthodontist. Such joints need
not be reinforced with solder.
A weld made with insufficient heat fails at the interface between the wires,
whereas overheating may cause a failure adjacent to weld joint. Clinically a no of
variables might cause joints of inconsistent strength with a given welder. Foremost
among these factors are the condition of the electrodes, cleanliness of wire surfaces
and proper positioning of the wires between the electrodes.
Flat to flat electronic configuration generally produces joints with
considerably less distortion than is found with point to point arrangement. This
electrode arrangement further stabilizes the wires as suggested by Burstone, and
higher settings can be used with welders to obtain strong joints with less burning
of metals.
109
CLINCAL APPLICATION
Because of its unique and balanced properties, beta titanium wire can be used
in a number of clinical applications. Ideal edge wise arches fabricated of titanium
have significant superiority over stainless steel. They can be deflected approximately
twice as far without permanent deformation, which allows a greater range of action
for either initial tooth alignment or finishing arches. The forces which are produced
are approximately .4 that of steel, producing a more gentle delivery of forces with an
edge wise wire; for example an 0.018 x 0.025 wire in beta-titanium delivers about
the same force as an 0.014 x 0.020 steel wire when activated in a second order
direction. Furthermore, it would have the advantage of full bracket engagement and
third order or torque control if used in a 0.018 slot bracket. Beta titanium is ductile,
which allows for placement of tie-back loops or complicated bends. Spring back
properties are not lost during the bending operation and complicated configurations
can be placed if needed.
The high ductility and formability of titanium allowed the placement of a
vertical loop tie-back mesial to first molar as well as finishing bends with the arch.
The high ductility of Beta-titanium allows it to be formed into arches or
segments with complicated loop configurations. A continuous arch with T, vertical,
helical and L loops can be formed in small round wires.
In many applications, loop placement can better deliver the desired force
system without side affects, than straight continuous wires. One of the advantages of
beta-titanium, as used in loop configuration, lies with loop incorporation in larger
110
cross-sections of edge wise wire which allows the loop to be positively oriented
within the brackets.
Specialized springs or auxiliaries fabricated from beta-titanium allow for
simplification in design in achieving identical force delivery. The low load deflection
rate produced by the low modulus of elasticity and the high spring back allow a 12
mm activation to produce 60 gm of force in the midline without the placement of
helices posteriorly, there by simplifying the design.
A high formability of titanium allows the fabrication of closing loops with or
without helices. The low stiffness of the material and its high spring back improves a
loop of any given design or allow for the maintenance of a given force system with
simpler designs, as in elimination of helices or loops.
ION IMPLANTATION
A low coefficient of friction is usually desirable in an orthodontic arch wire.
However studies have shown that TMA have a higher coefficient of friction than
stainless steel. The friction is probably due to its relative softness compared to the
harder stainless steel bracket. The surface treatment can increase the hardness and
reduce the coefficient of friction of TMA wire while maintaining its desirable
mechanical properties.
Ion Implantation is a process by which various elements or compounds are
ionized and then accelerated towards a target, the orthodontic arch wire.
Ion implantation takes place in a vacuum chamber, where a vapour flux of
ions is generated with an electron beam evaporator and deposited on the substrate.
111
Gas ions (Nitrogen and oxygen) are simultaneously extracted from a plasma and
accelerated in the growing physical vapour deposition film at energies of several
hundred to thousand electrons volts.The ions penetrate the surface of the wire on
impact, building up a structure that consists of both the original wire and a layer of tin
compounds on the surface and immediate subsurface. This layer is extremely hard and
creates considerable amount of compressive forces in the material at the atomic level.
The compressive forces and increased surface hardness improves the fatigue
resistance and ductility and reduce the coefficient of friction of the wire. The
superficial compressive forces also minimize any effects of surface flaws.
Implantation produces no sharp interface between coating and wire which can lead to
bond failure and it does not alter wire dimensions.
Implantation can take place at relatively low temperatures from subzero to
7000C which allows improvement of surface characteristics without degradation of
other mechanical properties. The thickness of the implanted surface can be precisely
controlled.
Two varieties of TMA-low friction and colored wires were produced by
varying the type and thickness of ions. Studies have shown that surface treatment by
ion implantation can maintain all the desirable properties of TMA and can improve its
ductility and its resistance to fracture and fatigue. At the same time it reduces high
coefficient of friction to about the same level as that of stainless steel.
112
14
Chinese Ni-Ti Wire
A new nickel titanium alloy has been developed especially for orthodontic
applications by Dr. TIEN HUA CHENG and associates at the General Research
institute for non ferrous metals in Beijing, China.
This alloy has unique characteristics and offers significant potential in the
design of orthodontic appliances. Its history of little work hardening and a parent
phase, which is austenite, yield mechanical properties that differ significantly from
nitinol wire. In addition, Chinese niti wire has a much lower transition temperature
than nitinol wire.9
This wire is also called as 270 C super elastic copper NiTi. It contains alloy
additions of nominally 5 to 6 % copper and .2 to .5 % chromium. According to its
manufacturer, this product is an austenitic active wire whose copper addition
increases its strength. Unfortunately this occurs at the expense of increasing its phase
transformation temperature above that of the oral cavity. To compensate for this
113
MECHANICAL PROPERTIES
1)
The wire has a spring back that is 4.4 times that of comparable stainless steel
wire and 1.6 times that of nitinol wire, if spring back is measured at yield
based on a 5 mm span cantilever test.
2)
At 80% of activation, the average stiffness of Chinese Niti wire is 73% that of
stainless steel wire and 36% that of nitinol wire.
3)
114
4)
Chinese Niti wire deformation is not particularly time dependent and unlike
Nitinol wire, will not continue to deform a significant amount in the mouth
between adjustments.
5)
Chinese Niti wire is highly suitable if low stiffness is required and large
deflections are needed.
Its higher stiffness at small activations make it more effective than wires of
traditional alloys whose force levels may be too low (as teeth approach the passive
shape of the wire).
CLINICAL SIGNIFICANCE
Because of its high range of action or spring back, Chinese niti wire is
applicable in situations where large deflections are required. Applications include
straight wire procedures when teeth are badly malaligned and in appliances designed
to deliver constant forces during major stages of tooth movements. The amount of
deformation without notable permanent set is remarkable 4.4 times that of stainless
steel wire and 1.6 times that of nitinol wire.
Achievement of relatively constant forces has been obtained traditionally by
lowering the load deflection rate of the orthodontic appliance. This has been
accomplished by configurational design; for instance, placing helices or additional
wire in the appliance.
115
15
Japanese Ni-Ti Alloy Arch Wires
In 1978, Furukawa Electric company limited of Japan produced a new type
of Japanese NiTi alloy possessing excellent spring back, shape memory and super
elasticity.
MECHANICAL PROPERTIES
The Japanese niti alloy wire has higher values of elastic modulus than the
nitinol wire. When the stretch exceeds 2 %, the stress value does not change
appreciably. When the strain was induced at 8%, it produces stresses of 55 to 58
kg/mm2. When the wire specimen was then stretched for more than 8%, the stress was
increased further. This property is called as super elasticity.
When strain was reduced, the stainless steel, Co-Cr-Ni and nitinol wires all
exhibit almost straight stress strain curves. In comparison when strain was reduced,
the Japanese Niti alloy wire did not changes proportionally to the stress decrease from
8% to 2%. There was no permanent set when the stress reached zero.
116
Heat treatment of Japanese niti alloy does make a dramatic change in its
mechanical property. To attain optimal use of super elastic property in clinical
orthodontics, the influence of various series of heat treatment was studied. When the
heat application was raised to 5000C, the force level indicating the super elastic
property can be reduced.
Thus, arch wires providing a different magnitude of force can be fabricated
from the wires of same diameter. In addition, in the preformed arch wire, different
magnitude of force can be produced by controlling the temperature and time in the
desired section of arch wire.
Japanese niti possesses three good mechanical properties;
shape memory
super elasticity
CLINICAL APPLICATION
Since the metallurgical tests have determined that Japanese niti alloy wire is
potentially useful and effective in clinical orthodontics, setting arch wire have been
fabricated to enhance the efficiency of multi bracketed technique.
By evaluating clinical experience with the Japanese niti alloy wire, many
possibilities exist with the use of its super elastic property.
117
16
Alpha Titanium Alloy Arch Wires
It is the recent alloy in the family of titanium alloys. Its composition is:
Titanium
90%
Aluminum
6%
Vanadium
4%
The alloy is different in that its molecular structure resembles a closely packed
hexagonal lattice as against the BCC lattice of TMA.
The hexagonal lattice possess fewer slip planes. Slip planes are clusters of
atoms in a crystal that glides past one another during deformation. More the slip
planes, the easier it is to deform the material. BCC structures are defined as having
two slip planes where hexagonal lattice has only one active slip plane along its base.
Thus the near alpha phase titanium alloy is less ductile than TMA.
The alloy is strictly near Alpha phase titanium alloy rather than a pure alpha
titanium because there is a certain amount of Beta phase retained in them at room
temperature.
118
17
Copper Ni-Ti Alloy Arch Wires
Copper Niti was introduced by Rohit Sachdeva and Suchio Mriyasaki in
1994.
Its a new quaternary alloy (Nickel, Titanium, Copper and Chromium) with
different advantages over the formerly available Nickel Titanium alloys.
Copper niti is more resistant to permanent deformation compared with other
Nickel-Titanium alloys. It exhibits better spring back characteristics.
It exhibits a smaller drop in tooth driving force than other Nickel titanium alloys.
It generates a more constant force over long activation spans than other Nickel
titanium alloys and does so on a consistent basis.
Addition of copper combined with more sophisticated manufacturing and thermal
processes make possible the fabrication of four different copper niti arch wires
with precise and consistent transformation temperatures
400C. This enables the clinician to select arch wires on a case specific basis.
119
COMPOSITION
Titanium
43%
Nickel
49.86%
Chromium
.5%
Copper
5.64%
Copper niti delivers more constant forces especially for small activations
compared to super elastic wires. It makes possible the insertion of larger size wires,
and better bracket slot engagement early in treatment without causing pain and
discomfort.
The surface of cu-niti is quite porous and rough. It resembles the surface of
untreated TMA wire.
Depending upon transformation temperatures / austenitic finish temperature
cu-niti can be classified into
Type I austenitic finish
150C
Type II
,,
270C
Type III
,,
350C
Type IV
,,
400C
120
121
122
18
Optiflex Arch Wire
Optiflex is a recently introduced arch wire by Tallas. It combines highly
aesthetic appearance with unique mechanical properties.
It is made of clean optical fiber and consisof 3 layers.
Silicon-di-oxide core that provides the force for moving teeth.
Silicon resin middle layer that protects the core from moisture and adds strength.
Strain resistant nylon outer layer that prevents damage to the wire and further
increases its strength.
123
124
19
Dead Soft Security Arch Wires
It has been introduced recently by Binder and Scott. In a non-extraction case,
an arch wire is usually placed to initiate tooth movement immediately after bonding.
However,in an extraction case a proper arch wire might create undesired tooth
movement before extractions are performed. This problem can be avoided by placing
sectional arches made of dead soft brass wire or twisted double strands of 0.008 or
0.010 dead soft stainless steel ligature wires. These arches are bend to lie passively
in all attachments.
The same type of sectional arches can be used as final arch wires in one or
both arches in conjugation with snake elastics to enhance intercuspation prior to
appliance removal.
125
Conclusion
20
Conclusion
Recent advances in orthodontic arch wires proves a clear commitment to high
performance standard, lifelong learning and strict accreditation in search of an ideal
wire. To obtain benefit of optimum and predictable treatment results one can depend
on selection of appropriate wire size and alloy type.
The eminent orthodontic campaigners have come so far in search of an ideal
wire with which they can play with, instead, it playing with them and perhaps
someday these wire benders will come up with long overdue research of an ideal wire
and we wait that the dawn will come early.
126
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