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Corrosion of stainless steel, nickel-titanium, coated nickel-titanium, and titanium orthodontic wires.

Orthodontic wires containing nickel have been implicated in allergic reactions. The potential for orthodontic wires to cause allergic reactions is related to the pattern and mode of corrosion with subsequent release of metal ions, such as nickel, into the oral cavity. The purpose of this study was to determine if there is a significant difference in the corrosive potential of stainless steel, nickel titanium, nitride-coated nickel titanium, epoxy-coated nickel titanium, and titanium orthodontic wires. At least two specimens of each wire were subjected to potentiostatic anodic dissolution in 0.9% NaCl solution with neutral pH at room temperature. Using a Wenking MP 95 potentiostat and an electrochemical corrosion cell, the breakdown potential of each wire was determined. Photographs were taken of the wire speci mens using a scanning electron microscope, and surface changes were qualitatively evaluated. The breakdown potentials of stainless steel, two nickel titanium wires, nitride-coated nickel titanium, epoxy-coated nickel titanium, and titanium were 400 mV, 300 mV, 750 mV, 300 mV, 1800 mV, and >2000 mV, respectively. SEM photographs revealed that some nickel titanium and stainless steel wires were susceptible to pitting and localized corrosion. The results indicate that corrosion occurred readily in stainless steel. Variability in breakdown potential of nickel titanium alloy wires differed across vendors' wires. The nitride coating did not affect the corrosion of the alloy, but epoxy coating decreased corrosion. Titanium wires and epoxy-coated nickel titanium wires exhibited the least corrosive potential. For patients allergic to nickel, the use of titanium or epoxy-coated wires during orthodontic treatment is recommended.

Coated Materials, Biocompatible↗

Influence of autoclave sterilization on the surface parameters and mechanical properties of six orthodontic wires.

Orthodontic wires are frequently packaged in individual sealed bags in order to avoid cross-contamination. The instructions on the wrapper generally advise autoclave sterilization of the package and its contents if additional protection is desired. However, sterilization can modify the surface parameters and the mechanical properties of many types of material. The aim of this research was to determine the influence of one of the most widely used sterilization processes, autoclaving (18 minutes at 134 degrees C, as recommended by the French Ministry of Health), on the surface parameters and mechanical properties of six wires currently used in orthodontics (one stainless steel alloy: Tru-Chrome RMO; two nickel-titanium shape memory alloys: Neo Sentalloy and Neo Sentalloy with Ionguard GAC; and three titanium-molybdenum alloys: TMA(R) and Low Friction TMA Ormco and Resolve GAC). The alloys were analysed on receipt and after sterilization, using surface structure observation techniques, including optical, scanning electron and atomic force microscopy and profilometry. The mechanical properties were assessed by three-point bending tests. The results showed that autoclave sterilization had no adverse effects on the surface parameters or on the selected mechanical properties. This supports the possibility for practitioners to systematically sterilize wires before placing them in the oral environment.

Chromium Alloys↗

[A study of mechanical properties of orthodontic wires in tension].

Orthodontic forces are applied to the teeth basically by means of different types of orthodontic wires. Knowledge of the mechanical properties of such wires are very helpful to the clinician in design and application of optimal force systems during orthodontic treatment. The basic mechanical properties were studied for 17 types of orthodontic wires (all rectangular and of the same size), in tension. Modulus of elasticity (E), yield strength (YS) and maximum elastic strain (Springback) (YS/E) were calculated for each type of wires. Stainless steel wires have demonstrated higher modulus of elasticity (and yield strength) in comparison with wires of nickel-titanium and beta titanium alloys. B-titanium wires showed higher modulus of elasticity than nickel-titanium ones. In addition stainless steel wires were found to have higher values for springback than cobalt-chromium ones and lower values (for the same variable) than nickel-titanium and B-titanium wires.

Dental Alloys↗

[Mechanics analysis of fracture of orthodontic wires].

Fracture problem of orthodontic wires was discussed in this paper. The calculation formulae of bending stress and tensile stress were obtained. All main factors that affect bending stress and tensile stress of orthodontic wires were analyzed and discussed. It was concluded that the main causes of fracture of orthodontic wires were fatigue and static disruption. Some improving proposals for preventing fracture of orthodontic wires were put forward.

Dental Alloys↗

[Materials science studies on the soldering of different orthodontic wires].

In orthodontic technique both soldering and welding are standard methods for the application of auxiliaries and for the modification of force systems by joining wires of different cross-sections. Two cobalt-chromium alloys (Blue Elgiloy, Crozat) and an austenitic stainless steel alloy (Remanium) were soldered by an electrochemically generated hydrogen-oxygen flame forming an overlapped joint design. For characterization of the soldered joint testing procedures included microhardness tests, metallographic examination, tension-shear tests and surface analysis of the fractured joints by scanning electron microscopy. For any given soldering technique with an overlapped joint design the correct joint length is determined by the ratio t/s = 3 (t = overlapped length; s = diameter of the smaller wire).

Dental Alloys↗

Effects of water immersion on mechanical properties of new esthetic orthodontic wire.

New fiber-reinforced plastic orthodontic wire (FRP wire) was fabricated with polymethyl methacrylate (PMMA) for the matrix and biocompatible CaO-P(2)O(5)-SiO(2)-Al(2)O(3) (CPSA) glass fibers for fibers that have not only high esthetics but also mechanical properties similar to those of metal wires. The purpose of this study was to evaluate the effects of water immersion on the mechanical properties of this new wire. The fiber-reinforced plastic orthodontic wire specimens were 0.5 mm in diameter with 29.1% to 60. 4% volume fraction of fibers that were 20 microm in diameter. A three-point flexural test was performed to obtain the elastic modulus and flexural load at the deflection of 1 mm under dry and wet conditions. Stress relaxation of the wires was tested under dry and wet conditions, and the wire diameters were measured before and at 20 days after immersion. The results showed that there were changes in the elastic modulus up until 10 days and in flexural load up until 20 days after immersion. The values of these two at 30 days after immersion were 93% and 87%, respectively, of those before immersion. Stress relaxation occurred rapidly from the start of immersion until about 60 minutes under dry conditions and about 120 minutes under wet conditions and then approached saturation. The swelling of hydrated fiber-reinforced plastic orthodontic wires affected the wire diameter, although this effect was not significant. The results of this study therefore suggest that the mechanical properties of fiber-reinforced plastic orthodontic wires are reduced by water immersion in the initial stage.

Dental Materials↗

In vitro investigation into the biological assessment of orthodontic wires.

The alloys used in orthodontics are subject in the moist environment of the oral cavity to various corrosion processes. If the products of the corrosion are introduced into a biological system they may cause changes. In the present investigation the corrosion rate of 23 different orthodontic wires (preformed arch wires and straight wires) made from 5 different alloys were examined in a nutrient medium by ICP-AES analysis, and the influence of the corrosion products on the cytotoxicity of a fibroblast culture was investigated using Mosmann's MTT test. The nickel-titanium wires Nitinol, Sentalloy and Original Chinese Wire and the beta-titanium alloy TMA had no effect on the rate of cell proliferation. Nor did stainless steel wires inhibit growth significantly, with the exception of Australian Wire and Wildcat Wire. The manganese-steel alloys Noninium h and Mezanium caused significant reductions in growth rate, which were attributed to the manganese ions released by the corrosion. The most severe growth inhibition was caused by the Co-Cr-Ni alloy Elgiloy, and this reaction is independent of the 4 levels of resilience. The degree of growth inhibition depended upon the concentration of corrosive cobalt and nickel ions in the eluate. In spite of the differences observed, all the orthodontic wires examined are graded under ISO-standard 10993-5 as "non-cytotoxic". The degree of toxicity was found to be determined essentially by the corrosion rate of the alloy and the cytotoxic characteristics of the resulting trace elements.

Animals↗

Ion release from NiTi orthodontic wires in artificial saliva with various acidities.

NiTi orthodontic wire products from different manufacturers would have different corrosion resistance. We assayed the corrosion resistance, in terms of ion release, of different NiTi orthodontic wires in artificial saliva with various acidities. Four types of as-received commercial NiTi orthodontic wires were immersed in artificial saliva (37 degrees C) at pH 2.5-6.25 for different periods (1-28d). The amount of Ni and Ti ions released from NiTi wires was determined using an atomic adsorption spectrophotometer. Surface morphology and roughness of wires were related to the corrosion resistance. Results showed that the manufacturer, pH value, and immersion period, respectively, had a significantly statistical influence on the release amount of Ni and Ti ions. The amount of Ni ions released in all test solutions was well below the critical value necessary to induce allergy and below daily dietary intake level. The amount of Ti ions released in pH>/=3.75 solution was mostly not detectable, representing that the TiO(2) film on NiTi wires exhibited a good protection against corrosion. Pre-existed surface defects on NiTi wires might be the preferred locations for corrosion. The NiTi wire with the highest release amount of metal ions had the maximal increase in surface roughness after immersion test, while a rougher surface did not correspond to a higher metal ion release.

Corrosion↗

[Biocompatibility and resistance to corrosion of orthodontic wires].

Various materials are currently used to make orthodontic wires. This article suggests a synthesis on their resistance to corrosion and biocompatibility. In the first part, after a review of some basic notions on the corrosion processes, the authors develop the electrochemical characteristics of the three main groups of alloys used in orthodontics. They study more precisely corrosion resistance of nickel-titanium alloys and, through their own experimental results, they show that this type of alloy is subject to corrosion in acid and fluoridated environment. In the second part, the authors study those alloys biocompatibility. They first mention nickel toxicity and allergy induced by this element. Then, biocompatibility of alloys used in orthodontics is assessed following studies on the release of metallic elements from orthodontic wires, and studies on cell-compatibility when in contact with those wires. It is proved that the state of materials surface has a very high influence on their biocompatibility. As a conclusion, in spite of numerous studies carried out so far, showing a satisfactory biological behaviour of those orthodontic wires, many questions are yet to be answered: long term in vivo performances of those materials have not yet been exactly assessed. Further studies must definitely be carried out.

Biocompatible Materials↗

Nonlinear large-deflection analysis of orthodontic wires.

The purposes of this study were (1) to measure the nonlinear force-deflection behavior of selected orthodontic wires using a conventional tensile test, (2) to extend a mathematical model for simulating the force system produced by orthodontic wires based on the small-deflection linear theory to the large-deflection nonlinear theory, and (3) to examine the effects of the cross-section and mechanical properties of orthodontic wires on nonlinear characteristics. A method for extending a mathematical model for simulating the force system produced by orthodontic wires based on the small-deflection linear theory to the large-deflection nonlinear theory was established, and this can provide a clear view of the true nature of orthodontic wires. Furthermore, our results demonstrated that the nonlinear properties of orthodontic wires were affected more by the cross-sectional shape than by mechanical properties.

Algorithms↗

In vitro corrosion characteristics of commercially available orthodontic wires.

The corrosion characteristics of orthodontic alloy wires were investigated both in as-received and grinded conditions in 0.9% NaCl solution by atomic absorption spectrophotometry and potentiodynamic polarization measurements. The amount of each metal ion released from most alloys was larger for the grinded wires than for the as-received wires (p<0.01). The fact that the beta-Ti alloy wire (Ti-Mo-Zr) does not contain allergenic metals such as Ni, Co, and Cr, and the finding that resistance to both general and localized corrosion is the highest among the six wires investigated suggest that this wire is the most biocompatible orthodontic wire. Since a small amount of Ni, Cr or Co ions were released from Ni-Ti, Co-Cr and stainless steel wires, special attention should be paid during their clinical use for patients with allergic tendencies.

Chromium Alloys↗

Load-deflection characteristics of superelastic nickel-titanium orthodontic wires.

Previous mechanical testing of orthodontic wires has, in many cases, failed to simulate some key features of the clinical environment. The purpose of this study was to investigate the load-deflection characteristics of 7 different 0.016-in initial alignment archwires (Twistflex, NiTi, and 5 brands of heat-activated superelastic nickel-titanium [HASN]) with modified bending tests simulating a number of conditions encountered clinically. Load-deflection tests were carried out on the wires with 5 different model designs, and data from selected points on the unloading phase of the generated graphs were statistically analyzed. Wire deflection was carried out at 3 temperatures (22.0 degrees C, 35.5 degrees C, and 44.0 degrees C) and to 4 deflection distances (1 mm, 2 mm, 3 mm, and 4 mm). Rankings were derived according to statistically significant differences in each test situation. The effects of model, wire, and temperature variation were all statistically significant. Twistflex and the 5 HASN wires produced a range of broadly comparable results, and NiTi gave the highest unloading values. Model rankings indicated that self-ligating Twin-Lock brackets produced lower friction than regular edgewise brackets. The authors recommend using the rankings from the mechanical test simulations to predict possible clinical performance of archwires.

Alloys↗

Comparative range of orthodontic wires.

ADA specification No. 32 for determining the range (elastic limit) of orthodontic wires uses the bending of a wire section treated as a cantilever beam. An alternative method for defining the range of orthodontic wires proposed by Waters (1981) is to wrap wire sections around mandrels of varying diameters and measure the deformation imparted after unwrapping. Four brass mandrels with a total of 46 test diameters ranging from 3.5 to 60.0 mm were used in this study. Wire sections 9 cm in length were rolled on the mandrel with a hand lathe. The mandrel cross section required to produce a predetermined amount of deformation (2 mm arc height for a 5 cm chord) was defined as the yield diameter for that particular wire. No individual wire was tested twice so as to avoid introduction of strain history. Test samples of 488 different orthodontic wires supplied by nine commercial distributors were evaluated (a total of 4,747 samples). Stainless steel wires of identical dimensions had a large variation in range, depending on the state of strain hardening and heat treatment. For example, 0.020 inch round wire had yield diameters ranging from 22.8 mm for Australian special plus orange (TP Laboratories) to 42.9 mm for Nubryte gold (G.A.C. International). Chromium cobalt wires had less range than stainless steel before heat treatment, but increased greatly in range after heat treatment. Nitinol (Unitek) had the greatest range of all wires tested (yield diameter of 8.7 mm for 0.016 inch Nitinol). Multistranded stainless steel wires had yield diameters between 9.0 and 14.0 mm.

Alloys↗

[The surface roughness of orthodontic wires--a laser optical and profilometric study].

The surface roughness of orthodontic wires is an essential factor that determines the effectiveness of arch guided tooth movement. Using the nondestructive technique of laser specular reflectance, the surface roughness of 11 nickel titanium orthodontic wires and a standard steel as well as a beta-titanium wire was measured. The results were compared with the results from surface profilometry. The smoothest wire, standard steel Hi-T, has an optical roughness of 0.10 microns, while the roughness from profilometry reached a value of 0.06 microns. The titanium molybdenum wire has an optical as well as a profilometric roughness of about 0.20 microns, while the roughness of the NiTi wires ranges from 0.10 microns to 1.30 microns. As the surface roughness not only influences the effectiveness of sliding mechanics, but also the corrosion behaviour and aesthetics, the manufacturers of orthodontic wires are asked to improve the surface quality of their products.

Corrosion↗

Surface changes induced by fluoride prophylactic agents on titanium-based orthodontic wires.

This study investigated the effect of fluoride prophylactic agents on the surfaces of titanium-based orthodontic wires. Four types of titanium-based orthodontic wires (2 nickel-titanium alloy wires [nickel-titanium and copper-nickel-titanium] and 2 beta-titanium alloy wires [titanium-molybdenum and titanium-niobium], all from Ormco, Glendora, Calif) with similar sizes were prepared and immersed in 5 fluoride prophylactic agents (2 acidulated phosphate fluoride agents [Nupro APF (Dentsply International, York, Pa) and Florentine III (Confi-Dental, Louisville, Colo)], 1 neutral agent [Neupro Neutral (Dentsply International)] and 2 stannous fluoride agents [Florentine II (Confi-Dental) and Perio-Med (Omni International, Warrenton, Va)]) for 5 minutes, 1 hour, and 24 hours. After immersion, average surface roughness and color changes were evaluated. The surface changes were observed with a scanning electron microscope. The average surface roughness data were statistically analyzed by analysis of variance and Tukey post hoc test at a significance level of alpha = 0.05. There were no significant differences in average surface roughness value among fluoride solutions or orthodontic wires, except for the titanium-molybdenum wire, which showed significantly (P <.05) higher average surface roughness values after immersion in Nupro APF for 24 hours. The results suggested that a few applications of acidulated phosphate fluoride agents might change the surface color of the beta-titanium alloy wires, particularly the titanium-molybdenum wire, which contains a large amount (about 80%) of titanium.

Acidulated Phosphate Fluoride↗