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CLINICAL IMPLICATIONS
The Ti-6Al-7Nb and gold clasps demonstrated fatigue resistance that allows placement in
undercut greater than 0.25 mm, which is suitable for Co-Cr alloy clasps. These clasps may be
indicated when esthetics or periodontal health is a primary concern.
Composition (wt %) 86.5 Ti, 7 Nb, 6 Al, 62.5 Co, 30.5 Cr, 5 Mo, 1 Si, 70 Au, 4.4 Pt, 13.5 Ag, 8.8 Cu,
0.5 others 0.4 Mn, 0.3 C, 0.3 N 2 Pd, 0.1 Ir, 1.2 others
Modulus of elasticity (GPa) 123 220 90
0.2% Proof stress (MPa) 890 710 620
Tensile strength (MPa) 950 900 740
Percentage elongation (%) 5 6 17
All data were based on information provided by manufacturer for each respective material except for modulus of elasticity of Type IV gold alloy.18 Note: recorded
yield strength value is affected by offset value and can be substantially different from proportional limit.24
Table II. Means (standard deviations) of fatigue test and FEM results
Material
Preset deflection
(mm) Ti-6Al-7Nb Gold alloy Co-Cr
Fig. 3. Change of permanent deformation for representative Fig. 4. Load required for deflection as function of deflection
specimen from each group. Solid lines: Ti-6Al-7Nb clasps; cycles for representative specimen from each group. Solid
dotted lines: gold alloy clasps; dashed lines: Co-Cr clasps. lines: Ti-6Al-7Nb clasps; dotted lines: gold alloy clasps;
dashed lines: Co-Cr clasps.
among the preset deflections. The average maximum vantageous due to low rigidity when compared to the
principal stresses calculated are shown in Table II. Co-Cr clasps, which is expected to have a minimum pos-
sibility of traumatic overloading to the abutment tooth
during insertion and removal.12 Fatigue fracture is com-
DISCUSSION
monly believed to occur at cyclic stress levels much lower
Based on the loads required to deflection, both Ti- than that needed to cause failure on a single application
6Al-7Nb and Type IV gold alloy would be clinically ad- of load.19 However, it was previously claimed that the
Fig. 5. Fractured Co-Cr specimen tested under 0.50 mm Fig. 6. Average principal stress distribution for each test
preset deflection with enlarged view. group. Each volume was divided into 9 different colors
according to stress levels. Red zone indicates greatest stress
region (tension), blue zone indicates smallest. Scales below
Co-Cr alloy could withstand a stress slightly above its show maximum and minimum scale values, as well as
proportional limit without failure over infinitely many boundary values between levels. Bold numbers indicate
cycles.20 Results of the present study were not in conflict reported 0.2% yield strengths (Table I).
with this claim. Four out of 5 Co-Cr clasps tested under
0.25-mm preset deflections, which had maximum ten-
sile stresses (average of 640 MPa) slightly below the al- N for T75) than the other materials tested because of
loy’s reported 0.2% yield strength (Fig. 6), survived the greater yield strength of the Ti-6Al-7Nb alloy.
over 106 cycles. However, all of the other Co-Cr clasps This provides the Ti-6Al-7Nb clasps better resistance
under larger preset deflections with stresses above the to permanent deformation, which is advantageous in
yield strength failed long before reaching 106 cycles. situations of accidental overloading.9,22
All of the Ti-6Al-7Nb and gold alloy clasps with 0.5- Greater permanent deformation of Co-Cr clasps led
mm deflections and maximum stresses below the mate- to reduction of the actual deflections, and this contrib-
rials’ yield strengths failed before reaching 106 cycles. uted to the extension of the fatigue lives because smaller
Furthermore, the fatigue lives of Ti-6Al-7Nb clasps un- actual deflections would reduce the maximum tensile
der 0.75 mm deflection, with the maximum calculated stress within the clasps.12 Permanent deformation was
stress above its yield strength, remarkably decreased. observed in the clasps that had maximum stresses below
These results indicate that the fatigue limits of these al- the yield strengths of the alloys (Table II). It is suspected
loys are well below their yield strengths. that these deformation values were partially due to the
At relatively high deflection amounts, the material surface flattening of the load application sphere at the
differences greatly affected the magnitude of the perma- clasp tip, which was confirmed in postoperative micro-
nent deformations of the clasps. The Ti-6Al-7Nb clasps scopic observations.
had considerably smaller permanent deformations when Although the calculated average maximum principal
compared to the Co-Cr clasps under all preset deflec- tensile stresses in clasps of the C50, C75, T75, and
tions greater than 0.25 mm. They also showed much G75 groups exceeded the yield strengths of the respec-
smaller permanent deformations than the gold alloy tive alloys (Table II), no specimen in these groups failed
clasps under the 0.75 mm deflection. This may be be- during the first cycle, and all survived at least 1500
cause of the material’s high ratio of yield strength to elas- cycles. The permanent deformations did not have nota-
tic modulus,21 which indicates a relatively larger working ble increases after the first few cycles, and the deforma-
range (7.24 for the Ti-6Al-7Nb, 3.23 for Co-Cr, tions remained stable until just before fracture. The
and 6.89 for gold alloy). These results indicate better residual stresses and strain hardening induced by the
adaptation of Ti-6Al-7Nb clasps to tooth surfaces permanent structure deformations after the deflection
when designed to engage undercuts greater than can explain these findings.19,23 The residual stresses
0.25 mm. A relatively higher load was needed to gen- generated in the clasp after the first few cycles should
erate a larger permanent deformation in the clasp (21.9 have comprised compressive stress on the inner surface
and the tensile stress on the outer surface of the 3. Iijima D, Yoneyama T, Doi H, Hamanaka H, Kurosaki N. Wear properties
of Ti and Ti-6Al-7Nb castings for dental prostheses. Biomaterials 2003;24:
clasp.19,23 Besides strain hardening, these stresses could 1519-24.
further increase the clasp’s apparent yield strength and 4. Kobayashi E, Wang TJ, Doi H, Yoneyama T, Hamanaka H. Mechanical
resistance to further permanent deformation.19,23 It properties and corrosion resistance of Ti-6Al-7Nb alloy dental castings.
J Mater Sci Mater Med 1998;9:567-74.
should also be noted that the stresses were calculated 5. Vallittu PK, Kokkonen M. Deflection fatigue of cobalt-chromium, tita-
in the models by inputting the actual deflections without nium, and gold alloy cast denture clasp. J Prosthet Dent 1995;74:412-9.
considering these residual stresses. This may result in 6. Keltjens HM, Mulder J, Kayser AF, Creugers NH. Fit of direct retainers in
removable partial dentures after 8 years of use. J Oral Rehabil 1997;24:
higher calculated tensile stresses than those actually 138-42.
present in the specimens. Post-insertion adjustment or 7. Saito M, Notani K, Miura Y, Kawasaki T. Complications and failures in re-
re-adaptation of a clasp to the tooth surface may cause movable partial dentures: a clinical evaluation. J Oral Rehabil 2002;29:
627-33.
permanent deformation in the opposite direction to 8. Hofmann E, Behr M, Handel G. Frequency and costs of technical failures
that seen in this study and may generate some tensile re- of clasp- and double crown-retained removable partial dentures. Clin
sidual stress on the inner surface. This may subsequently Oral Investig 2002;6:104-8.
9. Carr AB, McGivney GP, Brown DT. McCracken’s removable partial pros-
increase the susceptibility to further permanent defor- thodontics. 11th ed. St. Louis: Elsevier; 2005. p. 79-115.
mation with the reduction of actual deflection, which 10. Vallittu PK. Fatigue resistance and stress of wrought-steel wire clasps. J
could apparently extend the clasp’s fatigue life.5 Prosthodont 1996;5:186-92.
11. Gapido CG, Kobayashi H, Miyakawa O, Kohno S. Fatigue resistance of
The fracture locations in all of the failed specimens cast occlusal rests using Co-Cr and Ag-Pd-Cu-Au alloys. J Prosthet Dent
were found to be within the range where the stress was 2003;90:261-9.
more than 85% of the maximum stress. This implies 12. Yuasa Y, Sato Y, Ohkawa S, Nagasawa T, Tsuru H. Finite element analysis
of the relationship between clasp dimensions and flexibility. J Dent Res
that the stress distribution within the clasp was closely 1990;69:1664-8.
related to the fracture location. However, since an area 13. Sato Y, Yuasa Y, Akagawa Y, Ohkawa S. An investigation of preferable ta-
of more than 85% of the maximum stress is relatively per and thickness ratios for cast circumferential clasp arms using finite el-
ement analysis. Int J Prosthodont 1995;8:392-7.
wide and stress is almost constant in this area, the site 14. Sato Y, Abe Y, Yuasa Y, Akagawa Y. Effect of friction coefficient on Akers
of the maximum stress could not be used as a good pre- clasp retention. J Prosthet Dent 1997;78:22-7.
dictor of the fracture site. 15. Wiskott HW, Nicholls JI, Belser UC. Stress fatigue: basic principles and
prosthodontic implications. Int J Prosthodont 1995;8:105-16.
It should be noted that the experimental condition in 16. Tamhane AC. Multiple comparisons in model I one way ANOVA with un-
this study may differ from that encountered clinically. equal variances. Comm Statist Theory Methods 1977;6:15-32.
For example, fixed direction and magnitude were used 17. Tamhane AC. A comparison of procedures for multiple comparisons of
means with unequal variances. J Am Statist Assoc 1979;74:471-80.
for the experimental loading in this study, although 18. Anusavice KJ, Cascone P. Dental casting and soldering alloys. In:
the real direction may be different and the loading con- Anusavice KJ, editor. Philips’ science of dental materials. 11th ed. St.
ditions can actually fluctuate.14 Also, the fatigue test in Louis: Elsevier; 2003. p. 604.
19. Dieter GE. Mechanical metallurgy. 3rd ed. New York: McGraw-Hill; 1986.
this study was conducted in dry air atmosphere which p. 48, 375-431.
is different from the oral invironment.19 Further studies 20. Bates JF. Studies related to the fracture of partial dentures; flexural fatigue
are needed to develop a sound base for a computerized of a cobalt-chromium alloy. Br Dent J 1965;118:532-7.
21. Brantley WA. Wrought alloys. In: Anusavice KJ, editor. Philips’ science of
methodology of design optimization that should mini- dental materials. 11th ed. St. Louis: Elsevier; 2003. p. 623.
mize the failure possibilities of cast clasps. 22. Warr AJ. Numerical system of clasp design. J Prosthet Dent 1961;11:
1105-11.
CONCLUSIONS 23. Beer FP, Johnston ER, Dewolf JT. Mechanics of materials. 3rd ed. New
York: McGraw-Hill; 2002. p. 209-306.
The gold alloy clasps exhibited significantly longer fa- 24. Morris HF, Asgar K, Rowe AP, Nasjleti CE. The influence of heat treat-
ments on several types of base-metal removable partial denture alloys. J
tigue lives, while the Ti-6Al-7Nb clasps showed signifi- Prosthet Dent 1979;41:388-95.
cantly greater resistance to permanent deformation
under cyclic deflections. The results of the fatigue ana- Reprint request to:
DR NORIYUKI WAKABAYASHI
lyses suggest that the Ti-6Al-7Nb and gold clasps are REMOVABLE PROSTHODONTICS, DIVISION OF ORAL HEALTH SCIENCES
suitable for use with undercuts greater than 0.25 mm. GRADUATE SCHOOL, TOKYO MEDICAL AND DENTAL UNIVERSITY
However, a reduction in the fatigue resistance of the 1-5-45 YUSHIMA, BUNKYO
TOKYO 113-8549
Ti-6Al-7Nb clasp was clear when the tensile stress within JAPAN
the clasp exceeded its yield strength. FAX: 181-3-5803-584
E-MAIL: wakabayashi.rpro@tmd.ac.jp
REFERENCES
0022-3913/$30.00
1. Wang TJ, Kobayashi E, Doi H, Yoneyama T. Castability of Ti-6Al-7Nb alloy Copyright Ó 2005 by The Editorial Council of The Journal of Prosthetic
for dental casting. J Med Dent Sci 1999;46:13-9. Dentistry.
2. Watanabe K, Miyakawa O, Takada Y, Okuno O, Okabe T. Casting behav-
ior of titanium alloy in a centrifugal casting machine. Biomaterials 2003;
24:1737-43. doi:10.1016/j.prosdent.2004.11.011