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The mechanical behavior of orthodontics closing loops, with three different wire materials (stainless steel,
cobalt-chromium and titanium-molybdenum) and with different cross-sections and a double delta design,
was studied in tension tests. The springs were stress-relieved, except the titanium-molybdenum wires.
There were 72 sample springs, divided into 33 stainless steel, 26 cobalt-chromium and 13 titanium-
molybdenum, activated at 0.5 mm intervals, from neutral position to 3.0 mm. It was hypothesized that
loads, after spring activation, and spring rate, are dependent on cross-section, wire material, and
activation. The analysis of variance and the Tukey-Kramer test were applied to verify the differences
between all coupled averages of the loads. Regression analysis was also used to verify if closing loops
behavior was in accordance with Hooke’s law and to obtain the spring rate. The results show that the loads
are dependent on activation, cross-section, and wire material. Titanium-molybdenum 0.017 × 0.025 inch
(Ormco) springs showed the smallest loads and the best spring rate. (β = 84.9 g/mm) (Am J Orthod
Dentofacial Orthop 1999;115:275-82)
T he segmented arch technique has been was the need to compare them to the alloys already in
recognized for achieving a more efficient force system, use by checking their mechanical properties. Spring
increasing the distance between points of force appli- rate (load-deflection rate) is a very important mechan-
cation, which lowers the load-deflection rate.1-5 In ical property when it comes to the study of springs
addition, the segmented arches might include prefabri- because it allows the orthodontist to choose the ones
cated and precalibrated springs,5,6 which provide more that deliver low loads per millimeter of deactivation.
precision concerning the force magnitude and Springs with a low load-deflection rate deliver more
moments. In this way, a more efficient and controlled constant forces over the periodontal membrane during
dental movement can be achieved. unloading.2,5,6
The sectional springs can be used to retract canine The purpose of this study is to determine the resul-
teeth5-7 as well as to take part in a segmented arch5 to tant loads after successive activations and the spring
retract the anterior segment, the posterior segment, or rate of double delta closing loops of different wire
both at the same time, depending on the treatment plan materials and cross-sections through tension tests, and
(alpha and beta moments and loop position will deter- to check whether there was any statistical difference
mine the type of tooth movement). among the spring groups studied. It was hypothesized
Studies have been made with the aim of learning the that resultant loads after spring activation and spring
force levels,7-9 and, currently, different spring designs rates are dependent on cross-section, wire material, and
are used that take into consideration several aspects activation.
such as vertical forces, horizontal forces and the alpha
and beta moments.5,6 MATERIAL AND METHODS
With the creation of new alloys in orthodontics, Material
such as nickel-titanium and beta-titanium,3,10,11 there The sample consisted of 72 springs with a loop
design of double delta (Fig 1) as used by Ricketts9 in
This study was supported by CDTN-CNEN and Pontificia Universidade Católi- continuous arches. The springs were fabricated with
ca de Minas Gerais, Belo Horizonte-Brasil. An abbreviated form of a disserta- three different wire materials (stainless steel, cobalt-
tion submitted to the Centro de Odontologia e Pesquisa-Pontifícia Universidade chromium and titanium-molybdenum) and different
Católica de Minas Gerais. Belo Horizonte-Brasil.
aIn private practice. cross-sections as shown in Table I. The springs were
Reprint requests to: Marcelo do Amaral Ferreira, 1183 Pref. Omar Sabbag Ave., built by the same operator, over a template, and their
Jardim Botânico-Zip Code: 80.210.000, Curitiba, Paraná-Brasil; E-mail, angles were rounded to reduce residual stress and to
marcelo.ferreira@avalon.sul.com.br
Copyright © 1999 by the American Association of Orthodontists. avoid fracture. Titanium-molybdenum alloys cannot
0889-5406/99/$8.00 + 0 8/1/91525 stand bends over sharp radius. Bends were made on
275
276 Ferreira American Journal of Orthodontics and Dentofacial Orthopedics
March 1999
Co-Cr 0.016 × 0.022 0.5 112.6 9.4 8.4 111 102 127
inch (RMO) 1.0 203.1 15.5 7.6 200 186 229
1.5 301.3 26.3 8.7 304 267 339
2.0 398.5 38.1 9.5 395 353 454
2.5 501.5 50.3 10.0 494 440 573
3.0 605.1 61.6 10.1 602 531 692
Co-cr 0.016 ×0.016 0.5 75.8 16.2 21.3 77 50 104
inch (RMO) 1.0 145.1 21.7 14.9 144 112 179
1.5 219.6 26.9 12.2 221 171 259
2.0 297.8 32.4 10.8 303 228 348
2.5 376.9 38.5 10.2 382 288 436
3.0 456.1 47.6 10.4 458 352 528
and activation) were statistically relevant, explaining The difference between stainless steel and cobalt-
by these means the variance of the stored loads of the chromium was 124 g, whereas the difference between
springs. After the regression adjustment, the confi- stainless steel and titanium-molybdenum reached 231
dence interval was built for the spring rate on the con- g. Finally, the difference between cobalt-chromium and
fidence level of 95%. titanium-molybdenum was 107 g (Table VI).
Table VI. Wire material, arithmetic average of total load, Table VII. Wire material and cross-section (spring groups)
difference between averages, and critical difference (5%) Wire material and Arithmetic
Arithmetic Difference cross-section (inch) average of total
average between Critical (spring groups) load (g)
Wire of total averages difference
material load (g) Comparison (g) (5%) Stainless steel (3M/Unitek) (A1) 480.1
0.019 × 0.025 (A1)
Stainless 431 A×C 124 8.62* Stainless steel (Morest) (A2) 449.5
steel (A) 0.019 × 0.025 (A2)
Cobalt- 308 A×T 231 10.76* Stainless steel (3M/Unitek) (A3) 442.2
chromium (C) 0.018 × 0.025 (A3)
TMA (T) 200 C×T 107 11.17* Stainless steel (Morest) (A4) 431.7
0.018 × 0.025 (A4)
*Statistical significant difference by Tukey-Kramer test (5%).
Stainless steel (3M/Unitek) (A5) 349.5
0.017 × 0.022 (A5)
Cobalt-chromium (RMO) (C1) 353.7
um-molybdenum 0.019 × 0.025 inch (Ormco), which did 0.016 × 0.022 (C1)
not show significant difference. Cobalt-chromium (RMO) (C2) 261.9
• The smallest total average load was shown for the titani- 0.016 × 0.016 (C2)
um-molybdenum 0.017 × 0.025 inch (Ormco). Tables VII TMA (Ormco) (T1) 249.6
and VIII show the results. 0.019 × 0.025 (T1)
TMA (Ormco) (T2) 149.4
Activation—Effect on Load 0.017 × 0.025 (T2)
Table VIII. Comparison, difference between arithmetic Table IX. Activation and total arithmetic average (g)
average, and critical difference (5%) Activation (mm) Total arithmetic average (g)
Difference between Critical
Comparison arithmetic average (g) difference (5%) 3.0 (D) 585.2
2.5 (E) 484.7
A1 × A2 30.69 24.26* 2.0 (F) 385.3
A1 × A4 37.96 24.26* 1.5 (G) 287.5
A1 × A3 48.46 24.26* 1.0 (H) 194.7
A1 × C1 126.47 22.98* 0.5 (I) 105.8
A1 × A5 130.61 25.17*
A1 × C2 218.26 20.70*
A1 × T1 230.55 24.26* Table X. Comparison and average difference (5%)
A1 × T2 330.72 25.17*
A2 × A4 7.26 23.30 Comparison Average differences (5%)
A2 × A3 17.76 23.30
A2 × C1 95.78 21.97* D×E 100.47*
A2 × A5 99.92 24.26* D×F 199.89*
A2 × T1 199.86 23.30* D×G 279.69*
A2 × T2 300.03 24.26* D×H 390.49*
A3 × C1 78.02 21.97* D×I 479.40*
A3 × A5 82.15 24.26* E×F 99.42*
A3 × C2 169.81 19.58* E×G 197.22*
A3 × T1 182.10 23.30* E×H 290.01*
A3 × T2 282.27 24.26* E×I 378.93*
A4 × A3 10.50 23.30 F×G 97.81*
A4 × C1 88.52 21.97* F×H 190.60*
A4 × A5 92.65 24.26* F×I 279.51*
A4 × C2 180.31 19.58* G×H 92.79*
A4 × T1 192.60 23.30* G×I 181.71*
A4 × T2 292.77 24.26* H×I 88.92*
C1 × A5 4.14 22.98 *Statistical significant difference by Tukey-Kramer test (5%).
C1 × C2 91.79 17.97*
C1 × T1 104.08 21.97*
C1 × T2 204.25 22.98*
properties,2,6 and also by making use of nomograms14
A5 × C2 87.65 20.70*
A5 × T1 99.94 24.26* and equations comparing elastic properties rate.15,16
A5 × T2 200.11 25.17* The present study proposes to compare orthodontic
C2 × T1 12.29 19.58 retraction springs with the same design (double delta
C2 × T2 112.46 20.70* loop), different cross-sections, and different wire mate-
T1 × T2 100.17 24.26*
rials, to determine the spring rate and the achieved
*Statistical significant difference by Tukey-Kramer test (5%). average load in different activations.
It is advisable that cobalt-chromium wires undergo
heating treatment at 482oC from 7 to 12 minutes in a
The stainless steel group of springs 0.019 × 0.025 heat-treating unit, RMO adapting cables, a dental fur-
inch (3M/Unitek) has shown a higher estimated value nace, a match or blush flame, until the alloy reaches an
(β = 275.9 g/mm). That means that about 275.9 g/mm orange color.17 In this work, an uncommon but effi-
are stored on each millimeter of activation or converse- cient type of heating treatment was used. Cobalt-
ly 275.9 g/mm are released for every millimeter of chromium and stainless steel springs have reached sat-
deactivation. The smallest spring rate (β = 84.9 g/mm) isfactory elastic behavior (Fig 5).
was found in the titanium-molybdenum 0.017 × 0.025 Although the present study has not considered the
inch (Ormco) spring group. An intermediate value was vertical forces and the effects of the alpha-beta
found in the cobalt-chromium group of springs. The moments, it is possible to have an idea of the influence
results are summarized in Table XI. of the cross-section and the wire material over the
achieved loads in the horizontal forces.
DISCUSSION The cross-section, wire material, and activation are
Because new alternatives in alloys are available in very important variables related to the resultant average
the market, it is important to consider a precise criteri- loads after the activations. Even though this investiga-
on to choose such alloys for clinical use. Some authors tion only considers springs having the same design, this
have studied these alloys through their mechanical is an essential factor in relation to spring choice.2,5,6,18
American Journal of Orthodontics and Dentofacial Orthopedics Ferreira 281
Volume 115, Number 3
Table XI. Spring rate, standard error, inferior limit, superior limit, and confidence interval (95%)
Spring groups Spring rate Standard Inferior Superior
(inch) (g/mm) error limit (g) limit (g) R2
According to Burstone et al,2 several factors might chromium and stainless steel have similar stiffness. In
influence the spring design, such as the mechanical the present study, it was found that cobalt-chromium
properties of the spring alloy, cross-section, and linear with 0.016 × 0.022 inch (RMO) presented 203 g when
configuration. activated 1.0 mm and a spring rate of 201.1 g/mm.
The optimal force levels have been extensively stud- Comparing these different wire material springs, it can
ied in order to obtain an efficient dental movement that be concluded that Gjessing’s spring design would rep-
is fast and with a minimum of tissue damage and dis- resent a better choice for releasing a lower rate decay.
comfort. Smith and Storey7 found optimal forces vary- Leão18 studied the behavior of several spring
ing from 150 to 200 g during the translation of canines, designs in tension tests, all in stainless steel material
while Reitan8 says that the amount of force applied with 0.019 × 0.026 inch and 0.019 × 0.025 inch cross-
depends on the kind of movement required; in this way, sections, with and without heat treatment. In his study,
a force of 250 g would be required for bodily movement, it was found that at 1.0 mm activation, the heat treated
but for extrusion movements 25 g would be enough. 0.019 × 0.025 inch (3/M Unitek) with the T designed
Neto et al19 tested stainless steel 0.019 × 0.025 inch springs presented 405 g, with reversal loop 606 g, with
springs (American Orthodontics) with a tear drop loop helicoidal loop 893.6 g, and with tear drop loop 963.1
design and found that 80% of the springs has a load of g. The performances of the 0.019 × 0.025 inch
1.000 g when submitted to activation of 1.25 mm. The (3M/Unitek) and 0.019 × 0.025 inch (Morest), report-
spring rate was 800 g/mm. In the current study, the ed in the present investigation, show a smaller average
stainless steel springs with the same cross-sections load (266 g and 253 g, respectively) when submitted to
(0.019 × 0.025 inch), showed smaller loads when acti- activation at 1.0 mm.
vated at 1.5 mm, 379.5 g (Morest) and 403 g Ricketts9 advises that sectional springs cobalt-
(3M/Unitek), and a spring rate of 257.5 g/mm and chromium 0.016 × 0.016 inch (RMO) should produce
275.9 g/mm, respectively. The loop design certainly 100 to 150 g when activated 2 to 3 mm.
has some influence in the resultant loads. Bench et al20 verifying cobalt-chromium 0.016 ×
Gjessing6 developed a spring in stainless steel 0.016 inch (RMO) springs on a double vertical helical
0.016 × 0.022 inch (RMO) with a designed ovoid dou- closing loop design, 60 mm long, found that 2 to 3 mm
ble helix loop showing 160 g when the double helix are of activation are necessary to get a load of 100 to 150 g.
separated 1 mm. The spring rate was 45 g/mm. The The spring rate was 75 g/mm.
present study did not test the behavior of the stainless In the current study, the cobalt-chromium 0.016 ×
steel springs with cross-section studied by Gjessing.6 0.016 inch (RMO) springs had average loads of 297.8
However, cobalt-chromium with 0.016 × 0.022 inch g and 456.1 g when activated at 2 to 3 mm, respective-
(RMO) were tested. According to Thurow,13 cobalt- ly. The spring rate was 150.5 g/mm; therefore, the
282 Ferreira American Journal of Orthodontics and Dentofacial Orthopedics
March 1999
design tested by Bench et al20 would be chosen because 2. The stainless steel 0.019 × 0.025 inch (3M/Unitek)
of its superior spring rate. springs showed a higher average load for each tested
Burstone2,6,10 carefully investigated titanium- 0.5 mm activation and the highest spring rate as well.
molybdenum (Ormco) springs. In 1982, the author 3. The stainless steel 0.017 × 0.022 inch (3M/Unitek) and
cobalt-chromium 0.016 × 0.022 inch (RMO) springs did
tried a composite TMA 0.018-0.017 × 0.025 inch
not show any significant difference between each other.
(Ormco) retraction spring with a T loop design (the
4. The cobalt-chromium 0.016 × 0.016 inch (RMO) and
round cross-section is attached to an active member titanium-molybdenum 0.019 × 0.025 inch (Ormco)
and the rectangular to the anchorage member) achiev- springs did not show any significant difference between
ing an excellent spring rate of 33 g/mm. By activating each other.
the spring at 6 mm, just 201 g was stored. Later, in 5. The stainless steel 0.018 × 0.025 inch (3M/Unitek),
1995, the author investigated titanium-molybdenum 0.018 × 0.025 (Morest) and 0.019 × 0.025 inch (Mor-
0.017 × 0.025 inch (Ormco) springs, 17 mm long, with est) springs did not show any significant difference be-
a T loop design. The T centered loop springs stored tween each other.
173.1 g when activated 3.0 mm and a spring rate of 6. The spring rate is dependent on wire material, cross-
approximately 55 g/mm. In the present study, the tita- section, and spring design.
nium-molybdenum 0.017 × 0.025 inch (Ormco) REFERENCES
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1. The titanium-molybdenum 0.017 × 0.025 inch (Ormco) laboratório.Tése. Rio de Janeiro: UFRJ, 1992. (Tese de mestrado).
19. Neto SP, Mucha JN, Chevitarese O. Mola de fechamento de espaços em ortodontia em
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