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Mechanical effects of third-order movement


in self-ligated brackets by the measurement
of torque expression
Thomas W. Major,a Jason P. Carey,b David S. Nobes,c Giseon Heo,d and Paul W. Majore
Edmonton, Alberta, Canada

Introduction: Axial rotation of orthodontic wire produces buccal or lingual root movement and is often referred to
as third-order movement or “torque expression.” The objective of this study was to quantify torque expression in
3 self-ligation bracket systems (Damon Q, Ormco, Orange, Calif; In-Ovation R, GAC, Bohemia, NY; and Speed,
Strite Industries, Cambridge, Ontario, Canada) during loading and unloading. Methods: A stepper motor was
used to rotate a wire in a fixed bracket slot from –15 to 63 in 3 increments, and then back to –15 . The bracket
was mounted on top of a load cell that measured forces and moments in all directions. Results: Damon’s and
In-Ovation’s maximum average torque values at 63 were 105 and 113 Nmm, respectively. Many Speed
brackets experienced premature loss of torque between 48 and 63 , and the average maximum was 82
Nmm at 54 . The torque plays for Damon, In-Ovation, and Speed were 11.3 , 11.9 , and 10.8 , respectively.
Conclusions: Generally, In-Ovation expressed the most torque at a given angle of twist, followed by Damon
and then Speed. However, there was no significant difference between brackets below 34 Nmm of torque.
From a clinical perspective, the torque plays between brackets were virtually indistinguishable. (Am J Orthod
Dentofacial Orthop 2011;139:e31-e44)

E
dgewise orthodontic treatment involves rectan- Torque expression is a function of wire properties,
gular wires placed into rectangular bracket slots. bracket slot dimension and bracket design, archwire
Axial rotation of the orthodontic wire in the dimension, and degrees of wire twist relative to the
bracket creates a force couple that produces buccal or bracket slot.1-8 The angle in degrees that the wire is
lingual root movement relative to the tooth crown.1 In twisted is called the “angle of twist” or the “torque
the orthodontic literature, this type of tooth movement angle.” The “zero position” is the position defined as
is often called “root torque” or third-order movement. having an angle of 0 where the wire must twist an
Also, the terms “torque” and “torque expression” refer equal angle in the positive and negative directions to
to the physical moment generated in the bracket in engage the bracket slot walls. The term “torque play”
newton millimeters (Nmm). is the angle at which the wire just engages the slot,
meaning that the “torque play region” is the range of
From the University of Alberta, Edmonton, Alberta, Canada. angles at which there is approximately no torque
a
Research associate, Department of Mechanical Engineering, Faculty of
Engineering. expression. This is also called the “engagement angle.”
b
Associate professor, Department of Mechanical Engineering, Faculty of Torque expression is also influenced by the ligation
Engineering.
c
method.9 In passive ligation, the wire is free to rotate
Assistant professor, Department of Mechanical Engineering, Faculty of
Engineering. in the slot until the edges of the rectangular wire contact
d
Assistant professor, Orthodontic Graduate Program, Department of Dentistry, the sides of the bracket slot. As the wire is twisted to the
Faculty of Medicine and Dentistry. limit of the torque play region, a force couple is gener-
e
Professor, and program director, Orthodontic Graduate Program, Department of
Dentistry, Faculty of Medicine and Dentistry. ated. In active ligation, the wire is pressed against the
The authors report no commercial, proprietary, or financial interest in the prod- base of the slot. The interaction of the active ligation
ucts or companies described in this article. method (wire, ligature, or active bracket door) creates
Reprint request to: Paul W. Major, Room 4051, Dentistry/Pharmacy Centre, Fac-
ulty of Medicine and Dentistry, University of Alberta, Edmonton, Alberta, Canada a second force couple. In the case of self-ligation
T6G 2N8; e-mail, major@ualberta.ca. brackets where a clip presses against the wire, the force
Submitted, December 2009; revised and accepted, April 2010. can act on the edge of the wire and alter the zero
0889-5406/$36.00
Copyright Ó 2011 by the American Association of Orthodontists. position. As the wire rotates, the interaction of the clip
doi:10.1016/j.ajodo.2010.04.029 against the wire might contribute to torque expression.
e31
e32 Major et al

Previous studies have evaluated torque expression


and torque play for a variety of bracket and wire types.3,9
Some authors have acknowledged the potential role of
bracket deformation, but to date the effects of wire or
bracket elastic and plastic deformations have not been
quantified.2,4,10 Elastic deformation is a nonpermanent
deformation. Plastic deformation occurs under higher
loads than elastic deformation and is permanent. To
date, no published studies have evaluated both the
loading and unloading torque values associated with
archwire twist and return to zero position.
The objective of this study was to quantify torque
expression in 3 self-ligation bracket systems during
loading (“increasing angle”) and unloading (“decreasing
angle”). The loading and unloading curves will be used
to characterize the combined bracket and wire defor-
mations.

MATERIAL AND METHODS


The torque measurement device, previously used by
Badawi et al9 and modified for this study, is shown in
Figure 1. The key assemblies for measuring torque and
angle are the wire and motor assembly and the load Fig 1. Apparatus showing the bracket and load cell.
cell assembly. The modified load cell assembly consists
of 2 translational stages and 1 rotational stage (Thor-
labs, Newton, NJ), a 6-axis load cell (ATI Industrial Instruments, Austin, Tex) and logged with commercial
Automation Nano 17 Multi-Axis force/torque trans- software (LabWindows CVI, National Instruments). The
ducer, Apex, NC), and the bracket mount on which sits data are exported to a spreadsheet, and the transforma-
the orthodontic bracket. Through the mount, the load tion is applied so that the final data output of torque is at
cell measures forces and moments at the bracket slot. the slot center.
By using a FaroArm (FARO USA, Lake Mary, Fla) to de- The motor and wire assembly consists of 2 dies with
termine the location of the bracket slot in relation to rectangular slots that clamp tightly onto 0.019 3 0.025-
the designed load cell origin, a transformation is applied in stainless steel orthodontic wire (Ormco, Orange, Calif).
to the data so that the final data set of forces and The distance between the 2 fixing dies was 15 mm. The
moments are those at the slot of the bracket. By using entire wire assembly was rotated by a worm gear stepper
the left-hand rule for torque (T) direction, the transfor- motor (Cool Muscle CM1-C-11L30, Myostat Motion
mation equation is Control, Newmarket, Ontario, Canada). The stepper mo-
 tor was controlled by custom software, and the angle
Tx 5Tx 0  Fy0 3Dz 1ðFz0 3DyÞ
was accurately measured by using the motor’s internal
where the x direction is the parallel to the long axis of the control loop at any time.
wire and bracket slot, the z direction is vertical against After the wires were tightened into the dies, they were
the bracket base, and the y direction is perpendicular dropped into the bracket slot at the initially estimated
to both x and z, with the origin at the bracket slot center. zero position. By using the translation and rotation
X0 , y0 , and z0 are the equivalent coordinates, but with the stages, the forces were zeroed within 0.01 N in the y
origin located at the load cell. The measured distances and z directions by using the 2 translational stages,
between the load cell origin and the slot center, Dx, and the moments were zeroed to within 0.08 Nmm in
Dy, and Dz, are shown in Figure 2. The left-hand rule the z direction by using the rotational stage. Preload
is used for torque direction in the equation to match forces in the x direction cannot be easily controlled
the coordinate calibration output from the load cell. and reach a maximum of 0.3 N. However, the x-direction
The 3-dimensional Cartesian (x0 , y0 , and z0 ) force and forces have no direct impact on Tx, as can be seen in
moment data are collected through a data acquisition the equation. Preload torque in the y direction cannot
card (DAC 16-bit E series NI PCI-6033E, National be controlled, because it depends on the bracket

January 2011  Vol 139  Issue 1 American Journal of Orthodontics and Dentofacial Orthopedics
Major et al e33

Fig 2. Coordinate systems and origins of the load cell and bracket slot.

manufacturing tolerances and how the adhesive sets each angle. If the P value based on the Brown-Forsythe
between the bracket and the mounting cylinder. Since and Welch methods was greater than 0.05, all compari-
Ty does not appear in the equation, it is assumed to sons among the brackets at that angle were considered
have little impact on Tx. Because it is not possible to ac- to have no statistically significant difference. The post-
curately determine the zero position, the wire is rotated hoc multiple comparisons were performed at the angles
into the starting position, –15 from the estimated zero where the statistical difference was detected from ANOVA
position, followed by a 78 rotation forward from this at the significance level of 0.05. There were 5 post-hoc
position to a maximum of 63 and then returned to tests to make pairwise comparisons among 3 types of
the starting position. Force and moment data are logged brackets, and the significance level was determined as
every 3 during the tests; data are thus collected 0.05/5 5 0.01. That is, comparisons with P values less
between –15 and 63 . than 0.01 were considered statistically significant.
Three types of 0.022-in slot self-ligating brackets were
used: Damon Q (Ormco), In-Ovation-R (GAC, Bohemia,
NY), and Speed (Strite Industries, Cambridge, Ontario, RESULTS
Canada). The sample size was determined from previous Torque vs wire twist angles for the Damon, In-
data published by Badawi et al9 to be 30 for each bracket Ovation R, and Speed brackets are shown in Figure 3.
type. The brackets were numbered and randomly tested. Each experiment started at –15 on the line labeled “in-
A new section of wire was used for each test. creasing angle.” At each 3 increment, a new data point
In this article, we report standard deviations and use was taken as the angle was increased. At 63 , the angle
descriptive statistics in the discussion. The use of these reached a maximum and then was decreased, with tor-
statistics is supported by testing the data for normality que measurements taken every 3 . The line of decreasing
with the Kolmogorov-Smirnov test. To determine angle, which for all 3 brackets had a lower torque than
whether there was a statistically significant difference be- the increasing line, also took points every 3 from 63
tween brackets, a statistical package (version 17.0, SPSS, to –15 . The error bars represent 6 1 SD (68% CI). The
Chicago, Ill) was used to carry out analysis of variance shape of the curves was similar between Damon (Fig 3,
(ANOVA). Since the equal variance assumption for a) and In-Ovation R (Fig 3, b). The average torque
ANOVA was violated, the test statistics were obtained expression for Speed brackets reached a plateau at ap-
by using the Brown-Forsythe and Welch methods at proximately 50 of positive wire twist and then declined.

American Journal of Orthodontics and Dentofacial Orthopedics January 2011  Vol 139  Issue 1
e34 Major et al

120

100
Torque (Nmm) 80

60
40
20
0
-20 -10 0 10 20 30 40 50 60 70
-20
-40

-60
Angle (Degrees)
Increasing Angle Decreasing Angle

(a)
120
100

80
Torque (Nmm)

60

40
20
0
-20 -10 0 10 20 30 40 50 60 70
-20
-40
-60
Angle (Degrees)
Increasing Angle Decreasing Angle

(b)
120
100
80
Torque (Nmm)

60
40
20
0
-20 -10 0 10 20 30 40 50 60 70
-20
-40
-60
Angle (Degrees)
Increasing Angle Decreasing Angle

(c)

Fig 3. Torque expression vs angle of wire twist with 1 SD error bars for (a), Damon Q; (b), In-Ovation R;
and (c), Speed.

A number of Speed (Fig 3, c) brackets (16 of 30) increased substantially in Figure 3, (c), at a torquing
reached maximum torque before 63 , usually followed angle of 48 to 63 . Figure 5 shows the Speed torque
within a few degrees by a sudden loss of torque. expression for the 14 brackets that did not have a prema-
Figure 4 shows an example of this phenomenon for 1 ture torque peak and, presumably, whose bracket doors
bracket. Table I shows the value of maximum torque did not open. Speed brackets that do not have a prema-
for each bracket that had a premature torque peak. ture maximum torque have similar torque curves as
This was the reason that the standard deviation Damon and In-Ovation R brackets. Unless otherwise

January 2011  Vol 139  Issue 1 American Journal of Orthodontics and Dentofacial Orthopedics
Major et al e35

90
80
Torque (Nmm) 70
60
50
40
30
20
10
0
-20 -10 -10 0 10 20 30 40 50 60 70

-20
Angle (Degrees)
Increasing Angle Decreasing Angle

Fig 4. An individual test on a Speed bracket that expressed a premature and sudden loss of torque.

from the initial Welch or Brown-Forsythe test were re-


Table I. Speed premature torque peaks
moved from the comparison graphs. The significant cut-
Torque off for the individual comparisons was P 5 0.01, and the
Bracket Angle peak line was again shown as a horizontal, with anything
number ( ) (Nmm)
above the line having no statistically significant mean
3 54 81.5
7 57 83.9 difference.
8 54 91.8 To determine torque play for each bracket type,
9 45 57.6 a line was fitted by using linear regression. The angle
11 57 92.3 of intersection of the line with the x-axis was calcu-
15 48 68.4
lated for both lines. Subtracting these intersection
18 48 69.2
19 51 78.4 points and dividing by 2 gave the calculated torque
20 48 78.7 play in degrees. For example, Figure 9, a, shows a fitted
21 51 81.4 line for selected points of the Speed bracket tests. The
22 48 80.6 intersections with the x-axis were calculated at –11.2
23 54 87.0
and 10.3 . The difference between these points divided
24 45 64.5
25 48 72.7 by 2 was 10.8 , which is the torque play for Speed.
28 60 88.2 Similarly, Figure 9, b and c, illustrates the torque
29 51 78.3 play, which for Damon can be calculated as 11.3
and for In-Ovation as 11.9 . The theoretical torque
play was calculated by using the formulas from Meling
indicated, the 14 Speed brackets with no premature et al5 as 7.2 , assuming a 0.022-in slot and an ideal-
torque peak were called “Speed-NTP,” and the full ized rectangular 0.019 3 0.025-in wire.
sample of 30 brackets was called simply “Speed.”
Figure 6 compares the averages of all 3 bracket types DISCUSSION
and includes both Speed and Speed-NTP. A complete This study was designed to evaluate torque expres-
listing of the numeric torque values and standard devi- sion during loading and unloading of third-order move-
ations for each bracket type is presented in Table II. ment (rotation of the wire in the bracket). Previous
Figure 7 shows the results from the Welch and published studies focused on the loading torque expres-
Brown-Forsythe statistical tests for increasing and de- sion and did not report the unloading torque expression.
creasing angles. The 0.05 statistically significant differ- In clinical practice, the wire is engaged into the bracket,
ence cutoff is shown by a horizontal line; anything and the unloading torque expression characteristics re-
above 0.05 indicates that the mean difference compari- sult in tooth movement. At the start of the experiment,
sons were not statistically significant. This was used as it was unknown whether the force moment would be
an initial screening of statistically relevant mean differ- zero when the wire was rotated back to the estimated
ences. Presented in Figure 8 are the individual compar- zero position. For this reason, the data are presented
isons between brackets for increasing and decreasing with start and end points of –15 from the estimated
angles. Any points that were not statistically significant zero position.

American Journal of Orthodontics and Dentofacial Orthopedics January 2011  Vol 139  Issue 1
e36 Major et al

120
100
Torque (Nmm) 80
60
40
20
0
-20 -10 0 10 20 30 40 50 60 70
-20
-40
-60
Angle (Degrees)
Increasing Angle Decreasing Angle

Fig 5. Torque vs angle of wire twist for the Speed data set with no premature torque peak.

120

100

80
Torque (Nmm)

60

40

20

0
-20 -10 0 10 20 30 40 50 60 70
-20

-40
Angle of Twist (Degrees)
Damon In-Ovation Speed Speed-NTP

Fig 6. Total torque vs angle of wire twist comparisons between all bracket types.

The magnitude of third-order movement used in this the manufacturing tolerances in wires and brackets. The
experiment exceeds what would be used for a 0.019 3 degree of variation in these factors has an especially
0.025-in stainless steel wire in clinical practice. The large impact on the torque expression while the wire is
magnitude of wire rotation was chosen to fully investi- strain hardening. The stainless steel wire yielded at ap-
gate the mechanical effects of third-order movement. proximately 3.2 radians in the study by Vena et al11;
Torque expression of approximately 100 Nmm was re- this corresponds to 0.29 radians or 17 with the sample
corded at 63 of wire rotation. Future research is needed length used in our study. Adding 11 on this for torque
to evaluate loading and unloading torque expression in play, the estimated angle of wire deformation was ap-
a clinically relevant range of third-order movement. proximately 28 . The difference between this and the
observed yield angle of 33 would be largely due to
Graph shape and standard deviations the bracket’s elastic deformation. After 39 , it could be
In-Ovation and Damon brackets both have a similar assumed that the wire has strain hardened enough that
shape and magnitude. Both show standard deviations its material characteristics are more predictable, and so
with a maximum between 33 and 39 . This corresponds the standard deviation decreases, even though torque
to 56.5 to 75.4 Nmm for Damon and 59.0 to 79.3 Nmm continues to increase. At angles above 40 , torque
for In-Ovation. It is possible that, at approximately 33 , does not maintain its linear trend with the angle of twist.
the wire begins to plastically yield and strain harden. This is due to the plastic deformation of the bracket, ad-
However, the predictability and nature of strain harden- ditional wire deformation, edge beveling, and many
ing depends on the initial wire alignment in the slot and other factors.

January 2011  Vol 139  Issue 1 American Journal of Orthodontics and Dentofacial Orthopedics
Major et al e37

Table II. Torque data (SD)


Torque (Nmm)

Angle ( ) Damon In-Ovation Speed Speed-NTP
15 6.5 (2.9) 7.7 (2.3) 9.1 (4.1) 8.4 (4.7)
12 0.9 (2.1) 1.3 (2.2) 1.9 (2.4) 1.5 (2.6)
9 1.5 (1.0) 1.6 (1.6) 2.5 (1.3) 2.6 (0.9)
6 0.7 (0.7) 1.2 (1.0) 2.3 (0.8) 2.2 (0.7)
3 0.3 (0.4) 0.0 (0.9) 0.8 (0.7) 0.7 (0.6)
0 0.2 (0.4) 0.2 (0.9) 0.2 (0.7) 0.1 (0.6)
3 0.2 (0.3) 0.4 (0.7) 0.0 (0.6) 0.2 (0.5)
6 0.2 (0.5) 1.4 (0.6) 0.6 (0.6) 0.4 (0.5)
9 0.8 (1.2) 1.9 (0.8) 1.5 (0.9) 1.1 (0.6)
12 4.6 (1.6) 3.8 (1.1) 4.4 (2.1) 3.6 (1.5)
15 9.6 (2.3) 8.0 (1.7) 9.7 (3.4) 8.5 (3.2)
18 16.7 (3.3) 15.7 (2.0) 16.6 (4.5) 15.0 (5.0)
21 24.2 (4.3) 24.1 (2.2) 23.3 (5.2) 21.6 (6.4)
24 33.4 (4.9) 33.8 (2.3) 31.2 (5.7) 29.7 (7.4)
27 41.9 (5.3) 42.8 (2.5) 38.2 (6.2) 37.1 (8.1)
30 50.1 (5.5) 51.7 (2.6) 44.9 (6.6) 44.3 (8.7)
33 56.5 (5.8) 59.0 (2.7) 49.8 (6.8) 49.5 (9.1)
36 64.9 (5.8) 68.3 (2.7) 56.7 (7.1) 57.0 (9.3)
39 75.4 (5.6) 79.3 (2.7) 65.6 (7.4) 66.8 (9.3)
42 81.5 (5.3) 86.3 (2.5) 70.4 (7.4) 72.3 (8.8)
45 86.9 (5.0) 92.7 (2.4) 74.7 (7.5) 77.4 (8.0)
48 92.3 (4.6) 98.9 (2.2) 79.4 (8.6) 83.4 (7.4)
51 95.5 (4.2) 102.8 (2.1) 81.4 (10.7) 87.5 (6.8)
54 98.3 (3.9) 106.0 (2.0) 81.5 (15.2) 91.5 (6.2)
57 100.5 (3.6) 108.5 (2.0) 79.6 (21.7) 95.0 (5.7)
60 103.1 (3.4) 111.1 (2.0) 73.3 (32.9) 99.1 (5.4)
63 104.5 (3.2) 112.7 (2.1) 59.6 (43.4) 101.5 (6.0)
63 102.8 (3.2) 111.0 (2.1) 58.7 (43.0) 100.4 (5.8)
60 91.0 (3.3) 99.1 (1.9) 49.1 (39.8) 87.7 (5.7)
57 78.7 (3.3) 86.7 (1.8) 38.8 (37.0) 74.9 (5.6)
54 67.6 (3.3) 75.1 (1.7) 31.2 (32.2) 63.0 (5.4)
51 57.2 (3.2) 64.2 (1.7) 25.6 (26.5) 51.9 (5.3)
48 47.7 (3.0) 53.8 (1.7) 20.8 (20.8) 41.6 (5.1)
45 38.5 (3.1) 43.7 (1.8) 16.7 (15.8) 32.5 (4.7)
42 30.3 (2.9) 34.7 (1.8) 13.2 (11.3) 24.4 (4.5)
39 23.3 (2.7) 26.5 (1.7) 10.1 (7.7) 17.4 (4.1)
36 14.5 (2.5) 16.78 (1.8) 5.8 (4.3) 9.4 (3.3)
33 8.4 (2.6) 9.3 (1.7) 3.9 (2.6) 5.4 (2.7)
30 6.7 (1.8) 6.5 (1.5) 5.9 (2.2) 7.0 (2.3)
27 2.8 (1.3) 2.0 (1.3) 5.1 (1.6) 5.4 (2.0)
24 1.0 (1.1) 1.0 (1.2) 4.8 (1.6) 4.8 (2.1)
21 0.3 (0.7) 0.1 (1.2) 3.7 (1.5) 3.6 (2.0)
18 0.0 (0.5) 0.6 (1.3) 3.5 (1.6) 3.1 (2.1)
15 0.1 (0.4) 1.1 (1.3) 2.8 (1.6) 2.2 (2.0)
12 0.1 (0.3) 1.0 (1.4) 2.6 (1.7) 2.3 (2.2)
9 0.1 (0.4) 1.6 (1.6) 1.9 (1.7) 1.8 (2.2)
6 0.3 (0.7) 0.6 (1.5) 1.9 (1.7) 2.1 (2.2)
3 1.2 (0.8) 0.1 (1.5) 2.3 (1.6) 2.3 (2.3)
0 0.5 (1.5) 0.4 (2.2) 3.2 (1.5) 3.2 (2.1)
3 5.1 (2.8) 6.1 (2.5) 3.1 (1.5) 2.8 (2.1)
6 11.4 (3.7) 13.0 (2.6) 2.8 (2.0) 2.1 (2.6)
9 18.6 (4.9) 20.9 (2.7) 0.4 (4.1) 1.8 (4.8)
12 26.5 (5.9) 29.5 (2.8) 5.6 (5.9) 8.8 (7.0)
15 34.3 (6.8) 37.8 (2.8) 13.6 (7.1) 16.9 (8.9)

American Journal of Orthodontics and Dentofacial Orthopedics January 2011  Vol 139  Issue 1
e38 Major et al

0.6

0.5

0.4

0.3 Welch
p-value

Brown-Forsyth

0.2 0.05 Significant Cut-off

0.1

0
-15 -5 5 15 25 35 45 55

-0.1
Angle (Degrees)

0.35

0.3

0.25

0.2

Welch
p-value

0.15 Brown-Forsyth
0.05 Significant Cut-off

0.1

0.05

0
-15 -5 5 15 25 35 45 55

-0.05
Angle (Degrees)

Fig 7. Welch and Brown-Forsythe significance of torque while the angle is increasing and while the
angle is decreasing.

When the angle is decreasing, the torque expression is play was between 0 and 24 , even though at 24 while
substantially less than when the angle is increasing, as the angle was increasing it expressed 33 to 34 Nmm of
seen in Figures 3 and 6. The permanent plastic torque in both the Damon and In-Ovation brackets. The
deformation of the wire into a new effective angle of wire produced negative torque in the brackets at all angles
twist accounts for most of the difference. The plastic below 0 while the angle was decreasing. At the final angle
deformation of the bracket, although probably not as of –15 , the decreasing angle data point was expressing
substantial as wire deformation due to the wire’s smaller –34 to –38 Nmm of torque in the Damon and In-
cross-sectional area, could additionally reduce the torque Ovation brackets, even though the first data point when
expression while the angle is decreasing. Since the wire the angle was increasing at –15 expressed only –6 to
was permanently twisted, the range of torque play was –8 Nmm. This is also explained by the wire’s permanent
also different. While the angle was decreasing, torque deformation into a different twist angle. Even though

January 2011  Vol 139  Issue 1 American Journal of Orthodontics and Dentofacial Orthopedics
Major et al e39

1.2
Damon - In-Ovation
Damon - Speed
1
Damon - SpeedNTP
In-Ovation - Speed
0.8
In-Ovation - SpeedNTP
0.01 Significance Cutoff
0.6
p-value

0.4

0.2

0
-15 -5 5 15 25 35 45 55

-0.2
Angle (Degrees)

1.200
Damon - In-Ovation
Damon - Speed
1.000 Damon - SpeedNTP
In-Ovation - Speed
In-Ovation - SpeedNTP
0.800
0.01 Significance Cutoff

0.600
p-value

0.400

0.200

0.000
-15 -5 5 15 25 35 45 55

-0.200
Angle (Degrees)

Fig 8. Significance comparison of torque expression between individual bracket types with (A),
increasing angle, and (B), decreasing angle.

the maximum angle of twist used in this experiment pro- due to a number of factors. Differences in slot shape
duced deformation far beyond clinical relevance, it would and overall bracket dimensions affect stress distributions
still be prudent for a clinician to be aware of the potential and the nature of engagement between the slot and
impacts and losses of torque expression when the wire or wire; these directly impact torque expression.10 There-
bracket is plastically deformed. fore, discrepancies between the manufacturing repeat-
On average, the standard deviation for Damon was ability of In-Ovation and Damon brackets could
1.4 times higher than that for In-Ovation. Damon’s account for part of the difference in standard deviations.
maximum standard deviation was 5.8 Nmm, and In- Also in the experimental procedure, all brackets were
Ovation’s was 2.7 Nmm; they were both in the same initially zeroed at a point estimated to be in the torque
range of angles of 33 to 36 while the angle was in- play region. Due to In-Ovation’s active ligation system,
creasing. The difference between the brackets could be there was high repeatability of the zero force-moment

American Journal of Orthodontics and Dentofacial Orthopedics January 2011  Vol 139  Issue 1
e40 Major et al

70

60

50

40
Torque (Nmm)

30

-11.2° 20
10.3°

10

0
-20 -10 0 10 20 30 40
-10

-20 Angle (Degrees)


(a)

70

60

50

40
Torque (Nmm)

30

20

10

0
-20 -10 0 10 20 30 40
-10

-20
Angle (degrees)
(b)

80

70

60

50
Torque (Nmm)

40

30

20

10

0
-20 -10 0 10 20 30 40
-10

-20 Angle (degrees)


(c)

January 2011  Vol 139  Issue 1 American Journal of Orthodontics and Dentofacial Orthopedics
Major et al e41

In-Ovation Damon

Active door puts


Passive door does not
a force on wire
put a force on wire

Since passive door


Wire will always
does not put load
go to this
on wire, it can have
location in the
a zero preload
slot due to the
while moving
active force from
anywhere in the
door
slot space.

Fig 10. In-Ovation and Damon preloading scenarios.

position. However, the Damon bracket is a passive liga- at higher temperatures, meaning that the door of the
tion system; therefore, the wire is free to move in the Speed brackets might react differently at typical mouth
bracket slot. The forces and moments can read zero temperatures.12,13 The door provides only a small force
even though the position of the wire in the bracket to the top of the wire. The actual torque expression
slot is not necessarily as repeatable. This concept is illus- comes almost entirely from the engagement between
trated in Figure 10. the wire and the slot walls. Therefore, since the door is
Since 16 of 30 samples of Speed brackets had prema- taking only a minimal part of the load, the door
ture loss of torque expression, the standard deviation material will have a small effect on torque expression,
between Speed tests rose substantially above 48 of especially at higher angles. The primary purpose of the
twist. Presumably, this was because the bracket door active door is to decrease torque play at lower angles.9
partially opens at the peak and then completely opens As for the effect this could have on the door opening
at the sudden drop. The standard deviations for the prematurely, this depends on the door-opening mecha-
full sample of 30 and for the smaller sample of 14 nism. If the bracket door opens as a direct result of the
were within approximately 20% of each other until deformation of the bracket wings, the door material is
48 . When the 14 brackets that did not have a torque irrelevant. Future studies are required with the Speed
peak were averaged, the torque vs angle graph had a sim- bracket at mouth temperature to see whether this has
ilar shape as those of Damon and In-Ovation. However, an impact on its torque expression.
its standard deviations were on average 1.8 times those Badawi et al9 measured the torque expression of 2
of Damon and 2.2 times those of In-Ovation. Consider- active ligation and 2 passive ligation brackets from
ing the higher standard deviation and lower torque ex- 0 to 57 with increasing angles. Included in that study
pression of the Speed and Speed-NTP brackets were the measurements of the same models of Speed
through all angles, it could be assumed that these and In-Ovation R brackets as we used, as well as an older
brackets are made of lower modulus of elasticity mate- model of Damon brackets. Badawi et al9 reported the
rial, or their design lends itself more easily to plastic standard deviations at 12 , 24 , 36 , and 48 . The Da-
deformation. mon and In-Ovation brackets they used had standard
All experiments were carried out at room tempera- deviations 2 to 8 times larger than in our study. Speed’s
ture. Nickel-titanium has a higher modulus of elasticity standard deviations from their study were comparable

=
Fig 9. Torque play calculations for (a), Speed; (b), Damon Q; and (c), In-Ovation R.

American Journal of Orthodontics and Dentofacial Orthopedics January 2011  Vol 139  Issue 1
e42 Major et al

with the Speed standard deviations in our experiment at Speed-NTP 90% of In-Ovation’s torque. Also at this
12 , 24 , and 36 , but, at 48 , the standard deviations angle, only 3% of Speed-NTP brackets expressed more
were 33% worse than our Speed data (with 30 samples) torque than the average In-Ovation brackets, and only
and 20% worse than our Speed-NTP data. 29% expressed more torque than the average Damon
The improvements in standard deviations between bracket. Essentially, In-Ovation had the greatest torque
this study and that of Badawi et al9 could be partially expression, followed by Damon and then Speed and
accounted for by the recent addition of translation and Speed-NTP. But Speed and Speed-NTP had high
rotation stages to improve the pretorque zeroing proce- variability between brackets.
dure. In addition, Badawi et al did not indicate the The torque expression magnitudes of Speed brackets
method of measuring the 3-dimensional distance be- reported by Badawi et al9 were substantially different
tween the bracket and the load cell origin, and the sub- than presented here. At 36 , for example, the magnitude
sequent mathematical adjustment of torques from found by Badawi et al was 22 Nmm; in our experiment, it
internal forces over that distance. This would result in was 57 Nmm, a discrepancy of a factor of 2.6. The In-
substantially different magnitudes and also presumably Ovation and Damon comparisons between data collec-
contribute to the variations between the findings. We tions had a comparable discrepancy. These substantial
used the FaroArm to measure the distances and apply differences in magnitude were primarily because Badawi
the required mathematical translation to determine et al9 reported torque values at the load cell, and not at
and report the torque at the bracket. the bracket, as discussed above.
Morina et al4 also measured third-order torque ex-
Comparison of torque magnitudes pression in newton millimeters, but only at 20 . They
The Welch and Brown-Forsythe tests showed that the reported torque values of 7.8 and 8.0 Nmm and stan-
mean differences between data sets were generally not dard deviations of 7.6 and 8.4 Nmm for Damon2 and
as statistically significant at angles less than 25 than Speed brackets, respectively. In our experiment, the
between 25 and 63 while the angle was increasing. Damon Q and Speed brackets expressed 21.7 and
Therefore, up to approximately 40 Nmm of torque, all 21.1 Nmm of torque with standard deviations of 4.0
brackets statistically had no difference. Starting at 27 , and 5.0 Nmm, respectively. The data in our experiment
the P values for comparisons between Speed and other had lower standard deviations. However, the difference
brackets rapidly decreased, and this corresponded to in torque magnitudes was again a result of the point of
Speed’s expressing notably less torque. By 38 , all torque measurement. Morina et al measured torque at
brackets had statistically significant differences. The an estimated center of resistance 10 mm from the
comparison between Damon and Speed-NTP lost statis- bracket, whereas we measured the torque at the
tically relevant significance as the P values rose to 0.65, bracket slot.
largely due to the increasing standard deviations of the Huang et al14 generated a finite element model of
Speed-NTP brackets at higher angles of twist. This was Damon MX and Speed brackets in torque. At 20 of
likely because of the greater amount of plastic deforma- twist with 0.019 3 0.025-in stainless steel wire, they
tion in the Speed brackets. Because the cutoff P value for reported torque values of approximately 55 and 15
each test was largely arbitrary, the general trend was that Nmm for Damon MX and Speed, respectively. In our
the brackets did not have statistically significant differ- study, Damon Q and Speed had 21.7 and 21.1 Nmm,
ences below 25 of twist (approximately 35 Nmm). respectively, at 20 of twist (by interpolation). How-
Up to 33 , the magnitude of In-Ovation’s torque ex- ever, statistically, Damon Q and Speed were not differ-
pression was generally within 1 SD of Damon’s. From ent at this angle. Finite element models are sensitive to
33 to 63 , In-Ovation brackets had on average 7% boundary conditions, dimensions, material properties,
greater torque expression than Damon. When the angle and convergence methods. A small incorrect assump-
was decreasing, In-Ovation had 10% to 15% greater tion can lead to substantially different results com-
torque expression than Damon; this was probably the pared with what is physically observed. The model of
result of less plastic deformation to the In-Ovation Huang et al was the first of its kind, and, like most
bracket. Up to 24 , the torque expression of Speed- novel finite element models, experimental validation
NTP brackets was also within 10% of the magnitude and possibly further refinement are necessary to repre-
of In-Ovation and Damon. By using descriptive statistics, sent physical reality.
at 33 , only 15% of Speed-NTP brackets expressed more
torque than the average In-Ovation bracket, and 33% Torque play
expressed more torque than the average Damon bracket. The torque play of all 3 brackets was within 1.1 .
At 63 (maximum angle), Damon produced 93% and However, there were limitations in the methodology of

January 2011  Vol 139  Issue 1 American Journal of Orthodontics and Dentofacial Orthopedics
Major et al e43

calculating torque play. Points that are not part of the 0.025-in stainless steel wires in 0.022-in Ormco bracket
linear range were discarded from the line generated by slots, the theoretical torque play of Sebanc et al was be-
linear regression. This was particularly noticeable be- tween 6.8 and 6.9 , whereas their measured torque play
tween 6 and 12 with In-Ovation and Speed. In- was between 10.9 and 12.2 . In our experiment, the
Ovation used points in the 15 to 33 range to develop theoretical torque was 7.2 . The difference between
the line above 0 . However, In-Ovation produced 1 to these theoretical calculations was that Sebanc et al
4 Nmm of torque in a nonlinear pattern between 6 used measured wire and bracket slot widths, and we
and 12 , as can be seen in Figure 3, b. This could be con- used the nominal values. Our measured torque play
sidered the partially engaged range, where the wire was was 10.8 to 11.8 , within the range of the measure-
not fully engaging the slot, but, because of the forces on ments of Sebanc et al.
the actively ligating bracket door, the twist in the wire
was producing small magnitudes of torque. Although CONCLUSIONS
not as pronounced, Speed had a similar profile with
The purposes of this experiment were to investigate
a nonlinear torque region. At mouth temperatures, the
the mechanical effects of third-order torque among 3
Speed door would apply more force to the wire in the
bracket types and determine torque magnitudes over
partially engaged region and likely have a nonlinear
a range of angles and torque play. We concluded the fol-
range from 6 to 12 , which is similar to In-Ovation’s.
lowing.
The door mechanism for both Speed and In-Ovation is
active on just 1 side of the brackets; this might partially 1. The collected torque expression data of the different
explain the nonlinear behavior. Damon is a passively brackets provided a clear graphic visualization of
ligating door and appeared to immediately jump from a zero torque region, followed by linearly increasing
zero torque in the torque play region to a linearly in- torque and nonlinearly increasing torque at angles
creasing torque. Therefore, considering the calculation greater than 40 . Respectively, these presumably
procedure, the reported torque play for Damon is likely correspond to a region of torque play, a region of
the most accurate of the 3 brackets. linear elastic deformation of the wire, and, above
Clinically significant minimum torque is often con- 40 , a region of plastic deformation of the wire or
sidered in the literature to be 5 Nmm.15 An argument bracket. When the angle was decreased from the
could be made that the partially engaged range should maximum, the magnitude for all brackets was sub-
be ignored, since it is not clinically significant torque. stantially less, primarily due to the plastic deforma-
Solving the linear equations in Figure 9, the angles at tion of the wire. Speed brackets presumably had the
which the bracket is 5 Nmm for Damon, In-Ovation, bracket door partially or completely opening in 16
and Speed, respectively, were 13.0 , 14.1 , and 12.6 . of 30 samples, resulting in a substantial loss of tor-
These are all within 1.5 of each other; from a clinical que at high angles of twist.
perspective, this is unnoticeable. Therefore, it could be 2. At angles of twist 24 and less, corresponding to 34
concluded that the torque play values for all 3 brackets Nmm and less, all 3 brackets exhibited similar tor-
are essentially the same. que magnitudes with no statistically relevant differ-
The theoretically calculated torque play was 7.2 . The ence. At higher angles, In-Ovation had the greatest
actual torque play was 10.8 to 11.9 for all tested torque expression, followed by Damon and then
bracket types. This difference could be the result of sev- Speed. Speed’s torque standard deviations were on
eral factors, including rounding at the corners of the average 1.8 and 2.2 times those of Damon and In-
wires and differences between nominal and actual Ovation, respectively. This indicates that Speed has
wire-slot dimensions.2,3,10 greater variations in torque expression from 1
The measurements of torque play by Badawi et al9 bracket to another.
were between 7 and 15 , whereas in our experiment 3. The brackets had torque play values of 11.3 , 10.8 , and
they were between 10.8 and 11.9 for all brackets. Ba- 11.9 for Damon, Speed, and In-Ovation, respectively.
dawi et al measured torque play by reading off the graph. From a clinical perspective, these differences are
However, in our study, it was calculated by using lines nearly indistinguishable.
generated by linear regression. This, in addition to the
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January 2011  Vol 139  Issue 1 American Journal of Orthodontics and Dentofacial Orthopedics

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