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SCANNING VOL.

37, 414–421 (2015)


© Wiley Periodicals, Inc.

Surface Ultrastructure and Mechanical Properties of Three Different


White-Coated NiTi Archwires
SEONG-HEE RYU,1 BYUNG-SUH LIM,1 EUN JOO KWAK,1 GI-JA LEE,2 SAMJIN CHOI,2 AND KI-HO PARK1
1
Department of Orthodontics, College of Dentistry, Kyung Hee University, Seoul, Korea
2
Department of Biomedical Engineering, College of Medicine, Kyung Hee , University, Seoul, Korea

Summary: The recent trend in orthodontic treatment is surface roughness of superelastic NiTi archwires were
to apply esthetic materials to orthodontic appliances with affected directly by the coating materials. Although the
adequate clinical performance. The aim of this study was efficiency of orthodontic treatment was affected by
to investigate the ultrastructure (surface roughness) and various factors, when only considering the frictional
mechanical properties (load-deflection curve) of three as- force and mechanostructural properties, the epoxy resin-
received, white-coated superelastic nickel-titanium (NiTi) coated Orthoforce UltraestheticTM archwires were the
archwires using atomic force microscopy (AFM) and most effective for orthodontic treatment. SCANNING
modified three-point bending test assessments, respec- 37:414–421, 2015. © 2015 Wiley Periodicals, Inc.
tively. Three representative esthetic NiTi archwires were
used, silver-platinum- and polymer-coated NiTi Natural Key words: white coating, nickel-titanium archwires,
Dany (Dany group), epoxy resin-coated Orthoforce load-deflection property, surface roughness
UltraestheticTM (Ultra group), and Teflon1-coated Per-
fect (Perfect group). Uncoated metallic areas of each wire
were used as controls. The diameter of the Perfect Introduction
archwire was significantly larger than that of other
archwires. The Dany and Ultra groups showed more Recent trends in orthodontic treatment have empha-
deflection than the Perfect group. The hysteresis area of sized materials with acceptable esthetics for patients and
the Dany and Ultra groups showed approximately two- adequate clinical performance for clinicians (Elayyan
and fourfold increases compared to the control and the et al., 2010), particularly for two representative fixed
Perfect group. The Dany group (2037.5  527.3 nm) had orthodontic materials, brackets and archwires. For
the highest peak-to-peak surface roughness in the coated brackets, composite and ceramic materials have been
areas, followed by the Ultra group (811.1  407.5 nm) and introduced (Russell, 2005) and metal-insert ceramic
the Perfect group (362.7  195.8 nm). However, reverse brackets were developed to produce less frictional force
nanostructural changes in the surface roughness were compared to conventional uncoated archwires (Dickson
observed in the uncoated metallic areas. The results and Jones, ’96; Cacciafesta et al., 2003). In the archwires,
suggested that the load-deflection properties and the three types of esthetic materials were introduced (Alavi
and Hosseini, 2012); the esthetically transparent non-
metallic orthodontic wire Optiflex1, fiber-reinforced
Contract grant sponsor: Ministry of Health & Welfare, Republic of
Korea; Contract grant number: HI14C2241.
polymer archwire, and Teflon1 and epoxy resin coated
Conflict of interest: The authors have no competing interests to archwires. Although Optiflex1 (Ormco Co., Glendora,
declare. CA) is coated with a silica core, silicone resin in the

Address for reprints: Samjin Choi, Department of Biomedical middle layer, and stain-resistant nylon in the outer layer,
Engineering, College of Medicine, Kyung Hee University, 26, Kyun- it did not show desirable mechanical properties (Talass,
gheedae-ro, Dongdaemun-gu, Seoul 130-701, Republic of Korea
E-mail: medchoi@khu.ac.kr
’92; Lim et al., ’94). A fiber-reinforced polymer archwire

Address for reprints: Ki-Ho Park, Department of Orthodontics, developed by another research group (Imai et al., ’99) had
College of Dentistry, Kyung Hee University, 26, Kyungheedae-ro, an excellent appearance; however, it has not been
Dongdaemun-gu, Seoul 130-701, Republic of Korea clinically popular due to its brittle character (Lim
E-mail: pkhmate@daum.net et al., ’94; Kusy, 2002). Metallic archwires coated with
Received 8 April 2015; Accepted with revision 21 May 2015 polymer materials, such as Teflon1 and epoxy resin,
DOI: 10.1002/sca.21230
have also been developed (Husmann et al., 2002; Elayyan
Published online 30 June 2015 in Wiley Online Library et al., 2008). Tooth-colored nickel-titanium (NiTi) wire
(wileyonlinelibrary.com). Woowa (Dany Harvest Co., Seoul, Korea) was recently
Ryu et al.: Mechanostructure of white-coated NiTi AWs 415
introduced in clinical orthodontics. This wire had a study. Therefore, the aim of this study was to investigate
double-layered coating structure, an inner layer consist- the effects of these various white coating materials on the
ing of a silver and platinum coating, and an outer layer surface roughness and load-deflection curve of commer-
consisting of a special polymer coating (Iijima et al., cially available orthodontic NiTi wires. Three-point
2012). bending tests and AFM assessments were used to
In general, the frictional force between the archwire evaluate the load-deflection properties and surface
and bracket reduces the efficiency of orthodontic roughness, respectively.
treatment (Choi et al., 2012a, 2012b). To develop a
new material, the mechanical properties and surface
characteristics of the orthodontic appliance as well as Methods
primary factors determining the friction should be
considered for enhancing the efficiency of orthodontic Materials
treatment. The mechanical properties of orthodontic
wires can be evaluated through load-deflection curve Three types of as-received white-coated NiTi
measurement via a three-point bending test (Elayyan archwires (n ¼ 15 per each), including NiTi Natural
et al., 2008). This is considered the most important Dany (Dany BMT, Seoul, Korea), Orthoforce Ultra-
parameter in determining the biological nature of tooth estheticTM NiTi (G&H1 Wire Company, Greenwood,
movement (Kapila and Sachdeva, ’89; Krishnan and IN), and Perfect NiTi archwires (Hubit, Seoul, Korea)
Kumar, 2004). The advantage of this assessment is it is a (Fig. 1) were investigated in this study. The Dany
clinic-friendly simulation for differentiating between archwires (Dany group) had a double-layered coating
the superelastic wires that lead to high reproducibility structure, an inner layer consisting of a silver and
(Wilkinson et al., 2012). Alternatively, the surface platinum coating and an outer layer consisting of a
roughness of orthodontic wires is an essential factor in special polymer coating. The UltraestheticTM archwires
determining the effectiveness of archwire-guided tooth (Ultra group) were coated with epoxy resin. The Perfect
movement (Bourauel et al., ’98; Choi et al., 2012a, archwires (Perfect group) were coated with Teflon1.
2012b). The surface quality of wires affects the area of Uncoated metallic areas for each white-coated NiTi
surface contact and influences the corrosion behavior archwire were used as controls.
and biocompatibility of the archwires (Elayyan et al.,
2008). Additionally, the surface topography can
critically modify the esthetics, corrosion, and efficiency Load-Deflection Characteristics
of the orthodontic components (Kusy et al., ’88).
Variations in the surface roughness affect plaque A modified three-point bending test using a simple
accumulation (Wichelhaus et al., 2005). In particular, device (Fig. 2) equipped with a digital caliper and a
the surface roughness might modify the friction microscope (M2011 Dino-Lite Basic USB microscope,
coefficient (Downing et al., ’94; Tselepis et al., ’94; Dinolite, Taiwan) was conducted to examine the load and
Bazakidou et al., ’97). deflection properties in the bending wires (Choi et al.,
To the best of the authors’ knowledge, there have been 2012b). The 0.022-in Clarity-SL bracket (3M Unitek,
no previous reports evaluating the mechanical properties Monrovia, CA) with lower incisors was used as a
and ultrastructure of various polymer-coated metallic supporting point. The anterior part of the archwire was
archwires using a three-point bending test and atomic used as the loading point for the three-point bending test.
force microscopy (AFM) measurements except fiber- Two brackets of each group were bonded on both
reinforced polymer composite (FRPC) archwire-based horizontal surfaces of the digital caliper using an instant

Fig 1. Three intact esthetic NiTi archwires. (A) Silver-platinum- and polymer-coated NiTi Natural Dany archwire (Dany BMT, Seoul,
Korea), (B) epoxy resin-coated Orthoforce UltraestheticTM NiTi archwire (G&H1 Wire Company, Greenwood, IN), and (C) Teflon1-
coated Perfect NiTi archwire (Hubit, Seoul, Korea). Scale bar ¼ 10 mm.
416 SCANNING VOL. 37, 6 (2015)

Fig 2. Modified three-point bending test device for evaluating the geometric configuration of orthodontic wires. Photos of a (A) modified
three-point bending test device including the digital caliper and microscope and (B) the bending experiment. The wire was deflected
downward vertically (red arrow). Scale bar ¼ 50 mm.

adhesive (Loctite 495, Henkel, Ireland). The mesial plane size of 30  30 mm2, a resolution of 512  512 pixels,
of each bracket base was aligned with the mesial plane of and a scan speed of 0.6 lines/s. AFM tapping-mode
the caliper. Because the bracket base faced the floor, a topographical imaging was performed at RT and 35%
three-point bending test in the buccolingual plane relative humidity using a silicon cantilever with an
simulating the first-order wire deflection to the lingual integral pyramidal shaped tip (SICONG; Santa Clara,
side was performed. The interbracket distance was CA). The nominal tip radius and height were <10 nm
modulated by a digital caliper to 15 mm. For the three- and 12–16 mm, respectively. A total of 60 images were
point bending experiment, the prepared wire samples were used for surface characterization of the three types of
inserted and ligated into the brackets. The engaged NiTi esthetic 0.016  0.022-in NiTi archwires (n ¼ 10 per
wire was connected to the custom-made acrylic container each). Three surface roughness parameters, including
at its half waypoint using a metal hook without a bracket. the roughness average (Sa), root-mean-square (Sq), and
Each wire was first loaded and then unloaded. The load peak-to-peak height (Sz), were calculated from AFM
was increased in the container from 20 to 200 g at 20-g tapping-mode topographical images using the Scanning
intervals and then decreased the load at 20-g intervals back Probe Imaging Processor (SPIPTM ver. 4.8.3; Image
to 20 g (Table S1, Supporting Information). The results of Metrology, Hørsholm, Denmark).
the bending test were presented as the average of five
replicates using different 0.016-in wire samples (n ¼ 5 per
group). All measurements were performed at room
Statistics
temperature (RT). The wires with straight in shape were
used and the preformed archwire shapes were excluded. In
All statistical analyses were performed using SPSS
order to estimate the geometric configuration of the wire,
ver 12.0 (SPSS, Chicago, IL). All data sets are expressed
pictures were taken every moment with a microscope
as the mean  standard deviation (SD). The Shapiro–
using a metal ruler for data compensation. Five clinicians
Wilks and Levene’s tests were used for examination of
measured the amount of vertical wire deflection using
the normality of distribution and the equality of
Motic Images Plus ver 2.0 (Motic China Group Co. Ltd,
variances between groups. Mann–Whitney U-test and
Xiamen, China).
Kruskal–Wallis test were performed to determine
whether there was a significant difference between
groups. Statistical significance was considered for a
p-value <0.05.
Surface Ultrastructure

Tapping-mode AFM topographical images of the


anterior part (coated areas) and the posterior part Results
(uncoated areas) for three esthetic NiTi archwires were
obtained using an NANOS N8 NEOS (Bruker, Coating Effect on the Dimensions
Herzogenrath, Germany) equipped with a
42.5  42.5  4-mm3 XYZ scanner and two Zeiss There was no difference between the coated and
optical microscopes (Epiplan 200 /500 ). External uncoated metallic areas in the mean diameter of the
noise was eliminated by placing the AFM on an active three esthetic 0.016-in NiTi archwires (Table I).
vibration isolation table (Table Stable Ltd., Surface However, the white-coated areas of the three
Imaging Systems, Herzogenrath, Germany) inside a archwires showed a significant difference in diameter
passive vibration isolation table (Pucotech, Seoul, (p < 0.001, Kruskal–Wallis test); the Teflon1-coated
Korea). The wire surface was scanned in air with a Perfect archwire had the biggest diameter, followed
Ryu et al.: Mechanostructure of white-coated NiTi AWs 417
TABLE I Diameter of three esthetic 0.016-in NiTi archwires according to coating area

Group Coating materials Coated area (in) Uncoated area (in) p-value
Dany (n ¼ 5) Ag, Pt, and polymer 0.0154  0.0007 0.0153  0.0005 N.S.a
Ultra (n ¼ 5) Epoxy resin 0.0153  0.0005 0.0153  0.0005 N.S.
Perfect (n ¼ 5) Teflon1 0.0164  0.0005 0.0162  0.0004 N.S.
P-value <0.001 <0.005b

a
N.S., not significant.
b
This value indicates a significant difference between the Dany–Ultra group and Perfect group.

by silver-platinum- and polymer-coated Dany, and AFM


the epoxy resin-coated Ultra archwires. In the
uncoated metallic area, the Dany and Ultra archwires Figure S3 (Supporting Information) shows the repre-
had equivalent diameters (0.0153  0.0005 inch). The sentative tapping-mode AFM topographical images of the
Perfect archwire had a significantly larger diameter coated and uncoated surfaces of the three white-coated
than other archwires (p < 0.005, Mann–Whitney test). NiTi archwires. The three roughness parameters (Table II)
were used to evaluate the surface topography of each
group. Surface defects created during the manufacturing
Three-Point Bending Test processes and a substantial amount of debris were observed
in the uncoated metallic areas of three NiTi archwires. The
The superelastic wire deformation according to the Perfect archwires (1978.2  457.9 nm) had the highest
load was photographed and analyzed by five ortho- surface roughness in the uncoated metallic areas, followed
dontists (Fig. S1, Supporting Information). Each by the UltraestheticTM archwires (976.9  544.2 nm) and
white-coated superelastic NiTi wire showed different the Dany archwires (914.5  257.4 nm). However, the
geometric characteristics according to loading forces coating materials led to reverse nanostructural changes in
of 0–200 g (Fig. 3). All wires showed hysteresis the surface roughness. The silver-platinum- and polymer-
characteristics in the load-deflection experiments. coated NiTi Natural Dany archwires showed the most
Compared to the control (uncoated metallic areas), change in surface roughness (2037.5  527.3 nm, 223%
the Dany and Ultra groups showed more deflection, increase), followed by the Ultra group (811.1  407.5 nm,
while the Perfect group showed less deflection. The 17% decrease) and the Perfect group (362.7  195.8 nm,
area of the hysteresis loops (energy loss) for the Dany 82% decrease). Specifically, the Dany group showed a
superelastic NiTi archwires and the Ultra superelastic circular particle structure with a 5-nm diameter. In
NiTi archwires showed approximately two- and addition, AFM topographical 3D images (Fig. 4) provided
fourfold increases compared to the control (Fig. S2, details of the changes in the nanostructures of the esthetic
Supporting Information). The Perfect superelastic NiTi archwire surfaces according to the different coating
NiTi archwires showed a similar hysteresis area materials.
compared to the control. The statistical analysis of
the three superelastic NiTi archwires according to the
loading and unloading forces is summarized in
Table S1. Discussion

The mechanostructural properties of three as-


received esthetic NiTi archwires were evaluated in the
study. The superelastic NiTi Natural Dany coated
archwire of the Dany BMT Company had a double-
layered coating structure: an inner layer consisting of a
silver and platinum coating and an outer layer consisting
of a special polymer coating, parylene, which generally
has chlorine in its structure. Iijima et al. (2012) reported
that it contained 41% silver and 42% chlorine and a
uniform thickness of 0.01 mm using X-ray fluorescence
(XRF) analysis and scanning electron microscopy
(SEM) measurements, respectively. Superelastic Or-
Fig 3. Load-deflection curves of three white-coated 0.016-in thoforce UltraestheticTM NiTi coated archwire of the
superelastic NiTi archwires under loading forces of 0–200 g and G&H1 Wire Company was coated with a 0.05-mm
unloading forces of 200–0 g. thickness epoxy resin (Alavi and Hosseini, 2012). The
418 SCANNING VOL. 37, 6 (2015)
TABLE II Surface roughness of three esthetic NiTi archwires (Fig. S4, supporting information)

Dany group Ultra group Perfect group p-value


Roughness (coated/uncoated) (coated/uncoated) (coated/uncoated) (coated/uncoateda)
Sa (nm) 278.6  91.5/60.2  9.6 52.8  16.7/56.7  4.9 15.5  6.9/100.4  34.6 <0.001/<0.001
Sq (nm) 340.9  106.4/80.9  15.6 69.7  21.7/73.7  6.5 22.3  10.1/136.9  42.5 <0.001/<0.001
Sz (nm) 2037.5  527.3/914.5  257.4 811.1  407.5/976.9  544.2 362.7  195.8/1978.2  457.9 <0.001/<0.001
p-value <0.001 N.S.b <0.001

a
This value indicates a significant difference between the Dany–Ultra group and Perfect group.
b
N.S., not significant.

superelastic Perfect NiTi coated archwire was made results (Lim et al., ’94; Krishnan and Kumar, 2004;
through an atomizing process with cleaned compressed Elayyan et al., 2008, 2010; Alavi and Hosseini, 2012;
air as the transport medium for the atomized Teflon1 Wilkinson et al., 2012). Both the NiTi Natural Dany
particles (Farronato et al., 2012). and the UltraestheticTM NiTi coating archwires had
The load-deflection properties of three different more deflection than the corresponding uncoated
superelastic NiTi coating archwires were analyzed via a metallic wires (control). Interestingly, they had the
three-point bending test. The three-point bending test same diameters of the coated and uncoated wires. For
produced load-deflection diagrams consisting of an both archwires, the diameter of the metal wire inside
upper loading curve and a lower unloading curve. The the coated areas is likely less than that of the
vertical difference between them was the combined uncoated metallic areas. This finding is consistent
effect of hysteresis in the materials and the frictional with that reported by Elayyan et al. (2008, 2010). The
effects of the archwire and bracket (Elayyan et al., Dany group showed less deflection with a loading
2010). The loading curve represented the force needed force identical to the others. This result is consistent
to engage the wire in the bracket, whereas the unloading with the findings of Iijima et al. (2012). Additionally,
curve represented the forces delivered to the teeth during the loading and unloading forces for an epoxy resin
the leveling and aligning stages of treatment (Segner and coated wire were significantly less than that of NiTi
Ibe, ’95; Alavi and Hosseini, 2012). and polycoated wires of the same size. Elayyan et al.
In this study, all coated NiTi wires showed more (2010) reported that an epoxy resin-coated wire
deflection with the unloading force than the loading larger than 0.016-in was effective compared to the
force, which is consistent with previously reported uncoated 0.016-in wire. Alavi and Hosseini (2012)

Fig 4. Tapping-mode AFM topographical 3D images of the coated surfaces (bottom) and uncoated surfaces (top) for the (A, D) Dany, (B,
E) Ultra, and (C, F) Perfect groups.
Ryu et al.: Mechanostructure of white-coated NiTi AWs 419
recommended that an epoxy resin-coated wire would significant drawback of small scan size, which in
be used in a 22-in slot bracket. Since the thickness of associated with the slow scanning velocity impeding
the polycoated wire was less than that of an epoxy complete analysis of the sample, AFM is considered a
resin-coated wire, the force of the polycoated wire promising technique for evaluation of the surface
was similar to that of a NiTi-coated wire rather than qualities of dental materials (Silikas et al., 2001;
an epoxy resin-coated wire. Therefore, the poly- Kakaboura et al., 2007; Lee et al., 2010).
coated wire showed the same mechanical properties For the NiTi Natural Dany coating archwires, the
as an uncoated NiTi wire. Finally, the Perfect NiTi- roughness of the coated nonmetallic areas was greater
coated archwire showed the smallest deflection than that of the uncoated metallic areas. This finding was
among the three esthetic 0.016-in NiTi archwires. consistent with that of Iijima et al. (2012). The roughness
This finding was responsible for the effect of the of the Teflon1-coated Perfect NiTi archwire was less
coating and the fact that the Perfect NiTi coating than that of the Teflon1-uncoated areas. Previous
archwire had a larger diameter than the Dany and researcher revealed that since the Teflon1 coating led
Ultra groups. Therefore, a smaller Perfect NiTi to a decreased surface roughness of the materials, it
coating archwire and larger UltraestheticTM NiTi improved the sliding of the wire (Husmann et al., 2002;
coating archwire could be suggested for decrowding Neumann et al., 2002; Wichelhaus et al., 2005).
dentitions with a similar level of crowding. Farronato et al. (2012) found that the Teflon1-coated
The primary technique used to investigate the surface archwires showed less friction than uncoated archwires.
roughness was the surface profilometry (Bourauel et al., To the best of the authors’ knowledge, there have been no
’98), in which a thin tip was used to scan the topography previous reports evaluating the surface roughness of
along a single line of a preselected area. The main epoxy resin-coated archwires. However, in this study,
drawback of this method is that it is impossible to there was no significant difference in the roughness
measure the surface defects adjacent to the scan line and regardless of the epoxy resin coating. The surface
it is an invasive procedure. Therefore, the increasing roughness of the Perfect group was greater than that of
demand for nondestructive and noninvasive techniques the Dany and Ultra groups in the uncoated areas, while
led to novel methods of analysis based on an optical the surface roughness of the Dany group was the highest,
method (Vorburger and Teague, ’81) and on a developed followed by the Ultra group and the Perfect group in the
AFM (Binnig et al., ’82). coated areas. These findings were responsible for the use
The AFM belongs to the family of scanning probe of rough silver particles in the Dany group.
microscopes that uses interatomic interactions to However, the influence of the surface quality of the
acquire information on detected surfaces. AFM produ- archwire and bracket slots on the production of friction
ces images based on a sensor, which is the sharp point remains controversial (Dickson and Jones, ’96). Gen-
that interacts with the specimen surface (D’Anto et al., erally, frictional force between the archwires and
2012). Basically, AFM has three differing modes of brackets is considered a negative factor that influences
operation; contact mode, tapping mode, and non-contact normal tooth movement during sliding mechanics (Doshi
mode. In contact mode, the tip contacts the surface and Bhad-Patil, 2011). Studies (Imai et al., ’99; Talass,
through the adsorbed fluid layer on the sample surface. ’92; Lim et al., ’94; D’Anto et al., 2012) confirmed that
The detector monitors the changes in cantilever there was a correlation between the surface roughness
deflection. In tapping mode, the cantilever oscillates and friction, but orthodontic tooth movement was a very
at slightly below its resonant frequency. The amplitude complex process correlated to a number of critical
of oscillation typically is the ranges of 20–100 nm. The factors. Some studies (Prososki et al., ’91; Ghafari, ’92;
tip lightly “taps” on the sample surface during scanning, Saunders and Kusy, ’94; Chng et al., 2014) revealed that
contacting the surface at the bottom of its swing. In non- the wire-surface roughness has no correlation with the
contact mode, the cantilever oscillates near the surface frictional coefficient. In particular, Chng et al. (2014)
of the sample, but does not contact it. The oscillation is reported that the FRPC esthetic archwire showed the
at slightly above the resonant frequency. Van der Waals negative effects compared to the finding of this study.
and other long-range forces decrease the resonant Furthermore, the teeth and their surrounding structures
frequency just above the surface. The contact mode is respond to the force by a complex biologic cascade, and
adapted to the imaging of rough sample, and provides tooth movement takes places through the alveolar bone.
high resolution image. However since it results in distort Tooth movement in intraoral environment is associated
features in the image, the tapping mode was selected in with many some factors. These factors directly affect the
this study (Table S2, Supporting Information). AFM has efficiency of orthodontic treatments (Choi et al., 2012a).
many advantages, including the determination of However, since this study did not consider these factors,
quantitative values for investigated parameters, no in vivo study with the intraloral-used samples is
additional preparation treatments (metallization), and absolutely needed. Therefore, further studies are needed
the production of topographical 3D images in real space to fully evaluate the roughness of the archwire and the
with a very high resolution. Although there is the various factors related to friction. The actual frictional
420 SCANNING VOL. 37, 6 (2015)

coefficient and mechanostructural alternation between Chng CK, Foong K, Gandedkar NH1, Chan YH, Chew CL. 2014.
as-received and load-guided or clinical-retrieved arch- A new esthetic fiber-reinforced polymer composite resin
archwire: a comparative atomic force microscope (AFM) and
wires will be also evaluated. field-emission scanning electron microscope (FESEM) study.
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