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This in vitro study compared the force-deflection behavior of 8 superelastic nickel-titanium orthodontic wires
(0.017 × 0.025 in) under controlled moment and temperature. To simulate leveling a lateral incisor, brackets
and first molar tubes without tip and angulation were used. The wires (n = 5) were ligated into stainless steel
brackets attached to a plastic jig to simulate a mandibular arch. A testing machine (Instron) applied deflections
of 0.2 to 2.0 mm at 35°C in the lateral incisor area. Force-deflection diagrams were determined from the
passive position to an activation of 2 mm and then during deactivation. Forces on deactivation at a deflection
of 1 mm were compared by analysis of variance. Significant differences (P < .05) in forces were observed
among wires. All wires exhibited superelastic behavior, but in stratified loading levels. (Am J Orthod
Dentofacial Orthop 2001;120:378-82)
A
vital component of the fixed orthodontic appli- weldability, formability, resilience, and springback.
ance is the orthodontic archwire. An ideal arch- Stainless steel and cobalt-chromium alloys became
wire should be able to move teeth with a light, available in the 1940s and were used extensively in
continuous force. This force should be designed to min- orthodontics for many years. The introduction of
imize patient discomfort, tissue hyalinization, and root nickel-titanium and multistranded stainless steel wires
resorption. When a force is applied, the archwire in the 1970s, titanium-molybdenum and superelastic
should behave elastically over a period of weeks to nickel-titanium in the 1980s, and temperature-activated
months. Four archwire alloys are now available that superelastic wires in the 1990s has provided a wider
strive to accomplish this objective. These are stainless range of choices. The newest materials enable the cli-
steel, cobalt-chromium, nickel-titanium, and beta-tita- nician to use light continuous forces to move teeth with
nium. The nickel-titanium alloys have 3 subdivisions: less discomfort to the patient and less stress on the sup-
conventional alloy and 2 superelastic alloys—pseudo- porting tissues. A light force delivered at a constant
elastic and thermoelastic. Each of these has unique level provides the optimal condition for tooth move-
properties and characteristics.1 Clinically, there is no ment. This can best be achieved with wires that exhibit
single archwire that possesses all the desired qualities large elastic deformations before breakage and thus
necessary for all stages of orthodontic treatment. With have a large working range.
a clear understanding of the properties inherent in each Stainless steel archwires have been used success-
wire, the clinician can select the one best suited to a fully in orthodontics for many years and remain popu-
particular phase of treatment. lar because of their low cost, excellent formability, and
The design of an ideal archwire should consider good mechanical properties. Although stainless steel
such properties and characteristics as esthetics, friction, has many uses, it has a relatively high stiffness when
compared with wires made from some of the newer
aProfessor and Head of Department of Orthodontics, Faculty of Dentistry Sci- materials.
ences, University of Marília; and Assistant Professor, Department of Orthodon- The Elgin Watch Company (Elgin, Ill) developed a
tics, University of Sagrado Coração.
bAssociate Professor, Department of Orthodontics, University of Texas Health cobalt-chromium-nickel alloy in the 1950s. This alloy
Science Center at Houston, Dental Branch. is marketed as Elgiloy by Rocky Mountain Orthodon-
cProfessor, Department of Restorative Dentistry and Biomaterials, and Director,
tics (Denver, Colo) and is available in 4 levels of
Houston Biomaterials Research Center, University of Texas Health Science
Center at Houston, Dental Branch. resilience. This wire is capable of having its strength
dFormer dental student, University of Texas Health Science Center at Houston, and formability modified by heat treatment.2
Dental Branch. The introduction of the beta-titanium alloy in the
Reprint requests to: John M. Powers, PhD, UT-Houston Dental Branch, 6516
John Freeman, Houston, TX 77030-3402; e-mail: John.M.Powers@uth. 1970s provided a wire that had formability similar to
tmc.edu. the austenitic stainless steel while delivering lower bio-
Submitted, June 2000; revised and accepted, February 2001. mechanical forces. Beta-titanium wires can also be
Copyright © 2001 by the American Association of Orthodontists.
0889-5406/2001/$35.00 + 0 8/1/117200 welded, but they have a tendency to fracture and pos-
doi:10.1067/mod.2001.117200 sess a high coefficient of friction.
378
American Journal of Orthodontics and Dentofacial Orthopedics Gurgel et al 379
Volume 120, Number 4
Fig 2. Load/unload deflection graph for MO, E35, NI, and C35.
deflection forces ranged from a low of 190 g to a high superelastic wires should not be accepted as the rule for
of 600 g. The load/deflection curves in activation/deac- all cases. For moderate crowding cases, the superelastic
tivation in this study were found to be typical of super- wire may not be deformed to the point where it
elastic wires. reaches the superelastic plateau. Evan et al12 found
The 5 wires that exhibited the lowest activation/ that these wires should sustain angular deformation
deactivation forces might be more adaptable clinically from 50°C to 70°C to express linear elasticity. For
to cases of mild-to-moderate crowding. The amount of this reason, these wires have been shown to be effi-
crowding should be a major consideration in the clini- cient in the correction of alignment and leveling when
cal selection of a superelastic wire. Satisfactory adapta- used in such thickness (round or rectangular) to allow
tion of the wire in the bracket slot must occur, allowing this relative amount of angular deformation. Also, these
optimal biologic tooth movement. wires have been shown to have little effect in torque
Lowering the temperature of a superelastic archwire correction.
enhances its ability to adapt to a condition such as Although the comparison of the mechanical proper-
crowding. This study tested the activation and deactiva- ties of the NiTi superelastic wires and wires of other
tion of the wires at a controlled temperature of 35°C in alloys presents outstanding differences, the structural
an effort to approximate the oral environment. properties (form and dimension) seem to have a similar
The selection of orthodontic wires for correction of outcome in the movement of teeth with regard to deflec-
dental crowding should be based on several factors tion. In addition to these factors, other components that
related to the degree of the crowding.10,11 Rectangular influence tooth movement are the interbracket distance,
382 Gurgel et al American Journal of Orthodontics and Dentofacial Orthopedics
October 2001
arch form, direction of activation, type of bracket, slot stiffness of an arch wire. Am J Orthod Dentofacial Orthop
dimensions, and bracket-wire friction.13 Although these 1987;91:131-6.
5. Gurgel JA, Kerr S, Powers JM, Pinzan A. Torsional properties of
factors were not individually quantified, this study
commercial nickel-titanium wires during activation and deactiva-
acknowledges the influence they contribute to the tion. Am J Orthod Dentofacial Orthop, in press.
behavior of the wires tested. 6. Andreasen G, Wass K, Chan KC. A review of superelastic and
thermodynamic nitinol wire. Quintessence Int 1985;16:623-6.
CONCLUSIONS 7. Waters NE, Stephens CD, Houston WJB. Physical Characteristics
of orthodontics wires and archwires—part 1. Br J Orthod 1975;2:
This laboratory study compared 8 types of commer-
15-24.
cially available superelastic orthodontic wires. The 8. Nakano H, Satoh K, Norris R, Jin T, Kamegai T, Ishikawa F, et al.
wires were tested with a device that simulated the oral Mechanical properties of several nickel-titanium alloy wires in
environment, specifically, a lower arch with a bonded three-point bending tests. Am J Orthod Dentofacial Orthop
appliance. The results show that all 8 wires exhibited 1999;115:390-4.
9. Oltjen JM, Duncanson MG Jr, Ghosh J, Nanda RS, Currier GF.
superelastic behavior, but in stratified loading levels.
Stiffness-deflection behavior of selected orthodontic wires. Angle
Orthodont 1997;67:209-18.
REFERENCES 10. Waters NE, Houston WJB, Stephens CD. Characterization of
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2. Kusy RP, Stush AM. Geometric and material parameters of a 11. Waters NE. A rationale for the selection of orthodontic wires. Eur
nickel-titanium and the beta-titanium orthodontic wire alloy. J Orthodont 1992;14:240-5.
Dent Mater 1987;3:207-17. 12. Evans TJ, Jones ML, Newcombe RG. Clinical comparison and
3. Khier SE, Brantley WA, Fournelle RA. Bending properties of performance perspective of three aligning arch wires. Am J
superelastic and nonsuperelastic nickel-titanium orthodontic Orthod Dentofacial Orthop 1998;114:32-9.
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4. Adams DM, Powers JM, Asgar K. Effects of brackets and ties on Am J Orthod Dentofacial Orthop 1986;89:407-14.