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ORIGINAL ARTICLE

Cross-section dimensions and mechanical


properties of esthetic orthodontic coated
archwires
Dayanne Lopes da Silva,a Claudia Trindade Mattos,b Eduardo Franzotti Sant’ Anna,c
Anto^ nio Carlos de Oliveira Ruellas,c and Carlos Nelson Eliasd
Rio de Janeiro, Brazil

Introduction: There has been continuing interest in the development and use of esthetic and effective orthodon-
tic archwires. The aims of this study were to evaluate the inner alloy core dimensions of 4 brands of as-received
esthetic coated wires and their mechanical properties before and after 21 days of oral exposure, compared with
conventional stainless steel and nickel titanium wires. Methods: Four groups (Ortho Organizers, Carlsbad, Calif;
TP Orthodontics, LaPorte, Ind; Orthometric, Beijing, China; and Trianeiro, Rio Claro, Sa~o Paulo, Brazil) of ortho-
dontic archwires were tested. Five properties were evaluated: inner wire dimensions, modulus of elasticity, mod-
ulus of resilience, maximum deflection force, and load deflection curve characteristics. Images of the transverse
sections from the specimens were made with a stereoscope. The inner alloy core dimensions of each wire were
measured by using Image Pro Plus software (version 4.5; Media Cybernetics, Silver Spring, Md). All specimens
were tested in a universal testing machine in a 3-point bending test. Results: Coated wires of the Ortho Orga-
nizers and Trianeiro groups showed greater reductions in their inner alloy core dimensions and produced lower
loading and unloading forces and lower modulus of elasticity, modulus of resilience, and maximum deflection
force values than did their control wires. Inner alloy core dimensions and the mechanical behavior of coated
wires practically did not differ from the control wires in the TP Orthodontics and Orthometric groups.
Conclusions: The reduction on the inner alloy core dimensions to compensate for the coating thickness seems
to be the variable responsible for greater changes in the mechanical properties of esthetic coated wires. (Am J
Orthod Dentofacial Orthop 2013;143:S85-91)

M
uch progress has been made in the develop- Metallic archwires coated with colored polymers or
ment of esthetic clear and translucent brackets inorganic materials are currently the solution to this es-
for use in labial orthodontics.1 However, the thetic problem.2 Materials used in coating are polymers
most effective wires continue to be manufactured from such as synthetic fluorine-containing resin or epoxy
efficient metal alloys. They have the flexibility, strength, resin composed mainly of polytetrafluoroethylyene,
and chemical resistance needed for orthodontic pur- which is used to simulate tooth color.3
poses. Nevertheless, they are clearly visible to observers, The process of applying this coating to the archwire
and patients with esthetic brackets might resist their use. includes some surface treatment on the wire and the
use of clean compressed air as a transport medium for
a
PhD student, Department of Orthodontics, Universidade Federal do Rio de Ja- the atomized polytetrafluoroethylyene particles to coat
neiro, Rio de Janeiro, Brazil. the wire. The set is further heat treated in a chamber fur-
b
Substitute professor, Department of Orthodontics, Universidade Federal do Rio
de Janeiro, Rio de Janeiro, Brazil. nace.4 The mechanical properties of metallic archwires
c
Professor, Department of Orthodontics, Universidade Federal do Rio de Janeiro, could be affected during this process and by possible
Rio de Janeiro, Brazil. changes on their inner alloy core dimensions to compen-
d
Professor, Department of Mechanical Engineering and Materials Science, Insti-
tuto Militar de Engenharia, Rio de Janeiro, Brazil. sate for the thickness of the coating layer.
The authors report no commercial, proprietary, or financial interest in the prod- The mechanical properties of orthodontic archwires
ucts or companies described in this article. can be assessed by using a 3-point bending test, which
Reprint requests to: Ant^onio Carlos de Oliveira Ruellas, Av. Professor Rodolpho
Paulo Rocco, 325, Ilha do Fund~ao, Rio de Janeiro, Rio de Janeiro, CEP: evaluates the load-deflection properties, considered
21941-617, Brazil; e-mail, antonioruellas@yahoo.com.br. the most important parameters to determine the biologic
Submitted, May 2012; revised and accepted, September 2012. nature of tooth movement,5 and provides information
0889-5406/$36.00
Copyright Ó 2013 by the American Association of Orthodontists. on the behavior of wires when subjected to deflection
http://dx.doi.org/10.1016/j.ajodo.2012.09.009 in the horizontal and vertical directions.6,7 No studies
S85
S86 Silva et al

Table I. Characteristics of the archwires used in the study


Group Manufacturer Cross-section size (in) Composition Coating surface
I Ortho Organizers, Carlsbad, Calif
Control: Pro Form Shiny Bright 0.018 3 0.025 Stainless steel (CrNi) -
Coated: Tooth Tone Plastic Coated 0.018 3 0.024 All surfaces
II TP Orthodontics, LaPorte, Ind
Control: Shiny Bright 0.018 3 0.025 Stainless steel (CrNi) -
Coated: Aesthetic Shiny Bright 0.018 3 0.025 Labial
III Orthometric, Beijing, China
Control: Flexy Super Elastic 0.018 3 0.025 NiTi -
Coated: Esthetic Flexy Super Elastic 0.018 3 0.025 Labial
IV Trianeiro, Rio Claro, S~ao Paulo, Brazil
Control: NiTi wire 0.016 3 0.022 NiTi -
Coated: Coated wire NiTi 0.018 3 0.024 All surfaces
CrNi, Chromium-nickel; NiTi, nickel-titanium.

have been conducted to examine the inner alloy core The retrieved wire segments were obtained from
dimensions of esthetic coated stainless steel and 12 subjects. Ethical approval was obtained for this inves-
nickel-titanium archwires and their mechanical proper- tigation from the ethics in research committee of the In-
ties after oral exposure. stitute of Public Health Studies from the Federal
The aims of this research were to investigate the inner University of Rio de Janeiro in Brazil (process
alloy core dimensions of as-received esthetic coated 0034.0.239.000-11). Informed consent form was signed
archwires and their mechanical properties (3-point by all patients who met the following criteria: good oral
bending test) before and after oral exposure, compared hygiene, no caries, and no systemic changes.
with conventional stainless steel and nickel-titanium Two metal brackets (Morelli, Sorocaba, S~ao Paulo,
archwires. Brazil) were bonded to teeth on each hemiarch with a dis-
tance between them of at least 20 mm. The coated wire
MATERIAL AND METHODS segment was tied into the slot, and its control wire seg-
Sample size calculations were performed for each ment was tied juxtaposed to the upper base of the
test. A sample size of at least 5 wire segments per group brackets’ wings by using stainless steel 0.010-in ligatures
was required to detect a difference of 0.001 of an inch in (Morelli) and ligature pliers (Fig 1). A split-mouth design
the dimensions between the coated and the control was used in all groups. The groups were allocated ran-
wires, with a standard deviation of 0.0006, a significance domly to each hemiarch by using random number tables.
level of 5%, and a test power of 0.85. Based on the re- The generator and executor of the randomization were
sults from a pilot study, a sample size calculation was separate persons (C.T.M. and D.L.S.). Oral hygiene in-
performed showing that at least 5 as-received and 10 structions were given, and the patients used the same
postclinical wire segments would be enough to detect types of toothbrush, toothpaste, and dental floss
a 10% difference in the mechanical properties tested in throughout the study. The subjects were told not to
this study with a significance level of 5% and a test use any other oral agents, including oral irrigators or an-
power of 0.85. timicrobial mouthrinses.
Four brands of esthetic coated archwires (Ortho Or- In every participant, the specimens were placed and
ganizers, Carlsbad, Calif; TP Orthodontics, LaPorte, removed by the same operator (D.L.S.). The subjects
Ind; Orthometric, Beijing, China; and Trianeiro, Rio were not aware of which wire was placed in each quad-
Claro, S~ao Paulo, Brazil) were tested, and their respective rant in the mouth. Since the colors of the coated wires
control counterparts (conventional stainless steel and differed slightly from brand to brand, it was not possible
nickel-titanium archwires) were evaluated (Table I). to blind the operator to the types of coated wire.
The sample included 176 wire segments at least 20 After 21 days, the wire segments were removed and in-
mm in length. Eighty wire segments were from as- dividually placed in an ultrasound cleaner (Crist ofoli;
received archwires (5 specimens of each kind of wire Campo Mour~ao, Parana, Brazil) immersed in a multiuse de-
used to measure the inner alloy core dimensions, and 5 tergent (Amway, Ada, Mich) for 30 minutes, so that organic
were used in the 3-point bending test), and 96 segments debris could be removed. The same procedure was used for
(12 specimens of each kind of wire used in the 3-point the as-received specimens. After in-vivo clinical exposure,
bending test) were retrieved after 21 days in oral cavities. all samples were subjected to mechanical testing.

April 2013  Vol 143  Issue 4  Supplement 1 American Journal of Orthodontics and Dentofacial Orthopedics
Silva et al S87

Fig 1. Orthodontic appliances in the oral environment: A, frontal view; B, side view. C, Control wire
segment; E, esthetic coated wire segment.

Fig 2. Stereoscope images of inner alloy core height and width (3 measurements of each kind): A,
group I (Ortho Organizers) coated wire; B, group I control wire. Original magnification, 45 times.

Five as-received wires were taken from each group crosshead speed of 6.0 mm per minute, and the radii
and included, with their transverse section facing up, of the fulcrum and the indenter of 0.1 mm were used
in plastic tubes (height, 10 mm; diameter, 5 mm) filled as suggested by the ISO standardization for orthodontic
with light-curing composite resin (Monolok2; Rocky wire mechanical tests. The load was applied with a 50-N
Mountain Orthodontics, Denver, Colo). Then the sam- load cell in a universal testing machine (model DL
ples were ground in a water-cooled polishing machine 10000; Emic, Parana, Brazil) to the middle of the speci-
(Politriz DP-9U2; Struers A/S, Copenhagen, Denmark) mens, and the flexural strength values were recorded
with 360-, 400-, 600-, and 1200-grit abrasive papers with Tesc software (Emic). Deflection was carried out
under refrigeration. with a centrally placed indenter moved by a computer-
The images of the transverse section from each spec- controlled stepper motor. Five as-received and 12 post-
imen were made with a stereoscope at 45 times magni- clinical specimens for control and coated wires of each
fication (model SZ61; Olympus, Tokyo, Japan). The group were tested for a deflection of 3.1 mm, the force
inner alloy core height and width (3 measurements of was registered, and the hysteresis curves produced on
each kind) of each wire were measured by using Image the chart’s recorder were compared. For stainless steel
Pro Plus software (version 4.5; Media Cybernetics, Silver wires, the testing was performed at room temperature,
Spring, Md) (Fig 2). A total of 60 readings, including and for nickel-titanium wires at 37 C.
height and width, were measured in each group. The modulus of elasticity was calculated in the linear
The wires were tested according to a 3-point bending portion of force-deflection curves of each specimen us-
test (ISO 15841). The span length of 10 mm, the ing the equation

American Journal of Orthodontics and Dentofacial Orthopedics April 2013  Vol 143  Issue 4  Supplement 1
S88 Silva et al

Table II. Means, standard deviations, and P values of independent-samples t test between control and coated wires
in each group for wire dimensions (in)
Measured inner alloy core dimensions Control 3 coated

Stated dimensions Height Width Height Width

Group Height Width Mean 6 SD Mean 6 SD P value P value


I
Control 0.018 0.025 0.01811 6 0.00006 0.02513 6 0.00004 \0.001 \0.001
Coated 0.018 0.024 0.01614 6 0.00009 0.02211 6 0.00009
II
Control 0.018 0.025 0.01802 6 0.00003 0.02503 6 0.00001 0.517 0.503
Coated 0.018 0.025 0.01803 6 0.00003 0.02503 6 0.00001
III
Control 0.018 0.025 0.01807 6 0.00009 0.02513 6 0.00012 0.599 \0.001
Coated 0.018 0.025 0.01810 6 0.00009 0.02351 6 0.00011
IV
Control 0.016 0.022 0.01616 6 0.00004 0.02204 6 0.00005 \0.001 \0.001
Coated 0.018 0.024 0.01586 6 0.00008 0.02172 6 0.00014

Table III. Comparisons of modulus of elasticity, modulus of resilience, and maximum deflection force of as-received
and postclinical control and coated wires in each group
Modulus of elasticity (GPa) Mean 6 SD Modulus of resilience (N.mm) Mean 6 SD Maximum deflection force (N) Mean 6 SD

Group As-received Postclinical As-received Postclinical As-received Postclinical


I
Control 210.62 (10.0)aA 180.28 (7.12)bA 4.15 (0.11)aA 5.30 (0.18)bA 31.16 (0.23)aA 28.70 (0.27)bA
Coated 126.15 (4.21)aB 122.57 (6.31)aB 3.72 (0.09)aB 4.44 (0.25)bB 20.43 (0.29)aB 19.60 (0.34)bB
II
Control 205.32 (2.54)aA 172.82 (6.05)bA 2.63 (0.05)aA 5.45 (0.42)bA 29.76 (0.28)aA 28.33 (0.50)bA
Coated 202.26 (5.83)aA 167.51 (13.34)bA 2.70 (0.04)aA 3.34 (0.17)bB 29.68 (1.04)aA 27.54 (0.33)bB
III
Control 89.71 (10.50)aA 93.98 (3.59)aA 20.28 (0.29)aA 21.12 (1.09)aA 13.19 (0.19)aA 14.34 (0.53)bA
Coated 86.51 (13.54)aA 89.37 (5.57)aA 20.03 (1.23)aA 20.61 (0.57)aA 13.25 (0.75)aA 13.99 (0.44)aA
IV
Control 88.69 (2.89)aA 99.84 (4.70)bA 16.62 (0.53)aA 17.91 (0.35)bA 10.27 (0.07)aA 10.41 (0.24)aA
Coated 77.22 (3.38)aB 79.17 (6.41)aB 15.72 (1.05)aB 15.85 (0.20)aB 9.77 (0.17)aB 9.97 (0.23)aB
a and b, Different letters mean a statistically significant difference (P\0.05) between as-received and postclinical samples in each group (same line).
A and B, Different letters mean a statistically significant difference (P \0.05) between control and coated wires of each kind, as-received or post-
clinical (same column).

PL3 Kolmogorov-Smirnov test was applied to verify the nor-


E5 ; mality of the results, and the independent-samples t test
4BH 3 F
was used to compare the coated and control wires of
where P is load, L is span length, B is wire width, H is wire each brand and to compare the as-received and postclin-
height, and F is deflection. Resilience was measured by ical samples of each kind of wire.
the modulus of resilience and expressed as the amount
of elastic strain energy per unit of volume. This modulus RESULTS
was computed by integrating the area under the linear
portion of the stress deflection diagram with OriginPro Measured inner alloy core and nominal cross-section
software (version 8.0; OriginLab, Northampton, Mass). dimensions for as-received coated and control wire seg-
ments used in this investigation are shown in Table II. In
general, most measured values for coated wires were
Statistical analysis smaller than the nominal sizes given by the manufac-
A standard statistical software package (version 16.0; turers, and there was a significant difference between
SPSS, Chicago, Ill) was used for data analysis. The the control and the coated cross-section dimensions.

April 2013  Vol 143  Issue 4  Supplement 1 American Journal of Orthodontics and Dentofacial Orthopedics
Silva et al S89

Fig 3. Average force-deflection curves for each group of as-received and postclinical samples.

Group II (TP Orthodontics) was the only one that practi- However, lower modulus of resilience values were ob-
cally maintained the nominal sizes, and there was no sig- served in the as-retrieved coated wire segments in this
nificant difference between the control and coated group when compared with their controls. Group III (Or-
cross-section dimensions in this group. Coated wires thometric) showed no significant differences between
from group III (Orthometric) showed an average reduc- the control and coated wires in the mechanical proper-
tion of only 0.0014 in in their stated width. There were ties evaluated in all times tested.
further reductions in both height and width of coated The representative bending plots for as-received and
wires in groups I (Ortho Organizers) and IV (Trianeiro), postclinical coated and control wires of each group are
when compared with the stated dimensions. shown in Figure 3. The bending curves for as-received
Table III shows the mean values, standard deviations, and postclinical control and coated wire segments in
and comparisons of modulus of elasticity, modulus of groups II (TP Orthodontics) and III (Orthometric) were
resilience, and maximum deflection force for control similar. However, there were considerable general differ-
and coated wire segments in each group, both for as- ences in bending deformation behavior for the control
received and postclinical specimens. As-received and and coated wire segments in groups I (Ortho Organizers)
postclinical coated wires in groups I (Ortho Organizers) and IV (Trianeiro). In these groups, coated wires pro-
and IV (Trianeiro) showed lower modulus of elasticity, duced lower loading and unloading forces than did the
modulus of resilience, and maximum deflection force control wires.
values when compared with their controls. No significant
differences in modulus of elasticity and maximum de- DISCUSSION
flection force values between the control and coated The performance of an archwire depends on the wire
wires were observed in group II (TP Orthodontics). material and its cross-sectional geometry. Smaller

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S90 Silva et al

archwires are selected to ensure lower forces in the initial addition, it offers a high degree of reproducibility that
stage of fixed appliance mechanotherapy, but they result facilitates comparisons between studies.13 This test pro-
in inadequate control of tooth movement, since there duced load-deflection diagrams consisting of an upper
would be much play between the wire and the bracket.8 loading curve and a lower unloading curve. The loading
In the final stages, it is necessary to obtain better en- curve represents the force needed to engage the wire in
gagement between the wire and the bracket with larger the bracket, whereas the unloading curve represents the
wires for better control of tooth movement. Thus, wire forces delivered to the teeth during treatment stages.14
dimension is a critical and important component in force The modulus of elasticity corresponds to the elastic
delivery, but manufacturers differ in their abilities to stiffness or the rigidity of the material.15 Increased
produce wires accurately.9-11 values indicate stiffer wires.11 Modulus of resilience is
Among the wires measured, those from TP Ortho- the ability of a material to store energy when deformed
dontics were the only ones that practically maintained elastically and to deliver it when the strain is removed.15
the nominal sizes, and there was no significant differ- Resilience tells the orthodontist how much potential en-
ence between control cross-section dimensions and ergy can be recovered from the wire.
coated inner alloy core dimensions. In general, most in- In this study, for comparisons, the wire configuration
ner alloy core dimensions measured for the coated wires and the alloy used in the manufacture of the control and
were smaller than the nominal sizes given by the manu- coated archwires in each group were identical. These re-
facturers, and there was a significant difference between sults show differences between the stated and the mea-
the control and coated cross-section sizes. The archwires sured dimensions mainly in the coated wires.
with coating on all surfaces from groups I (Ortho Orga- Furthermore, there are variabilities with respect to me-
nizers) and IV (Trianeiro) showed the greatest reductions chanical properties in the control and coated wires. As-
in their inner alloy core height and width compared with received and postclinical coated wires in groups I (Ortho
the stated dimensions (Table II). In one of the 2 groups Organizers) and IV (Trianeiro) showed lower modulus of
with coating only on the vestibular surface (group III, Or- elasticity, modulus of resilience, and maximum deflec-
thometric), the inner alloy core width was different from tion force values when compared with their controls
the stated width (Table II). (Table III). The analysis of the bending curves in these
Coated wires can have smaller inner alloy core dimen- groups showed that coated wires produced lower load-
sions to compensate for the thickness of the coating ing and unloading forces than did the control wires
layer. That is why both height and width might be af- (Fig 3). These archwires with a coating layer on all sur-
fected when all surfaces receive a coating layer, and faces showed greater reductions in their inner alloy
width is sometimes affected when only the vestibular core dimensions; this could explain their different me-
surface is coated. However, clinicians must be aware chanical behavior. These results agree with those of
that manufacturers generally state the cross-section di- Elayyan et al,2 where coated wires also showed lower
mensions of the archwires, including the coating thick- loading and unloading forces compared with uncoated
ness, and not the real size of only the stainless steel or wires, and the authors suggested that it was almost cer-
nickel-titanium material. Therefore, these archwires are tainly because of the decrease in the size of the active
not expected to have a mechanical behavior similar to nickel-titanium wires in them. However, the authors
an uncoated archwire with the same dimensions. did not measure the cross-section size of the wires and
Changes in the stated wire dimensions might influence evaluated only 1 type of archwire.
torsional clearance and stiffness.9,10 On the contrary, inner alloy core dimensions of
Many orthodontists are likely to use the nominal wire coated wires in group II (TP Orthodontics) practically
size as their guide in some clinical situations. The results did not differ from the control wires. In group III (Ortho-
from this study highlight the importance of considering metric), only a decrease in width, where the coating was
larger nominal wire size than would normally be selected applied, was noted. Both groups had a coating layer only
when using archwires with all surfaces coated. Because on the archwire’s labial surface. The bending curves for
the amount of torsional clearance between wire and these groups were similar when comparing as-received
bracket depends on the slot and wire dimensions, as and postclinical control and coated wires (Fig 3).
well as the degree of wire rounding, an undersized The major point an orthodontist should consider
wire results in poorer fit in the bracket slot and might when selecting a particular wire size is the stiffness of
lead to less control during tooth movement.12 the wire or its load-deflection rate. These differences
The advantages of a 3-point bending test are the in the mechanical properties between coated and control
close simulation to clinical applications and its ability wires are probably due to deviations from stated sizes, or
to differentiate wires with superelastic properties.5 In variations in material properties and the method of

April 2013  Vol 143  Issue 4  Supplement 1 American Journal of Orthodontics and Dentofacial Orthopedics
Silva et al S91

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