Mechanical Properties and Clinical Significance of Orthodontic Wires

Orthodontic treatment is usually conducted by applying forces to certain teeth to move them into a targeted position. Orthodontic wires have been reported to be the primary modalities used in fixed-appliances-based orthodontic treatment to induce favorable tooth movement events. Accordingly, acquiring adequate knowledge about these approaches' clinical applications and biochemical behavior is essential when planning for a successful orthodontic treatment. Orthodontic wires are widely used and are mainly composed of composites, polymers, alloys and metals. Accordingly, the physical properties and clinical application of orthodontic wires vary based on their composition. In this context, it was recommended that achieving favorable outcomes of orthodontic treatment obliges clinicians to decide the best orthodontic wire and treatment plan based on the chemical properties and related clinical applications of each wire. Therefore, wires that tend to produce increasing stiffness gradually are generally used. However, it should be noted that no ideal wire exists. Therefore, favoring the application of a wire over the other should be based on the intended outcomes and stage of the treatment process.

Titanium Nitride Plating Reduces Nickel Ion Release from Orthodontic Wire

The leaching of metal ions from orthodontic appliances is a problem for their use in patients with metal allergies. Despite the development of a number of non-metal orthodontic appliances, including brackets, non-metal wires are not yet available. Therefore, it is necessary to modify the surfaces of orthodontic wires to prevent the leaching of metal ions into the oral environment for use in such patients. This study was performed to examine whether plating of orthodontic wire with titanium nitride (TiN), which does not impair its mechanical properties, could prevent the leaching of metal ions from the wire on immersion in acid. To investigate the acid corrosion resistance of the wire, the amount of metal ions eluted from the wire immersed in acid was measured by using inductively coupled plasma mass spectrometry (ICP-MS) and the dimethylglyoxime (DMG) test, the properties of the wire surface were examined by stereomicroscopy and scanning electron microscopy, and the surface roughness was measured using a surface roughness tester. The results indicated that TiN plating of orthodontic wire significantly suppressed the elution of metal ions on immersion in acid.

Effect of Eugenol on Streptococcus mutans Adhesion on NiTi Orthodontic Wires: In Vitro and In Vivo Conditions

Objective The purpose of this study was to compare the antibacterial effect of two types of Eugenol against Streptococcus mutans and then assess the effect of different concentrations of two types of Eugenol on S. mutans adhesion on Nickel-Titanium (NiTi) orthodontic wires in comparison to in vivo wires with fluoride-based hygiene regimen. Material and methods Culture of Streptococcus mutans with NiTi orthodontic wires was done. Different media were prepared by adding 100%, 50%, 25%, and 12.5% of two origins of Eugenol (one biological obtained by hydrodistillation of Syzygium aromaticum and one chemical already prepared available in drugstores for dental use (Idental, MOROCCO, lot number: UAN/17–211/1). Three sizes of NiTi wires (0.016 inch, 0.016 × 0.022 inch, 0.017 × 0.025 inch) were retrieved from adult patients undergoing orthodontic treatment after 1 month of setting them up in the mouth. After incubation, colony forming unites were calculated and a SEM analysis was done to the surface of each wire. ANOVA test was done between all groups to find statistical differences and post-hoc t-test with Bonferroni analysis was performed to elucidate differences between all groups with α = 0.05. Results Eugenol has an anti-bacterial effect against S. mutans. The biological Eugenol has greater effect than the chemical one. The same observations were done for anti-adherent effect, the biological Eugenol demonstrated the highest anti-adherent effect at all concentrations while the effect of the chemical Eugenol was the lowest. Conclusions The origin and the extraction mode of Eugenol have a crucial role in its antimicrobial and anti-adherent effect. Eugenol might constitute an alternative to Fluoride because it has an anti-adherent effect, limiting the incidence of white spot lesions.

Treatment Modalities for Rehabilitation of Mutilated Primary Anterior Teeth

Early childhood caries commonly affects the primary maxillary anterior teeth, in which extensive post- endodontic rehabilitation has always been a challenge. This is due to the small size of the crown, relatively large pulp chambers, and the age of the child. The remaining inadequate sound tooth structure renders restorations more prone to fractures. Among the available treatment modalities which include extraction of the grossly destructed tooth structure, use of semipermanent crowns and intracanal posts, the posts can be used effectively, to restore the lost function and anatomy. They also enhance the quality of the final coronal restoration by providing additional support for retention. The available methods for intracanal reinforcement for anterior teeth include the metal posts fabricated using orthodontic wires, short composite posts fabricated directed in the primary root canal, prefabricated glass fiber posts and posts utilising polyethylene fibers (Ribbond). Recently certain advanced techniques such as the biologic dentin and zirconia have also come into use. The various advantages and disadvantages for these have been summarised in this review along with the standardised clinical protocol for their placement in the primary root canals. Various in-vivo and in-vitro studies have concluded that the glass-fiber short intracanal posts provide the most suitable esthetics, strength, elastic modulus, and resilience. However, further qualitative research is required to certify it as a standard treatment modality.

FRACTURE LOAD OF SILVER SOLDERED JOINTS ON STAINLESS STEEL AND COBALT-CHROMIUM ORTHODONTIC WIRES WITH VARIOUS JOINING CONFIGURATIONS

The current research compared and analysed the tensile strength of silver soldered stainless steel and cobalt-chromium orthodontic wire joints with band material The effect of joint site planning on various orthodontic joining configurations was investigated. A total of sixty wire specimens were chosen, thirty in the stainless-steel group and thirty in the cobalt – chromium group. Again, each group's sample was divided into three subgroups, namely End – End, Round, and Orthodontic band material. The study findings suggested all three configurations can be used to make silver soldered joints regardless of the wire consistency. When subjecting the wire to joint site planning, however, stainless steel wire should be used with its limitations in mind.

FRACTURE LOAD OF SILVER SOLDERED JOINTS ON STAINLESS STEEL AND COBALT-CHROMIUM ORTHODONTIC WIRES WITH VARIOUS JOINING CONFIGURATIONS

The current research compared and analysed the tensile strength of silver soldered stainless steel and cobalt-chromium orthodontic wire joints with band material The effect of joint site planning on various orthodontic joining configurations was investigated. A total of sixty wire specimens were chosen, thirty in the stainless-steel group and thirty in the cobalt – chromium group. Again, each group's sample was divided into three subgroups, namely End – End, Round, and Orthodontic band material. The study findings suggested all three configurations can be used to make silver soldered joints regardless of the wire consistency. When subjecting the wire to joint site planning, however, stainless steel wire should be used with its limitations in mind.

THE INFLUENCE OF LEMON (Citrus Limon (L.)) IRON ION (Fe) REMOVAL ON STAINLESS STEEL ORTHODONTIC WIRE

Background: Lemons consist of 5-8% citric acid, have a pH of around 2.74. Drinks that have a critical pH of 5.5 can be said to be acidic drinks. Acidic drinks have the potential to cause corrosion of teeth and dental materials, one of which is stainless steel orthodontic wire. Stainless steel orthodontic wire is easily corroded, the wire has a composition of 71% Iron (Fe), 18% Chromium (Cr), 8% Nickel (Ni), and 0.2% Carbon (C). Corrosion is caused by the presence of inorganic components that act as electrolyte media that can trigger electrochemical reactions.Method: Each sample was placed on each uninsulated petridish and labeled as a marker. This is done by inserting orthodontic wire which is immersed into the incubator for 3.5 hours at 37℃. Then the sample is taken and the separation between the sample and the solution is carried out. After that, the measurement of Iron (Fe) ions was carried out using the Atomic Absorption Spectrophotomery tool.Result: The results showed the average release of Iron (Fe) ions in the experimental group of lemon juice with a concentration of 25% was 0.067mg/L, a concentration of 50% was 0.090mg/L and a concentration of 100% was 0.135mg/L. The test results obtained using the One Way Anova test showed that there was no significant difference (p>0.05).Conclusion: There was no significant difference in the release of Iron (Fe) ions in stainless steel orthodontic wires between experimental groups, and there was no effect of soaking lemon juice (Citrus Limon (L.)) on the release of Iron (Fe) ions in stainless steel orthodontic wires.

Improvement of Properties of Stainless Steel Orthodontic Archwire Using TiO2:Ag Coating

Orthodontic treatment carries the risk of major complications such as enamel demineralization, tooth decay, gingivitis, and periodontal damage. A large number of elements of fixed orthodontic appliance results in the creation of additional plaque retention sites which increase the risk of biofilm creation. Modification of the surface of orthodontic elements may prevent the formation of bacterial biofilm. In this paper, surface modification of stainless steel orthodontic wires with TiO2: Ag was carried out by the sol-gel thin film dip-coating method. To obtain the anatase crystal structure, substrates were calcined for 2 h at 500 °C. The properties of the obtained coatings were investigated using scanning electron microscopy, X-ray diffraction, and electrochemical tests. Corrosion studies were performed in a Ringer’s solution, which simulated physiological solution. SEM and XRD analyses of the coated surface confirmed the presence of Ag nanoparticles which may have antimicrobial potential.