Académique Documents
Professionnel Documents
Culture Documents
Introduction: Torque applied on anterior teeth is vital for root positioning and stability. The aim of this study was
to evaluate the detailed slot wall deformation in stainless steel (SS) and titanium (Ti) edgewise brackets during
palatal root torque using finite element analysis. Methods: A finite element model was developed from a maxil-
lary central incisor SS bracket (0.022 in). The generated torque values from an SS rectangular archwire
(0.019 3 0.025 in) while twisting from 5 to 40 were obtained experimentally by a spine tester, and the calculated
torque force was applied in the bracket slot. The deformations of the slot walls in both SS and Ti brackets were
measured at various locations. Results: There were gradual increases in the deformations of both bracket slot
walls from the bottom to top locations. In the SS bracket slot for the 40 twist, the deformations were 9.28, 36.8,
and 44.8 mm in the bottom, middle, and top slot wall locations, respectively. Similarly, in the Ti bracket slot for the
40 twist, the deformations were 39.2, 62.4, and 76.2 mm in the bottom, middle, and top slot wall locations,
respectively. The elastic limits were reached at 28 for SS and at 37 for Ti. Conclusions: Both SS and Ti
bracket slots underwent deformation during torque application. There are variations in the deformations at
different locations in the slot walls and between the materials. (Am J Orthod Dentofacial Orthop
2018;153:481-8)
O
rthodontic brackets transfer the forces from the archwire inside the bracket slot. During this force trans-
archwire to the teeth to enable tooth movement. fer mechanism, because of the archwire contact on the
Final root positioning of the teeth is vital for slot walls, there might be deformation of the bracket
long-term stability, function, and esthetics and is usually slot. The clinically required torque is determined accord-
done by torquing. Incisor torque is necessary for proper ing to tooth inclination, slot-wire play, and bracket ma-
interincisal angle and overjet, and optimal posterior terial. Gioka and Eliades1 proposed that a high-torque
tooth occlusion. To achieve these, palatal root move- prescription should be selected to account for the lack
ment of the maxillary anterior teeth is commonly carried of full expression of the prescribed torque that occurs
out in the finishing rectangular archwires by torquing clinically. McKnight et al2 suggested that full thickness
the necessary archwire segments. Clinically, torque is stainless steel (SS) rectangular wires should be avoided
the moment generated by a twisted orthodontic with SS brackets, to prevent larger deformation of the
brackets by overloading. Many factors affect the pre-
a
Bio-Mechanics Laboratory, School of Mechanical Engineering, SRM University,
scribed torque, and as the main torquing force is trans-
Kattankulathur, Kancheepuram,Tamil Nadu, India. ferred to the bracket slot walls from the torqued
b
Division of Orthodontics, Teeth “N” Jaws Center, Chennai, Tamil Nadu, India. archwire, we believe that the direct deformation of the
All authors have completed and submitted the ICMJE Form for Disclosure of Po-
tential Conflicts of Interest, and none were reported.
bracket slot might be an important parameter in torque
Partly funded by DST-FIST, government of India (reference number SR/FST/ETI dissipation.
311/2012). There were many experimental studies available to
Address correspondence to: Pandurangan Harikrishnan, Teeth “N” Jaws Center,
23 and 25, 1st Cross Street, Lake Area, Nungambakkam, Chennai 600034, Tamil
predict the behavior of conventional, preadjusted, and
Nadu, India; e-mail, teethnjaws@rediffmail.com. self-ligated orthodontic brackets of metallic, ceramic,
Submitted, March 2017; revised and accepted, August 2017. and polycarbonate materials for applied torque.3-7 Few
0889-5406/$36.00
Ó 2017 by the American Association of Orthodontists. All rights reserved.
experimental studies on elastic and plastic deformation
https://doi.org/10.1016/j.ajodo.2017.08.011 of orthodontic bracket tie wings using the digital
481
482 Magesh, Harikrishnan, and Kingsly Jeba Singh
April 2018 Vol 153 Issue 4 American Journal of Orthodontics and Dentofacial Orthopedics
Magesh, Harikrishnan, and Kingsly Jeba Singh 483
American Journal of Orthodontics and Dentofacial Orthopedics April 2018 Vol 153 Issue 4
484 Magesh, Harikrishnan, and Kingsly Jeba Singh
SS Ti
Angle of
twist ( ) Top Middle Bottom Top Middle Bottom
5 0.3 0.1 0 0.7 0.3 0
10 0.6 0.4 0 1.2 0.7 0.1
Fig 4. Meshed bracket model showing the top, middle, 15 0.9 0.6 0.06 1.8 1.1 0.2
and bottom locations for the measurement of deforma- 20 2.0 1.3 0.1 3.6 2.2 0.4
tion. 25 3.7 2.4 0.3 6.7 4.4 0.8
30 5.6 3.8 0.7 10.2 7.1 1.3
35 13.4 9.3 4.6 32.3 26.5 8.4
40 44.8 36.8 9.28 76.2 62.4 39.2
April 2018 Vol 153 Issue 4 American Journal of Orthodontics and Dentofacial Orthopedics
Magesh, Harikrishnan, and Kingsly Jeba Singh 485
Fig 6. Deformed FE model of SS bracket for 30 angle of twist showing more deformation in the
gingival slot wall than in the incisal slot wall. MG, Mesiogingival; MI, mesioincisal; DG, distogingival;
DI, distoincisal.
Fig 7. Deformed FE model of Ti bracket for 30 angle of twist showing more deformation in the gingival slot
wall than in the incisal slot wall. MG, Mesiogingival; MI, mesioincisal; DG, distogingival; DI, distoincisal.
top slot was 0.071 mm (71 mm). Kapur et al27 reported et al12 reported that the SS self-ligating bracket plasti-
that Ti brackets reached the elastic limit at a 45 twist. cally deformed when torqued to 24 at 26 Nmm; this is
In our study, the elastic limit of the SS bracket was closer to our findings.
reached at a twist of 28 (21 Nmm), and the deformation Our results showed that the elastic deformation of
noted at the top slot wall was 0.0043 mm (4.3 mm). Major the Ti bracket slot is more than that of the SS bracket
American Journal of Orthodontics and Dentofacial Orthopedics April 2018 Vol 153 Issue 4
486 Magesh, Harikrishnan, and Kingsly Jeba Singh
Fig 8. Comparison of slot locations deformation in SS and Ti brackets for 5 to 40 angles of twist.
April 2018 Vol 153 Issue 4 American Journal of Orthodontics and Dentofacial Orthopedics
Magesh, Harikrishnan, and Kingsly Jeba Singh 487
REFERENCES
Table IV. FE analysis vs analytical comparison for 30
twist showing maximum deformation of gingival wall 1. Gioka C, Eliades T. Materials-induced variation in the torque
expression of preadjusted appliances. Am J Orthod Dentofacial Or-
of the slot
thop 2004;125:323-8.
FE analysis (dmax) Analytical (dmax) 2. McKnight M, Jones S, Davies E. A study to compare the effects of
Material (mm) (mm) simulated torquing forces on pre-adjusted orthodontic brackets.
SS 0.0055 0.0054 Br J Orthod 1994;21:359-65.
Ti 0.0099 0.0101 3. Badwai HM, Toogood RW, Carey JP, Heo G, Major PW. Torque
expression of self-ligating brackets. Am J Orthod Dentofacial Or-
dmax, Maximum deformation. thop 2006;133:721-8.
4. Harzer W, Bourauel C, Gymrek H. Torque capacity of metal and
polycarbonate brackets with and without a metal slot. Eur J Orthod
out a few times during the treatment period, there might 2004;26:435-41.
be more slot deformation than shown in our study. Our 5. Arreghini A, Lombardo L, Mollica F, Siciliani G. Torque expression
study provides significant information to clinicians that capacity of 0.018 and 0.022 bracket slots by changing archwire
there is torque-relevant slot wall deformation in widely material and cross section. Prog Orthod 2014;15:53.
used SS and Ti brackets. This study implies that clinicians 6. Morina E, Elides T, Pandis N, Jager A, Bourauel C. Torque expres-
sion of self-ligating brackets compared with conventional metallic,
should be aware of these factors when applying torque ceramic and plastic brackets. Eur J Orthod 2008;30:233-8.
and plan to compensate accordingly to achieve the clin- 7. Hirai M, Nakajima A, Kawai N, Tanaka E, Igarashi Y, Sakaguchi M,
ically required torque. et al. Measurements of the torque moment in various archwire-
In this study, the FE analysis deformation results were bracket-ligation combinations. Eur J Orthod 2012;34:374-80.
validated using the analytical method. Only the gingival 8. Lacoursiere RA, Nobes DS, Homeniuk LN, Carey JP, Badwai HM,
Major PW. Measurement of orthodontic bracket tie wing elastic
wall of the slot was considered for validation purpose
and plastic deformation by arch wire torque expression utilizing an
and as a cantilever beam. The bottom portion was fixed, optical image correlation technique. J Dent Biomech 2010;397037.
and force was applied at the top location for a 30 angle 9. Major TW, Carey JP, Nobes DS, Heo G, Major PW. Measurement of
of twist (Fig 9). Half of the couple force was applied as a plastic and elastic deformation due to third-order torque in self-
point load.28 The maximum deflection (dmax) was ob- ligated orthodontic brackets. Am J Orthod Dentofacial Orthop
2011;140:326-39.
tained using the following formula.29
10. Melenka GW, Nobes DS, Major PW, Carey JP. Three-dimensional
Pa2 deformation of orthodontic brackets. J Dent Biomech 2013;4:
dmax 5 ð3L aÞ (1) 1-15.
6EI 11. Matsui S, Umezaki E, Komazawa D, Ostuka Y, Suda N. Evaluation
where E is Young's modulus of bracket material, P is the of mechanical properties of esthetic brackets. J Dent Biomech
applied force, L is the length of a cantilever beam, I is the 2015;6:1758736015574401.
moment of inertia of the gingival wall cross section, and 12. Major TW, Carey JP, Nobes DS, Heo G. An investigation into the me-
chanical characteristics of select self-ligating brackets at a series of
a is the distance from the base to the force application clinically relevant maximum torqueing angles: loading and unload-
point. The maximum deformation obtained for a 30 ing curves and bracket deformation. Eur J Orthod 2011;76:1-11.
twist by the FE analysis for the gingival wall was vali- 13. Major TW, Carey JP, Nobes DS, Heo G, Major PW. Deformation and
dated with an analytic calculation as presented warping of the bracket slot in select self-ligating orthodontic
in Table IV. These analytic results were closer to the FE brackets due to an applied third order torque. J Orthod 2012;39:
25-33.
results obtained.
14. Segerlind J. Applied finite element analysis. 2nd ed. New York:
John Wiley and Sons; 1984.
CONCLUSIONS 15. Jones ML, Hickman J, Middleton J, Knox J, Volp CA. Validated
In this study, FE analysis of torque-relevant slot wall finite element method study of orthodontic tooth movement in
the human subject. J Orthod 2001;28:29-38.
deformation in commonly used SS and Ti brackets was 16. Penedo ND, Elias CN, Pacheco T, Gouvea JP. 3D simulation of or-
done. The following conclusions were reached. thodontic tooth movement. Dental Press J Orthod 2010;15:
98-108.
1. There is a gradual increase in the deformation of SS
17. Wakabayashi N, Ona M, Suzuki T, Igarashi Y. Nonlinear finite
and Ti bracket slot walls from bottom to top locations. element analyses: advances and challenges in dental applications.
2. The elastic deformation of the Ti bracket slot was J Dent 2008;36:463-71.
more than that of the SS bracket slot. 18. Papageorgiou SN, Keilig L, Hasan I, Jager A, Bourauel C. Effect of
3. The plastic deformation of the SS bracket was more material variation on the biomechanical behaviour of orthodontic
fixed appliances: a finite element analysis. Eur J Orthod 2015;50:
than that of the Ti bracket.
1-8.
4. Clinicians should be aware of this torque-relevant 19. Ghosh J, Nanda RS, Duncanson MG, Currier FG. Ceramic bracket
bracket slot wall deformation during fixed appliance design: an analysis using the finite element method. Am J Orthod
therapy to achieve ideal tooth positions. Dentofacial Orthop 1995;108:575-82.
American Journal of Orthodontics and Dentofacial Orthopedics April 2018 Vol 153 Issue 4
488 Magesh, Harikrishnan, and Kingsly Jeba Singh
20. Huang Y, Keilig L, Rahimi A, Reimann S, Eliades T, Jager A, et al. 25. Isaacson RJ, Lindauer SJ, Rubenstein LK. Moments with the torque
Numeric modeling of torque capabilities of self- ligating and con- control edgewise appliance: incisor torque control. Am J Orthod
ventional brackets. Am J Orthod Dentofacial Orthop 2009;136: Dentofacial Orthop 1993;103:428-38.
638-43. 26. Harikrishnan P, Magesh V, Kingsly Jeba Singh D. Comparison of
21. Cifuentes AO, Kalbag A. A performance study of tetrahedral and slot deformation in stainless steel and ceramic brackets during tor-
hexahedral elements in 3-D finite element structural analysis. que–a finite element analysis. South Eur J Orthod Dentofac Res
Finite Elem Anal Des 1992;12:313-8. 2017;4:5-8.
22. Elsaka SE, Hammad SM, Ibrahim NF. Evaluation of stresses devel- 27. Kapur R, Sinha PK, Nanda RS. Comparison of load transmission
oped in different bracket-cement-enamel systems using finite and bracket deformation between titanium and stainless steel
element analysis with in vitro bond strength tests. Prog Orthod brackets. Am J Orthod Dentofacial Orthop 1999;116:275-8.
2014;15:1-8. 28. Melenka GW, Lacoursiere RA, Carey JP, Nobes DS, Heo G, Major PW.
23. Elias CN, Lima JHC, Valiev R, Meyers MA. Biomedical applications Comparison of deformation and torque expression of the orthos and
of titanium and its alloys. Biol Mater Sci 2008;60:46-9. orthos Ti bracket systems. Eur J Orthod 2011;120:1-8.
24. Dieter GE. In: Mechanical metallurgy. SI Metric ed. London, United 29. Hibbeler RC. In: Mechanics of materials. SI ed. Singapore: Pearson
Kingdom: Tata McGraw-Hill; 2013. Prentice Hall; 2004.
April 2018 Vol 153 Issue 4 American Journal of Orthodontics and Dentofacial Orthopedics