Académique Documents
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Orthodontics
Presented by : Dr. Anuj Suri
M.D.S. Part II
Dept. Of Orthodontics ,B.V.
Dental College & Hospital
Introduction
The development of the various
orthodontic treatment modalities
available today would not have been
possible without the introduction
of metal and alloy in the form of
wires in different dimensions,
shapes and configurations.
A BRIEF REVIEW
Before Angle began his search for
new materials , orthodontists made
attachments from noble metals and
their alloys . Gold (at least 75%, to
avoid discoloration ), platinum,
iridium, and silver alloys were
esthetically pleasing and corrosion
resistant , but they lacked flexibility
and tensile strength .
STRESS (S, I)
Stress is the internal distribution of the
load measured as force per unit area i.e.,
Force/Original area.
For simple compression or tension the
stress is given by the expression,
Stress =F/A
Where, F= force applied
A= cross-sectional area
When
a wire is compressed across the
diameter ,a tensile stress is set up in the
specimen, the value of stress is being given by
Stress = 2F
D T
F = applied force
D = diameter of wire
T = length of the wire
TYPES OF STRESS
Tension or Tensile stress : It tends to pull
the material apart or tends to stretch or
elongate a body.
Compression or compressive stress : It is
the direct opposite of tension stress. If a body
is placed under a force, that tends to
compress or shorten it, the internal resistance
to such a force is called as compressive strain.
Shear stress : A stress that is applied by two
forces acting in opposite directions but not in
the same line. These stresses tend to slide one
part of the material past another along planes
parallel to the applied force.
STRAIN ()
= change in length
original length
Hookes Law
Within the elastic range, the
material deforms in direct
proportion to the stress applied, i.e.,
f = E or
stress = Modulus of elasticity x strain
MODULUS OF ELASTICITY
(Youngs modulus) (E)
DUCTILITY
It is the ability of a material to be
plastically strained in tension i.e.,
ability of a material to withstand
permanent deformation under a
tensile load without rupture.
ELONGATION
It is the deformation as a result of tensile force
application.
It is usually expressed as percentage elongation
and is equal to
L
increase in length
--------------- x 100 or --------------------- x 100
L0 original length
MALLEABILITY
The ability of a
withstand permanent
without rupture under
as in hammering or
sheets.
material to
deformation
compression
rolling into
Gold
-Most ductile and most
malleable
Silver
-next to most ductile
and malleable
Platinum -Third most ductile
Copper
FORMABILITY
Formability
is
amount
of
permanent deformation that a wire
will withstand before failing i.e.
before breaking or fracture.
FLEXIBILITY
It is the measure of the strain that a wire
can withstand without undergoing plastic
deformation.
A material is said to be flexible if it
withstands the strain or the load up to its
proportional limit without deforming
permanently.
It is a non-specific term denoting the ease
of bending.
It may indicate low stiffness, low strength,
high working range or low brittleness,
either singly or in any combination.
LOAD DEFLECTION
RATE
For a given
load (force) the
deflection
observed within
the elastic limit
is known as
load deflection
rate.
SPRINGBACK (Range of
action) AND SPRINGINESS
Springback ability of a wire is a
measure of its ability to undergo
large deflections without permanent
deformation. In other words if a wire
can be deflected over long distances
without permanent deformation, it
has a high spring back value.
GLOSSARY OF TERMS
Stabilised nickel titanium
The alloy has a fixed composition,
which is incapable of demonstrating
changes in its crystal structure. Its
elastic properties are the result of
its inherently stable structure.
Active martensitic On
application of heat at the relevant
transition temperature, the nickel
titanium demonstrates a change in
crystal structure from martensitic
to austenitic
Transition Temperature The
temperature range over which the
alloy structure changes from the
martensitic to the austenitic phase.
Thermodynamic This refers to
the ability of an archwire to return
to its intended shape once heated
through its transition temperature.
To
be
of
clinical
value,
thermodynamic archwires must
have a transition range close to
mouth temperature.
THE FLEXURAL
RIGIDITY (EI)
THE RESISTANCE OF
WIRES
TO
DISTORTION
If a load is applied to the free end of
a
simple cantilever, the upper layers of the
wire are extended and the lower layers
are compressed.
At any given cross-section of the wire the
variation in the magnitude and direction
of these internal stresses, from the outer
to the inner surfaces of curvature,
constitutes a series of couples whose
resultant, the moment of resistance, is
equal in magnitude and opposite in sense
to the Bending Moment at the
crosssection considered.
The
maximum
fibre
stress
occurring in the outermost layers of
a bent wire at any point may be
calculated from the expression
max = GR/I
where,
max is the maximum fibre stress.
G is the Bending Moment at that
point,
R is the radius of the wire,
I is the second moment of inertia of
the cross-section.
SUSCEPTIBILITY TO
FRACTURE
It is usually assumed that appliances
STRENGTH
It is a force value that is a measure
of the maximum possible load,i.e.,
the greatest force that a wire can
sustain or deliver, if it is loaded to
the limit of the material.
It is equivalent to the proportional
limit (PL) or approximately the yield
strength (YS) of the wire segment.
Considering
the
graphic representation
of the stress strain
curve three points can
be
taken
as
representative of the
strength of a material
- elastic limit
- yield point
--ultimate
strength
tensile
STIFFNESS
It is the rate of force delivery
required for a unit activation .
It is the measure of the force
required to bend or otherwise
deform the material to a definite
distance.
are
IMPORTANCE OF
STIFFNESS
Stiffness should be the first criteria
RANGE
the
elastic
FACTORS AFFECTING
STIFFNESS, STRENGTH AND
RANGE
Effects of diameter or
cross section
The
overall
stiffness
of
the
appliance (S) is determined by two
factors:
one factor relates to wire itself, (Ws)
The other factor is the design of the
appliance (As)
Therefore,
S= Ws x As
THANK YOU
WIRES
Composition
Manufacturing & Heat
Treatment
Properties
HEAT TREATMENT OF
GOLD WIRES
The changes that are produced in
the strength and ductility of a
wrought gold alloy by heat
treatment are due to the alterations
in the gold copper compound
present in the alloy.
PROPERTIES OF GOLD
WIRES
Yield strength of the gold
wires
range from 50,000 to 1,60,000 psi,
depending on the alloy and
condition,
with
corresponding
elongations of 3-16%.
Modulus of elasticity of gold copper
alloys is approximately 15,000,000
psi. The combination of these
properties makes gold very formable
and capable of delivering lower
forces than stainless steel
COMPOSITION
Type
(Space Lattice)
Chromium
Nickel
Carbon
Ferritic (BCC)
11.5-27
0.20 max
Austenitic(FCC)
16.0-26
7-22
0.25 max
Martensitic(BCT)
11.5-17
0-2.5
0.15-1.2 max
Chromium
loss
sensitization.
is
called
HEAT TREATMENT OF
STAINLESS
STEEL
ALLOYof
The
physical
properties
CORROSION OF
STAINLESS STEEL
Any
surface
inhomogenecity,
surface roughness, incorporation of
bits of carbon steel, soldered joints
and treatment with chlorine causes
corrosion of the stainless steel.
PROPERTIES OF
AlloySTAINLESS
Modulus of
0.2%STEEL
Offset
Ultimate
Stainless
Steel
Elasticity
(10 MPa)
Yield
Strength
(MPa)
Tensile
Strength
(MPa)
Number
of
90-degree
Cold Bends
without
fracture
179
1579
2117
AUSTRALIAN ORTHODONTIC
ARCHWIRE
Premium
Sizes Available
: .020
HEAT TREATMENT OF
AUSTRALIAN
WIRE
Since 1970s preformed archwires ,
Presently
the
premium
and
supreme wires are straightened by a
process called pulse straightening
.Though the exact procedure ,
presumably remains a trade secret ,
it enables to straighten these high
yield strength wires , without
structural deformation and altering
the physical properties.
PROPERTIES OF
AUSTRALIAN WIRES
A cobalt-chromium-nickel
orthodontic
wire
alloy
was
developed during the 1950s by the
Elgiloy Corporation(Elgin, IL,USA).
Initially it was manufactured for
watch springs by Elgin watch
company, hence the name Elgiloy.
Marketed
as
Elgiloy,
Azura,
Multiphase etc.
COMPOSITION
Chrome cobalt alloy is a cobalt base
alloy containing 40% cobalt, 20%
chromium,
15%
nickel,
7%
Molybdenum,
2%
manganese,
0.16% carbon, 0.04% beryllium and
15.8% iron.
TYPES OF CHROME
COBALTelgiloy
ALLOY
WIRES
Blue(soft)
: Can
be bent
easily
with finger pressure
and pliers.
Heat treatment of blue elgiloy increases
its resistance to deformation.
Yellow elgiloy : Relatively ductile and
more resilient than blue elgiloy. Further
increase in its resilience and spring
performance can be achieved by heat
treatment.
HEAT TREATMENT OF
COBALT- CHROME ALLOY
PROPERTIES OF CHROME
COBALT ALLOY
Alloy
Modulus of
Elasticity
(10 MPa)
0.2% Offset
Yield
Strength
(MPa)
Ultimate
Tensile
Strength
(MPa)
Number of
90-degree
Cold Bends
without
fracture
Chrome
Cobalt
184
1413
1682
COMPOSITION
55% nickel, 45% titanium
resulting in one to one steiochromatic
ratio of these elements.
1.6% cobalt also is added to obtain
desirable properties.
PROPERTIES
Transition Temperature Range :
TTR
Shape Memory
Super elasticity
Transition Temperature
Range : TTR
It is found to be in martensitic
crystallographic
lattices
consisting of lesser symmetric
lattices like monoclinic, orthor
hombic,
tetragonal
crystallographic structures at
lower temperatures
In martensitic phase the alloy
cannot be plastically deformed.
Shape Memory
It is the phenomenon, where in if
a plastic deformation incurred
within or below the TTR, it is
recoverable within certain strain
limits of 8%, which is the outer
fibre strain limit of the wire.
Super elasticity
It is the property of the wire
explained as even when the
strain is added, the rate of
stress increase levels off due to
the progressive deformation
produced by the stress induced
martinsitic transformation.
The
same
procedure
was
repeated by transmitting the
same current to the premolar
segment including the anterior
segment of the arch wire B-B
for 15 min. Hence current was
transmitted through A-A for 60
min. The molar segments of the
arch wire were not heat treated.
Nickel
titanium
are
most
commonly manufactured into
Nickel Titanium alloy by the
process of vacuum induction
melting or vacuum arc melting
process. Several re-melts are
often
needed
to
improve
homogeneity of nickel titanium
alloy. Powders are then made of
the alloy.
COPPER Ni Ti WIRES
In 1994 Ormco Corporation
introduced a new orthodontic wire
alloy, Copper NiTi
Copper Ni Ti is a new quaternary
( nickel, Titanium copper and
chromium ) alloy with distinct
advantages over formerly available
nickel titanium alloys.
Type II Af 27 0C
Type III Af 35 0C
Type IV Af 40 0C
PROPERTIES OF COPPER
NiTi WIRES
1. Copper Ni Ti generates a more constant
ALPHA TITANIUM
The alpha titanium alloy is attained by
adding 6% aluminum and 4% vanadium to
titanium
Because of its hexagonal lattice. It posses
fewer slip planes making it less ductile
from - titanium.
the hexagonal close pack structures of
Alpha Titanium has only one active slip
plane along its base rendering it less
ductile.
TITANIUM TITANIUM
MOLYBDENUM ALLOY OR T.M.A.
In the 1960s an entirely different
high temperature form of titanium
alloy
became
available.
At
temperature above 1625F pure
titanium rearranges into a body
centered cubic lattice (B.C.C.),
referred to as Beta phase.
PROPERTIES OF TITANIUM
Alloy
Modulus
of
Elasticity
(10
MPa)
0.2% Offset
Yield
Strength(MP
a)
Ultimate
Tensile
Strength
(MPa)
Number of
90-degree
Cold Bends
without
fracture
Titanium
71.7
931
1276
TOOTH COLOURED
ORTHODONTIC WIRES
The new orthodontic materials of recent
years have been adopted from those used
in aerospace technology. The high
performance aircraft of the 1970s and
1980s were titanium based, but the
current generation are built of composite
plastics, and there is every reason to
believe that orthodontic wires of this type
will move into clinical use in future.
CV NiTi WIRES
Masel has announced its' new
CV(tm) NiTi wires. CV NiTi is meant
as an alternative to the copper NiTi
wires used in many orthodontic
procedures
CLINICAL
IMPORTANCE OF
VARIOUS WIRES
GOLD WIRES
Gold alloy wires have decreased
usage in orthodontics due to high
cost of gold alloy and also advent of
stainless steel alloy which is cost
effective and provides properties
required for orthodontic wires
MULTI STRANDED
STAINLESS STEEL WIRE
Flexibility of stainless steel wire can be
increased by building up a strand of
stainless steel wire around a core of
0.0065 wire along with 0.0055 wires
used as wrap wires. This produces an
overall diameter approximately 0.165.
Multi stranded wires are available in
round, rectangular nd square crosssections.
1.
2.
3.
4.
5.
D-rect is an 8
stranded
,
interwoven braided
rectangular wire .
Its high flexibility ,
together
with
3dimensional control
and
slot
filling
capabilities make it
ideally suitable for
multiple
applications like:-
in treatment
3. A finishing arch wire where
torque control is desired yet
resilient to permit interarch
occlusal settling
4. Torque control with vertical or
anterior box elastics.
Force 9 is a 9
stranded ,
interwoven ,
braided rectangular
wire. It delivers
50% more force
than the 8
stranded D-rect
wire. Its selection
can be based upon
similar applications
where slightly more
force seems to be
indicated.
Respond is a 6
stranded ,spiral wrap
with a central core wire
Respond can deliver
light , initial forces
while filling the arch
wire slot for greater
control. Its resistance
to permanent
deformation makes
Respond an excellent
choice as an initial
arch wire in more
severe dental
malalignments.
COMBINATION WIRES
Currently,
stainless
steel
combination wire is also available .
It
consists
of
an
anterior
rectangular wire and posterior
round
wire
.
The
anterior
rectangular wire gives better torque
control and acts as brakes to
burnout the anchorage . These
wires are also known as Dual flex
or Wonder wires.
AZURLOY is a heat
treatable alloy with
excellent formability
in its non heat treated
form . Applications
that take advantage of
this
formability
followed
by
heat
treating to increase
the spring rate might
include :
Multiloop systems
Utility arches
Overlay intrusion or
base arches
1. Titanium
Gac
International
3.Nitanium ortho organizers
4.Neosentalloy Gac International
5. BMA
arch
wire
Masel
Orthodontics
6.Titanal XR Lancer orthodontics
7.Rematitan Dentaurum
8.NiTinol SE Unitek
1.NiTinol XL Unitek
2.Turbo Ormco
3.Orthonol Rocky Mountain
4.Marsenol Glenroe Technologies
5.Reflex T.P. orthodontics
6.Sentinol Gac International
7.Align A company
8.Force merican orthodontics
Turbo wire is the first braided NiTi
wire manufactured by Ormco.
Type IV wire Af 40 0C
These wires generate tooth driving
forces
when
the
mouth
temperature exceeds 400C. these
forces are intermittent in nature.
The indications for use of this alloy
includes:
1. Patients who are sensitive to pain.
2. Patients who have compromised
periodontal conditions
(smaller cross sections are indicated
for severe cases)
3. Where
tooth
movement
is
deliberately slowed down , i.e.,
when the patient may not be able
to visit the orthodontist regularly
or his/her cooperation is very poor
and the orthodontist does not
want things to get out of hand
This wire is very beneficial as an
initial rectangular wire.
Beta-titaniums balance of
physical properties also
makes it an ideal choice for
utility arches.
Its
excellent
formability
makes the fabrication of
utility arches fairly simple.
TOOTH COLOURED
ORTHODONTIC WIRES
It is interesting that one nonmetallic
wire already has been offered for
clinical use. Optiflex is a new
orthodontic arch wire designed by
Dr. Talass and manufactured by
ORMCO.
GRADED ARCHWIRES
THE CHOICE OF
ARCH WIRE IN THE
CLINICAL
SITUATION
ARCH WIRES
FOR
INITIAL
ALIGNMENT
MID
TREATMENT
ARCHWIRES
FOR
DETAILING
AND
RETENTION
The archwire
requirements at this
stage are for high
stiffness and low
range
Begg
brackets
present
problems at the detailing and
retention stage . The loose
fit of the archwire in the
channel , and the flexibility
of the accessory springs
makes precise positioning of
teeth
very
difficult
to
achieveand retain.
In search
of the ideal
archwire
The future
Existing experimental
prototypes are tooth
colored, can be as strong as
the strongest piano wire,
and can vary in stiffness
from that of the most
flaccid multi-stranded
archwire, to nearly that of
a beta-titanium archwire
Summary of relative
levels of important
properties for
selection of
orthodontic wire
alloys
References
1. Backofen W.A. & Gales G.F. : the low temperature
heat treatment of stainless steel for orthodontics. A.O.
1951, vol 21, 117 124
2.Funk A.C. : heat Treatment of S. Steel . A.O. 1951, vol
21, 129-136.
3.Richman, G. Y. : Practical metallurgy
orthodontist AJO 1956, ; vol. 42, 573-587
for
the
THANK YOU