Multiforce orthodontic archwires are thermodynamic wires made of nickel-titanium alloy (Ni-Ti). They release biologically tolerable forces along their length, progressively increasing from front to back. The frontal archwires’ segments distribute the weakest force: the premolar, the greater, and the molar, the greatest. The aim of the present study was to determine the influence of clinical use on the mechanical properties of two types of multi-force orthodontic archwires (TriTanium®, American orthodontics; Bio-Active®, GC) with dimensions of 0.016 × 0.022 inches for periods of up to 8 weeks and over 8 weeks of in-vivo use. A three-point bending test was used, and the data gained is statistically analyzed through a multi-variance comparison Mann-Whitney test. We found that after uses of up to 8 weeks and over 8 weeks, the shape memory effect and superelasticity are preserved, as well as the tendency for differential force release along the length of the archwires is kept.

This study aimed to characterize and compare the latest generation multi-force Bio-active™ orthodontic archwires to determine if there is a change in their physicochemical and mechanical properties during orthodontic treatment. The physicochemical characterization of the archwires was done by X-ray diffraction (XRD), scanning electron microscopy, energy-dispersive X-ray spectroscopy and laser-induced breakdown spectroscopy. A modified dynamic nanoindentation method with depth control was used to determine the mechanical properties. Statistical analysis was done by one-way analysis of variance (ANOVA). The XRD analysis showed that all investigated archwires are made of Ni-Ti alloy with an austenite crystal structure. The surface roughness of the Bio-active™ wires decreases after clinical use. The elemental composition analysis showed that the weight percentage of nickel and titanium is approximately 55 wt.% and 45 wt.%, respectively, and traces of Fe and Cr were registered in some regions. The results from nanoindentation experiments showed that the indentation hardness in the bicuspid part of archwires used for six weeks decreases by about 154%, and the indentation modulus decreases by about 44% compared to as received archwires, probably due to the changes in the morphology. Statistically significant differences in the chemical content are found for the anterior and bicuspid regions, while in the mechanical properties, for the bicuspid and posterior regions of the investigated archwires. The obtained results give orthodontists important information about the physicochemical and mechanical properties of the Bio-active™ multi-force archwires during their clinical use.

Multiforce nickel–titanium (NiTi) orthodontic archwires release progressively increasing forces in a front-to-back direction along their length. The properties of NiTi orthodontic archwires depend on the correlation and characteristics of their microstructural phases (austenite, martensite and the intermediate R-phase). From a clinical and manufacturing point of view, the determination of the austenite finish (Af) temperature is of the greatest importance, as in the austenitic phase, the alloy is most stable and exhibits the final workable form. The main purpose of using multiforce orthodontic archwires is to decrease the intensity of the applied forces to the teeth with a small root surface area, such as the lower central incisors, and also provide forces high enough to move the molars. With the optimally dosed forces of multiforce orthodontic archwires in the frontal, premolar and molar segments, the feeling of pain can be reduced. This will contribute to the greater cooperation of the patient, which is of utmost importance to achieve optimal results. The aim of this research was to determine the Af temperature at each segment of as-received and retrieved Bio-Active® and TriTanium® archwires with dimensions of 0.016 × 0.022 inches, investigated by the differential scanning calorimetry (DSC) method. A classical Kruskal–Wallis one-way ANOVA test and multi-variance comparison based on the ANOVA test statistic using the Bonferroni corrected Mann–Whitney test for multiple comparisons were used. The incisor, premolar and molar segments have different Af temperatures, and they decrease from the anterior to posterior so that the posterior segment has the lowest Af. Bio-Active® and TriTanium® with dimensions of 0.016 × 0.022 inches can be used as first leveling archwires by additional cooling and are not recommended for use on patients with mouth breathing.

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In modern orthodontics, thermally activated archwires are used more widely in clinical practice, because they have unique properties like superelasticity and bio-compatibility. The aim of the present study was to characterize commercial 35° C Cu-NiTi archwires in terms of their phase transition behavior, chemical composition, surface topography properties after clinical usage, as well as the influence of the autoclaving process. Materials and methods. 35° C Thermo-Active Copper NiTi (CuNiTi) of ORMCO, Glendora, CA, USA (as-received, as-received autoclaved and clinically retrieved) with rectangular cross-section and dimension 0.016x0.022 inch, were investigated. The physicochemical research was conducted via Differential Scanning Calorimetry (DSC), Scanning Electron Microscopy (SEM), Energy Dispersive Spectroscopy (EDX) and X-ray Diffraction Analysis (XRD). The autoclaving was done in Runyes model B autoclave. Results. The DSC results revealed the austenite start (9.8° C; 26.47° C) and austenite finish (28° C; 31.74° C) temperatures for the as-received and autoclaved archwires respectively. For clinically retrieved samples the austenite finish temperature (Af) is around 27° C. The XRD patterns of the as-received and clinically retrieved samples show almost identical diffraction patterns. Rough surface of the CuNiTi alloy was revealed by the SEM analysis. Autoclaving process seems to have no effects on archwires’ structure and chemical composition. Chemical content of the investigated as-received CuNiTi are Ni, Ti and Cu: 47.07 wt% and 46.81 wt% and 6.11 wt%, respectively. The autoclaving process seems to have little influence on the transition temperature. The results from our study showed little difference (~7 °C) in the finish transition temperatures (Af), compared to the manufacturer’s claim. No intermediate R phase was detected by DSC. Conclusion. A good knowledge of the structural changes that occur in CuNiTi alloys in the oral cavity is useful for the orthodontists in order to optimize orthodontic treatment.

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