Objective:To evaluate the quantitative effects on torque expression of varying the slot size of stainless steel orthodontic brackets and the dimension of stainless steel wire, and to analyze the limitations of the experimental methods used.
Materials and Methods:In vitro studies measuring torque expression in conventional and selfligating stainless steel brackets with a torque-measuring device, with the use of straight stainless steel orthodontic wire without second-order mechanics and without loops, coils, or auxiliary wires, were sought through a systematic review process. Results: Eleven articles were selected. Direct comparison of different studies was limited by differences in the measuring devices used and in the parameters measured. On the basis of the selected studies, in a 0.018 inch stainless steel bracket slot, the engagement angle ranges from 31 degrees with a 0.016 ϫ 0.016 inch stainless steel archwire to 4.6 degrees with a 0.018 ϫ 0.025 inch stainless steel archwire. In a 0.022 inch stainless steel bracket slot, the engagement angle ranges from 18 degrees with a 0.018 ϫ 0.025 inch stainless steel archwire to 6 degrees with a 0.021 ϫ 0.025 inch stainless steel archwire. Active stainless steel self-ligating brackets demonstrate an engagement angle of approximately 7.5 degrees, whereas passive stainless steel self-ligating brackets show an engagement angle of approximately 14 degrees with 0.019 ϫ 0.025 inch stainless steel wire in a 0.022 inch slot.
Conclusions:The engagement angle depends on archwire dimension and edge shape, as well as on bracket slot dimension, and is variable and larger than published theoretical values. Clinically effective torque can be achieved in a 0.022 inch bracket slot with archwire torsion of 15 to 31 degrees for active self-ligating brackets and of 23 to 35 degrees for passive self-ligating brackets with a 0.019 ϫ 0.025 inch stainless steel wire. (Angle Orthod. 2010;80:201-210.)
Orthodontic lingual root movement (torque) is an important aspect of treatment biomechanics and is typically achieved by torsion of a rectangular wire within the orthodontic bracket slot which introduces a force couple. The magnitude of the force moment achieved by wire torsion may be influenced by deformation of the orthodontic bracket. A device utilizing an optical image correlation technique has been developed to accurately quantify bracket slot dimensional changes during application of wire torsion. Simultaneous torque moment magnitude, degrees of wire twist, and bracket slot dimension data can be gathered. Bracket tie wing elastic deformation when loaded was demonstrated and plastic deformation was also observed with a single rotation of the wire.
Orthodontic torque expression is the result of axial rotation of rectangular archwires within a rectangular bracket slot. This study investigates the effect of bracket material on torque expression. Torque exerted by a rotating archwire on each bracket will be measured as well as the relative deformation of each bracket slot. A total of 60 tests were performed where archwires were rotated within a bracket slot to produce torque within a bracket. Thirty Ormco Orthos Ti and 30 Orthos SS were compared to investigate the effect of torque on bracket material. Each bracket was mounted on a six-axis load cell that measured forces and moments in all directions. The archwire was rotated from an initial angle of 0 degree in 3 degrees increments to maximum angle of 51 degrees and then returned to the initial position. An overhead camera took images at each 3 degrees increment. The bracket images were post-processed using a digital image correlation technique to measure the relative deformation of each bracket slot. The maximum torque expressed at 51 degrees was 99.8 Nmm and 93.0 Nmm for Orthos Ti and Orthos SS, respectively. Total plastic deformation measured at 0 degrees post-torquing of the Orthos SS was 0.038 mm compared to 0.013 mm for Orthos Ti. The Orthos Ti brackets plastically deformed less than the Orthos SS brackets after torquing. The Orthos SS bracket plastic deformation was 2.8 times greater than that of Orthos Ti brackets. The Orthos Ti brackets expressed more torque than the stainless steel brackets but exhibited substantial variation.
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