Orthodontic soldering techniques: aspects of quality assurance in the dental laboratory.
BACKGROUND
In Germany, the dental technician is required by the Medical Products Act (MPG) to produce workpieces of high safety and quality and to document these properties. Soldering continues to be the prevailing joining technique in the dental laboratory, although problems arise from the susceptibility to corrosion and the low strength of soldered joints. This study aimed to reveal sources of defects in dental laboratory workpieces in order to achieve optimization in terms of quality assurance.


METHODS
The joints were produced by various dental technicians using three different soldering techniques. These joining techniques were investigated for their quality and their corrosion properties during immersion in ferric chloride, orthodontic appliance cleanser, and artificial saliva. Observance of the soldering instructions by the dental technicians was checked. Corrosion attack was confirmed by scanning electron microscopy and by measuring the ion concentrations of copper, silver and zinc in the corrosive agents, using atomic emission spectroscopy with stimulation by inductively coupled plasma (ICP-AES analysis).


CONCLUSIONS
Incomplete filling of the soldering gap, porosities resulting from the production process, poor corrosion properties, and in particular a high variability of the measured values point to insufficient reliability of two soldering techniques. Variations in quality were also detected among the technicians' modes of operation.


CONCLUSIONS
The analyses confirm the need for quality assurance of soldering techniques and for increased support for alternative joining techniques such as laser welding in the future. The results of the studies on laser welding are presented in a separate publication.
Heidemann
Jutta
J
Department of Orthodontics and Dentofacial Orthopedics, University of Würzburg, Germany. jheidemann@gmx.de
Witt
Emil
E
Feeg
Martin
M
Werz
Rainer
R
Pieger
Klaus
K
D003343:Corrosion; D012994:Dental Soldering / Q000592:standards*; D005858:Germany; D006801:Humans; D007754:Laboratories, Dental / Q000706:statistics & numerical data*; D008855:Microscopy, Electron, Scanning; D009967:Orthodontic Appliances / Q000592:standards*; D011785:Quality Assurance, Health Care