title: Frictional evaluations of dental typodont models using four self-ligating designs and a conventional design.
abstract: Abstract: After a previous study using typodonts and three standardized archwire (AW) sizes, the frictional evaluations of four self-ligating brackets were directed toward the optimal AW-bracket system. Four participating manufacturers suggested three AWs, which were a representation of the three stages of orthodontic treatment, to be coupled with their respective self-ligating design. Four replicated typodont models were mounted with a self-ligating design, and a fifth model was mounted with a conventional design that served as a control. The first experiment evaluated the manufacturer-suggested AWs against the respective self-ligating design. Because no third-stage AWs could engage their respective designs, a second experiment was implemented to gain more detailed analyses of the designs. This experiment included any successful manufacturer-suggested AWs from the first experiment against the four self-ligating designs and the control design. All self-ligating designs performed with the efficiency and reproducibility associated with expectations. Specifically, self-ligation outperformed the conventional brackets when coupled with up to 0.020- x 0.020-inch wires. The clearance of the various AW sizes and alloys changed with malocclusion. Furthermore, the parameter that best correlated with drawing forces was the bending stiffness of the AW, which was directly associated with the nominal dimension of each wire. The best AW-bracket system can be selected, when taking into account the stiffness (elastic modulus and size of the AW) along with the amount of malocclusion present, once the treatment plan is determined.
authors.affiliation: Graduate Student, Department of Biomedical Engineering, University of North Carolina, Chapel Hill, NC 27599, USA.
authors.forename: Sandra P
authors.initials: SP
authors.lastname: Henao
authors.forename: Robert P
authors.initials: RP
authors.lastname: Kusy
mesh_terms: D003722:Dental Alloys; D003799:Dental Stress Analysis; D004548:Elasticity; D017276:Friction; D006801:Humans; D008310:Malocclusion / Q000628:therapy; D003765:Models, Dental; D015999:Multivariate Analysis; D009532:Nickel; D016382:Orthodontic Appliance Design / Q000706:statistics & numerical data*; D016910:Orthodontic Brackets / Q000706:statistics & numerical data*; D009969:Orthodontic Wires / Q000592:standards* / Q000706:statistics & numerical data; D015203:Reproducibility of Results; D013193:Stainless Steel; D014025:Titanium
chemical_list: D003722:Dental Alloys; C040654:titanium nickelide; D013193:Stainless Steel; D009532:Nickel; D014025:Titanium