Orthodontic Wires
Orthodontic Wires
ontic wires
and clinical
Texas
This review article describes the mechanical properties and clinical applications
of stainless steel,
cobalt-chromium,
nickel-titanium,
beta-titanium,
and multistranded
wires. The consolidation
of this
literature will provide the clinician with the basic working knowledge on orthodontic wire
characteristics
and usage. Mechanical properties of these wires are generally assessed by tensile,
bending, and torsional tests. Although wire characteristics
determined
by these tests do not
necessarily reflect the behavior of the wires under clinical conditions, they provide a basis for
comparison
of these wires. The characteristics
desirable in an orthodontic wire are a large
springback,
low stiffness, good formability, high stored energy, biocompatibility
and environmental
stability, low surface friction, and the capability to be welded or soldered to auxiliaries. Stainless
steel wires have remained popular since their introduction to orthodontics
because of their
formability, biocompatibility
and environmental
stability, stiffness, resilience, and low cost. Gobaltchromium (Co-Cr) wires can be manipulated
in a softened state and then subjected to heat
treatment. Heat treatment of Co-Cr wires results in a wire with properties similar to those of stainless
steel. Nitinol wires have a good springback and low stiffness. This alloy, however, has poor
formability and joinability. Beta-titanium
wires provide a combination
of adequate springback,
average stiffness, good formability, and can be welded to auxiliaries. Multistranded
wires have a high
springback and low stiffness when compared with solid stainless steel wires. Optimal use of these
orthodontic
wires can be made by carefully selecting the appropriate
wire type and size to meet the
demands of a particular clinical situation. (AM J ORTHOD DENTOFAC
ORTHOP
1989;96:100-9.)
Mechanical
properties
and
clinical
of wires
applications
Test type
Conventional
test*
tensile
Investigators
Goldberg
and
Burstone
Drake et aL6
Miura et al7
Hurst
Kusy and Stush
Bending
Stiffness
Formability
Three-point
Torsion
tester?
test
Goldberg
and Burstone
Drake et a1.6
Andreasen
and
Morrowa
Schwaninger
et al.
Burstone et alI6
Goldberg
and Burstone
Miura et al.
Yield diameter
Simulated arch wire
Three- and four-point
test
Automated
spring tester
Ingram et al.
Schaus and NikolaiI
Kusy and Stush9
Kusy and Dilley
Goldberg
et al. I4
Torsional
Drake et aL6
Andreasen
and
Morrow
Burstone et al.
Larson et al.
test$
Torque gauge
Torsional
test
Wires
tested
Properties
evaluated
SS, B-ti
YS, E, YSIE,
spring
rate
YS, E, YSIE
Deflection/load
SS, B-ti
SS, Niti,
SS, Niti
graphs
Shape memory
YS, UTS, % elongation
B-ti
Niti
SS, Niti, Chinese Niti
SS, B-ti
SS, Niti, B-ti, Jpn
Niti
SS, Co-Cr, Niti
SS, Niti, B-ti, Msd
Niti, B-ti
Msd
SS, Co-Cr, Niti, B-ti,
Msd
Flexural YS
Bending moment, springback
Formability
Deflection/load
graphs
SS, Niti,
SS, Niti
B-ti
M,,
M,,
SS, Niti,
SS, Niti,
Chinese
B-ti
Niti
Springback
Flexural stiffness
E
E
Flexural E
spring
sprmg
rate
rate
Angular deflection
Shear modulus,
torsional
YS
Wires-SS
= stainless steel, Niti = nitinol,
B-ti = beta-titanium,
Co-Cr = cobalt-chromium,
Jpn Niti = Japanese nitinol, Msd =
multistranded;
Properties-YS
= yield strength, YSiE = relates to springback,
UTS = ultimate tensile strength, E = moduius of eiasticity,
M, = modulus of resilience
or stored energy.
*Instron Universal
Testing Machine,
Canton, Mass.
tTinius
Olsen Testing Machine Co., Philadelphia,
Pa.
ZMaillefer
Torsiometer,
Switzerland.
EY:
WIRE CHARACTERISTICS
CLINICAL RELEVANCE
OF
Several characteristics of orthodontic wires are considered desirable for optimum performance during treatment.5Jo,zoThese include a large springback, low stiffness, high formability, high stored energy, biocompatibility and environmental stability, low surface friction,
and the capability to be welded or soldered to auxiliaries
and attachments. A brief description of each of these
desirable wire characteristics is provided.
I. Spuingback. This is also referred to as maximum
elastic deflection, maximum flexibility, range of activation, range of deflection, or working range. Springback is related to the ratio of yield strength to the modulus of elasticity of the material (Y S / E) . Higher springback values provide the ability to apply large activations
with a resultant increase in working time of the appliance. This, in turn, implies that fewer arch wire changes
Am. J Orthod.
15
30
Angular
45
DeflectIon
60
75
Denrofac. Orthop.
Augm 1989
90
(Degree)
Torque
Angle (Degree)
Fig. 1. Diagrammatic
representation
of graphs
obtained
in bending
(A) and torsional (B) tests. These
graphs
demonstrate
the differences
in properties
of stainless
steel, beta-titanium,
and nitinol wires and
the slightly different
responses
of these specimens
under conditions
of bending and torsion. The slope
of the straight
line on the graph represents
the stiffness
or load deflection
rate (E) of the wire; the
shaded
area under each plot is the stored
energy
at a fixed bending
or torsional
moment.
(Modified
from Drake SR, Wayne
DM, Powers
JM, Asgar K. AM J ORTHOD 1982;82:206-10.)
continuous arch wire techniques involve a relative motion of bracket over wire. Excessive amounts of
bracket/wire friction may result in loss of anchorage
or binding accompanied by little or no tooth movement.
The preferred wire material for moving a tooth relative
to the wire would be one that produces the least amount
of friction at the bracket/wire interface.
MECHANICAL
PROPERTIES
CLINICAL IMPLICATIONS
AND THEIR
steel wires
Carbon interstitial hardening and cold working cantribute to the high yield strength and modulus of elasticity of stainless steel (Table II). Residual stressespresent in a wire subsequent to bending can markedly affect
the elastic properties of the wire. Heat treatment is
therefore used in stress-relieving stainless steel after
bending the wire into an arch, loops, or coils. This
helps to enhance the elastic properties of the wire.22-2s
The recommended temperature-time
schedule for
stress-relieving stainless steel is 750 F (399 C) for 1 I
minutes.26x27FunkZ3 recommends the use of a color index to determine when adequate heat treatment is
achieved. He suggests that a straw-colored wire indicates that optimum heat treatment has been attained.
Mechanical
properties
and clinical
applications
qf wires
gable ill. Composition, yield strength (YS), modulus of elasticity (E), and the ratio of yield strength to
modulus of elasticity (YS /E) of orthodontic wires in tension and bending as reported by various
investigators6,99..53
(YS/E is an indication of the springback of the wire; data from Asgharnia and
13rantley9, Drake et a1.,6 Kusy et al. ,29 and Kusy and Stush are calculated means from various wire sizes)
Reference
Fe,
Goldberg
Asghamia
Kusy
and Burstonex3
and Brantley
et al.29
Test type
YS
X l@psi
(X IO9 Nfmj
E
x Ioipsi
(x IO Nltr?)
YSIE x 10-j
Tensile
Tensile
Bending*
Tensile?
Bendingt
E: Bending*
YS: Tensile*
275
188
287
226
330
227
(1.89)
(1.30)
(1.98)
(1.56)
(2.27)
(1.56)
25,000(172.4)
24,400(168.3)
30,800(212.4)
25,000(172.4)
32,800(226.2)
28,000(193.0)
11.0
7.1
9.3
9.0
10.1
8.1
319
130
210
180
290
(2.20)
(0.90)
(1.45)
(1.24)
(2.00)
29,000(200.0)
25,000(172.4)
31,000(213.8)
28,000(193.1)
36,000(248.3)
11.0
5.2
6.8
6.4
8.0
Cobalt-chromium-40%
Co,
20% Cr, 15% Ni; 15%
Fe, 7% MO, 2% Mn
Goldberg
and Burstone
Asgharnia
and Brantley
(blue Elgiloy)
Tensile
Tensile*
Bending*
Tensile7
Bending?
Nickel-titanium-52%
45% Ti, 3% Co
Asghamia
Tensile*
Bending*
Tensile*
Bending*
E: Bending*
YS: Tensile
49
82
45
65
86
69
(0.34)
(0.56)
(0.31)
(0.45)
(0.59):
(0.48)s
5,000
7,000
4,300
4,300
6,440
4,850
(34.5)
(48.3)
(29.7)
(29.7)
(44.4)$
(33.4)s
9.8
il.7
10.4.
15.1
13.3
14.2
Tensile
Tensile*
Bending*
Tensile*
Bending*
E: Bending*
YS: Tensile*
170
95
165
125
141
105
(1.17)
(0.45)
(1.14)
(0.86)
(0.97)
(0.72)
9,400
9;400
12,500
9,960
8,370
10,500
(64.8)
(64.8)
(86.2)
(68.7)
(57.7)
(72.4)
LX.0
IO.1
13.2
12.5
16.8
10.0
Ni,
Beta-titanium-79%
Ti,
11% MO, 6% Zr, 4% Sn
and Brantleyg
Drake
et aL6
Kusy
and Stush
Goldberg
Asgharnia
and Burstonex3
and Brantley9
Drake
et ah6
Kusy
and Stush
*As received.
tHeat treated to 900 F (482 C)
f Round wires.
Square and rectangular
wires.
Commercially available stainless steel wires demonstrate a range of values both for the modulus of elasticity and yield strength.29 The large modulus of elasticity of stainless steel (Table II) and its associated high
stiffness necessitate the use of smaller wires for alignment of moderately or severely displaced teeth. A reduction in wire size results in a poorer fit in the bracket
and may cause loss of control during tooth movement.
However, high stiffness is advantageous in resisting
deformation caused by extra- and intraoral tractional
forces.6
The yield strength to elastic modulus ratio (YS /E)
indicates a lower springback of stainless steel than those
of newer titanium-based alloys (Tables II and III). The
stored energy of activated stainless steel wires is substantially less than that of beta-titanium and nitinol
wires? (Fig. 1). This implies that stainless steel wires
Kapila
Stainless
and
steel
Cobalt-chromium
Nickel-titanium
Beta-titanium
Multistranded
Sachdeva
Low
High
Good
Low
Good
Low
High
Good
Low
Good
High
Average
High
Low
Average
Low
Poor
Good
Poor
High
Average
High
t
Good
Good
Soldered
Welded
Soldered*
Welded?
Not joinable
Welded
Soldered
Welded
Dent&.
OrOioy.
Augusr 1989
LOW
Low-moderate
Low-moderate
High
Not kmwn
*Soldered
with some difficulty.
r Blue and yellow Elgiloy only.
$Some corrosion
and failures noted.
wires
Cobalt-chromium (Co-Cr) alloys are available commercially as Elgiloy,* Azura,? and Multiphase.$ Elgiloy is manufactured in four tempers: soft (blue), ductile (yellow), semiresilient (green), and red (resilient)
in increasing order of resilience. Blue Elgiloy is the
softest of the four wire tempers and can be bent easily
with fingers or pliers. It is recommended for use when
considerable bending, soldering, or welding is required.
Heat treatment of blue Elgiloy increases its resistance
to deformation (Table II). Yellow Elgiloy is relatively
ductile and more resilient than blue Elgiloy. It can also
be bent with relative ease. Further increases in its resilience and spring performance can be achieved by heat
treatment. Green Elgiloy is more resilient than yellow
Elgiloy and can be shaped with pliers before heat treatment. The most resilient Elgiloy is marked red and
provides high spring qualities. Careful manipulation
with pliers is recommended when using this wire because it withstands only minimal working. Heat treatment makes red Elgiloy wire extremely resilient. Since
this wire fractures easily after heat treatment, all adjustments should be made before this precipitationhardening process.
With the exception of red temper Elgiloy, nonheattreated Co-Cr wires have a smaller springback than
stainless steel wires of comparable sizes, but this property can be improved by adequate heat treatment.2*24
The ideal temperature for heat treatment is 900 F
*Rocky Mountain Orthodontics,
Denver, Cola
tOnnco Corporation, Glendora, Calif.
Silmericat~ Orthodontics Corporation, Sheboygan,
Wis.
Mechanical
properties
and
clinical
applications
of wires
Beta titanium has been popularized as an orthodontic alloy only in the current decade.5%20It is commercially available as TMA* (titanium-molybdenum
alloy). Beta titanium has a modulus of elasticity that is
less than that of stainless steel and about twice that of
nitinol17 (Fig. 1 and Table II). This makes its use ideal
in situations in which forces less than those of stainless
steel are necessary and in instances in which a lower
modulus material such as nitinol is inadequate to produce the desired force magnitudes.O Furthermore, the
relatively lower forces generated by beta-titanium wires
imply that the counterproductive force vectors generated by beta-titanium wires can be counteracted by
smaller forces than those required for comparable stainless steel wires. Extraoral anchorage demands with
beta-titanium wires will therefore be less than those for
stainless steel wires.
The springback for beta titanium is superior to that
of stainless steel (Tables II and III). A beta-titanium
wire can therefore be deflected almost twice as much
as stainless steel wire without permanent defor*Ormco
Corporation,
Glendora,
Calif
wires
Volume 96
Number
Mechanical
crated more than 50% greater activation than the multistranded wire. The triple-stranded wire was also half
as stiff as a 0.016-inch beta-titanium wire. In a more
recent investigation, Kusy and Stevenss7 state that although the elastic properties of multistranded wires vary
widely, several of these wires compare favorably with
some of the beta-titanium and nitinol wires. Table III
summarizes the important characteristics of multistranded wires relative to those of other alloys.
Ingram, Gipe, and Smith noted that titanium alloy
wires and multistranded stainless steel wires have low
stiffness when compared with solid stainless steel wires.
The investigators also found that most multistranded
wires had a springback similar to that of nitinol, but a
larger springback when compared with solid stainless
steel or beta-titanium wires. Unlike stainless steel wires,
in which springback decreases with increasing thickness, the titanium and multistranded wires have springback properties that are relatively independent of wire
size. These findings agree with those made by Kusy
and Dilley56 and KLIS~.~In contrast, Schaus and Nikolai,13 using a simulated arch form, noted that multistranded wires were less flexible than suggested by
theory or previous tests. They indicated that factors such
as interbracket distances, wire curvature, direction of
activation relative to the curved arch form, bracket
width, dimensions of bracket slot relative to wire size,
and friction between bracket and wire substantially affect the flexural stiffness of the arch wire.
PTiMAL
RTMO
CLINICAL
APPLICATIONS
OF
properties
and
clinical
applications
of wires
Am. J. Orthod.
dontist determines the amount of bracket/wire play desired before selection of the wire. Once the crosssectional size and shape have been established, the desired stiffness can be implemented by selecting an alloy
with an appropriate material stiffness.
2. The low moduli of elasticity of the newer orthodontic alloys permit the use of light, rectangular wires
even during the early stages of treatment. Rectangular
wires are preferable over round wires because they can
be better oriented in the bracket in such a way that
forces work out in the proper directions. They further
aid in patient comfort by preventing loops from turning
into the cheeks and gingiva. Rectangular wires also
maintain better control over root position by delivering
both moments and forces.
3. The use of newer orthodontic alloys with their
lower moduli of elasticity offers substantial advantages
with a Q.Q22-inch bracket slot.
4. The selection of an appropriate alloy type and
wire size may reduce the number of arch wires needed
for alignment by reducing bracket/wire play early in
treatment. In addition, since the titanium wires also
work more efficiently and over longer periods of time
because of their greater springback, the number and
frequency of arch wire changes are reduced.
Orthop.
August 1989
erties of orthodontic
J ORTHOD
wires
ORTHOD
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