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In vitro evaluation of the influence of velocity


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wires in a self-ligating...

Article in Orthodontics and Craniofacial Research May 2017


DOI: 10.1111/ocr.12156

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DOI: 10.1111/ocr.12156

ORIGINAL ARTICLE

In vitro evaluation of the influence of velocity on sliding


resistance of stainless steel arch wires in a self-ligating
orthodontic bracket

F. Savoldi1,2 |L. Visconti1|D. Dalessandri1 |S. Bonetti1|J. K. H. Tsoi2|


J. P. Matinlinna2|C. Paganelli1

1
Department of Orthodontics,Dental
School,University of Brescia, Brescia, Italy Structured Abstract
2
Dental Materials Science,Faculty of Introduction: Of the variables used by in vitro studies of resistance to sliding (RS) in
Dentistry,Prince Philip Dental Hospital,The
orthodontics, sliding velocity (SV) of the wire is often the one farthest from its clinical
University of Hong Kong, Hong Kong
counterpart. We investigated whether velocity influences the RS at values approxi-
Correspondence
mating the orthodontic movement.
F. Savoldi, Department of Orthodontics,
Dental School, P.zza Spedali Civili 1, 25123, Methods: A SS self-ligating bracket with a NiTi clip was fixed onto a custom-made
Brescia, Italy.
model. Different shaped orthodontic SS wires of four sizes and two types (round,
Email: fabiosavoldi@live.com
0.020 and 0.022; rectangular, 0.0160.022 and 0.0170.025) were tested
using an Instron testing machine. Wires were pulled at four velocities (1102mm/s,
1103mm/s, 1104mm/s, 1105mm/s). Shapiro-Wilk test was used to evaluate
the normal distribution of the data; two-way ANOVA was performed to compare
means in the RS with wire characteristics and SV. Significance level was set at P<.05.
Results: RS was higher for rectangular wires, and for those with larger diameters.
Lower SV was associated with lower RS, with wire type and size having an interaction
effect. The RS relatively to SV can be represented as: RS [ln(SV)]+, where and
are constants.
Conclusions: At very low SV and low normal forces, SV influences the RS of SS archwires
in orthodontic brackets, and the proportionality is logarithmic. Although respecting these
parameters in vitro is challenging, quantitative evaluations of RS should be carried out at
clinically relevant velocities if aiming at translational application in the clinical scenario.

KEYWORDS
in vitro model, orthodontic friction, orthodontic tooth movement, orthodontics, resistance to
sliding, self-ligating

1| INTRODUCTION Several variables have been investigated in orthodontics, such as


material,3 surface,4 dimensions and shape of the slot and wire 5
and
6
In general, the friction force is linearly proportional to the normal load ligating force, which may contribute to friction. Moreover, these fac-
between two bodies in contact and it is independent of the apparent tors are affected by deformation of the wire and by the geometric re-
area of contact between those two bodies.1 A distinction is made be- lationship between each structure,5,7 leading to the partitioning of the
tween static and kinetic friction: the former is the force preventing the resistance to sliding (RS) in different components.8
sliding motion of one object over another at equilibrium, the latter is This said, the sliding velocity (SV) should be considered as an im-
the force that resists the sliding once in motion.2 portant variable, as the difference between laboratory testing and

Orthod Craniofac Res. 2017;20:119125. wileyonlinelibrary.com/journal/ocr 2017 John Wiley & Sons A/S. | 119
Published by John Wiley & Sons Ltd
|
120 SAVOLDI etal.

clinical reality of nearly six orders of magnitude cannot be ignored.9 with optical microscope at 5 magnification. Normal forces for each
The relationship between the SV and friction has received in-depth wire size were estimated. An interactive self-ligating bracket was used in
evaluation elsewhere in mechanics,10,11 physics,12 mathematics10 order to apply a constant normal force to wires of the same size and type.
and chemistry,13,14 from both microscopic11,15,16 and macroscopic16 The laboratory model ensured that the surface where the bracket
perspectives. However, to the best of our knowledge, no study in or- was bonded was perpendicular to the floor (Figure1). The position with
thodontics has clearly illustrated agreements with the logarithmic be- 0 of angulation on the second and third order was determined using
haviour explained in the general mechanical models.17,18 a jig made by a 0.02150.028 wire (SS, American Orthodontics,
In orthodontics, SV is present in any sliding mechanics and stick- Sheboygan, WI, USA) fixed on the model during hardening of the resin,
slip behaviour leading to transitions from static to dynamic frictional and then removed (Figure1A-B). This ensured 3D alignment between
19,20
coefficients has been observed, with effects on SV as theorized by wire and slot, allowing to attribute the RS only to the normal force
Rossouw etal.20 However, the same authors stated about SV that this exerted by the active clip of the SL bracket.
observation is not well-documented in orthodontic in vitro analyses.20 An Instron 5848 Micro Tester machine (Norwood, MA, USA) with
In fact, SV remains one of the clinical variables the magnitude of which is static load cell2kN, was used under dry conditions at 20C1C and
least well replicated in vitro, with only two studies directly quantifying the 45%1% humidity. The constant of elasticity (K) of the NiTi clip was mea-
influence of SV on RS,9,21 and none of them used a self-ligating bracket. sured through tensile test at 1.7102mm/s for a displacement of 0.4mm.
The purpose of this laboratory work was to investigate whether Hundred millimeter wire samples of four different diameters
the RS of the arch wire in the slot of a self-ligating bracket is influenced were tested, of round (0.020 and 0.022), and rectangular type
by the SV, especially at values closer to those of clinical orthodontic (0.0160.022 and 0.0170.025; SS, American Orthodontics,
movement. Furthermore, we set out to formulate a quantitative de- Sheboygan, WI, USA). Wires were randomly selected from dif-
scription of the phenomenon. ferent production lots and coupled with four different velocities
(1102mm/s, 1103mm/s, 1104mm/s, 1105mm/s). Tests were
performed starting from a constant distance of 30mm from the clamps
2| MATERIALS AND METHODS
to the bracket, to keep the elastic properties of the samples constant
from test to test. The total archwires displacement was 90sSV, thus
2.1|Test settings
from 0.9mm for the 1102mm/s sample to 0.0009mm for the
A single self-ligating SS (stainless steel) interactive bracket (declared 1105mm/s. Each combination was tested 10 times, changing the
slot size of 0.0220.028) for right upper central incisor (inclination wire after each test to avoid bias due to alterations during the process.
+17 and angulation +4) with a NiTi (nickel-titanium) clip (Empower,
American Orthodontics, Sheboygan, WI, USA) was fixed using a light-
2.2|Data analysis
cured adhesive (TransbondXT, 3M Unitek, Monrovia, CA, USA) on a
custom-made model. Slot height, distance between bottom and clip at Because of our interest in the SV, we considered only the RS dur-
resting position (slot depth), and clip activation range were measured ing motion (SV>0). Therefore, values of RS or displacement 0 were

(A) (B)

F I G U R E 1 Test set-up and detail of the


upper, lateral, frontal and posterior views of
the bracket held by the jig, without (A) and
with (B) the resin composite
SAVOLDI etal. |
121

T A B L E 1 Mean values of the resistance to sliding at different velocities for each sample, and normality of the distribution of each data set

CI Shapiro-Wilk test

Wire Speed (mm/s) Force (N) SD Upper bound Lower bound Value P
2
0.020 110 0.044 0.010 0.033 0.054 0.90 0.214
1103 0.036 0.006 0.025 0.046 0.91 0.279
4
110 0.028 0.007 0.018 0.039 0.97 0.854
1105 0.031 0.011 0.020 0.041 0.84 0.050
2
0.022 110 0.105 0.022 0.094 0.115 0.91 0.298
1103 0.084 0.010 0.074 0.095 0.93 0.462
4
110 0.063 0.016 0.053 0.073 0.94 0.534
1105 0.034 0.010 0.024 0.045 0.85 0.065
2
0.0160.022 110 0.127 0.029 0.116 0.137 0.90 0.225
1103 0.101 0.021 0.091 0.111 0.92 0.334
4
110 0.078 0.013 0.068 0.089 0.95 0.626
1105 0.067 0.012 0.057 0.078 0.78 0.009
2
0.0170.025 110 0.133 0.024 0.123 0.144 0.93 0.439
1103 0.106 0.020 0.096 0.116 0.86 0.072
4
110 0.096 0.018 0.085 0.106 0.91 0.308
1105 0.075 0.018 0.065 0.085 0.91 0.273

SD, standard deviation; CI, 95% confidence interval.

Three SV models were generated to describe the mechanical


behaviour: one with SV, a second with (SV)2 and a third with
ln(SV). Respective R2 were calculated to assess the fitting of
the curves at each velocity, and only the most representative was
chosen.

3|RESULTS

The constant of elasticity of the NiTi clip was K=12.6N/mm. The slot
height was 0.59mm (0.023), depth varied from 0.46mm (0.018)
F I G U R E 2 Tangential force (N) relative to time, at the four to 0.93mm (0.036) according to clip inclination, and clip activa-
different SV of 0.020 specimen tion range was 0.58mm (0.022). Normal forces were estimated for
each wire size as 0.13N for 0.020 wire, 0.39N for 0.022 wire,
omitted in the analysis. The removal of these values is also justified 1.26N for 0.0160.022 wire and 2.27N for 0.0170.025
on a number of other grounds: RS<0 means that the machine is not wire.
moving in the testing direction; RS=0 means that there is no contact RS decreased with decreasing SV in each sample (Table1 and fig-
between the archwire and the bracket; a displacement 0 means that ures2-5). Small-size wires produced less RS than the larger ones, in
SV0. each configuration studied. Round wires generated less RS than the
The values corresponding to the first 90s of the tests were ana- rectangular ones as well (Table1).
lysed (SPSS v.22, IBM, Armonk, NY, USA). A Shapiro-Wilk test was Apart from the distribution for the 0.0160.022 wires at a SV
performed to evaluate the normal distribution of the data. Then, fac- of 1105mm/s, data were normally distributed (P>.05), and paramet-
torial analysis (two-way ANOVA) with Least Significant Difference post ric tests were performed (Table1). Statistically significant differences
hoc evaluation was used, because each factor had less than four cat- were found in the mean values of RS between all the paired veloci-
egories. Differences in the mean values of RS, relatively to the SV and ties (P<.001), and between all the wire types as well (P<.05) (Table2).
wire characteristics, were analysed including their interaction effect. Representing our results as a logarithmic distribution, we can describe
Statistical significance was set at P<.05. the different data sets as follows (Figure6):
The null hypothesis was that SV and wire type have no significant
0.017 0.025 : RS 0.008 ln SV + 0.22, with R2 = 0.99 (1)
[ ( )]
effects on RS.
|
122 SAVOLDI etal.

T A B L E 2 Statistical differences from two-way ANOVA in the


resistance to sliding between different wire types compared at the
same velocity, and between the same wire types at different velocities

Wire
0.020 (round)
0.022 <.001
0.0160.022 <.001
0.0170.025 <.001
0.022 (round)

F I G U R E 3 Tangential force (N) relative to time, at the four 0.020 <.001


different SV of 0.022 specimen 0.0160.022 <.001
0.0170.025 <.001
0.0160.022 (rectangular)
0.020 <.001
0.022 <.001
0.0170.025 .014
0.0170.025 (rectangular)
0.020 <.001
0.022 <.001
0.0160.022 .014
Velocity (mm/s)
1102
1103 <.001
F I G U R E 4 Tangential force (N) relative to time, at the four 110 4
<.001
different SV of 0.0160.022 specimen
1105 <.001
3
110
1102 <.001
4
110 <.001
1105 <.001
4
110
1102 <.001
3
110 <.001
1105 <.001
5
110
1102 <.001
3
110 <.001
1104 <.001

F I G U R E 5 Tangential force (N) relative to time, at the four


different SV of 0.0170.025 specimen The model generally represented the phenomena with adjusted
2
R =0.797, with wire accounting for 73% of the variability (p2=0.734,
P<.001), SV accounting for 58% of the variability (p2=0.224, P<.001)

0.016 0.022 : RS 0.008 ln SV + 0.22, with R2 = 0.97 (2)


[ ( )] and with an interaction effect of 22% between wire type and size
(p2=0.584, P<.001).

0.022 : RS 0.010 ln SV + 0.22, with R2 = 0.99 (3)


[ ( )]

4|DISCUSSION
0.020 : RS 0.002 ln SV + 0.06, with R2 = 0.69 (4)

[ ( )]

Tests settings were chosen to isolate the SV as the sole variable,


where RS (N); SV (mm/s). avoiding multiple variables to act as confounders and to facilitate the
SAVOLDI etal. |
123

F I G U R E 6 Graphical representation of
the correlation between RS and SV using a
logarithmic scale

comparison with previous experiments performed in dry 9,21 and room applied, resulting in a negligible difference between static and dynamic.
temperature conditions.21 In fact, the elasticity of the NiTi clip (K=12.6N/m) generated forces
The orthodontic tooth movement typically occurs at a ranging from about 0.13N (13g) for 0.020 wires, to approximately
7 9
rate between 1.0mm/mo (4.010 mm/s) and 10.4mm/mo 2.27N (231g) for 0.0170.025 wires. It should also be considered
(4.2106mm/s) in case of reciprocal closure of a diastema be- that, at such low velocities, the displacement motion could consist of
tween the central incisors.22 Additionally, the lowest velocity tested repeated cycles of sticking and slipping,10 with continuous switching
2
by Kusy and Whitley was 1.210 mm/s, and by Yanase etal. was between the static and dynamic modes of friction, resulting in the
7
510 mm/s, but authors encountered difficulties because of absence of any obvious static-friction peak and subsequent dynamic-
the extremely long measurement duration of the run. Taking these friction plateau.
into consideration, the chosen range of velocities was set between Furthermore, the third part of the Amontons-
Coulomb friction
1102mm/s and 1105mm/s. model,25 which describes how the magnitude of kinetic friction is in-
The results for the smallest-size wire (0.020) had the lowest dependent of the speed of slippage, seems not to be applicable to
agreement with the model (4): this may be attributed to its lower our model. This may be due to the use of very low velocities and small
thickness, leading to an increased freedom of motion inside the slot, tangential forces (ranging from 0.028N to 0.133N). In fact, this phe-
supported by the interactive characteristics of the brackets, almost in- nomenon is already known: This third law, ..., is usually not obeyed in
active with such small displacement. materials science or in orthodontics.3
The proportionality we observed can be generalized for the range Kusy and Whitley9 analysed the RS at six velocities (10.0mm/
5 2
10 mm/sSV10 mm/s as follows: min, 1.0mm/min, 0.1mm/min, 5102mm/min, 5103mm/min
[ ( )]
RS ln SV + and 5104mm/min) and found that the coefficient of both static
(5)
and dynamic friction of SS and NiTi wires was independent of the
where RS (N); SV (mm/s); =constant1; =constant2. SV, that the friction of Co-Cr wires decreased with an increasing SV,
The correlation between the SV and RS has been considered in while the coefficient of friction for -titanium wires increased with
other fields besides orthodontics, and such studies frequently have velocity. However, it is worth considering the fact that their exper-
found a nonlinear logarithmic dependence, especially at very low ve- iments used normal forces of 500 and 5000g, which are far from
locities.10,12-16 Accordingly, it is worth noting that the model proposed the values used clinically, that the slowest velocities were tested
by Dieterich,17 and developed by Ruina,18 is consistent with our loga- only once or twice, and that they did not use a bracket but a SS
rithmic representation: surface.
Yanase etal.21 reported results opposite to ours, with the fric-
(6)
( ) ( )
= 0 + A ln vv0 + B ln 0
tional resistance decreasing with increasing SV. These experiments
where =friction coefficient; 0=friction coefficient at Ref; v=veloc- also had some specific features that need to be considered: they used
ity (mm/s); v0=velocity at Ref (mm/s); =time (s); 0=time at Ref (s); elastic ligatures so it is possible, especially for very small displace-
A=constant1; B=constant2. At reference state (Ref) v=v0 and =0. ments, that the main phenomenon represented was not the sliding
Despite what has been in some occasions reported,23,24 but in friction of the archwire on the ligature, but instead the elastic de-
agreement with other authors considering very low velocities,21 we formation of the rubber due to static friction. Moreover, the sam-
did not find any initial frictional peaks during our tests (Figures2- ple tested at a SV comparable to the clinical values (107mm/s) was
5). This may be a consequence of the weakness of the normal force not measured via the same method used for the others, and this may
|
124 SAVOLDI etal.

have caused bias in the comparison. In addition, the measurements compatible with the orthodontic movement. The concepts described
were sampled at intervals with different displacements between the in the present study are applicable to any sliding mechanic inde-
samples, and those intervals were, in some cases, consistently large pendently from the bracket system used and may help in the trans-
(several days). lational application of in vitro test to clinical situations, and in the
Our results show that together with decrease in the SV from interpretation of clinical trials31-33 and reviews34 comparing different
1102mm/s to 1105mm/s, the respective reduction in the RS bracket systems.
was of 29.5% for the 0.020, 67.6% for the 0.022, 47.2% for the
0.0160.022 and 43.6% for the 0.0170.025. These findings
4.1|Limitations
represent a gross reduction of about half of the RS, which is reason-
able to assume to have clinical significance. Regarding wire type, it One limitation of our experiment was related to the accuracy of the
is evident that wire size influences the normal force proportionally machine, because SV and RS values were very small compared to
to the constant of elasticity of the spring (K, N/mm), represented the normal range of the instrument. Moreover, the present results
by the clip of the bracket, with direct consequences on RS and SV. are based on four fixed SV values, and a more finely grained data
2
Beyond this, the interaction effect (22%, p =0.584, P<.001) found set would yield a more precise mathematical description. To achieve
between wire diameter and wire type may result from additional such an increase in precision, two solutions should be considered.
effects of wire type on contact type, contact area and respective First, increasing the number of fixed velocities tested and second,
stress distribution. The simplification of simple sliding of an object a continuous measurement during real-time variations of the SV.
on a single surface may not be applicable with complex loadings, A final technical issue worth recognizing is that the test was only
such as the deflection of a clip with an angular component or even 90s long. Unfortunately, as stated by both by Yanase etal.21 and
more complex in case of a ligature, resulting in the wire to keep con- Kusy and Whitley,9 significantly increasing the duration of the tests
26
tact with more than one wall. Additionally, a round shape deter- makes the implementation difficult.
mines a 2D punctiform (3D linear) contact of the wire with the slot, Although several factors such as nonlinear space-time relation-
and a rectangular shape generates a 2D linear (3D areal) interaction ships and ageing of materials35 cannot be well replicated in vitro,
instead. Furthermore, wire size influences directly the apparent area the adoption of biologically compatible movement rates may be a
of contact and indirectly, that is through the increased deflection significant step forward to enhance translational application of lab-
of the clip, the real area of contact with possible effects on RS as oratory results. Besides, an advantage of in vitro studies is the pos-
well.27 sibility to control for confounding variables, such as factors related
Absurdly, it might be worth to consider that if treatment times to the oral environment, which may express intersubject and time-
are shortened, the SV is increased, and this may result in increased depending changes.19 Further variability should be accounted for
RS. Consequently, attempting to reduce the RS shall be theoretically non-parallel sliding, during which the wire deflects because of the
achieved reducing the SV (lengthening of the treatment), which is critical contact angle5 on the three planes of the space, generating
opposite to the aim of increasing the rate of orthodontic movement. additional frictional forces on the edges of the slot and opposing
Thus, careful consideration should be given to the role of RS in rela- physical restraints to the sliding because of the curvature of the
tionship with the orthodontic biomechanics. wire. However, changes in the RS due to wire-slot geometrical in-
Even though the two previously mentioned low-velocity stud- teractions of non-rigid nature were beyond the scope of the present
ies9,21 and few reports of stick-slip phenomena19 considered SV in study.
RS, the observation of its wakening-strengthening behaviour is not
well documented in orthodontics and only Rossouw etal. specifically
discussed it.20 Our findings are mainly representative of the velocity- 5|CONCLUSION
strengthening trend, rather than the immediate velocity-wakening
one, probably because of the constant velocity set by the testing Using SS orthodontic wires in SS self-ligating brackets, for SV close
machine. to clinical movement and small normal forces, lower SV is associated
Previous in vitro studies claimed reduced RS of self-ligating brack- with lower RS with a logarithmic proportionality (5).
ets compared to conventional ones. A difference that appears obvious As a consequence, it may be the case that the absolute RS val-
if self-ligating brackets apply lower or none normal forces compared ues provided by most in vitro studies so far could be higher than the
to brackets with ligatures, according to basic mechanical principles.2 clinical reality. Quantitative evaluations of RS should be carried out at
Instead, it might be advisable to discuss about the relationship be- clinically relevant velocities if aiming at translational application in the
tween force application and control of tooth movement, rather than clinical scenario.
the mere RS alone. Additionally, potential anchorage-loss attributed
to high RS of conventional brackets28,29 may be reconsidered in the
AC KNOW L ED G EM ENTS
light of the present findings, in addition to the notable comments by
Southard etal.30 In fact, the present research suggests to consider ab- Authors would like to thank Prof. Francesco Genna for his precious
solute values of RS with cautiousness if not performed at velocities comments and his help in reviewing the manuscript.
SAVOLDI etal. |
125

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friction: an in vitro study at extremely low sliding velocity approximat-
The authors have stated explicitly that there are no conflict of inter- ing orthodontic tooth movement. Angle Orthod. 2014;84:451458.
ests in connection with this article. 22. Tidy DC. Frictional forces in fixed appliances. Am J Orthod Dentofacial
Orthop. 1989;96:249254.
23. Redlich M, Mayer Y, Harari D, Lewinstein I. In vitro study of frictional
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