Nickel titanium alloys such as nitinol and Japanese NiTi wires have properties like shape memory, pseudoelasticity (superelasticity), and thermoelasticity that make them useful for orthodontic applications. Nitinol was the first nickel titanium alloy used in orthodontics starting in the 1970s due to its excellent elasticity and ability to reduce archwire changes compared to stainless steel. Japanese NiTi wires were later developed and have even greater superelastic properties allowing for light continuous tooth movement. Both alloys have advantages over other orthodontic wire materials but also have limitations in bending and welding that require care from clinicians.
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Introduction to alloys and newer orthodontic wires presented by the Indian Dental Academy.
Discussion on nickel titanium wires, dimensions, and compositions aimed at rapid tooth movement.
Identification of nickel titanium alloys including conventional Nitinol, superelastic, and properties affecting transformation temperature. Transformation behavior of NiTi alloys focusing on austenite and martensite phases along with hysteresis principles.
Mechanical properties and transformation mechanics of nickel titanium alloys including stress-strain characteristics.
Review of pseudoelasticity, thermally activated alloys, and clinical relevance in orthodontics.
Various classifications of nickel titanium alloys based on temperature transformation ranges and properties.
Introduction of nitinol, its history, and comparative physical properties against stainless steel.
Bend and torsion tests conducted to analyze nitinol wires and their applications in orthodontics.
Details on clinical applications of nitinol in orthodontics, highlighting benefits and limitations.
Overview of Japanese NiTi alloys, including mechanical property tests and clinical implications.
Evaluation of mechanical properties and clinical effects of NiTi coil springs in orthodontic treatments.
Bioefficient therapy implications, wire selection, and the advantages of using NiTi alloys in orthodontics.
Overview of heat treatment methods for optimizing orthodontic wires' performance.
Details on copper NiTi wires, advantages over NiTi, hysteresis factors, and types of wires for orthodontic use.
Introduction to the Chinese NiTi wire, its properties, testing categories, and clinical significance.
Discussion on nickel hypersensitivity reactions related to orthodontic treatments and patient demographics.
Properties of beta titanium, its introduction, clinical implications, and comparisons with stainless steel.
A comprehensive review on arch wires' properties, ideal characteristics, and the application's significance.
Comparative study results showcasing advantages of new titanium-based alloys over traditional arch wires.
Conclusion and invitation for further details about orthodontic developments by the Indian Dental Academy.
NICKEL TITANIUM WIRES
“To obtain fairly rapid tooth
movement, HYALINISED ZONES were
to be avoided or kept to a minimum.”
- REITAN
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4.
NICKEL TITANIUM WIRES
Ideallyorthodontic wires are designed to move teeth
with light, continuous forces.
Stainless steel
Co-cr alloys
Beta titanium
Nickel titanium
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5.
NICKEL TITANIUM ALLOYS
Conventional - Nitinol
Superelastic
- Pseudoelastic – Japanese NiTi
-Thermoelastic – Cu NiTi
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6.
TITANIUM
Titanium wasdiscovered by GREGOR
( England 1790 )
BOTHE et al implanted titanium in lab. animals
(1940)
A light weight metal
Atomic weight – 47.9
Non magnetic
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7.
TITANIUM
Corrosion resistant
Biocompatibility
High strength
Ductility
Two phages
Alpha
Beta
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8.
TITANIUM
Alpha phase– Hexagonal unit cells
At room temperature
Beta phase – Body centered cubic cells
At temperatures above 16200
F or 8820
C
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9.
TITANIUM
Alpha type– ALPHA TITANIUM (A.J. Wilcock)
Beta type – Beta II or ORMCO’ TMA
Titanium-Niobium wires
Both alpha & beta phases – Ti-Al-Fe & Ti-Al-V
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10.
TITANIUM
SUPERIOR CORROSION RESISTANCE
Athin complex film Tio2 gives Ti affinity, a self
adherence that may cause friction.
Titanium is not esthetic
Lacer aided depositions
Implantation of nitrogen ( IONGUARD )
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11.
NICKEL-TITANIUM ALLOYS
2 formsof NiTi alloys
1. Martensite - Body centered cubic/tetragonal lattice
2. Austenite – Face centered (close packed
hexagonal)
‘R’ phase – Rhombohedral
“SMART MATERIALS”
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12.
NICKEL-TITANIUM
TRANSITION TEMPERATURE RANGE
TTRabove the body temperature renders the alloy
austenitic which is more rigid
TTR below the body temperature renders it martensitic
that is super elastic
Austenite wires - 2% of the strain range
Martensitic wires - 8%.
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13.
NICKEL-TITANIUM
HYSTERESIS
The range formost binary alloys is 400
– 600
Above the TTR the alloy is fully austenitic (Af),by
lowering the temperature martensite will form (Ms)
The temperature at which all the austenite is converted
to martensite is designated as martensite finish (Mf)
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MARTENSITIC TRANSFORMATION
ADDDITIONS andIMPURITIES
Third metal can lower the TTR to as low as –3300
F
or lower the Hysteresis
Thermally activated alloys contain third metal
(Cu,Co)
Small amounts of Al, Zr, Cr, or Fe will improve the
strength of the martensitic form
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17.
NICKEL-TITANIUM
Smaller atoms suchas oxygen, nitrogen, and carbon
can not substitute for larger ones,but disrupt the
matrices
Ti4Ni2O4 inclusion, which lowers the alloy elasticity
(memory changes) interstitial oxygen causes NiTi
alloys to become susceptible to corrosion
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18.
MECHANICAL
PROPERTIES
Pseudoelasticity and thermoelasticityof nickel titanium
alloys: A clinically oriented review.Part I:Temparature
transitional changes
– SANTORO et al (AJODO June 2001)
SHAPE MEMORY
PSEUDOELASICITY
SUPERELASTICITY
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19.
NICKEL-TITANIUM ALLOYS
The crystalstructure of the alloy will be confirmed by
means of RADIOGRAPHIC DEFRACTION or
DIFFERENCIAL SCANNING CALORIMETRY
STUDY OF RESISTIVITY
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NICKEL-TITANIUM ALLOYS
SHAPE MEMORY
‘Theability of material to remember its original shape
after being plastically deformed’
A certain shape is set at elevated temperatures (above
the TTR).When the alloy is cooled below the TTR, it
can be plastically deformed but when it is heated
again the original shape is restored.
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22.
NICKEL-TITANIUM ALLOYS
THERMOELASTICITY
Through deflectionand repeated temperature cycles the
wire in the austenitic phase is able to memorise the
preformed shape
Ex; An orthodontic archform
By lowering the temperature the alloy is transformed
into martensite and becomes pliable and easily
deformed
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23.
NICKEL-TITANIUM ALLOYS
PSEUDO ELASTICITY
Asmall percentage of martensite
( Intermediate Phase R ) is present in the grain
structure.
Under the conditions of stress “Stress induced
martensite ( SIM ) ” will be formed.
A LOCALISED STRESS RELATED SUPERELASTIC
PHENOMENON
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24.
NICKEL-TITANIUM ALLOYS
SIM isunstable
In orthodontic clinical applications, SIM forms where
the wire is tied to brackets on malalligned teeth so
that the wire becomes pliable in deflected areas.
In those areas the wire will be super elastic untill
tooth movement occurs.
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25.
NICKEL-TITANIUM ALLOYS
SUPERELASTICITY
The stressvalue remains fairly constant up to a certain
point of wire deformation. At the same time
deformation rebounds, the stress value remains
again constant.
It is determined by the typical crystallographic
characteristics of NiTi
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26.
NICKEL-TITANIUM ALLOYS
STRESS-STRAIN CURVE
A-B shows elastic deformation
of the austenitic phase
B is the stress at which
martensite will form
C-D elastic deformation of
martensite
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NICKEL-TITANIUM ALLOYS
The uniqueforce deflection curve for A-NiTi wire occurs
because of a phase transition in grain structure from
austenite to martensite , in response not to a
temperature change but to applied force.
This transformation is a mechanical analogue to the
thermally induced shape memory effect.
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NICKEL-TITANIUM ALLOYS
WATERS (1992 ) divided the compounds into 3 groups based
on their TTRs
1) Group I – Alloys with TTR between room temperature and
body temperature. ( Mart active alloys )
2) Group II - TTR below room temperature. (austenitic)
3) GROUP III – Alloys with TTR close to body temperature
which by virtue of the shape memory effect spring back to
their original shape when activated by body heat.
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31.
NICKEL-TITANIUM ALLOYS
III) EVANSand DURNING introduced a even
more comprehensive classification of orthodontic
alloys dividing into 5 groups.
1) Phase 1 – Including alloys like gold and ss.
2) Phase II – Stabilised
3) Phase III – Super elastic active austhentic
4) Phase IV – Thermodynamic active
martensitic
5) Phase V - Graded thermodynamic.
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32.
NITINOL
Laboratory and clinicalAnalysis Of Nitinol Wire
- G F. Andreasen, R E. Morrow ( AJO Feb 1978 )
Introduction of stainless steel wire appliances.
(1930- 1940)
Nitional ( Early 1960s) - William.F.Buehler, a
research metallurgist at the Naval Ordinance
Laboratory in Silver Springs, Maryland
( Now called the Naval Surface Weapons Center ).
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33.
NITINOL
Ni – Nickel
Ti– Titanium
Nol - Naval ordinance laboratory
It was marketed by Unitek
Clinical use of Nitinol wire started in May 1972 by
G.F.ANDREASEN et al.
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34.
NITINOL
SHAPE MEMORY WIRE
Nitinolhas the characteristic of being able
to return to a previously manufactured shape when it
is heated to a transition temperature range.
ELASTIC ORTHODONTIC WIRE
Compared with stainless steel Nitinol wire has an out
standing elasticity which is useful for orthodontic
applications.
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35.
NITINOL
In orthodontic applications
1. Requires fewer arch wire changes.
2 . Requires less chair time.
3 . Shortens the time required to accomplish the
rotations and leveling
4 . Produces less patient discomfort.
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36.
NITINOL
PHYSICAL PROPERTIES.
Material propertyNitinol Stainless steel
Alloy Nickel, Titanium Iron, Chrome,Nickel
Ultimate strength 230,000 to 250,000
p.s.i
280,000 to 300,000
p.s.i
Modulus of elasticity 4.8 x106
p.s.i 28.5 x 106
p.s.i
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37.
NITINOL
BEND TEST
A seriesof bend and torsion test have been performed
in accordance with the new ADA Specification no.32
on orthodontic wires .
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NITINOL
STORED ENERGY COMPARISONS
Storedenergy of Nitinol wire is significantly greater
than an equivalent SS wire.this comparison was
based upon the wires being bent 90 degrees
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NITINOL
The most importantbenefits from Nitinol wire are
realised when a rectangular wire is inserted early in
the treatment.
Simultaneous rotation, leveling, tipping,and torquing
can be accomplished earlier with a resilient
rectangular wire,
Cross bite correction
Uprighting impacted canines
Opening the bite
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NITINOL
LIMITATIONS
1.Nitinol cannot bebent with sharp – cornered
instruments.
2. It will readily break when bent over a sharp edge.
3.The bending of loops or omega bends are not
recommended. ( especially closing loops ).
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46.
NITINOL
4 . Nitinolcannot be soldered or successfully welded
to it self with out annealing the wire, because the
bending of tie- back hooks entails a high risk of
failure.
5 . Cinch – backs distal to the buccal tubes are easily
accomplished by flame annealing .Care should be
taken not to over heat the wire.
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47.
JAPANESE NITI
The super- elastic property of the Japanese NiTi
alloy wire for use in orthodontics.
- Fujio Miura et al ( AJODO July 1986 )
In 1978 Furukawa electric co.ltd of Japan
produced a new type of alloy
1. High spring back.
2. Shape memory.
3. Super elasticity.
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48.
JAPANESE NITI
TESTS
1. Examinationof mechanical property of the wire.
1. Tensile test
2. Bending test
2. Measurements of the influence of specific treatment
on the wire.
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49.
JAPANESE NITI
1. Tensiletest
Tensile testing was performed
first because it is the most
acceptable method.
Co-Cr-Ni, Nitinol ,
Ss and Japanese NiTi.
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JAPANESE NITI
Bending test
3point bending test was conducted in a specially
designed situation similar to the conditions involved in
moving teeth in the oral cavity.
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52.
JAPANESE NITI
Measurement ofthe influence of special
heat treatment on the wire.
A comparative analysis was conducted for this
property before and after being subjected to heat
using a .016 inch Japanese NiTi alloy wire.
Nitrate salt bath .
2000
c , 3000
c, 4000
c, 5000
c, and 6000
c.
5, 10, 60, and 120 min.
20 different variations.
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53.
JAPANESE NITI
RESULTS
The effectsof temperature were negligible up to
5000
c .
Super elasticity can be influenced by temperature
and time.
It is possible to modify the amount of orthodontic
force in an individualised segment of the arch wire.
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54.
CLINICAL IMPLICATIONS
0.016” mediumpreformed arch wire was tied into the
lateral incisor and canine bracket.
INITIAL
TWO MONTHS LATER
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55.
CLINICAL IMPLICATIONS
NITI COILSPRINGS
TOOTH MOVEMENT RANGE- 0.5 mm per week .
Force range 75 to 100 gms.
NiTi coil springs .
The concept of NiTi coil springs was suggested in
1975.
1. Open coil springs.
2. Closed coil springs.
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56.
CLINICAL IMPLICATIONS
STUDIES ONTHE JAPANESE NiTi ALLOY COIL
SPRINGS -F.Miura et al ( AJODO AUGUST 1988 )
study conducted to evaluate the efficiency and
mechanical properties of closed & open coils as well
as stainless steel coil springs.
10 mm Closed coil springs- tensile test .
50 mm Open coil spring- compression test.
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57.
CLINICAL IMPLICATIONS
FACTORS THATAFFECT THE MECHANICAL
PROPERTIES OF SPRINGS.
1. Diameter of the wires α super elastic activity.
2. Size of the lumen 1/α super elastic activity.
3. Martensite transformation temperature α super
elastic activity.
4. Pitch of the open coil spring – when it is changed
from fine to coarse, the load value of super elastic
activity remains same but range increases.
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CLINICAL IMPLICATIONS
MOLAR DISTALIZATIONWITH SUPER ELASTIC
NiTi WIRE.
- R.LOCATLLI et al ( JCO 1992 MAY ) .
100gms neosentalloy wire .
Markings
1. Distal wing of first pre molar bracket.
2. 5 to 7mm distal to the
anterior opening of the molar
tube.
3. Between the lateral
incisors and canines.
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61.
CLINICAL IMPLICATIONS
Crimp astop to the wire at
each mark
Insert the wire into the
molar tube until the stop
abuts the tube
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CLINICAL IMPLICATIONS
NICKEL TITANIUMDOUBLE
LOOP SYSTEM
- GIANCOTTI
( JCO APRIL 1998 )
After second molar erupts
80g Neosentalloy arch wire
2 sectional arch wires
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64.
CLINICAL IMPLICATIONS
New applicationof superelastic NiTi rectangular wires
F.Miura, Mogi, Y.Okamoto ( JCO sept 1990 )
FINISHING WIRES
NEOSENTALLOY can be used in the initial phases
It has 3 dimensional tooth control.
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65.
CLINICAL IMPLICATIONS
FACTORS CONTROLLINGFORCE LEVEL
HEAT TREATMENT – Changes force levels,and
memory properties
COMPOSITION OF THE ALLOY – Lowering the ratio
of the nickel decrease the force level
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CLINICAL IMPLICATIONS
ADVANTAGES
Provides 3dimensional control
Effective in surgical orthodontic cases
Eliminates need to change arch wires frequently
DISADVANTAGES
Bracket friction will be more when large wires are used
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CLINICAL IMPLICATIONS
ORIGINAL SUPERELASTICWIRES ( ROUND
SENTALLOY )
Light, medium, & heavy force levels
RECTANGULAR NEOSENTALLOY
I generation:
1OOg, 200g, & 300g force levels
II generation:
80g force in the central incisor region(alignment)
320g force in the molar region (posterior leveling)
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76.
CLINICAL IMPLICATIONS
BIOFORCE IONGUARDWIRES
3-micron nitrogen coating that is produced by ion
bombardment of the wire surface.
Reduce 1.Friction
2. Breakage
3.Release of nickel into the mouth .
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COPPER NiTi
AUSTENITIC FINISHTEMPERATURE ( Af )
should be lesser then body temperature.This
difference determines the force generated by nickel
titanium alloys.
Af can be controlled by affecting the composition ,
thermo mechanical treatment &manufacturing
process of the alloy.
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83.
COPPER NiTi
COPPER NiTi
Introducedby Rohit sachdeva
It has the advantage of generating more constant
forces than any other super elastic nickel titanium
alloys.
More resistant to deformation.
Smaller mechanical hysteresis
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84.
COPPER NiTi
QUATERNARY METAL– Nickel, Titanium, Copper,
Chromium
CLASSIFICATION
Type I Af – 150
c
Type II Af - 270
c
Type III Af - 350
c
Type IV Af - 400
c
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85.
COPPER NiTi
Type IIwire
1. Generates the highest forces .
2. Average or higher pain threshold.
3. Normal periodontal health.
4. Rapid tooth movement is required.
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86.
COPPER NiTi
TYPE IIIWIRE
1. Low to normal pain threshold.
2. Slightly compromised periodontium.
3. When relatively low forces are desired.
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COPPER NiTi IV
TYPEIV WIRE
1. Intermittent forces .
2. Patients who are sensitive to pain.
3. Compromised periodontal conditions.
4. Patients co operation is very less.
5. Beneficial as an initial rectangular wire
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COPPER NiTi
OPTIMAL TOOTHMOVEMENT FORCE.
The ideal arch wire would not exhibit any hysteresis,
thus providing equal loading ( engaging ) &
unloading ( tooth driving forces ).
Copper enhances thermal reactive properties and
creates a consistent unloading force.
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91.
COPPER NiTi
Earlier shapememory wires have partially met these
goals.
eg : a partially corrected rotation .
A major cause of this deficiency is the hysteresis that
severly limits the working range of super elastic arch
wires.
Difficulty in setting constant TT while manufacturing .
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92.
COPPER NiTi
ADVANTAGES OFCOPPER NiTi ALLOYS
OVER OTHER NiTi WIRES
1. Smaller loading force for the same degree of
deformation.( 20% less )
2. Reduced hysteresis makes to exert consistent
tooth movement and reduced trauma.
3. Consistent TT has ensured consistency of force
from batch to batch of arch wires results in affective
tooth movement.
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93.
CHINESE NITI WIRE
CHINESENiTi wire - A new orthodontic wire
- C. J. BURSTONE ( AJO JUNE 1985 )
Dr. TIEN HUA CHENG et al at the General
Research Institute for Non- Ferrous Metals in Beijing
China
( Late 1980s ).
Chinese NiTi wire has much lower transitional
temperature than NiTi wire.
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94.
CHINESE NITI WIRE
CANTILEVERAPPARATUS
0.016 SS, Nitinol and A-NiTi
were submitted to a flexural
test
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95.
CHINESE NITI WIRE
3Characteristics
1. The spring back.
2. Stiffness
3. Maximum movement.
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96.
CHINESE NITI WIRE
SPRINGBACK
The range of action of the wire.
For 800
activation
SS – 160
Nitinol – 520
Chinese NiTi - 730
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CHINESE NITI WIRE
Themagnitude of force increases if the wire is retied
into a bracket.
1500
1000
500
0 20 40 60 80www.indiandentalacademy.com
99.
CHINESE NITI WIRE
THEMAXIMUM MOVEMENT.
.
WIRE MOVEMENT SPRING
BACK %RECOVER
Y
SS 3,067 16 20
NITINOL 2,112 52 65
NITI 1,233 73 91
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CHINESE NITI WIRE
TIMEDEPENDANT CHANGES.
The wires remained tied between 3 brackets for periods
of 1 minute,1 hour and 72 hours.
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102.
CHINESE NITI WIRE
CLINICALSIGNIFICANCE
1. Applicable in situations where large deflections are
required.
2. When tooth are badly malpositoned.
. 3. Nitinol wire deformation is not time dependent
4.Middle range of deactivation forces are useful in
designing an appliance with constant forces.
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103.
Effects Of ColdDisinfectants On The Mechanical
Properties And The Surface Topography Of Nickel
Titanium Arch Wires.
- J.E.BUCKTHAL & R.P.KUSY ( AJODO
1988 )
1. High cost
2. Super elasticity
Heat sterilisation is the most reliable method of
destroying pathogens.
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104.
Nitinol is susceptibleto a pitting type of
corrosion attack.
Sterilant solutions;
1. 2% acidic gluteraldehyde ( Banicide )
2. Chlorine dioxide ( Exspor 4:1:1 )
Disinfectant solution;
3. Iodophor ( Wescodyne )
Wires tested;
12 Straight 1 inch length of rectangular 0.017
X 0.025” Nitinol and Titanol
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105.
4 GROUPS;
0 (Control )
1 ( Group 1 )
2 ( Group 2 )
3 ( Group 3 )
BEND,
TENSILE and
LASER SPECTROSCOPY
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106.
SUMMERY
No significant changeswere detected .
The results supported the use of cold disinfectant
procedures.
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107.
NICKEL HYPERSENSITIVITY REACTION
Strongbiologic sensitizer
SYMPTOMS;
Contact dermatitis
contact stomatitis
Angular chelitis
Severe gingivitis
Mild erythema with or without edema
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108.
Nickel hyper sensitivityreaction before, during, and
after orthodontic therapy.
-G.R.P.JANSON et al ( AJODO JUNE 1998 )
.170 patients of both sexes were examined .
3 groups
A - Before
B - During
C - After
5% Nickel Sulfate in white petrolium
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109.
RESULTS
Orthodontic treatment withSS does not induce a
nickel hypersensitivity reaction.
Frequency in females is 4 times more than in males
Association between personal history of allergic
reaction & nickel hypersensitivity
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110.
BETA - TITANIUM
Betatitanium: A new orthodontic alloy
C.J.BURSTONE& A.J.GOLDBERG ( AJO Feb
1980)
ORMCO CORPORATION
3 characteristics
1. Spring back - High
2. Stiffness - Low
3. Formability - High
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111.
BETA - TITANIUM
Betatitanium was introduced by Dr. CHARLES
BURSTONE and JON GOLDBERG in the university
of CONNECTICUT ( Early 1980s )
Composition
Titanium - 73.5%
Molybdenum - 11.5%
Zirconium - 6%
Tin - 4.5 %
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112.
BETA - TITANIUM
Attemperatures below 16250
F – hexagonal
Closed packed crystal form.
Yield strength - 55 X 103
p.s.i
Modulus of elasticity - 15.5 X 106
p.s.i
Spring back - YS = 0.35 X 10–2
E
SS - 1.1 X 10–2
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113.
BETA - TITANIUM
Attemperatures above 16250
F pure titanium
rearranges into body centered cubic lattice
- BETA PHASE
BETA STABILISED ALLOYS ( molybdenum or
columbium )
Yield strength – 1,70,000 p.s.i
Modulus of elasticity – 9,400.000 p.s.i
YS/E -1.8X10-2
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114.
BETA - TITANIUM
TESTFOR SPRING BACK
TINIUS OLSEN STIFFNESS TESTER
¼ inch span of wire
A. Straight wires
B. Wires with 350
bend
C. Wires which are over bent to 900
and then bent
back to 350
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115.
BETA - TITANIUM
MODESTAINLESS
STEEL
BETA
TITANIUM
PERCENT
INCREASE
A 16.0 32.8 105%
B 16.5 31.3 90%
C 17.5 37.3 113%
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116.
BETA - TITANIUM
ADVANTAGES:
Low stiffness
Good formability
High spring back
Weldable
Ductile
Corrosion resistance
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117.
BETA - TITANIUM
CLINICALIMPLICATIONS
Ideal edgewise arches can be deflected twice than SS
allows greater range of action and useful for
• Initial tooth alignment
• Finishing arches
Forces - 0.4% of SS
Eg; 0.018 x 0.025 TMA = 0.014 x 0.020 SS
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ALPHA TITANIUM
PROPERTIES;
Heat treatedto improve strength
Satisfactory creep properties – Finishing & breaking
arches
wire becomes hard in the oral environment due to
hydrogen absorption
TITANIUM HYDRIDE
Less ductile – one slip plane
Nickel free
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135.
TITANIUM-NIOBIUM
A new finishingwire alloy
M. Dalstra et al ( COR 2000 July )
Nickel free Titanium alloy
(SYBRON DENTAL SPECIALITIES. CALIFORNIA )
Ti - 82% Ti - 74%
Mo - 15% ( or) Nb - 13%
Nb - 3% Zr - 13%
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136.
TITANIUM-NIOBIUM
PROPERTIES
Easy tobend, fomability is less than TMA
When lower forces are used than TMA
Stiffness – ¾ of SS,
- ¼ of TMA
Load deflection rate is lower than TMA
Yield strength is lower than SS
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137.
TITANIUM-NIOBIUM
ADVANTAGES;
Substitute forSS
No leaching of nickel
CLINICAL IMPLICATIONS;
Finishing wire with multiple bends
Fixed retainers ( Biocompatible )
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138.
COMPOSITE WIRES
The futureof orthodontic materials
ROBERT.P.KUSY (AJODO Jan 1998)
Metals
Polymers
Ceramics
Advantages are realised
Disadvantages are minimised
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COMPOSITE WIRES
In orthodontics
compositeprototypes of arch wires, ligatures,
brackets - S-2 glass fibers ( ceramic )
- Acrylic resins ( polymer )
Esthetically pleasing because they tend to transmit
the colour of host teeth
Strong & Springy
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141.
COMPOSITE WIRES
PULTRUSION
The processof manufacturing components of
continuous lengths & a constant cross sectional
shape
Eg; Arch wires
Bundles of continuous fibers are impregnated with a
polymeric resin pulled through a sizing die
Then passed through a curing die that imparts a
precise shape ( Electro magnetic radiation )
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142.
COMPOSITE WIRES
The characteristicsof the arch wires can be changed by
- PULTRUSION
Round
Rectangular
Ligature wires – Polyethylene fiber + Acrylic resin
2 ½ times stronger than SS
Lose most of their tying force in
less than 3 hrs
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143.
Comparison of unidirectionalfiber reinforced polymeric
composites to NITI alloys in bending
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144.
COMPOSITE WIRES
ADVANTAGES;
patients withallergic reactions with nickel
Esthetic than previous wires
Better strength & springiness
DISADVANTAGES;
Shape can not be changed
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COMPOSITE WIRES
Structure –Clear optical fiber made of 3 Layers
A. Silicon dioxide core
- Force
B. Silicon resin middle
layer
- Protection from
moisture
C. Nylon layer
- Prevents from
damage
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147.
COMPOSITE WIRES
The wirecan be ROUND or RECTANGULAR
• Wide range of action
• Light continuous force
• Sharp bend must be avoided
• Highly resilient - Effective in the alignment of
crowded teeth
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148.
TIMOLIUM WIRES
Improved titaniumwires
1. FRICTION
2. RESISTANCE TO BREAKAGE
1. FRICTION
Smooth surface texture
Less friction
Accelerate treatment time
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BETA –III WIRES
Introducedby RAVINDRA NANDA
Bendable
High force
Low deflection rate
Co-efficient of friction is more
Nickel free titanium wire with memory
Ideal for multilooping, cantilever, utility arches
First choice of wire for finishing stages where tip
& torque corrections fully accomplished during initial
stages.
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151.
NICKEL TITANIUM PALATAL
EXPANDER
CORRECTIONOF POSTERIOR CROSS BITES
- Skeletal expansion
- Dental expansion
The goal of palatal expansion is to maximise skeletal
movement and minimise dental movement.
EXPANSION APPLIANCES
- Rapid palatal expansion appliances
- Slow expansion appliances
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152.
NICKEL TITANIUM PALATAL
EXPANDER
RAPIDPALATAL EXPANSION APPLIANCES
( RPE)
- Produce large forces at the suture site
over
a short period.
Conventional RPE appliances
1. Uncomfortable
2. Require patient co- operation
3. Laborious
4. Inefficient because of the intermittent nature
of their force application
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153.
NICKEL TITANIUM PALATAL
EXPANDER
Slowexpansion appliances
- Light , continuous forces
- Best physiologic changes ( Both orthopedic and
orthodontic )
- Produce a widening rather than an actual
separation of the suture.
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154.
NICKEL TITANIUM PALATAL
EXPANDER
NICKELTITANIUM PALATAL EXPANDER
W.V.ARNDT ( JCO 1993 )
Tandem loop, nickel titanium ,
temperature activated palatal expander.
- Light continuous pressure on the mid
palatal suture .
( Simultaneous uprighting , rotating , and distalising
the maxillary first molars )
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NICKEL TITANIUM PALATAL
EXPANDER
THEACTION OF THE APPLIANCE
- A consequence of nickel titanium’ s shape memory
and transition temperature effects.
The nickel titanium expander has a transition
temperature of 940
F.
Below TTR – Metal is flexible
Above TTR – Metal stiffen
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8 Differentintermolar widths
( 26mm – 47mm )
Forces ranging from 180 – 300gms
26 – 32mm - Softer wires that produce lower force
levels for younger patients
3mm will be added for overcorrection
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A comparison ofdental and dento- alveolar changes
between rapid palatal expansion and nickel titanium
expansion appliances.
- C. CIAMBOTTI et al ( AJODO JAN 2001 )
The objectives;
To compare – Amount of mid palatal suture separation
- Alveolar process tipping
- Maxillary first molar tipping
- Maxillary first molar rotation
- Palatal depth changes
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162.
Mixed or earlypermanent dentition.
12 patients treated with RPE appliances ( 6 males, 6
females with an average age of 11.1 yrs )
Duration 127 days
13 patients treated with NiTi palatal expansion
appliances. ( 3 males, 10 females with an average of
9.4 yrs )
Duration 153 days
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163.
RPE APPLIANCE –A tooth borne appliance
Mid palatal jack screw
Activation 0.5mm, 2 times per day
Expansion – Occlusal aspect of lingual cusp of
maxillary first molar contacted the occlusal aspect of
buccal cusp of mandibular first molar.
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164.
NiTi EXPANDER
A tandemloop temperature activated appliance ( GAC
International ) designed by ARNDT
The proper size was selected by measuring the inter
molar width and then adding 3 to 4mm
Tetrafluoroethane refrigerant
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RESULTS
1. Palatal widthchange
- RPE group is 28 %
- In NiTi group 16 %.
2. Buccal tipping of the alveolar
process
- RPE group – 5.080
.
- NiTi group – 6.610
3. Molar rotation
- RPE group 1.580
- NiTi group 26.610
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167.
4. Radiographic evidenceshows that mid palatal
suture separation is less obvious in the NiTi group
than RPE group.
5. No correlation between age and amount of dento-
alveolar expansion.
6. RPE appliance widened the palate more reliably,
NiTi appliance tipped the molars buccally.
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168.
A review ofcontemporary arch wires: Their
properties and characteristics
- ROBERT KUSY ( AO JUNE 1997 )
CHARACTERSTICS OF THE IDEAL ARCH WIRE
Ideally archwires are designed to move teeth with
light continuous forces
No one wire is best for all stages
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169.
CRITERIA OF AN
IDEALARCH WIRE
Esthetic
Good range
Poor
Biohost
Tough
Good
Spring back
Low
friction
Weldable
Springy
Formable
Biocompatible
Resilient
Strong
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170.
APPLYING ARCH WIRES
Duringinitial stages
- great range and light forces
VARIABLE CROSS SECTION ORTHODONTICS
- Multistranded stainless steel wire
Variable modulus orthodontics
- NiTi alloy wire
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171.
Intermediate stages oftreatment
Beta titanium alloys
Larger sizes of Nitinol
( under sized stainless steel wire if sliding
mechanics are required )
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172.
FINAL STAGES OFTREATMENT
More arch stability and less tooth movements
- Large gauges of beta titanium or
- Stainless steel wires
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173.
A comparative studyof metallurgical and working
properties of two new titanium based alloy wires
(TiMolium and Beta III ) with the earlier introduced
titanium wires ( TMA ), and also alpha titanium wires
- Jiku Abraham
TiMolium – T.P.Orthodontics
Beta III - Ortho organizers
TMA - Ormco corp.
Alpha Titanium – A.J. WILLCOCK
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174.
Straight rectangular wires
GROUPI
4 wires in 16”x 22” dimension
GROUP II
4 wires in 17”x 25” dimension
GROUP III
4 wires in 19”x 25” dimension
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175.
Properties studied are
1.Yield, tensile strength & elastic modulus
2. Maximum load via 3-point bending test
3. Frictional resistance
4. Welding characteristics
5. Stress relaxation
6. Working range / spring back
7. Surface topography
8. Micro hardness
9. Elemental analysis
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176.
INSTRON MODEL NO.1193Expr. Setup for
Yield strength &
ultimate tensile strength
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177.
Manufacturers claim that;
TiMolium is superior to TMA wires in the following;
1. Friction and surface smoothness
2. Compressive strength
3. Yield strength & breakage resistance
Beta III is bendable , high force low deflection,
nickel free arch wire with memory.
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178.
Results of thestudy showed that
The coefficient of friction, surface smoothness,yield
strength & ultimate tensile strength of TiMolium was
superior to that of TMA .
However TMA has low load deflection rate and high
spring back than TiMolium .
Yield strength of Beta III was lower than TMA and
TiMolium
Formability is good but resiliency is low.
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179.
CLINICAL IMPLICATIONS OFTHIS STUDY;
1. Correction of crowding or alignment of teeth -
TMA > Beta III
2. Intrusion -
TMA shows a better stress relaxation
TMA > TiMolium .
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180.
3. Space closure
Sliding mechanics -
TiMolium shows lowest values of coefficient of
friction in both static as well as kinetic friction.
TiMolium > Alpha titanium
Frictionless mechanics –
Formability - Beta III > TMA > TiMolium
Resilience - TiMolium > TMA > Beta III
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