Impact of the prefabricated forms of NiTi archwires on orthodontic forces delivered to the mandibular dental arch

Abstract Background Although preformed archwires with a variety of arch forms are currently commercially available, the effects of variation in the shape of these archwires on the orthodontic force at each tooth are not well understood. Therefore, we evaluated the forces delivered by various types o...

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Autores principales: Akihiko Tachi, Keisuke Tochigi, Naomi Saze, Kazuhito Arai
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Publicado: SpringerOpen 2021
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spelling oai:doaj.org-article:fca658a3dc72450bb2af338a8db6e6a22021-12-05T12:16:50ZImpact of the prefabricated forms of NiTi archwires on orthodontic forces delivered to the mandibular dental arch10.1186/s40510-021-00385-12196-1042https://doaj.org/article/fca658a3dc72450bb2af338a8db6e6a22021-12-01T00:00:00Zhttps://doi.org/10.1186/s40510-021-00385-1https://doaj.org/toc/2196-1042Abstract Background Although preformed archwires with a variety of arch forms are currently commercially available, the effects of variation in the shape of these archwires on the orthodontic force at each tooth are not well understood. Therefore, we evaluated the forces delivered by various types of commercially available preformed nickel–titanium alloy (NiTi) archwires in a simulated mandibular dental arch. Methods Sixty-three types of 0.019 × 0.025-inch preformed NiTi archwires from 15 manufactures were selected for analysis. The intercanine width (ICW) and intermolar width (IMW) of each archwire were measured at the mean canine and first molar depths of 30 untreated subjects with normal occlusions. Each archwire was placed in a multi-sensor measurement system simulating the mandibular dental arch of subjects with normal occlusions, and orthodontic forces in the facial-lingual direction at the central incisors, canines, and first molars were measured. Correlations between the ICW, IMW, and ICW/IMW ratio of archwires and the delivered forces were analyzed. The archwires were classified into the following four groups according to the ICW and IMW: Control group, ICW and IMW are within the means ± standard deviations of the normal ranges; Ovoid group, narrow ICW and IMW; Tapered group, narrow ICW; and Square group, narrow IMW. The forces were compared among these groups for each tooth. Results Significant correlations between the measured archwire width and force to each tooth were found, except between IMW and forces at the central incisors and canines. Significant differences in the forces were found among all groups, except between the Ovoid and Tapered groups at all teeth and between the Ovoid/Tapered and Control groups at the first molar. Significantly greater orthodontic forces in the facial direction were delivered at the central incisors by the archwires in the Ovoid and Tapered groups when compared with the archwires in the other groups. Conclusion These findings suggest that there is a possible risk of a clinically significant level of unfavorable orthodontic force being delivered to the mandibular incisors in labial inclination when using a preformed archwire with an ICW that is narrower than the dental arch.Akihiko TachiKeisuke TochigiNaomi SazeKazuhito AraiSpringerOpenarticlePreformed archwireArch formOrthodontic forceArchwire classificationDentistryRK1-715ENProgress in Orthodontics, Vol 22, Iss 1, Pp 1-12 (2021)
institution DOAJ
collection DOAJ
language EN
topic Preformed archwire
Arch form
Orthodontic force
Archwire classification
Dentistry
RK1-715
spellingShingle Preformed archwire
Arch form
Orthodontic force
Archwire classification
Dentistry
RK1-715
Akihiko Tachi
Keisuke Tochigi
Naomi Saze
Kazuhito Arai
Impact of the prefabricated forms of NiTi archwires on orthodontic forces delivered to the mandibular dental arch
description Abstract Background Although preformed archwires with a variety of arch forms are currently commercially available, the effects of variation in the shape of these archwires on the orthodontic force at each tooth are not well understood. Therefore, we evaluated the forces delivered by various types of commercially available preformed nickel–titanium alloy (NiTi) archwires in a simulated mandibular dental arch. Methods Sixty-three types of 0.019 × 0.025-inch preformed NiTi archwires from 15 manufactures were selected for analysis. The intercanine width (ICW) and intermolar width (IMW) of each archwire were measured at the mean canine and first molar depths of 30 untreated subjects with normal occlusions. Each archwire was placed in a multi-sensor measurement system simulating the mandibular dental arch of subjects with normal occlusions, and orthodontic forces in the facial-lingual direction at the central incisors, canines, and first molars were measured. Correlations between the ICW, IMW, and ICW/IMW ratio of archwires and the delivered forces were analyzed. The archwires were classified into the following four groups according to the ICW and IMW: Control group, ICW and IMW are within the means ± standard deviations of the normal ranges; Ovoid group, narrow ICW and IMW; Tapered group, narrow ICW; and Square group, narrow IMW. The forces were compared among these groups for each tooth. Results Significant correlations between the measured archwire width and force to each tooth were found, except between IMW and forces at the central incisors and canines. Significant differences in the forces were found among all groups, except between the Ovoid and Tapered groups at all teeth and between the Ovoid/Tapered and Control groups at the first molar. Significantly greater orthodontic forces in the facial direction were delivered at the central incisors by the archwires in the Ovoid and Tapered groups when compared with the archwires in the other groups. Conclusion These findings suggest that there is a possible risk of a clinically significant level of unfavorable orthodontic force being delivered to the mandibular incisors in labial inclination when using a preformed archwire with an ICW that is narrower than the dental arch.
format article
author Akihiko Tachi
Keisuke Tochigi
Naomi Saze
Kazuhito Arai
author_facet Akihiko Tachi
Keisuke Tochigi
Naomi Saze
Kazuhito Arai
author_sort Akihiko Tachi
title Impact of the prefabricated forms of NiTi archwires on orthodontic forces delivered to the mandibular dental arch
title_short Impact of the prefabricated forms of NiTi archwires on orthodontic forces delivered to the mandibular dental arch
title_full Impact of the prefabricated forms of NiTi archwires on orthodontic forces delivered to the mandibular dental arch
title_fullStr Impact of the prefabricated forms of NiTi archwires on orthodontic forces delivered to the mandibular dental arch
title_full_unstemmed Impact of the prefabricated forms of NiTi archwires on orthodontic forces delivered to the mandibular dental arch
title_sort impact of the prefabricated forms of niti archwires on orthodontic forces delivered to the mandibular dental arch
publisher SpringerOpen
publishDate 2021
url https://doaj.org/article/fca658a3dc72450bb2af338a8db6e6a2
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AT naomisaze impactoftheprefabricatedformsofnitiarchwiresonorthodonticforcesdeliveredtothemandibulardentalarch
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