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Comparison of frictional resistance after immersion of metal brackets and orthodontic wires in a fluoride-containing prophylactic agent.

Kao CT, Ding SJ, Wang CK, He H, Chou MY, Huang TH

Institute of Medicine, Chung Shan Medical University, Taichung, Taiwan.

INTRODUCTION: In this study, we investigated and compared the levels of frictional resistance between metal brackets and orthodontic wires after immersion in an acidified phosphate fluoride (APF) agent. METHODS: Three types of mandibular incisor stainless steel metal brackets with beta-titanium alloy wire (TMA), heat-activated nickel-titanium wire (Ni-Ti), and 2 sizes of stainless steel wires (SSW) were immersed in 0.2% APF and pH 6.75 artificial saliva solutions for 24 hours. The study included 480 bracket-wire specimens. The frictional resistance was measured on an EZ-test machine (Shimadazu, Tokyo, Japan) with a 5-N load cell. An Alastik (Quik-Stik Clear, A-1 Alastik, 3M Unitek, Monrovia, Calif) module ligated to the bracket was attached to the crosshead of the machine and pulled at a speed of 10 mm per minute for a distance of 5 mm. A completely randomized 1-way ANOVA was used to test for significant differences among the 3 bracket/wire specimens after immersion in 0.2% APF and pH 6.75 artificial saliva solutions. This was followed by the Student-Newman-Keuls multiple comparison of means ranking at P <.05 to determine differences between the groups. RESULTS: In the APF-immersed group, the static frictional force was greater than the kinetic frictional force. The frictional forces of the orthodontic wires had statistically significant differences (P <.05) in this progressive order: TMA, Ni-Ti, and SSW. Similar frictional force results were obtained in the pH 6.75 saliva group (P <.05). The frictional force values of the APF group were higher than those of the pH 6.75 saliva group (P <.05). CONCLUSIONS: This study demonstrates that the frictional forces of orthodontic brackets and wires are influenced by contact with fluoride-containing solutions.

Published 19 November 2006 in Am J Orthod Dentofacial Orthop, 130(5): 568.e1-9.
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