structure and properities of orthodontic materials

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    STRUCTURE AND PROPERTIES OF

    ORTHODONTIC MATERIALS

    AKSHAYA PANDIAN

    I Yr M.D.S

    Department of Orthodontics and

    Dentofacial Orthopaedics

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    CONTENTS

    Structure of orthodontic materials

    Properities of orthodontic materials

    Dental materials used in orthodontics

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    DEMOCRITUS460 BC

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    ATOMIC STRUCTURE AND ELEMENTS

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    INTERATOMIC BONDS

    PRIMARY BONDS

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    SECONDARY BONDS

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    SPACE LATTICE

    any arrangement of atoms in space in which

    every atom is situated similarly to every other atom.

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    ORTHODONTIC MATERIALS BASEDON STRUCTURE

    Metallic materials

    Ceramic materials

    Polymeric materials

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    METALLIC MATERIALS

    Wire Alloys

    Orthodontic Bands Orthodontic Brackets

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    ATOMIC ARRANGEMENTS OF

    METALLIC MATERIALS

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    CHARACTERISTICS OF METALS

    Crystalline structures in the solid state

    BCC, FCC, or HCP unit cells Atoms held together by metallic bonding

    Properties: high strength and hardness, high

    electrical and thermal conductivity FCC metals are generally ductile

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    CERAMIC MATERIALS

    Alumina and Zirconia in bracket materials

    Powder portion of cements Silicafiller in composite restorative

    materials.

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    ATOMIC ARRANGEMENTS OF

    CERAMIC MATERIALS

    Structure of Alumina

    Structure ofFeldspathic Dental

    Porcelain

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    CHARACTERISTICS OF CERAMICS

    Most ceramics have crystal structure, while

    glass (SiO2) is amorphous

    Molecules characterized by ionic or

    covalent bonding, or both

    Properties: high hardness and stiffness,

    electrically insulating, refractory, andchemically inert

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    POLYMERIC MATERIALS

    Elastomeric impression materials

    Polyurethane modules for tooth movement

    Adhesive cements for bonding brackets to enamel

    Polycarbonate brackets

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    ATOMIC ARRANGEMENTS OFPOLYMER MATERIALS

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    CHARACTERISTICS OF POLYMERS

    Many repeating mersin molecule held together by

    covalent bonding Polymers usually carbon plus one or more other

    elements: H, N, O, and Cl

    Amorphous (glassy) structure or mixture of

    amorphous and crystalline

    Properties: low density, high electrical resistivity, andlow thermal conductivity, strength and stiffness varywidely

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    PROPERITIES OF CLINICALIMPORTANCE IN ORTHODONTICS

    Mechanical properities Surface properities

    Corrosion properities

    Thermal properities Optical properities

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    MECHANICAL PROPERTIES

    Measures of the resistance of a material to

    deformation or fracture under an applied

    force.

    StressForce per unit area within a structure

    subjected to a force or pressure

    StrainChange in dimension per unit initial

    dimension.

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    Compressive stressCompressive force perunit area perpendicular to the direction of

    applied force.

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    Tensile stressRatio of tensile force to the

    original cross-sectional area perpendicular

    to the direction of applied force.

    Shear stressRatioof shear force to the

    original cross-sectional area parallel to the

    direction of the applied force.

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    STRESS STRAIN CURVE

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    Elastic strainAmount of deformation that is

    recovered instantaneously when an

    externally applied force or pressure is

    reduced or eliminated.

    Plastic strainIrreversibledeformation that

    remains when the externally applied force is

    reduced or eliminated.

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    Elastic modulus (also modulus of elasticityand Youngs modulus)Stiffness of a

    material that is calculated as the ratio of

    elastic stress to elastic strain.

    Proportional limitMagnitudeof elastic

    stress above which plastic deformationoccurs.

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    ResilienceThe amount of elastic energyper unit volume that is sustained on loading

    and released upon unloading of a test

    specimen.

    Yield strengthThestress at which a test

    specimen exhibits a specific amount of

    plastic strain.

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    FLEXIBILITY: The flexibility is defined as theflexural strain that occurs when the material

    is stressed to its proportional limit.

    POISSONS RATIO:

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    Ductility: Ductility represents the ability of amaterial to sustain a large permanent

    deformation under a tensile load up to thepoint of fracture

    Malleability: Malleability is the ability of amaterial to sustain considerable permanentdeformation without rupture undercompression, as in hammering or rolling into asheet

    Hardness: is a property used to predict thewear resistance of a material and its ability toabrade opposing dental structures.

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    SURFACE PROPERTIES

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    The amount of energy required to create aunit surface area of the material isSURFACE

    ENERGY

    The amount of force required to extend

    the surface of a material by unit length is the

    SURFACE TENSION

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    CONTACT ANGLE

    To report the wettability of various liquids to

    solid materials.

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    THERMAL PROPERTIESThermal conductivity

    Property that describes the thermal energy transport inwatts per second through a specimen 1 cm thick with a cross-sectional area

    of 1 cm2 when the temperature differential between the surfaces of thespecimen perpendicular to the heat flow is 1 K (1 C).

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    Thermal diffusivityMeasure of the speed with which atemperature change will proceed through an object whenone surface is heated.

    Coefficient of thermal expansion (linear coefficient ofexpansion)Change in length per unit ofthe original lengthof a material when its temperature is raised by 1 K (1 C).

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    CORROSION PROPERITIES

    Chemical or electrochemical process in

    which a solid, usually a metal, is attacked byan environmental agent, resulting in partial

    or complete dissolution.

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    ORTHODONTIC MATERIALS

    WIRE

    STAINLESSSTEEL

    GOLD ALLOYS

    Co-Cr-Ni(ELGILOY)

    BETA- TITANIUM

    Ni-TITANIUM

    OPTIFLEX

    BRACKETS

    ELASTOMERICLIGATURE AND

    CHAINS

    ORTHODONTICADHESIVE

    COMPOSITE RESIN

    CEMENTS

    MISCELLANEOUS

    STAINLESSSTEEL

    TITANIUM

    PLASTICS

    POLYCARBONATE

    CERAMIC

    CONVENTIONALLIGATURES

    FLOURIDERELEASINGELASTOMERS

    CHEMICALLYCURED

    LIGHT CURED

    THERMOCURED

    Zn PHOSPHATE

    ZnPOLYCARBOXYLATE

    GLASS IONOMER

    ALGINATEIMPRESSIONMATERIAL

    MINI IMPLANTS

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    BRACKETS

    Metallic brackets: Metal brackets rely onmechanical retention for bonding, mesh gauzeis the conventional method of providingretention.

    Stainless steel brackets:have been usedsuccessfully for decades.

    - AISI type 316L austenitic stainless steel alloy iscurrently used for bracket manufacturing.

    Alloy contains Cr 16-18% Ni 10-14% Mo 2-3% C Max 0.03%

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    Titanium Brackets :

    - The increasing concern of nickel allergy insome patients had led to the use of passive

    metalcommercially pure titanium forbrackets

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    2. Aesthetic brackets Plastic bracket:

    - The first plastic brackets were manufacturedfrom unfilled polycarbonate and introducedin early 1970s.

    - The reinforced polycarbonate brackets wereintroduced in response to enamel damage.

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    Ceramic brackets;

    - Ceramic brackets are made of high purityaluminum oxide (alumina) and thebrackets are available in both

    polycrystalline and single crystal(sapphire) forms.

    - Zirconia brackets are manufactured by

    impression molding

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    ORTHODONTIC WIRESWire characteristics of clinical relevance;

    1. Spring back - Range of action;Spring back is related to ratio of yield

    strength to the modulus of elasticity ofmaterial. YS/E.

    2. Stiffness or load deflection rate;Low stiffness or low load deflection rate

    provide: Ability to apply lower forces

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    A more constant force over time as theappliance experiences deactivation.

    Greater ease and accuracy in applying agiven force.

    3. Formability; Formability is the ease with which a material

    can be plastically deformed. High formability provides the ability to bend

    wire into desired configurations, such as loops,coils, and stops without fracturing the wire.

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    4. Resilience (stored energy) : Resiliency is defined as amount of strain energy

    per unit volume, which can be stored withoutpermanent set.

    Strain energy = [yield stress]elastic modulus

    5. Biocompatibility and environmental stability: Biocompatibility includes resistance to corrosion

    and tissue tolerance to elements in the wire

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    6. Joinability : This represents the ease of auxiliary attachment

    to orthodontic wires by welding or soldering.

    7. Friction:

    This friction is proportional to the force ofcontact, and nature of the surface at thebracket / wire interface.

    8. Zero stress relaxation: This is the ability of a wire to deliver a constant

    light elastic force when subjected to anexternal force or forces of occlusion

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    WIRES

    Gold alloys

    Stainless steel Co-Cr-Ni

    B-titanium

    Ni-Ti

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    STAINLESS STEEL

    Different classes of steels are based on threepossible lattice arrangements of iron.

    1. Pure iron at room temperature has a bodycentered cubic (BCC) structure calledferrite.

    2. Stable form of iron, a face centered cubicstructure called austenite is formed attemperature between 9120C and 13940 C.

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    3. If the austenite is cooled rapidly, it will

    undergo a spontaneous diffusion lesstransformation to a body-centeredtetragonal (BCT) structure calledmartensite.

    Composition:When 12% to 30% chromium is added to

    steel, the alloy is called stainless steel. 1720 % Cr.

    812 % Ni

    0.15 % C (max).

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    CLASSIFICATION : AISI have classified stainlesssteel into:

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    Australian stainless steel

    orthodontic wires :

    This was produced by A.J. Wilcock Sr.

    These wires exhibit zero stress relaxation,

    which allows the wire to maintain its force

    over a long period of time, yet resist

    permanent deformation from elastic load.

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    Co-Cr-Ni Wires

    A cobaltchromium nickel orthodontic wirealloy (Elgiloy) was developed during the1950s by the Elgiloy corporation.

    This alloy, which was originally used forwatch springs is available in four tempers(levels of resilience) that are color coded bythe manufacturer:

    Blue Soft Yellow Ductile Green Semi resilient

    Red Resilient

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    Composition of blue elgiloy :

    Co 40%

    Cr 20%

    Ni 15% Fe 15.8%

    Mo 7%

    Mn 2% C 0.15%

    Be 0.04%

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    BETA TITANIUM WIRES

    It is commercially available as TMA (Titanium

    molybdenum alloy)

    Ti 77.8%

    Mo 11.3% Zr 6.6%

    Sn 4.3%

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    Advantages :

    1. Have superior spring back property.

    2. Excellent formability.

    3. True weldability

    4. Biocompatibilityabsence of Ni.

    5. Excellent corrosion resistance

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    NICKEL TITANIUM

    Developed by William F. Buhler, using 55% Niand 45% Ti, in the naval ordinancelaboratory.

    Properties :

    Good spring back and flexibility, whichallows for large elastic deflections.

    Changes in crystallographic arrangementcaused by heating produce the shapememory effect.

    Lower bracket / wire friction with nitinol thanwith stainless steel wires.

    Super-elastic property

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    TOOTH COLOURED ORTHODONTICWIRES

    Optiflex :is a nonmetallic orthodontic arch wirehaving highly esthetic appearance made of clear

    optical fibre. It comprises of three layers :

    A silicon dioxide core that provides the force formoving teeth.

    A silicon resin middle layer that protects the corefrom moisture and adds strength.

    A strain resistant nylon outer layer that preventsdamage to the wire and further increases strength.

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    ELASTOMERIC LIGATURES AND CHAINS

    Elastomeric products are used in orthodontics

    as ligatures and as continuous modules

    (chains).

    Composition and structure: The elastomeric ligatures and chains are

    polyurethanes which are thermosetting

    polymers.

    (NH)(c = 0)o[structural unit]

    Formed by step reaction polymerization.

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    ORTHODONTIC ADHESIVE RESINS AND

    COMPOSITES

    Direct bonding and indirect bonding of

    orthodontic brackets utilize- Resin composite adhesive and require that

    the enamel be etched.

    - Glass ionomer cement can be used withoutetching of tooth structure.

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    Based upon the polymerizationinitiation mechanism, orthodonticadhesives may be classified as:

    Chemically activated (auto cured or selfcured) two paste or one paste.

    Light cured (photo cured)

    Dual cured (chemically activated and

    light cured) Thermo cured

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    ACRYLIC RESINS

    1.Chemically activated resins:

    Composition:

    Powderprepolymerised sphere of poly methyl

    methacrylate and a small amount of benzoylperoxide (initiator).

    Liquid - unpolymerized methyl methacrylate withsmall amount of hydroquinone.

    -Hydroquinone acts as inhibitor.-Glycol dimethacrylate is used as a cross linking agent.-Tertiary amine such as dimethyl para toludiene acts a

    activators.

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    2.Heat activated acrylic resins :

    Thermal energy is required for polymerization

    which may be provided by water bath asmicrowave oven. Composition of polymerand monomer are similar but thepolymerization procedure differs.Comparison with self cured resins:

    Heat activated acrylic is stronger than selfactivated acrylic.

    Degree of polymerization achieved usingchemically activated resins is not as

    complete as that using heat activatedsystems.

    Color stability is superior using heatactivated resins.

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    3.Light activated denture base resins This material is described as composite

    having a matrix of urethene dimethacrylate,

    micro fine silica, and high-molecular-weight

    acrylic resin.

    Visible light is activator

    Camphoroquinone serves as initiator.

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    IMPRESSION MATERIALS

    Potassium alginate 15% Form soluble alginate

    Calcium sulfate 16% Reactor

    Zinc oxide 4% Filler particles

    Potassium titanium

    fluoride

    3% Accelerator

    Diatomaceousearth

    60% Filler particles (controlconics they before

    setting and flexibility)

    Sodium phosphate 2% Retarder

    ALGINATE HYDROCOLLOID

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    Gelation Reaction :

    3CaSo4+ 2Na3Po4+ H2OCa3(Po4)2 + 3Na2So4

    CaSo4+ k-alginate+ H2OCa-Alginate + K2So4 + H2O

    (sol) (gel)

    For an ideal mix:

    W: P ratio15g for 40 ml.

    Optimal temperature 200C

    Figure of 8 motion

    At least 3 mm thickness of material between

    tray and tissues.

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    RUBBER BASE nonaqueous elastomeric dental impression

    materials. Chemically, there are 4 kinds of dental

    elastomers used as impression materials: Polysulfide

    Condensation polymerizing silicone Addition polymerizing silicone

    Polyether

    Based on Viscosity:

    Light body Medium or regular body Heavy body

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    DENTAL CEMENTS USED IN

    ORTHO DONTICS

    GIC

    Zinc polycarboxylate

    Zinc phosphate

    GLASS IONOMER

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    Powder Liquid

    Calcium fluro alumino

    silicate glass

    Aqueous solution of

    polyacrylic acid, malic,

    polycarboxylic acid

    copolymers containingitaconic acid (5% by wt)

    Silica 41.9% D (+) isomer of tartaric acid -

    Alumina 28.6%

    Aluminium fluoride 1.6%

    Calcium fluoride 15.7%

    Sodium fluoride 9.3%

    Aluminium phosphate 3.8%

    GLASS IONOMER

    Clinical implication :

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    Clinical implication :

    Prior to application of GIC, enamel surface isconditioned with 10-40% concentration of

    aqueous solution of polyacrylic acid.

    The ability of GIC to bond to base metal

    alloys is important feature of this material. Salivary fluoride levels increases on the day

    of placement of cement but eliminates after

    a period of four weeks. It is used in orthodontic band and bracket

    placement

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    ZINC POLYCARBOXYLATE

    Composition : Powder :- Zinc oxidebasic ingredient- Magnesium oxide or tin oxide10%

    - Bismuth salts- Stannous fluoride4.5% - increases strength, controls

    setting time.- Pigmentsfor shades

    Liquid :

    - Homo polymer of acrylic acid or copolymer ofacrylic with unsaturated carboxylic acids such asitaconic and maleic acid.

    - Molecular weight of acids22,000-50,000.- Polyacid may be as freeze dried powder.

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    Clinical implication :

    Outstanding feature of this cement is itsability to bond to enamel and dentin.

    Glossy appearances indicates the free

    carboxylic groups which bond to tooth forcement and tooth tissues.

    They are capable of bonding with surfaces

    of metallic restorations, prosthesis and

    appliances.

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    ZINC PHOSPHATES

    Composition :

    Powder :1. Zinc oxide 90% principal ingredient

    2. Magnesium oxide 10% aids in sintering

    3. Bismuth trioxide smoothens the mix4. Silica filler

    Liquid :

    1. Phosphoric acid 45-64% - reacts with zinc oxide.2. Aluminum phosphate2.3% buffering action

    3. Zinc phosphate 1-9%

    4. Water controls rate of reaction

    Clinical implication :

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    Clinical implication :

    Large differences in tensile and compressivestrength reflects the brittle nature of the

    cement.

    Solubility in water about 0.04% to 3.3% by

    weight. Because of the low initial pH, it may irritate

    the pulpal tissue.

    Used for placing the orthodontic bands.

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    CONCLUSION

    Thus it is essential that the scientific

    basis for the selection and proper useof materials for clinical practice bethoroughly understood in order to

    bring about effective treatmentoutcome.

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    REFERENCES

    Textbooks :

    Anusavice K.J. Phillips Science of dentalmaterials11th edn

    Brantley and Eliades. Orthodontic materials Graber vanersdawl

    Proffitt W. Contemporary orthodontics.

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    THANK YOU