Harzer Winfried, Bourauel Christoph, Gmyrek Henner
Department of Orthodontics, Technical University of Dresden, Germany.
Eur J Orthod. 2004 Aug;26(4):435-41. doi: 10.1093/ejo/26.4.435.
The aim of the present study was to investigate slot deformation and the equivalent torque capacity of polycarbonate brackets with and without a metal slot in comparison with those of a metal bracket. For this purpose, the expansion characteristics and, in a further investigation, the labial crown torque of an upper central incisor, were measured in a simulated intra-oral clinical situation, using the orthodontic measuring and simulation system (OMSS). Three types of bracket with a 0.018 inch slot were tested: polycarbonate Brillant without a metal slot, Elegance with a metal slot and the metal bracket, Mini-Mono. For testing purposes the brackets were torqued with 0.016 x 0.022 inch (0.41 x 0.56 mm) and 0.018 x 0.022 inch (0.46 x 0.56 mm) ideal stainless steel archwires. In the activating experiments, significantly higher torque losses and lower torquing moments were registered with both rectangular archwires with the polycarbonate brackets than with the metal bracket. In the simulation tests, significantly higher torquing moments were registered with the metal bracket than with the polycarbonate brackets. The values for the Elegance bracket were between those of the Mini-Mono and Brillant brackets. The OMSS model approximates the clinical situation, with the torque loss being notably higher than in the in vitro activating experiments. This is due to the adjacent teeth giving the archwire additional play. In addition, the torquing process may twist the archwire, resulting in subsidiary forces. On the basis of the present results, all three brackets can be recommended for torquing. However, in view of the high torque losses, the torques programmed in the straightwire technique must be seen as questionable. Data should be provided by the manufacturer on the bending to be expected in polycarbonate brackets, which has to be offset by additional torque, or the bracket torque should be omitted from the technical specifications.
本研究的目的是调查有金属槽和无金属槽的聚碳酸酯托槽与金属托槽相比的槽沟变形情况及等效扭矩承受能力。为此,在模拟口腔临床情况下,使用正畸测量与模拟系统(OMSS)测量了上颌中切牙的扩展特性,并在进一步研究中测量了唇面冠扭矩。测试了三种带0.018英寸槽沟的托槽:无金属槽的聚碳酸酯Brillant托槽、有金属槽的Elegance托槽和金属托槽Mini-Mono。为进行测试,用0.016×0.022英寸(0.41×0.56毫米)和0.018×0.022英寸(0.46×0.56毫米)的理想不锈钢弓丝对托槽施加扭矩。在激活实验中,与金属托槽相比,聚碳酸酯托槽在两种矩形弓丝作用下均出现了明显更高的扭矩损失和更低的施力扭矩。在模拟测试中,金属托槽的施力扭矩明显高于聚碳酸酯托槽。Elegance托槽的值介于Mini-Mono托槽和Brillant托槽之间。OMSS模型接近临床情况,扭矩损失明显高于体外激活实验。这是因为相邻牙齿会给弓丝额外的活动空间。此外,施力过程可能会使弓丝扭转,从而产生附加力。基于目前的结果,所有三种托槽都可推荐用于施力。然而,鉴于高扭矩损失,直丝技术中设定的扭矩值得怀疑。制造商应提供聚碳酸酯托槽预期弯曲的数据,这必须通过额外扭矩来抵消,或者在技术规格中省略托槽扭矩。