Carano Aldo, Lonardo Pietro, Velo Stefano, Incorvati Cristina
Department of Orthodontics, University of Ferrara, Ferrara, Italy.
Prog Orthod. 2005;6(1):82-97.
During the last 5 years, anchorage control with self-tapping miniscrews has become an important part of the clinical management of orthodontic patients. Yet, no studies have been performed for measuring mechanical properties of the currently available systems.
The purpose of this study is the evaluation of mechanical properties of three commercially available self-tapping screw systems used in orthodontic treatment.
three systems with a 1.5 mm diameter and 11 mm length screw (Leone, Firenze, Italy; M.A.S. Micerium, Avegno, Italy; Dentos, Korea) were examined. The results compared the resistance to bending, torque, pullout of each screw and the insertion moments needed to screw down each sample.
All three miniscrews have mechanical properties that contribute to their safe use as skeletal anchorage in orthodontics. Although stainless steel has demonstrated to be more resistant to failure than titanium, its overall performance as material for miniscrews could be inferior to titanium. In order to facilitate the insertion, the asymmetric profile of the thread should be preferred to the symmetric cut. The ratio between the diameter of the drill and the diameter of the corresponding miniscrew is pivotal for the successful implantation and resistance of the miniscrews. Looking at the mechanical properties evaluated in this study, a cylindric shape of the screw is better than a conic one. The conic shape could be preferred in case the site of insertion is iterradicular and therefore limited to 2.5-3.5 millimetres.
在过去5年中,自攻微型螺钉的支抗控制已成为正畸患者临床治疗管理的重要组成部分。然而,尚未进行任何研究来测量现有系统的机械性能。
本研究的目的是评估三种用于正畸治疗的市售自攻螺钉系统的机械性能。
检查了三种直径为1.5毫米、长度为11毫米的螺钉系统(意大利佛罗伦萨的Leone;意大利阿韦尼奥的M.A.S. Micerium;韩国的Dentos)。结果比较了每种螺钉的抗弯性、扭矩、拔出力以及拧入每个样本所需的插入力矩。
所有三种微型螺钉都具有有助于其在正畸中安全用作骨骼支抗的机械性能。尽管不锈钢已被证明比钛更耐破坏,但其作为微型螺钉材料的整体性能可能不如钛。为了便于插入,螺纹的不对称轮廓应优于对称切割。钻头直径与相应微型螺钉直径的比例对于微型螺钉的成功植入和抗力至关重要。从本研究评估的机械性能来看,螺钉的圆柱形形状优于圆锥形。如果插入部位是根间部位,因此限于2.5 - 3.5毫米,则圆锥形可能更可取。