Assessment of Various Archwire Materials and Their Impact on Orthodontic Treatment Outcomes.

Aim Orthodontic treatment relies heavily on the mechanical properties and surface characteristics of archwire materials to achieve optimal outcomes. This study aimed to comprehensively evaluate the mechanical properties, including tensile strength, yield strength, and modulus of elasticity, as well as the surface characteristics, such as surface roughness and frictional properties, of different archwire materials. Methods Four types of archwire materials, stainless steel, nickel-titanium (NiTi), beta-titanium, and esthetic archwires, were subjected to mechanical testing and surface analysis, with 31 in each group. Tensile testing was conducted to determine the maximum tensile strength, yield strength, and elastic modulus of each material. Surface roughness analysis was performed using profilometry techniques, and frictional properties were evaluated using an orthodontic friction testing apparatus. Results Stainless steel exhibited the highest tensile strength (900 N), followed by beta-titanium (850 N), NiTi (800 N), and esthetic archwire (750 N). Stainless steel also demonstrated the highest yield strength (780 N), followed by beta-titanium (740 N), NiTi (710 N), and esthetic archwire (650 N). The modulus of elasticity was the highest for stainless steel (200 GPa), followed by beta-titanium (170 GPa), NiTi (150 GPa), and esthetic archwires (120 GPa). Surface roughness was lowest in stainless steel archwires (mean Ra value of 0.25 µm), leading to reduced frictional resistance, whereas esthetic archwires exhibited the highest surface roughness (mean Ra value of 0.40 µm) and frictional forces. Significant differences in the mechanical properties and surface characteristics were observed among the materials (p < 0.05). Conclusions The choice of archwire material significantly influences orthodontic treatment outcomes by affecting the efficiency and effectiveness of tooth movement. Stainless steel and beta-titanium wires are ideal for high-stress applications, providing the robust mechanical strength necessary for complex movements. In contrast, NiTi wires, with their superelasticity, offer consistent and gentle forces, enhancing patient comfort and accelerating the alignment phase. Esthetic archwires, while visually appealing, often compromise mechanical performance, potentially prolonging treatment duration.