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Evaluation of The Force Degradation and Deformation of The Open Closed and Open Springs
Evaluation of The Force Degradation and Deformation of The Open Closed and Open Springs
Evaluation of The Force Degradation and Deformation of The Open Closed and Open Springs
Evaluation of the force degradation and deformation of the open-closed and open springs of NiTi:
An in vitro study. International Orthodontics (2020), https://doi.org/10.1016/j.ortho.2020.05.004
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Original Article
Evaluation of the force degradation and
deformation of the open-closed and open
springs of NiTi: An in vitro study
Thiago Prado 1, José Guilherme Neves 2, Lourenço Correr-Sobrinho 2, Carolina Carmo Menezes 1,
Giovana Cherubini Venezian 1, Américo Bortolazzo Correr 2, Ana Rosa Costa 1
Available online: 1. School of Dentistry of Araras, Department of Orthodontics, Uniararas, SP, Brazil
2. School of Dentistry of Piracicaba, Department of Restorative Dentistry, Dental
Materials area, UNICAMP, SP, Brazil
Correspondence:
Ana Rosa Costa, University Center of Hermínio Ometto Foudation – FHO, School of
Dentistry of Araras, Department of Orthodontics, Dr Maximiliano Baruto Av, 500,
13607-339 Araras, SP, Brazil.
anarosacosta@fho.edu.br
Keywords Summary
Orthodontics
Open-coil spring Objective > The aim of this study was to evaluate the force degradation and deformation over time
Open-closed coil spring of an open-closed and open coil spring.
Compression Material and methods > 40 NiTi springs were divided into 2 groups according to the manufacturer
Force degradation (20 specimens per group): MorelliTM (Sorocaba, SP, Brazil) and OrthopliTM (Philadelphia, PA, USA).
Deformation Then, they were subdivided into 2 groups according to the type of spring (n = 10): open spring and
open-closed spring. The springs were submitted to the initial compression test in a Universal Test
Machine (Instron) in 43.3% of the initial length and analyzed in 3 points (0.5 mm, 3.25 mm and
6.5 mm). After this, the springs were activated with a 240 gf and those maintained for 4 weeks in
artificial saliva in the oven at 37 8C, and analyzed by a new compression test with the same initial
parameters. Scanning Electron Microscopy/Energy Dispersive X-Ray Spectroscopy (SEM/EDS)
analyzed the spring's morphology. Two-way repeated measures Analysis of Variance was applied
for each brand and extension of compression. Student t-test with correction of Bonferroni was used
to compare open spring vs open-closed springs and pairwise t-test was used to compare initial vs
final period. The level of significance was set at 95% in all tests. The most representative images
were selected (SEM/EDS).
Results > The OrthopliTM open-closed spring showed a statistically higher deformation (14.52 0.37)
in relation to open spring (14.85 0.19) after 4 weeks (P < 0.05). No statistical difference was
observed between the types of MorelliTM springs (P > 0.05). OrthopliTM open-closed spring showed
force values statistically higher than the open spring in the initial and final time (P < 0.05). Regardless
of the type of spring, the initial force was significantly higher than the final force (P < 0.05).
Conclusions > The orthodontist should not rely on the indicated force range without considering the
type of spring (open or open-closed), the manufacturer and the amount of compression of the spring.
https://doi.org/10.1016/j.ortho.2020.05.004
© 2020 CEO. Published by Elsevier Masson SAS. All rights reserved.
ORTHO-484
To cite this article: Prado T, et al. Evaluation of the force degradation and deformation of the open-closed and open springs of NiTi:
An in vitro study. International Orthodontics (2020), https://doi.org/10.1016/j.ortho.2020.05.004
T. Prado, J. Guilherme Neves, L. Correr-Sobrinho, C. Carmo Menezes, G. Cherubini Venezian, A. Bortolazzo Correr, et al.
Original Article
Evaluation of the force degradation and deformation of the open-closed and open springs of NiTi: An in vitro study
Original Article
Figure 1
a: spring compression test on the Instron Universal Testing Machine; b: the ends of the spring were adjusted with "stop'' and
orthodontic gurin; c: locking the gurin (240 gf) with the aid of the gurin key
Figure 2
Physical characteristics of the springs such as external diameter (f; mm) and distance between helicoids (d; mm) (ImageJ)
3
T. Prado, J. Guilherme Neves, L. Correr-Sobrinho, C. Carmo Menezes, G. Cherubini Venezian, A. Bortolazzo Correr, et al.
Original Article
TABLE I
Outside diameter (Ø; mm), distance between helicoids (d; mm) and lumen size (inch) of the open vs open-closed springs of the
manufacturers MorelliTM and OrthopliTM
1
Data provided by the manufacturer. Open and open-closed Morelli spring (medium force) — 200 g and 150 g of force, respectively. For Orthopli springs, 150 g of constant force
when compressed. All springs are NiTi and have 0.01000 . Note: 1inch equals 25.4 mm. 0.76 mm; 0.91 mm; 1.016 mm; and 0.89 mm refers, respectively, to the lumen size of the
Morelli open spring, Orthopli open spring, Morelli open-closed spring and Orthopli open-closed spring.
the force required to distalize the first permanent molar with the 19034 — USA) and analyzed in the Scanning Electron Microscope
second molar already erupted, and kept locked, immersed in (JSM 5600 LV; JEOL, Tokyo, Japan) at a voltage acceleration of
artificial saliva at 37 8C for 4 weeks (clinical simulation - time the 15 kV in the magnifications 300x by the same operator previ-
active spring remains in the oral cavity). The second and last ously calibrated. X-ray spectroscopy by energy dispersion (EDS)
measurement was performed after 4 weeks (T1), as previously was also performed, identifying qualitatively and semi-quanti-
described (compression of 43.3% of the initial length of the tatively the chemical composition of the springs.
spring - from 15.0 mm to 8.5 mm). The analysis of the force
Statistical analysis
degradation was performed through the force values (g) at
After the exploratory analysis of data, two-way repeated mea-
3 points during the extension of the compression (0.5 mm from
sures Analysis of Variance was applied for each brand (MorelliTM
the initial point, 3.25 mm and 6.5 mm). The different types of
and OrthopliTM) and extension of compression (0.5 mm,
springs (open and open-closed) and manufacturers (MorelliTM
3.25 mm, and 6.5 mm). Student t-test with correction of Bon-
and OrthopliTM) were compared at each of the compression
ferroni was used to compare open spring vs open-closed springs
extension points.
and pairwise t-test was used to compare initial vs final period.
Deformation analysis The level of significance was set at 95% in all tests. The most
The deformation of the NiTi springs was verified with a digital representative images were selected to describe qualitatively
caliper (Mitutoyo SC-6, Suzano, São Paulo, Brazil) at the begin- and semi-quantitatively the chemical composition of the springs
ning of the experiment (T0) and after 4 weeks (T1). The initial (SEM/EDS).
size of each spring was equivalent to 15 0,1 mm (without any
compression force) and, after compression, equivalent to 240 gf, Results
which was exercised in the Universal Testing Machine (Instron), Force degradation (gf)
locked and stored for 4 weeks (simulation of the time the spring The force data of the helical spring MorelliTM two-way repeated
remains active in the oral cavity) in artificial saliva at 37 8C. measures Analysis of Variance showed that interaction between
Deformation was calculated by subtracting the values measured factors were not statistically significant for all the compression
in millimetre (mm) at the beginning (T0) and after 28 days (T1). extensions. Spring and Time factors were significant at 0.5 mm
and 3.25 mm compression extension, while no significant effect
Physical characteristics — ImageJ
was observed for Spring and Time factors at 6.25 mm compres-
A photo of each spring's type and manufacture was taken and
sion extension. The average strength values are shown in table
the value of the external diameter (mm) and distance between
II.
the helicoids (mm) were calculated on the ImageJ (figure 2). The
The open spring showed force values statistically higher than the
lumen size (data provided by the manufactures), external diam-
open-closed in the 0.5 mm and 3.25 mm compression exten-
eter and distance between the helicoids (data provided by
sion (P < 0.05), while no significant differences were observed
ImageJ) are described in table I.
in the 6.5 mm (P > 0.05). When period of analyses was com-
Scanning electron microscopy and dispersive energy pared, the force in the initial period was significantly higher that
spectroscopy the final period in the 0.5 mm and 3.25 mm compression exten-
The springs were fixed in stubs with the aid of double-sided sion (P < 0.05), while no significant differences were observed
carbon tape (Electron Microscopy Sciences, Washington in the 6.5 mm (P > 0.05).
4
Evaluation of the force degradation and deformation of the open-closed and open springs of NiTi: An in vitro study
Original Article
TABLE II
Force values (gf; mean W standard deviation) of MorelliTM helical springs at 0.5 mm, 3.25 mm and 6.50 mm of compression
Open 22.0 4.0 aA 19.8 2.6 aB 142.4 16.0 aA 126.5 17.9 aB 224.7 22.7 aA 217.2 26.1 aA
Open-closed 15.1 4.7 bA 08.9 2.6 bB 131.4 20.1 bA 105.4 9.8 bB 226.4 42.2 aA 205.4 43.9 aA
TABLE III
Force values (gf; mean W standard deviation) of OrthopliTM helical springs at 0.5 mm, 3.25 mm and 6.50 mm of compression
Open 17.0 3.7 aB 16.6 1.6 aB 128.8 15.4 aB 118.4 3.5 aB 234.4 25.6 aB 214.1 15.1 aB
Open-closed 31.9 8.7 aA 21.6 6.6 bA 268.2 78.7 aA 194.8 22.9 bA 431.8 103.2 aA 336.4 24.3 bA
Student t-test with correction of Bonferroni was used to compare open spring vs open-closed springs and pairwise t-test was used to compare initial vs final period. Different
uppercase letters in the line and lowercase letters in the column within each compression distance, indicate a statistically significant initial or final difference (P < 0.05).
The data were recorded in a graph of extension of compression final forces (P > 0.05). The open-closed spring showed force
(mm) versus force (gf). The force data of the helical spring values statistically higher than the open spring in the initial
OrthopliTM two-way repeated measures Analysis of Variance and final time (P < 0.05). Similar results were observed for the
showed that interaction between factors was significant for compression of 3.25 mm and 6.50 mm.
all the compression extensions. Student t-test with correction
of Bonferroni was used to compare open spring vs open-closed Deformation (mm)
springs and pairwise t-test was used to compare initial vs final After exploratory analysis of the deformation data of the Mor-
period. The level of significance was set at 95% in all tests. The elliTM and OrthopliTM helical springs, the t test for each manu-
mean force values are shown in table III. For the 0.5-mm facturer was applied separately. In all analyses, the significance
compression, the initial force for the open-closed spring was level of 5% was considered. The average deformation values are
significantly higher than the final force (P < 0.05). As for the shown in table IV. No statistical difference was detected
open spring, no difference was observed between the initial and between the open spring and the open-closed MorelliTM spring
(P = 0.378) after 4 weeks. For OrthopliTM, there was a significant
influence of the spring type (P = 0.041). The open-closed spring
showed a greater deformation (14.52 0.37) compared to the
TABLE IV open spring (14.85 0.19) after 4 weeks.
Deformation values (mm; mean W standard deviation) of Morel-
liTM and OrthopliTM helical springs
Scanning electron microscopy/energy dispersive X-
Spring types MorelliTM OrthopliTM ray spectroscopy (SEM/EDS)
Open 14.94 0.15 a 14.85 0.19 a
For both spring's type (open and open-closed), the same pattern
was observed between the different commercial brands, i.e.,
Open-closed 14.92 0.26 a 14.52 0.37 b
less force generated with larger external diameter (figure 3a).
Different uppercase letters in the column indicate a statistically significant difference
Additionally, it was confirmed through the analysis of EDS,
for each helical spring manufacturer (P < 0.05). where it was possible to observe the same ratio between Ni
5
T. Prado, J. Guilherme Neves, L. Correr-Sobrinho, C. Carmo Menezes, G. Cherubini Venezian, A. Bortolazzo Correr, et al.
Original Article
Figure 3
Scanning electron microscopy/energy dispersive X-ray spectroscopy images: a: morphological/surface characteristics of springs (SEM);
b: dispersive energy spectroscopy graphs (SEM/EDS). 1: MorelliTM open-closed; 2: MorelliTM open; 3: Open-closed OrthopliTM; 4: Open
OrthopliTM
6
Evaluation of the force degradation and deformation of the open-closed and open springs of NiTi: An in vitro study
Original Article
and Ti for the different manufacturers and types of springs in the open-closed MorelliTM and open OrthopliTM, exhibited less
(figure 3b). force generated in the entire extent of compression, except
6.5 mm for the MorelliTM spring. Although the manufacturers
Discussion were not statistically compared to each other, the same pattern
The hypothesis that open-closed springs would show the same was observed (less force generated versus larger external diam-
pattern of degradation of force and deformation as open NiTi eter of the spring). This same pattern observed between the
springs for both manufacturers (MorelliTM and OrthopliTM), was different commercial brands, was confirmed through the analy-
rejected. Regarding the deformation of the springs, the results sis of EDS, where it was possible to observe the same ratio
of the present study showed that, between OrthopliTM springs, between Ni and Ti for the different manufacturers and types of
the open-closed springs showed greater deformation after springs. A previous study observed that force delivery in helical
compression in relation to the open spring. For the MorelliTM springs of the open-closed type can be obtained up to certain
springs, no significant difference in relation to deformation was limits and that there is a reduction in force after 4 weeks [3]. The
observed for both springs. The deformation of each type of results of the present study partially corroborate this finding,
spring (open vs open-closed), after 4 weeks, varied according since no difference was observed between the initial and final
to the manufacturer. Thus, it can be speculated that the behav- force for the open-closed MorelliTM spring in 6.5 mm of
iour of the springs may have been affected by the composition compression.
and homogeneity of the NiTi alloy that constitutes them [13–20], It is important to note that external factors that influence the
since the addition of copper to the alloy may alter its TMT and, oral cavity, such as food and drinks ingested and fluctuations in
consequently, its behaviour in the generation of forces due to temperature, can affect the force exerted by the springs [26–
temperature variations [21–23]. 28]. Barwart (1996) observed that small changes in tempera-
The present study demonstrated a distinct force degradation ture can generate significant changes in the generation of
profile for different types of springs and manufacturers. For the force, that is, the force values at 37 8C were twice higher than
manufacturer MorelliTM, the open springs showed statistically the temperature of 20 8C, that is, the force values increase
greater values of force (gf) at the compression points of 0.5 mm with increasing temperature, and decrease with reduction. On
and 3.25 mm (corresponding to compression of 3.33% and the other hand, previous in vitro study of force degradation
21.66%, respectively, of the initial length of the spring), in and corrosion resistance of closed NiTi springs, showed that
relation to the open-closed springs. No difference was observed temperature variations did not influence the force degradation
between the initial and final force (constant force) and between of NiTi springs [26]. In the present study, the springs were kept
the types of springs at the 6.5 mm compression point, equiva- in an oven at 37 8C, but the force values were evaluated at
lent to 43.3% of the initial spring length (from 15.0 mm to room temperature, (approximately 23 8C) at the time of the
8.5 mm). For the manufacturer OrthopliTM, the open-closed mechanical test, which may have interfered with the results of
springs showed statistically higher force values in relation to this study, due to springs that are thermoactivated NiTi. Thus, it
the open springs in the initial and final time, and at the three can be speculated that the results of the present study may
compression points (0.5 mm, 3.25 mm, and 6.5 mm). Features have been underestimated, that is, the values of force might
such as lumen size (internal diameter), wire type and wire size, have been increased with an increase in temperature from
are variables that determine the force produced by a helical 23 to 37 8C [24]. However, the literature is quite controversial
spring. When all characteristics are the same, the larger the [26].
lumen and the smaller the cross section of the wire, the lighter The results of the present study showed that both MorelliTM
the force produced for the same activation [19]. Another impor- springs (open or open-closed) can be used to open spaces and
tant physical parameter when considering the biomechanical distalize molars as long as they are compressed in 43.3% of the
properties of helical springs, is the distance between the heli- initial length (of 15.0 mm for 8.5 mm), to display a constant
coids [24–26]. force (no statistical difference between the initial and the final
In the present study, the type of wire (NiTi), the size of the wire force) in the range of 180–240 gf (open spring; 221.0 24.1 and
(15.0 mm) and the cross section of the wire (0.1000 ), did not vary. open-closed; 215.9 43.3). However, the OrthopliTM open
Therefore, in relation to physical characteristics, the biggest spring can be used, as long as it is compressed to 8.5 mm from
difference between open springs and open-closed springs, con- the initial length (15.0 mm). Although there was a statistical
sists of the size of the lumen, external diameter and the distance degradation over time, that is, the initial force (234.4 25.6)
between the helicoids. The larger the size of the spring lumen, was greater than the final one (214.1 15.1), the force values
the greater the reduction in the load generated in the same required for opening spaces or molar distalization are in the
stretch interval, that is, the less force generated [19]. The results range of 180-240 gf. The open-closed OrthopliTM spring, on the
of the present study corroborate the findings of Miura (1988), other hand, could be used as long as it is compressed only in
since the springs with greater lumen and/or external diameter, 21.66% of the initial length (from 15.0 mm to 11.75 mm).
7
T. Prado, J. Guilherme Neves, L. Correr-Sobrinho, C. Carmo Menezes, G. Cherubini Venezian, A. Bortolazzo Correr, et al.
Original Article
of the springs, under the same conditions evaluated in the Disclosure of interest: the authors declare that they have no competing
present study [29,30]. interest.
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