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ORIGINAL ARTICLE

Biomechanical effect of
dual-dimensional archwire on controlled
movement of anterior teeth compared
with rectangular archwire: A finite
element study
Daiki Kuga, Ryo Hamanaka, Hiroya Komaki, Jun-ya Tominaga, Runa Yamaguchi, Toshiro Emori, Yui Horiguchi,
and Noriaki Yoshida
Nagasaki, Japan

Introduction: This study aimed to determine and compare the effectiveness of the use of the dual-dimensional
archwire and conventional rectangular archwire on tooth movement patterns when combined with various
lengths of power arms. Methods: Displacements of the maxillary central incisor and the deformation of the
wire section were calculated when applying retraction forces from different lengths of power arms using the finite
element method. Results: Torque control of the incisor could be carried out more effectively when using the
dual-dimensional archwire combined with long power arms than with the rectangular archwire. The use of the
dual-dimensional archwire produced bodily movement of the central incisor at height levels of the power arm
between 8 and 10 mm and lingual root tipping at the level of 10 mm. Conclusions: The use of the dual-
dimensional archwire provided better-controlled movement of the incisor, including bodily movement or root
movement, than the rectangular archwire. (Am J Orthod Dentofacial Orthop 2024;166:26-35)

I
n orthodontic treatment, there has been wide use of anterior teeth is quite important to avoid side effects
sliding mechanics to perform space closure after the such as the bowing effect and uncontrolled tipping
extraction of premolars for the correction of crowd- of the incisors, which causes a gummy smile, bite
ing or maxillary and mandibular protrusion.1-4 The deepening, and prolonged treatment time.6,9,10
advantage of sliding mechanics is that the height level However, several disadvantages have been noted
of the retraction force with respect to the center of with sliding mechanics. One of the most critical draw-
resistance (CR) of a tooth can be freely adjusted by backs is that the friction generated at the interface be-
attaching various lengths of power arms onto the tween the archwire and brackets could interfere with
archwire, depending on the patient. In other words, efficient tooth movement.11 A previous study12 sug-
combining sliding mechanics with power arms has the gested that the use of the rectangular archwire is likely
potential to produce preprogrammed force systems for to increase contact forces and friction, which could sub-
achieving controlled movement of the anterior stantially affect the tooth movement pattern. Hamanaka
teeth.5-8 During space closure, torque control of the et al13 have also reported that, as the space was closed,
the amount of friction produced in the molar region
had a tendency to increase, which would prevent the
From the Department of Orthodontic and Dentofacial Orthopedics, Nagasaki teeth from moving efficiently and consequently prolong
University Graduate School of Biomedical Sciences, Nagasaki, Japan. the total treatment time. The amount of friction can be
All authors have completed and submitted the ICMJE Form for Disclosure of
Potential Conflicts of Interest, and none were reported. reduced by using an archwire with a smaller cross-
Address correspondence to: Noriaki Yoshida, Department of Orthodontics and section, such as a round one, which could make it diffi-
Dentofacial Orthopedics, Nagasaki University Graduate School of Biomedical Sci- cult to achieve better torque control of the anterior
ences, 1-7-1 Sakamoto, Nagasaki 852-8588, Japan; e-mail, nori@nagasaki-u.
ac.jp. tooth.1,4,6 To overcome such a shortcoming, a dual-
Submitted, October 2023; revised and accepted, February 2024. dimensional archwire has been developed.14 The cross-
0889-5406/$36.00 section of the dual-dimensional archwire is a rectangle
Ó 2024.
https://doi.org/10.1016/j.ajodo.2024.02.008 in the anterior portion to maintain the effectiveness of

26
Kuga et al 27

Fig 1. Dual-dimensional archwire, with a cross-section of 0.019 3 0.025-in in the anterior portion and a
cross-section of 0.019-in in the posterior portion.

anterior torque control and round in the posterior The position of each tooth was then adjusted to mini-
portion to increase play between the archwire and mize the interproximal space between adjacent teeth.
brackets, thereby reducing friction (Fig 1). The first premolar was extracted on the assumption
Although several studies have been performed to that the case model was diagnosed as having a maxillary
investigate various biomechanical factors affecting protrusion. The extraction space was set to be 4 mm,
tooth movement in sliding mechanics, such as the length considering the consumption of space during the initial
or location of power arms and archwire dimension, the leveling.
effectiveness of the use of the dual-dimensional arch- The periodontal ligament with a thickness of 0.2 mm
wire during space closure has not yet been fully clarified. was constructed on the root surface of each tooth, and
This study aimed to investigate and compare the biome- Young’s modulus of 0.05 MPa and Poisson’s ratio of
chanical effects of the dual-dimensional archwire and 0.3 were assigned.13 For fixed appliances, a 0.022 3
conventional rectangular archwire when combined 0.028-in slot bracket and 2 types of stainless steel arch-
with various lengths of power arms on patterns of tooth wire models were created, namely, the dual-dimensional
movement by performing analyses of long-term tooth archwire, whose cross-section was 0.019 3 0.025-in in
movement by means of the finite element (FE) method the anterior portion corresponding to the central and
and to verify the hypothesis that the use of the dual- lateral incisors and 0.019-in in the posterior portion,
dimensional archwire could reduce the friction and and the conventional rectangular archwire, whose
shorten the treatment time. cross-section was 0.019 3 0.025-in (Fig 2). Models of
2 archwires, brackets, and power arms were constructed
using 8-node hexahedral elements with Young’s
MATERIAL AND METHODS modulus of 204 GPa and a Poisson’s ratio of 0.3.13
The methodology for the construction of the 3- Power arms of various lengths (4, 6, 8, and 10 mm)
dimensional (3D) FE model and numeric simulation for were attached to the archwire corresponding to the mid-
long-term orthodontic movement was described in dle point between the lateral incisor and canine from the
detail in the previously published article.13 A brief height of the archwire. En-masse retraction was per-
description is provided below. Moreover, 3D images of formed by applying the retraction force of 1.5 N from
a maxillary dentition were taken using a multi-image the hook on the second molar tube to the power arm
microcomputed tomography scanner (3DX; J. Morita, (Fig 2). Long-term orthodontic tooth movement was
Kyoto, Japan) with a voxel size of 80 mm from a dry skull. analyzed using the bone remodeling algorithm13 and
A 3D FE model of the left half dentition was constructed the sequential analysis of initial displacement. All FE an-
using 3D image processing and editing software alyses were performed using the Marc version 2014.1 FE
(Mimics 10.02; Materialise Software, Leuven, Belgium) package (MSC software).
and outputted to FE preprocessing and postprocessing Contact boundary conditions were prescribed so that
software (Patran 2012.1; MSC Software, Los Angeles, each tooth, bracket, and archwire could be in contact
Calif) for FE analysis, assuming that the dentition was with each other. The displacement of the archwire in the
symmetrical. transverse direction was constrained at the midsagittal

American Journal of Orthodontics and Dentofacial Orthopedics July 2024  Vol 166  Issue 1
28 Kuga et al

Fig 2. Three-dimensional FE model of the maxillary dentition: A, Dual-dimensional archwire, whose


cross-section is a rectangle (0.019 3 0.025-in) in the anterior portion and round (0.019-in) in the pos-
terior portion, is engaged in the brackets and tubes; B, Rectangular archwire, whose cross-section is
0.019 3 0.025-in, is engaged in the brackets and tubes. The power arm is attached to the archwire cor-
responding to the middle point between the lateral incisor and canine. A retraction force of 1.5 N is
applied from the power arm to the hook on the second molar tube, whose height is 1.5 mm.

plane. The coefficient of friction between the bracket slot Positive signs indicate lingual crown tipping, and nega-
and archwire was assumed to be 0.1.15-17 The frictional tive signs indicate lingual root tipping. There was no sig-
resistance produced at the interface between the nificant difference in the degree of lingual crown tipping
archwire and the bracket and tube was analyzed. between the dual-dimensional archwire (anterior: 0.019
The number of remodeling steps required to close the 3 0.025-in rectangular; posterior: 0.019-in round) and
extraction space was also calculated. The position of the conventional rectangular archwire (0.019 3 0.025-
the CR of each tooth was determined according to the in) with the power arm of 4 mm. However, when the po-
method previously reported by Hamanaka et al.13 wer arm length increased beyond 6 mm, the degree of
lingual crown tipping with the dual-dimensional arch-
wire was smaller than that with the rectangular archwire
RESULTS when retracted from the same power arm height. As the
Figure 3 shows the degree of labiolingual tipping as a power arm length increased, the degree of lingual crown
function of the amount of translational displacement at tipping of the central incisor decreased with both arch-
the CR of the central incisor in the lingual direction when wires, and the discrepancy in the tipping degree between
the power arm length was set at 4, 6, 8, and 10 mm. the 2 archwires increased. Finally, the incisor showed

July 2024  Vol 166  Issue 1 American Journal of Orthodontics and Dentofacial Orthopedics
Kuga et al 29

Fig 3. Degree of labiolingual tipping as a function of translational displacement at the CR of the central
incisor in the lingual direction. Curves representing tipping tendency with the use of a dual-dimensional
(DD) archwire are indicated by solid lines, and those with a rectangular archwire are indicated by dotted
lines. Positive signs indicate lingual crown tipping and negative signs indicate lingual root tipping. SS,
stainless steel.

lingual root tipping with the dual-dimensional archwire which caused lingual root tipping, in which the amount
combined with the 10 mm power arm. of lingual displacement of the root apex was larger than
Figure 4 shows how the central incisor moved and that of the incisal edge. The displacement of the root
how the anterior portions of the archwire and the power apex was substantially larger with the dual-
arm were deformed before and after space closure, dimensional archwire than with the rectangular archwire
viewed from the sagittal plane. Positions of the tooth, when the power arm height was raised beyond 6 mm.
archwire, and power arm after completion of space Figure 5 shows the degree of mesiolingual rotation in
closure are indicated in red for the dual-dimensional the occlusal plane as a function of the amount of trans-
archwire and green for the rectangular archwire. The lational displacement at the CR of the second molar in
amounts of tooth displacement and the deformation of the mesial direction when using power arms of 4, 6, 8,
the archwire and power arm were magnified twice for a and 10 mm. When the power arm was set at 4, 6, 8, or
better understanding, focusing on the displacement of 10 mm, the degree of mesiolingual rotation of the sec-
the central incisor in association with the deformation ond molar was 13.4 , 13.8 , 14.3 , and 15.3 , respec-
of the wire section to visualize the effect of power arm tively, with the dual-dimensional archwire, compared
length on incisor movement. The degree of inclination with 5.0 , 5.0 , 4.9 , and 4.8 with the rectangular arch-
of the power arm was larger with the dual-dimensional wire. The degree of mesiolingual rotation of the second
archwire than with the rectangular archwire. molars was substantially greater with the dual-
Table I shows the amounts of displacement for the dimensional archwire than with the rectangular arch-
incisal edge and root apex of the central incisor in the wire. There was no significant difference in the degree
lingual direction. The central incisor showed lingual of rotation when varying the power arm length.
crown tipping, in which the amount of displacement Figure 6 shows the deformation of the archwire and
of the incisal edge was larger than that of the root the tooth movement pattern of the central incisor, the
apex in the lingual direction, except when using the first molar, and the second molars from the occlusal
dual-dimensional archwire with a 10 mm power arm, view. Because similar tendencies regarding tooth

American Journal of Orthodontics and Dentofacial Orthopedics July 2024  Vol 166  Issue 1
30 Kuga et al

Fig 4. Displacements of the central incisor and the deformation of the archwire and power arm from the
sagittal view when applying retraction force at heights on the power arms of 4, 6, 8, and 10 mm. Posi-
tions of the tooth, archwire, and power arm after completion of space closure are indicated in red for the
dual-dimensional archwire (A) and green for the rectangular archwire (B).

amount of frictional resistance increased as the extrac-


Table I. Displacements of the incisal edge and root
tion space was closed with both archwires. The
apex of the central incisor in the labiolingual direction
dual-dimensional archwire produced lower frictional
Dual-dimensional archwire Rectangular archwire resistance than that of the rectangular archwire, regard-
Power arm
length Incisal edge Root apex Incisal edge Root apex
less of the power arm length.
4 mm 3.69 0.02 3.74 0.14
Table II shows the number of remodeling steps,
6 mm 3.37 0.95 3.60 0.54 which indicates the treatment duration required to close
8 mm 3.09 2.02 3.46 0.96 the extraction space when varying power arm length.
10 mm 2.85 3.22 3.31 1.38 The number of remodeling steps increased with incre-
Note. Positive values indicate displacement in the lingual direction. ments in power arm length. The number of remodeling
steps was smaller with the dual-dimensional archwire
than with the rectangular archwire when retracted
displacement in the occlusal plane were observed among from the same power arm height.
the different lengths of power arms, superimposed im- Table III shows the amount of displacement of the CR
ages before and after space closure when using a power of the first molar in the mesial direction, namely, the
arm of 8 mm are shown. The posterior portion of the amount of anchorage loss when the power arm length
dual-dimensional archwire was gradually widened to- was set at 4, 6, 8, and 10 mm. The mesial displacement
ward its distal end, whereas the width of the distal end of the first molar was smaller with the dual-dimensional
of the rectangular archwire was maintained. archwire than with the rectangular archwire at the height
Figure 7 shows the total amount of frictional resis- on the power arm of 4 mm. However, when the power
tance generated at the interface between the archwire arm length increased beyond 6 mm, the displacement
and the brackets or tubes on the posterior teeth as a of the first molar was larger with the dual-dimensional
function of the remaining extraction space. The total archwire than with the rectangular archwire when

July 2024  Vol 166  Issue 1 American Journal of Orthodontics and Dentofacial Orthopedics
Kuga et al 31

Fig 5. Degree of mesiolingual rotation of the second molar as a function of translational displacement
in the mesial direction when using power arms of 4, 6, 8, and 10 mm. Curves representing tipping ten-
dency with the use of the dual-dimensional (DD) archwire are indicated by solid lines and those with the
rectangular archwire by dotted lines. SS, stainless steel.

Fig 6. Displacements of the central incisor and first and second molars and the deformation of the arch-
wire from the occlusal view when applying the retraction force from the power arm of 8 mm. Positions of
the tooth and archwire after completion of space closure are indicated in red for the dual-dimensional
archwire (A) and green for the rectangular archwire (B).

retracted from the same power arm height. As the power during space closure, and the tipping tendency was
arm length increased, the mesial displacement of the first changed from lingual crown to lingual root tipping
molar increased with both archwires. when the power arm length increased from 8 to 10
mm. This indicates that the use of the dual-
DISCUSSION
dimensional archwire could produce bodily movement
As the power arm length increased, the tendency of of the central incisor at height levels of the power arm
lingual crown tipping of the incisor was reduced more between 8 and 10 mm and lingual root tipping at the
substantially when using the dual-dimensional archwire level of 10 mm. This study suggested that the use of

American Journal of Orthodontics and Dentofacial Orthopedics July 2024  Vol 166  Issue 1
32 Kuga et al

Fig 7. The total amount of frictional resistance generated at the interface between the archwire and the
brackets or tubes on the posterior teeth (second premolars, first molars, and second molars) relative to
the remaining extraction space. The total frictional resistance generated by the use of dual-dimensional
(DD) archwire is indicated by solid lines and that with rectangular archwire by dotted lines. SS, stainless
steel.

Table II. The number of remodeling steps required to Table III. Displacement of the first molar in the mesial
close the extraction space direction
No. of steps to close the space Power arm height DD wire 0.01930.025-in SS
4 mm 0.74 0.82
No. of steps
6 mm 0.99 0.92
Power arm height DD wire 0.019 3 0.025-in SS 8 mm 1.31 1.02
4 mm 152 224 10 mm 1.68 1.12
6 mm 188 246 DD, dual-dimensional; SS, stainless steel.
8 mm 236 270
10 mm 293 296
and consequently, the anterior segment of the archwire
DD, dual-dimensional; SS, stainless steel. was lifted upward.18 Figure 8 shows displacements of
each tooth in association with the archwire deformation
the dual-dimensional archwire could provide more after the application of retraction force from the 10 mm
effective torque control of the incisor than the rectan- power arm attached to the dual-dimensional archwire
gular archwire. and the force system acting on the central incisor. The
The difference in the tipping tendency of the incisor anterior portion of the archwire was lifted upward
between the 2 types of archwires might be largely because of a bending moment produced at the archwire
because the effect of power arms on anterior torque con- between the lateral incisor and canine as a cantilever ef-
trol would differ depending on the cross-section of the fect of the power arm, as reported in the previous
posterior portion of the archwire. According to the pre- article.19 Consequently, an intrusive force (F) is applied
vious study analyzing the initial tooth displacement by at the bracket on the incisor, producing lingual root
means of the FE method, it was reported that a bending tipping (antitipping) moment (F・d), which could
moment was produced at the base of the power arms, decrease or prevent lingual crown tipping of the incisor.

July 2024  Vol 166  Issue 1 American Journal of Orthodontics and Dentofacial Orthopedics
Kuga et al 33

Fig 8. Displacements of each tooth in association with the archwire deformation after the application of
retraction force from the 10 mm power arm attached to the dual-dimensional archwire and the force sys-
tem acting on the central incisor. Because of a bending moment produced between the lateral incisor
and canine as a cantilever effect of the power arm, the anterior portion of the archwire is raised upward.
Consequently, an intrusive force (F) is applied at the bracket on the incisor, producing lingual root
tipping (antitipping) moment (F・d), which could decrease or prevent lingual crown tipping of the incisor.

As shown in Figure 4, the anterior portion of the dual- posterior portion of the rectangular archwire is more
dimensional archwire was lifted upward. As a result, rigid than the dual-dimensional archwire. Therefore,
the incisor bracket was displaced in the intrusive direc- the bending moment acting on the base of the power
tion when using the 10 mm power arm. In contrast, arm would cause less deformation to the anterior portion
the anterior portions of the archwire and the incisor of the rectangular archwire, thereby producing fewer
bracket were displaced in the extrusive direction with lingual root tipping moment on the incisor as compared
the 4 mm power arm. Thus, an intrusive force would with the dual-dimensional archwire. Analytically, bodily
be applied to the bracket on the incisor, which in turn movement or root movement of the incisor could be
was subjected to a lingual root tipping moment when achieved by further extending the power arm beyond
using a long power arm. 17 mm. However, a power arm longer than 10 mm
Another previous study20 indicated that power arms may cause irritation and discomfort to the patient.
caused torsion of the anterior portion of the archwire, Therefore, it is suggested that such controlled move-
which could generate an antitipping moment to the ments are less likely to occur as long as the rectangular
anterior tooth, thereby counteracting a lingual crown archwire is used.
tipping moment produced by a retraction force during In contrast, as the disadvantage of using the dual-
space closure. This study suggested that, as the power dimensional archwire, the second molar showed a
arm length increased, the increased amount of upward much greater degree of mesiolingual rotation than the
and torsional deformation of the anterior portion of rectangular archwire from the occlusal view. This may
the archwire could reduce the degree of lingual crown be due to the fact that the play between a molar tube
tipping of the incisor, and ultimately lingual root tipping and a round archwire on the posterior portion of the
could be achieved with the dual-dimensional archwire dual-dimensional archwire is much larger than that of
combined with the 10 mm power arm. the rectangular archwire. Accordingly, the molars tend
In contrast, the use of the rectangular archwire could to be easily rotated because of the higher deformability
not produce bodily movement of the central incisor even of the posterior portion of the dual-dimensional arch-
with the power arm of 10 mm. This could be because the wire, whose cross-section is round and, thereby, rigidity

American Journal of Orthodontics and Dentofacial Orthopedics July 2024  Vol 166  Issue 1
34 Kuga et al

is lower. To prevent the mesiolingual rotation of the mo- In addition, clinical studies are needed to verify the
lars, placement of a transpalatal arch21 or lingual arch is effectiveness of the use of the dual-dimensional arch-
recommended. When using such appliances, the toler- wire for anterior torque control.
able level of patient discomfort should be taken into
consideration. In case auxiliaries cannot be used, CONCLUSIONS
another solution is to retract the anterior segment This study suggested that the dual-dimensional arch-
from the temporary anchorage devices. However, if it is wire could provide better-controlled movement of the
considered invasive to the patient, distal-toe-in bends incisor than the conventional rectangular archwire dur-
need to be given to the molars. Another aspect regarding ing space closure. Bodily movement and lingual root
the molar displacement is that the amount of mesial tipping, namely, root movement, could be achieved
displacement of the first molar increased with incre- with the dual-dimensional archwire combined with the
ments in power arm length for both archwires. When power arm of 8-10 mm and 10 mm, respectively. How-
the power arm was longer than 6 mm, the mesial ever, the molars tend to be rotated substantially in the
displacement of the first molar was larger with the mesiolingual direction. In contrast, the use of the
dual-dimensional archwire than with the rectangular dual-dimensional archwire could shorten the treatment
archwire when applying the force from the same power duration because of lower friction compared with in
arm height. This indicates that the more effectively we the rectangular archwire.
try to achieve torque control of the anterior teeth, the
more anchorage loss is produced in what is known as AUTHOR CREDIT STATEMENT
the rowboat effect.22
This study indicated that the number of bone remod- Daiki Kuga contributed to original draft manuscript,
eling steps required to close the extraction space was validation, formal analysis, methodology, and software;
smaller with the dual-dimensional archwire than with Ryo Hamanaka contributed to methodology and soft-
the rectangular archwire. Because the number of bone ware; Hiroya Komaki contributed to methodology and
remodeling steps is considered to represent treatment software; Jun-ya Tominaga contributed to methodol-
duration according to the previous study,13 the treat- ogy, software, and validation; Runa Yamaguchi contrib-
ment duration is considered to be shorter with the uted to methodology and software; Toshiro Emori
dual-dimensional archwire than with the rectangular contributed to methodology and software; Yui Horigu-
archwire. The difference in the treatment duration might chi contributed to methodology and software; and Nor-
be attributed to a larger play between the bracket and iaki Yoshida contributed to manuscript review and
the dual-dimensional archwire, with lower friction editing, project administration, and supervision.
compared with the rectangular archwire. As power arm
length increased, the number of bone remodeling steps REFERENCES
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