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MICROSCOPY RESEARCH AND TECHNIQUE 78:926934 (2015)

In Vitro Sliding-Driven Morphological Changes in


Representative Esthetic NiTi Archwire Surfaces
SAMJIN CHOI,1 DONG-JIN PARK,2 KYUNG-A KIM,2 KI-HO PARK,2 HUN-KUK PARK,1 AND
YOUNG-GUK PARK2*
1
Department of Biomedical Engineering, College of Medicine, Kyung Hee University, Seoul 130-701, Korea
2
Department of Orthodontics, College of Dentistry, Kyung Hee University, Seoul 130-701, Korea

KEY WORDS esthetic NiTi wire; coating materials; in vitro sliding test; tensile-strength tes-
ter; surface roughness

ABSTRACT Objectives: This study investigated the effects of sliding on the ultrastructure of
three representative esthetic superelastic 0.014 inch nickel-titanium (NiTi) archwires. Methods:
Atomic force microscopy, scanning electron microscopy, and light microscopy were used to estimate
the surface roughness of archwires and bracket systems. Energy-dispersive X-ray spectroscopy was
used to estimate the molecular differences between coated and uncoated areas. A combination of
four different types of 0.014 inch metallic wires and two different types of 0.022 inch 3 0.028 inch
conventional brackets were evaluated by in vitro sliding tests using a novel self-made tensile-
strength tester with a miniature load cell and syringe pump. The NiTi wires included an uncoated
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NiTi archwire (CO group), epoxy resin-coated NiTi archwire (ER group), TeflonV-coated NiTi arch-
wire (TF group), and Ag/biopolymer-coated NiTi archwire (AG group). The brackets included con-
tained stainless steel (SS) and ceramic (CE) brackets. Results: Both ER and TF wire groups
exhibited less surface roughness than CO wire groups. The AG group showed the highest surface
roughness compared with the others because of its silver particles (P<0.001, ANOVA test). In vitro
sliding tests led to a significant increase (P < 0.001, ANOVA test) in the surface roughness of all
0.014 inch NiTi wires regardless of bracket type. The wire groups combined with SS brackets were
rougher than those of CE brackets regardless of the coating materials because of exfoliation of the
coating materials. The TF-SS group showed the highest increase (fivefold) in surface roughness com-
pared to the others, while the ER groups showed the lowest increase (1.4-fold) in surface roughness
compared with the others (P < 0.001, ANOVA test). Conclusions: The results suggested that the
sliding-driven surface roughness of superelastic NiTi archwires is directly affected by coating mate-
rials. Although the efficiency of orthodontic treatment was affected by various factors, epoxy resin-
coated archwires were best for both esthetics and tooth movement when only considering surface
roughness. Microsc. Res. Tech. 78:926934, 2015. V 2015 Wiley Periodicals, Inc.
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INTRODUCTION wires include esthetics, strength, resilience, biocom-


Recently, most patients with malocclusion prefer patibility, flexibility, toughness, low friction, high
treatment with orthodontic appliances and improved springback, poor biohosting, and expandability (Kusy,
esthetics (Elayyan et al., 2010). Novel orthodontic 1997). Elayyan et al. (2008) showed that coated
wires with various coating materials have been devel- superelastic wires require significantly smaller forces
oped and are now commercially available. Ion implan- to load and unload compared with the conventional
tation and polymer coating is the representative superelastic NiTi wires. To achieve the same perform-
technique for improving the esthetic quality of ortho- ance, coated wires are constructed from a wire with
dontic wires. Since ion-implanted wire is refined by
ionized atoms that are incorporated into its surface Abbreviations: AFM, atomic force microscopy; ANOVA, analysis of variance;
because of their high energy, it undergoes surface mod- EDX, energy-dispersive X-ray spectroscopy; LM, light microscopy; SEM, scan-
ning electron microscopy.
ification without forming a coating layer. Polymer coat- *Correspondence to: Young-Guk Park, D.M.D., Ph.D. Department of Ortho-
ing is usually applied through an atomizing process to dontics, College of Dentistry, Kyung Hee University, 26, Kyungheedae-ro, Dong-
daemun-gu, Seoul 130-701, Republic of Korea. E-mail: medchoi@khu.ac.kr
employ clean compressed air as a transport medium
R Received 17 June 2015; accepted in revised form 23 July 2015
for atomized TeflonV particles. The deposited layer is Samjin Choi and Dong-Jin Park contributed equally to this paper.
2025 lm thick and tooth-colored. After heat process- REVIEW EDITOR: Prof. George Perry
Additional Supporting Information may be found in the online version of this
ing, the layer showed a closed, finely structured sur- article.
face (Husmann et al., 2002; Rongo et al., 2013). Contract grant sponsor: Ministry of Health & Welfare, Republic of Korea
In the esthetic archwires, patients prefer the (Korean Health Technology Research & Development Project); Contract grant
number: HI14C2241.
polymer-coated (white-coated) wire because of its supe- DOI 10.1002/jemt.22557
rior esthetics. The criteria for evaluating orthodontic Published online 17 August 2015 in Wiley Online Library (wileyonlinelibrary.com).

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V 2015 WILEY PERIODICALS, INC.
ULTRASTRUCTURAL CHANGES IN ESTHETIC NITI AW SURFACES 927

TABLE 1. Specification of one control and three esthetic 0.014 inch NiTi archwires
Archwires Coating materials Product name Company Country
R
V
CO None (control) Sentalloy Tomy Japan
UltraestheticTM
R
ER Epoxy resin G&HV Wire company USA
R
TF TeflonV Perfect Hubit Korea
AG Ag/biopolymer Dany aesthetic silver Dany BMT Korea
R
V
Abbreviations: CO, control; ER, epoxy resin; TF, Teflon ; AG, Ag and biopolymer.

TABLE 2. Specification of two 0.022 inch 3 0.028 inch brackets used


Brackets Composition Product name Company Country
SS Stainless steel GAC International Inc. USA
CE Ceramic Crystalline MB Tomy Japan
Abbreviations: SS, stainless steel; CE, ceramic.

slightly smaller diameter. This finding is consistent made tensile-strength tester. The eight wires were
with our previous result (Ryu et al., in press) that the combined with four different types of 0.014 inch metal-
metallic diameter of wire inside the coating layer is lic wires and two different types of 0.022 inch 3 0.028
smaller than that of the uncoated part. inch conventional stainless steel (SS) and ceramic (CE)
The frictional force between orthodontic appliances brackets. These were examined with light microscopy
directly affects the performance of orthodontic treatment. (LM), scanning electron microscopy (SEM), energy-
Several factors, including archwires, brackets, archwire- dispersive X-ray (EDX) spectroscopy, and AFM assess-
bracket interface, and saliva, are related to this friction ments. In brief, the surface properties of four 0.014
(Choi et al., 2011, 2012a,2012b). Generally, orthodontic inch NiTi wires, including conventional metallic wire
treatments are governed by the first law of friction, and three representative esthetic NiTi wires, were
evaluated in the study. The uncoated wire type,
Ffriction 5l  F (1) R
SentalloyV NiTi wires (Tomy, CO group) were selected
for reference purposes. UltraestheticTM NiTi wires
where l indicates friction coefficient and F indicates R
(G&HV Wire Company, ER group) were coated with
force required to ensure wire and bracket adherence. epoxy resin with a coating layer thickness of 0.05 mm
In particular, l depends on wire roughness and physi- (Alavi and Hosseini, 2012). Perfect NiTi wires (Hubit,
cal characteristics (DAnto et al., 2012). The surface R
TF group) were coated with TeflonV by an atomizing
roughness of orthodontic wires is a critical factor in process using cleaned compressed air as the transport
determining the efficiency of tooth movements. Our R
medium for atomized TeflonV particles (Farronato
previous finding showed that there is a direct correla- et al., 2012). Dany aesthetic silver wires (Dany BMT,
tion between frictional force and surface roughness on AG group) were a double-layer coating structure with
orthodontic wires (Choi et al., in press). silver-and-platinum (inner) and parylene (outer) (Ryu
Clinicians are reluctant to use esthetic wires et al., in press). This study was performed with the fol-
because of high friction between the wire and bracket lowing three hypotheses: (1) the sliding tests with
slot. Wire roughness increases when its coating layer brackets led to an increase in the surface roughness;
is deteriorated or dislodged. This leads to decreased (2) the white-coated NiTi wires were softer than
orthodontic tooth movement. Da Silva et al. (2013) uncoated NiTi wire; (3) the superelastic NiTi archwires
showed that the coating layer of esthetic wires had low combined with polymer brackets were rougher than
stability and was nondurable after oral exposure. The those combined with metallic brackets.
residual coating layer showed severe deterioration and
a significant increase in surface roughness. In a previ- METHODS
ous study (Ryu et al., in press), we investigated the Materials
effects of various white coating materials on the sur- In this study, there were eight experimental groups
face roughness and load-deflection curve of formed by combination with four different types of
commercially-available orthodontic NiTi wires. Three- 0.014 inch metallic wires (Table 1) and two different
point bending tests and atomic force microscopy (AFM) types of 0.022 inch 3 0.028 inch conventional brackets
assessments were used to evaluate load-deflection (Table 2). The four types of orthodontic NiTi wires
properties and surface roughness, respectively. A (Fig. S1, Supporting Information) contained an
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three-point bending test in the buccolingual plane sim- uncoated NiTi archwire SentalloyV (Tomy, Shinmachi,
ulating first-order wire deflection to the lingual side Japan) and three types of as-received white-coated
was performed. However, this approach had low repro- NiTi archwires, including epoxy resin-coated NiTi
archwire UltraestheticTM (G&HV Wire Company,
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ducibility and inaccurate results because of the man-
R
ual loading method. Therefore, the surface roughness Greenwood, IN, USA), TeflonV-coated NiTi archwire
of esthetic wires should be evaluated through a Perfect (Hubit, Seoul, Korea), and Ag/biopolymer-
tensile-strength machine to apply load-guided force. coated NiTi archwire Dany aesthetic silver (Dany
In this study, we examined in vitro changes in the BMT, Seoul, Korea). The two types of orthodontic
surface roughness of representative esthetic NiTi brackets (Fig. S2, Supporting Information) contained
wires before and after sliding movements using a self- SS bracket (GAC International Inc., Bohemia, NY,

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928 S. CHOI ET AL.

Fig. 1. Novel self-made tensile-strength tester with miniature load cell and syringe pump. Scale
bar 5 50 mm (Fig. S3, Supporting Information). [Color figure can be viewed in the online issue, which is
available at wileyonlinelibrary.com.]

USA) and CE bracket Crystalline MB (Tomy, Shinma- randomly selected areas of each sample. The speci-
chi, Japan). The properties of NiTi wires before the in mens were analyzed at several local foci to ensure
vitro sliding test were used as basal values. chemical homogeneity.
In Vitro Sliding Test
Ultrastructure Analysis
A self-made tensile strength tester (Fig. 1A) consist-
ing of a 5,000 g miniature load cell 247ST-5kg Tapping-mode AFM topographical images of esthetic
(KYOTO, Uijeongbu, Korea) with a weight indicator NiTi wire surfaces were obtained using a NANOS N8
KBS-205 and a syringe pump (KD Scientific Inc., Hol- NEOS (Bruker, Herzogenrath, Germany) equipped with
liston, MA) was used to apply force to orthodontic a 42.5 3 42.5 34 lm3 XYZ scanner and two Zeiss optical
appliances. The two different orthodontic brackets microscopes Epiplan 2003/5003 (Carl Zeiss Inc., Stand-
were attached to acryl blocks utilizing dental adhesive ort Gottingen-Vertrieb, Germany). External noise was
Transbond XT (3M Unitek, Monrovia, CA) and were eliminated by placing the AFM device on an active
then combined with four wire groups (Fig. S4, Sup- vibration isolator TS-150 (S.I.S., Herzogenrath, Ger-
porting Information). Each group was pulled across many) inside a passive vibration isolator (Pucotech,
the brackets at a speed of 15 mm/min for 15 sec (Lee Seoul, Korea). The nominal tip radius and height were
et al., 2010a). After the sliding test, brackets and wires <10 nm and 1216 lm, respectively. The surfaces of
were separated. The surface and molecular character- load-guided sliding tested wires were scanned in air
istics of each wire were measured by the following with a size of 20 3 20 lm2 at a resolution of 256 3 256
assessments. pixels and a scanning speed of 0.4 lines/sec. AFM
tapping-mode topographical imaging was performed at
Surface Analysis room temperature and with 35% relative humidity
LM images were used to macroscopically observe using a silicon cantilever with an integral pyramidal
morphological changes in esthetic NiTi wire surfaces. shaped tip SICONG (Santa Clara, CA, USA). Topo-
The surface of each wire was captured by an Olympus graphical imaging in AFM tapping-mode was performed
BX51 reflected light microscope equipped with an at 5-minute intervals. Data acquisition and image pre-
INFINITY1 CMO digital camera (Electron Microscopy processing, such as the planification process, were per-
Science, Hatfield, PA) at 1003 magnification. No imag- formed using a Scanning Probe Image Processor SPIP
ing processing for compensation was applied to the LM version 4.8 (Image Metrology, Lyngby, Denmark). To
images. identify morphological changes in esthetic NiTi wire
SEM images were also used to microstructurally surfaces, two surface roughness parameters, including
observe morphological changes in esthetic NiTi wire the arithmetic average of the image height [Savg, Eq.
surfaces. Each specimen was immobilized on a brass (2)] and the height difference between the highest and
stub with double-sided tape before sequential vacuum lowest pixels in the image [Spp, Eq. (3)], were calculated
coating with carbon and gold. The surface of NiTi arch- using MATLAB (MathWorks, Natick, MA, USA).
wires was observed with S-4700 field emission SEM
(FE-SEM; Hitachi Co, Tokyo, Japan) at an accelerating XN
1 M21 X21
voltage of 10 kV. Savg5 jZxm ; yn j (2)
MN m50 n50
Molecular Analysis
EDX spectroscopy was used to molecularly observe Spp5Zmax 2Zmin (3)
the composition difference between coated and
uncoated areas of esthetic NiTi wires. A Hitachi S- where Z indicates height in the M3N rectangular
4700 (Hitachi Co) collected EDX spectra with beam image. These roughness values were represented as
voltage of 10 kV at 5003 magnifications from three mean 6 standard deviation (SD) of the five replicates.

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ULTRASTRUCTURAL CHANGES IN ESTHETIC NITI AW SURFACES 929

Fig. 2. FE-SEM images of intact (A) CO, (B) ER, (C) TF, and (D) AG groups with beam voltage of 10
kV at (top) 2003 and (bottom) 5003 magnification.

Statistics EDX Spectroscopy


The data were quantitatively expressed by Figure 4 shows the EDX-based composition of four
mean6SD. Statistical analyses were performed by 0.014 inch orthodontic wires before and after in vitro
one-way analysis of variance (ANOVA) to compare sliding tests. The EDX data of the CO group showed a
changes in the surface roughness of wires according to higher presence of Ni and Ti elements regardless of
different types of brackets and coating materials. Addi- bracket type: Ni (55.16 wt%), Ti (38.25 wt%), and C
tional post-hoc comparisons were performed with (6.59 wt%). The three esthetic NiTi wires showed dif-
Student-Newman-Keuls (SNK) tests wherever appro- ferent composition characteristics according to coating
priate. P-values of less than 0.05 were considered stat- biomaterials. C (64.63 wt%) had a peak at 0.3 keV, O
istically significant. (24.72 wt%) had a peak at 0.5 keV, and Ti (10.66 wt%)
had peaks at 0.45 and 4.5 keV for the ER group (epoxy
resin). O (33.47 wt%) had a peak at 0.5 keV, Ti (30.36
RESULTS wt%) had peaks at 0.45, 4.5, and 4.9 keV, C (27.50
LM And SEM wt%) had a peak at 0.3 keV, Al (2.09 wt%) had a peak
at 1.5 keV, and Si (6.57 wt%) had a peak at 1.8 keV for
The morphology of intact orthodontic wires was R
the TF group (TeflonV). C (82.03 wt%) had a peak at
observed by LM and SEM assessments. From LM find- 0.3 keV and Cl (17.97 wt%) had peaks at 0.2, 2.6, and
ings (Fig. S5, Supporting Information), the uncoated 2.8 keV for the AG group (Ag/biopolymer). After the in
NiTi wires (CO group) showed irregular surfaces with vitro sliding test, corresponding EDX spectra showed a
several scratches. However, two esthetic NiTi wires higher presence of Ni and Ti elements because of exfo-
(ER group and TF group) had relatively smooth and liation of the coating materials. Ni (37.65 wt%) had a
homogeneous surfaces compared with other groups. peak at 0.85 keV, Ti (30.90 wt%) had peaks at 0.45, 4.5,
The AG group had an uneven surface because of Ag and 4.9 keV, C (28.74 wt%) had a peak at 0.3 keV, and
and polymer biomaterials. The TF group had the low- O (2.71 wt%) had a peak at 0.5 keV for the ER group.
est surface roughness, followed by the ER group, CO Ni (57.85 wt%) had a peak at 0.85 keV, Ti (35.54 wt%)
group, and TF group. FE-SEM findings (Fig. 2) with had peaks at 0.45, 4.5, and 4.9 keV, and C (6.61 wt%)
10-kV beam voltage showed a pattern similar to LM had a peak at 0.3 keV for the TF group. Interestingly,
findings. Some debris was observed in all wire groups. the AG group showed a higher presence of silver, with
Each esthetic NiTi wire showed distinctive surface Ag (92.33 wt%) peaks at 2.55 and 3.0 keV and S (1.10
characteristics according to the coating biomaterials. wt%) peaks at 2.3 and 2.45 keV. The CO groups showed
Figure 3 shows representative FE-SEM images of no changes in composition elements.
orthodontic metallic wires after in vitro sliding tests
through SS or CE brackets. Conventional NiTi wire Atomic Force Microscopy
showed a slight scratch on the surface while all Figure S6 (Supporting Information) shows represen-
esthetic NiTi wires showed peeling-off of the coating tative tapping-mode AFM 2D topographical images of
materials with in vitro sliding tests. In particular, the CO, ER, TF, and AG groups before and after in
wires combined with the SS brackets showed more pro- vitro sliding tests. Each group was estimated through
nounced exfoliation compared with the CE brackets the following three conditions. Before the sliding test
(not shown). (intact NiTi wires), the surface of the TF group had the

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930 S. CHOI ET AL.

Fig. 3. FE-SEM images of (A) CO-SS/CE, (B) ER-SS/CE, (C) TF-SS/CE, and (D) AG-SS/CE groups
after in vitro sliding tests at (top) 2003 and (bottom) 5003 magnification.

lowest surface roughness compared with the other nificant differences (P < 0.001, ANOVA test) with strong
samples. The average roughness was differences (post-hoc comparison, P<0.05) among each
Savg 5 25.7 6 2.9 nm (Table S1, Supporting Informa- group. The corresponding F-ratio was 942.22 for Savg
tion) and the peak-to-peak height roughness was and 643.28 for Spp.
Spp 5 377.6 6 19.3 nm (Table S2, Supporting Informa- AFM tapping-mode topographical 3D images (Fig. 5)
tion), followed by the ER group, CO group, and AG provided details of changes in the ultrastructure of
group. In particular, the AG group had the highest sur- esthetic NiTi wire surfaces according to different coat-
face roughness, with roughly ten-fold average rough- ing materials.
ness (Savg 5 249.9 6 16.7 nm) and five-fold peak-to-
peak height roughness (Spp 5 1861.3 6 128.5 nm) com- DISCUSSION
pared with the ER group. The four groups showed sig- Different sliding mechanic-applied superelastic NiTi
nificant differences within each group (P < 0.001, coating wires were analyzed using a self-made tensile-
ANOVA test). Post-hoc comparison (SNK test, strength tester with a miniature load cell and syringe
P < 0.05) revealed that the CO metallic wires and the pump. The developed tensile-strength tester could also
ER coating wires had the strongest surface roughness be used as a three-point bending test to evaluate the
differences compared with TF and AG coating wires. properties of materials. This device automatically
The F-ratio of the ANOVA test was 621.7 for Savg and saved the deflection and force data for wires during
358.7 for Spp. the experiments. This load-guided automatic method
After in vitro sliding tests with SS brackets, all NiTi led to stable and consistent findings for in vitro sliding
wires showed a pattern similar to intact NiTi wires. tests compared with manual force loading.
The surface of the ER-SS group had the lowest surface The surface characteristics of materials are rou-
roughness compared with the other groups, with tinely investigated through the surface profilometry,
Savg 5 53.5 6 0.7 nm and Spp 5 779.5 6 33.4 nm. CO- LM, and SEM. However, surface profilometry cannot
SS metallic wires and TF-SS coating wires had similar measure surface defects adjacent to the scan line, and
roughness findings. Similar to the findings of as- it is an invasive procedure. LM is too sensitive to sur-
received wires, AG-SS wires the highest surface rough- rounding light and conditions, and it sometimes does
ness, with Savg 5 433.5 6 130.8 nm and not acquire any information regarding the surface.
Spp 5 3328.2 6 749.9 nm. The four groups showed sig- SEM only gives qualitative information regarding the
nificant differences within each group (P < 0.001, surface characteristics of samples. AFM overcomes the
ANOVA test). A post-hoc comparison also showed strong above-mentioned drawbacks while determining quan-
differences in surface roughness. The ANOVA test F- titative values for investigated parameters. Further-
ratio showed Savg 5 992.93 and Spp 5 153.50. After the more, AFM does not require additional preparation
in vitro sliding test with CE brackets, the surface of the treatments such as metallization, and it produces topo-
TF-CE group showed the lowest surface roughness graphical 3D images in real space with high resolu-
among the four NiTi wires (Savg 5 31.3 6 3.3 nm and tion. The critical drawback of AFM is small scan size,
Spp 5 498.4 6 153.7 nm), followed by the ER-CE group which is associated with slow scanning velocity imped-
and CO-CE group. The AG-CE group showed the high- ing complete analysis of the sample. Nevertheless,
est surface roughness with Savg 5 364.0 6 7.6 nm and AFM is considered a promising technique for evaluat-
Spp 5 2,585.7 6 102.8 nm. The four groups showed sig- ing the surface qualities of dental materials

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ULTRASTRUCTURAL CHANGES IN ESTHETIC NITI AW SURFACES 931

Fig. 4. EDX spectra of (A) CO, (B) ER, (C) TF, and (D) AG groups before sliding tests, and (E) ER-SS/
CE, (F) TF-SS/CE, and (G) AG-SS/CE groups after sliding tests. Insets indicate measuring points on
each group. [Color figure can be viewed in the online issue, which is available at wileyonlinelibrary.com.]

(Kakaboura et al., 2007; Lee et al., 2010a; Ryu et al., in This result was consistent with the findings of other
press). AFM has three differing operation modes: con- studies (Iijima et al., 2012; Ryu et al., in press). The
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tact mode, tapping mode, and noncontact mode. The roughness of the epoxy resin, TeflonV, and Ag/biopoly-
contact mode is best to image rough samples and pro- mer-coated NiTi wires was less than that of noncoated
vides high-resolution images. However, because con- wires. Some studies revealed that because the coating
tact mode results in distorted image features, tapping process leads to decreased material surface roughness,
mode was selected in this study. it improves wire sliding (Husmann et al., 2002; Wichel-
In this study, the surfaces of as-received archwires haus et al., 2005). The AG group was significantly
were investigated by LM, SEM, and AFM. The two rougher than other groups. This property was likely
white-coated NiTi wires (ER group and TF group) caused by the sliver particles present in the coating.
were not rougher than uncoated NiTi wire (CO group). Silver particles exhibited a bead form, as clearly shown

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932 S. CHOI ET AL.

Fig. 5. AFM tapping-mode 3D topographical images of intact CO, ER, TF, and AG groups and those
combined with SS and CE brackets. Scale bar 5 5lm. [Color figure can be viewed in the online issue,
which is available at wileyonlinelibrary.com.]

in the corresponding microscopic images. After in vitro Most studies reported that wires combined with CE
sliding tests, the roughness of all NiTi wires increased brackets were rougher than those combined with SS
significantly with both polymer (CE) and metallic (SS) brackets (Lee et al., 2010b). However, the present
brackets (Bradley et al., 2014). Most previous studies study showed opposite results. The sliding application
showed that the coating led to improved frictional combined with CE brackets led to greater surface
resistance between the wire and brackets. This finding roughness than with SS brackets. Regarding Savg
was consistent with the ER group in this study. The parameters, the TF-CE group showed the lowest sur-
surface roughness of epoxy resin-coated wires was face roughness (31 nm) whereas the AG-SS group
lower than that of uncoated wires, regardless of showed the highest surface roughness (433 nm).
bracket type. Farronato et al. (2012) reported that Regarding Spp parameters, the TF-CE group showed
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TeflonV-coated archwires showed less friction than the lowest surface roughness (498 nm) while the AG-
uncoated archwires. This study showed two patterns
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SS group showed the highest surface roughness
such that the mean roughness of TeflonV-coated wires (3,328 nm). This finding is likely responsible for exfoli-
was lower than that of uncoated wires, whereas the ation of the coating materials. Our previous study
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peak-to-peak roughness of TeflonV-coated wires was (Ryu et al., in press) on load-deflection experiments
higher than that of uncoated wires. This finding indi- with white-coated wires showed that wires combined
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cates that the TeflonV coating process leads to lower with CE brackets were rougher than those combined
roughness overall compared with uncoated wires. This with SS brackets. There was no exfoliation in either
coating process also results in surface characteristics wire. However, this study showed exfoliation of all
with instantaneous peaks. The AG group showed that wires. Therefore, the lower fictional characteristics of
coated wires had higher surface roughness than the coating materials disappeared. Due to recent
uncoated wires, regardless of the bracket type. The advances in the manufacturing technology of various
high roughness of AG-SS/CE groups was responsible CE brackets, the surface of CE brackets is not always
for the use of rough silver particles, as observed by rougher than that of metallic brackets. Cha et al.
LM, SEM, and AFM techniques. (2007) showed that the frictional resistance of silica-

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ULTRASTRUCTURAL CHANGES IN ESTHETIC NITI AW SURFACES 933

inserted CE brackets is comparable to that of conven- 0.014-inch NiTi archwire and three esthetic 0.014-inch
tional SS brackets. Crystalline MB brackets that were NiTi archwires, including epoxy resin-coated Ultraes-
theticTM NiTi archwire (ER group), TeflonV-coated Per-
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silica-inserted CE brackets were used in this study.
The influence of the surface quality of orthodontic fect NiTi archwire (TF group), and Agbiopolymer-
appliances on friction production remains controver- coated Dany aesthetic silver NiTi archwire (AG group),
sial. Generally, the frictional force between wires and were used as representative wires. SS and CE brackets
brackets is considered a negative factor that influences were used as representative brackets. Both ER and TF
normal tooth movement during sliding mechanics wire groups exhibited less surface roughness than CO
(Doshi and Bhad-Patil, 2011). Our previous study wire groups, while the AG group showed the highest
(Choi et al., in press) revealed a correlation between surface roughness compared with the others because
surface roughness and friction, but orthodontic tooth of silver particles. In vitro sliding tests led to a signifi-
movement is a very complex process correlated to a cant increase in the surface roughness of all 0.014 inch
number of critical factors. Lower wire-surface rough- NiTi wires regardless of bracket type. The wire groups
ness might be not sufficient to induce a low frictional combined with SS brackets were rougher than those
coefficient. Further studies are needed to fully evalu- combined with CE brackets regardless of coating mate-
ate wire roughness and the various factors related to rial because of exfoliation of the coating materials. The
friction. Actual frictional coefficients and ultrastruc- TF-SS group showed the highest increase (fivefold) in
tural alternations between as-received and retrieved surface roughness compared with the others, while ER
archwires should also be evaluated. group showed the lowest increase (1.4-fold) in surface
In this study, it was hypothesized in in vitro sliding roughness compared with the others. These results
tests resulted in an increase in the surface roughness indicate that the surface roughness of 0.014-inch NiTi
(hypothesis 1). The polymer-coated (white-coated) wires is directly affected by coating materials and com-
0.014 inch wire had a lower surface roughness com- bined bracket systems.
pared with the uncoated 0.014 inch wire (hypothesis
2). The combinations with ceramic brackets led to REFERENCES
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sliding-driven mechanisms on the surface roughness received state and after clinical use. Eur J Orthod 36:290296.
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tigation methods. Several limitations in this study are silica-insert ceramic brackets in various bracket-wire combina-
tions. Angle Orthod 77:100107.
noteworthy. Firstly, this study is in vitro study by self- Choi S, Park KH, Cheong Y, Kim HK, Park YG, Park HK. 2011.
made tensile-strength tester with a miniature load cell Changes in ultrastructure and properties of bracket slots after
and syringe pump. The teeth and their surrounding orthodontic treatment with bicuspid extraction. Scanning 33:25
structures respond to the force by a complex biologic 32.
Choi S, Joo HJ, Cheong Y, Park YG, Park HK. 2012a. Effects of self-
cascade. Furthermore, intraoral-based tooth move- ligating brackets on the surfaces of stainless steel wires following
ment is associated with many some factors. Although clinical use: AFM investigation. J Microsc 246:5359.
these factors directly affect the efficiency of orthodon- Choi S, Lee S, Cheong Y, Park KH, Park HK, Park YG. 2012b. Ultra-
tic treatments, this study did not consider these fac- structural effect of self-ligating bracket materials on stainless steel
and superelastic NiTi wire surfaces. Microsc Res Tech 75:1076
tors. Therefore, in vivo study with the intraloral-used 1083.
samples is absolutely needed. The actual frictional Choi S, Hwang EY, Park HK, Park YG. 2015. Correlation between
coefficient and mechanostructural alternation between frictional force and surface roughness of orthodontic archwires.
as-received and clinical-retrieved archwires will be Scanning, in press. DOI: 10.1002/sca.21225.
DAnt o V, Rongo R, Ametrano G, Spagnuolo G, Manzo P, Martina R,
also evaluated (Ryu et al., in press). Secondly, our Paduano S, Valletta R. 2012. Evaluation of surface roughness of
experiment was conducted on a small sample size. It orthodontic wires by means of atomic force microscopy. Angle
will be also necessary to examine the surface rough- Orthod 82:922928.
ness with respect to the combinations of archwire and Doshi UH, Bhad-Patil WA. 2011. Static frictional force and surface
roughness of various bracket and wire combinations. Am J Orthod
bracket types, such as round or rectangular, and arch- Dentofacial Orthop 139:7479.
wire materials including NiTi or TMA, in each stage of da Silva DL, Mattos CT, Sim~ ao RA, de Oliveira Ruellas AC. 2013.
the orthodontic treatment. This can help determine Coating stability and surface characteristics of esthetic orthodontic
the relevant clinical implications of these findings. coated archwires. Angle Orthod 83:9941001.
Elayyan F, Silikas N, Bearn D. 2008. Ex vivo surface and mechanical
CONCLUSIONS properties of coated orthodontic archwires. Eur J Orthod 30:661
667.
This study investigated the effects of various coating Elayyan F, Silikas N, Bearn D. 2010. Mechanical properties of coated
materials on the surface roughness of commercially superelastic archwires in conventional and self-ligating orthodon-
tic brackets. Am J Orthod Dentofacial Orthop 137:213217.
available orthodontic superelastic NiTi wires. The slid- Farronato G, Maijer R, Cara MP, Esposito L, Alberzoni D, Cacciatore
ing effects on eight archwire-bracket systems were G. 2012. The effect of teflon coating on the resistance to sliding of
investigated by combining four different types of 0.014 orthodontic archwires. Eur J Orthod 34:410417.
inch metallic wires and two different types of 0.022 Husmann P, Bourauel C, Wessinger M, J ager A. 2002. The frictional
behavior of coated guiding archwires. J Orofac Orthop 63:199211.
inch 3 0.028 inch conventional brackets. The effects Iijima M, Muguruma T, Brantley W, Choe HC, Nakagaki S, Alapati
were studied using three microscopic techniques and SB, Mizoguchi I. 2012. Effect of coating on properties of esthetic
R
one spectroscopic technique. One uncoated SentalloyV orthodontic nickel-titanium wires. Angle Orthod 82:319325.

Microscopy Research and Technique


934 S. CHOI ET AL.

Kakaboura A, Fragouli M, Rahiotis C, Silikas N. 2007. Evaluation of tal slidingPreliminary study using an atomic force microscopy.
surface characteristics of dental composites using profilometry, Korean J Orthod 40:156166.
scanning electron, atomic force microscopy and gloss-meter. Rongo R, Ametrano G, Gloria A, Spagnuolo G, Galeotti A, Paduano S,
J Mater Sci Mater Med 18:155163. Valletta R, DAnto V. 2013. Effects of intraoral aging on surface prop-
Kusy RP. 1997. A review of contemporary archwires: Their properties erties of coated nickel-titanium archwires. Angle Orthod 84:665672.
and characteristics. Angle Orthod 67:197207. Ryu SH, Lim BS, Kwak EJ, Lee GJ, Choi S, Park KH. Surface ultra-
Lee GJ, Park KH, Park YG, Park HK. 2010a. A quantitative AFM structure and mechanical properties of three different white-coated
analysis of nano-scale surface roughness in various orthodontic NiTi archwires. Scanning, in press. DOI: 10.1002/sca.21230.
brackets. Micron 41:775782. Wichelhaus A, Geserick M, Hibst R, Sander FG. 2005. The effect of
Lee TH, Park KH, Jeon JY, Kim SJ, Park HK, Park YG. 2010b. surface treatment and clinical use on friction in NiTi orthodontic
Changes in surface roughness of bracket and wire after experimen- wires. Dent Mater 21:938945.

Microscopy Research and Technique

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