Electronic Thesis and Dissertation Repository

Thesis Format

Monograph

Degree

Master of Clinical Dentistry

Program

Orthodontics

Supervisor

Tassi, Ali

Abstract

Aim: The purpose of the study was to determine the effect of pigmentation on force levels and their degradation over time in orthodontic power chain of different chain types and manufactures.

Materials & Methods: Groups consisted of closed power chain from American Orthodontic (AO) thermoplastic (TP) in 5 colors, AO thermoset (TS) in 2 colors, Ormco TP in 4 colors, Ormco TS in 2 colors, and Rocky Mountain Orthodontics (RMO) TS in 5 colors (18 groups total, 10 chain samples in each group). Testing was performed over a period of 6 weeks at intervals of initial (T0), 1 hour (T1), 1 day (T2), 1 week (T3), 2 weeks (T4), 4 weeks (T5), and 6 weeks (T6). At each timepoint, an Instron Universal Testing Machine was utilized to stretch a sample to 25mm and record the force level. After testing, the chain samples were placed on the 3D printed arch model, stretched 25mm from tooth #23 to #26 and stored in distilled water at 370C between time points to simulate canine retraction in the oral environment.

Results: In general, force levels of all chains significantly decreased at each time point, but the decrease was larger for the TP groups early on and leveled off at the later time points. The TS groups exhibited a more gradual and continuous decrease in force values while maintaining overall higher force values. Chain pigmentation had a significant effect on force levels at all time points within each manufacturer and chain material. Chains containing blue pigment, in both TP and TS chain types, degraded faster and delivered significantly lower force values in all colored groups at most time points. In addition, at weeks 4 and 6, AO TS grey had a significantly lower mean force than the corresponding AO TS clear.

Conclusions: Pigmentation played a significant role in force levels and their degradation over time, but the specific pattern is not consistent between manufacturer or chain material.

Summary for Lay Audience

When people seek orthodontic care, a common concern is spacing between their teeth. Orthodontic power chain is an elastic that gets tied from tooth to tooth to create tooth movement to close these spaces. This chain can be made from different materials (thermoplastic and thermoset) and for esthetic purposes it is supplied in different colors. This chain is also supplied by different manufactures which differ based on manufacturing techniques.

Aim of this research was to determine the effect of color on force levels and its degradation over time in orthodontic power chain of different chain types and manufactures.

Materials & Methods: Groups consisted of 7 different colors and 2 different chain types from 3 different companies. Groups were tested over a period of 6 weeks at intervals of initial, 1 hour, 1 day, 1 week, 2 weeks, 4 weeks, and 6 weeks. At each timepoint, an Instron Universal Testing machine was used to stretch the chain and record the force level. After testing, the samples were placed on a replica of a common orthodontic situation in a simulated oral environment.

Results: In general, the forces delivered by all chains decreased at each time point, but the decrease was larger in one of the chain types (thermoplastic) early on and leveled off at later time points. The other group (thermoset) exhibited a more gradual and continuous decrease while maintaining overall higher force values. Chains containing blue pigment in both types degraded faster and delivered significantly lower force values.

Conclusions: Color played a significant role in force delivery and their decrease over time, but it wasn’t consistent between manufacturer or material.

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Creative Commons Attribution-Noncommercial 4.0 License
This work is licensed under a Creative Commons Attribution-Noncommercial-Share Alike 4.0 License.

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