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ORIGINAL ARTICLE

Effect of bracket slot and archwire dimensions


on anterior tooth movement during space closure
in sliding mechanics: A 3-dimensional finite
element study
Jun-ya Tominaga,a Hiroya Ozaki,b Pao-Chang Chiang,b Mayumi Sumi,b Motohiro Tanaka,c Yoshiyuki Koga,d
Christoph Bourauel,e and Noriaki Yoshidaf
Nagasaki, Japan, and Bonn, Germany

Introduction: It has been found that controlled movement of the anterior teeth can be obtained by attaching a
certain length of power arm onto an archwire in sliding mechanics. However, the impact of the archwire/bracket
play on anterior tooth movement has not been clarified. The purpose of this study was to compare the effect of
the power arm on anterior tooth movements with different dimensions of bracket slots and archwires. Methods:
A 3-dimensional finite element method was used to simulate en-masse anterior tooth retraction in sliding
mechanics. Displacements of the maxillary central incisor and the archwire deformation were calculated
when applying retraction forces from different lengths of power arms. Results: When a 0.017 3 0.022-in
archwire was engaged into the 0.018-in slot bracket, bodily movement of the incisor was obtained with
9.1-mm length of the power arm. When a 0.022-in slot system was coupled with a 0.019 3 0.025-in archwire,
bodily movement was observed with a power arm length of 11.6 mm. Conclusions: Archwire/bracket play
has a remarkable impact on anterior tooth movement. An effective torque application to the anterior teeth be-
comes clinically difficult in sliding mechanics combined with power arms when the archwire/bracket play is large.
(Am J Orthod Dentofacial Orthop 2014;146:166-74)

T
he demand for speedy, effective, and accurate use of implant anchorage in sliding mechanics has
orthodontic treatment systems has increased to become more common all around the world. In
shorten the treatment period.1-6 Accordingly, the addition to this system, sliding mechanics with the
combined use of power arms has gradually been
a
Assistant professor, Department of Orthodontics and Dentofacial Orthopedics, applied for obtaining controlled anterior tooth
Graduate School of Biomedical Sciences, Nagasaki University, Nagasaki, Japan; movements during space closure (Fig 1). That is, the
research fellow, Department of Oral Technology, School of Dentistry, University desired type of anterior tooth movement, such as lingual
of Bonn, Bonn, Germany.
b
Postgraduate student, Department of Orthodontics and Dentofacial Orthope- crown tipping, bodily movement, or lingual root tipping,
dics, Graduate School of Biomedical Sciences, Nagasaki University, Nagasaki, can be easily achieved by attaching various lengths of
Japan.
c
power arms onto an archwire in sliding mechanics.7-14
Assistant professor, Department of Orthodontics and Dentofacial Orthopedics,
Graduate School of Biomedical Sciences, Nagasaki University, Nagasaki, Japan. Several studies have been carried out to investigate
d
Senior assistant professor, Department of Orthodontics and Dentofacial Ortho- various biomechanical factors affecting tooth movement
pedics, Graduate School of Biomedical Sciences, Nagasaki University, Nagasaki, in sliding mechanics, such as the flexural rigidity of the
Japan.
e
Cendres+Metaux endowed professor and chair, Department of Oral Technology, archwire, friction, and height of the retraction
School of Dentistry, University of Bonn, Bonn, Germany. force.8,12–16 However, optimal loading conditions for
f
Professor and chair, Department of Orthodontics and Dentofacial Orthopedics, controlled movement of anterior teeth in sliding
Graduate School of Biomedical Sciences, Nagasaki University, Nagasaki, Japan.
All authors have completed and submitted the ICMJE Form for Disclosure of mechanics combined with power arms are not fully
Potential Conflicts of Interest, and none were reported. understood. A few attempts with the finite element (FE)
Address correspondence to: Noriaki Yoshida, Department of Orthodontics method have been reported on tooth displacement
and Dentofacial Orthopedics, Nagasaki University Graduate School of Biomedical
Sciences, 1-7-1 Sakamoto, Nagasaki 852-8588, Japan; e-mail, nori@ when a single canine retraction or an en-masse retraction
nagasaki-u.ac.jp. is performed in sliding mechanics.17-19 In those studies,
Submitted, September 2013; revised and accepted, April 2014. spring elements are used between a tooth and an
0889-5406/$36.00
Copyright Ó 2014 by the American Association of Orthodontists. archwire instead of friction between the surface of a
http://dx.doi.org/10.1016/j.ajodo.2014.04.016 bracket slot and an archwire. Therefore, the mechanical
166
Tominaga et al 167

and a 0.017 3 0.022-in stainless steel archwire, and


the other had 0.022 3 0.028-in slot brackets and a
0.019 3 0.025-in archwire. Based on these 3D solid
models, an FE mesh was created to make a node-to-
node connection between tooth, PDL, and alveolar
bone. An FE mesh of the archwire was created separately
from the bracket to allow the archwire to slide through
the bracket slots. The 3D FE model consisted of
423,772 isoparametric tetrahedral solid elements
(10 noded) and 83,790 nodes, or 432,356 elements
and 85,957 nodes (Fig 2).
Fig 1. Intraoral picture of the en-masse maxillary anterior The material parameters used in this study are repre-
tooth retraction in sliding mechanics combined with power sented in the Table.23,24 To simplify the model and
arms and skeletal anchorages. reduce the time for analysis, the same properties were
given to the archwires, power arms, and brackets. Other
condition is not sufficiently accurate to approximate an structures such as teeth, alveolar bone, and PDL were
actual clinical situation. To our knowledge, there are modeled as homogenous and isotropic for the same reason.
only 2 studies that simulate en-masse retraction when Assuming that the case model was diagnosed as
brackets were modeled and a coefficient of friction was maxillary protrusion, bilateral maxillary first premolar
given to the interface between bracket slots and an arch- extractions were indicated. The model included 12 teeth,
wire including contact-sliding problems.20,21 It was and 2 skeletal anchorages (miniscrews or miniplate im-
found that the anterior tooth movement varied plants) were inserted at both sides of the buccal region
depending on the amount of archwire/bracket play. between the second premolar and the first molar. Two
However, the effect of play on anterior tooth power arms were attached onto an archwire bilaterally
movement has not been fully understood; clinicians at the segment between the lateral incisor and the
must consider this in an actual clinical situation for any canine, and these lengths were changed from 0 to
treatment step in sliding mechanics. 12 mm with 0.1-mm intervals from the bracket slot level
The purpose of this study was to clarify the effect of (Fig 3). The horizontal retraction force of 1.5 N was
the bracket slot and archwire dimensions on anterior applied from the implant anchorage to the power arm
tooth movement during space closure in sliding me- on both sides. The model was restrained in 6 of freedom
chanics by means of a 3-dimensional (3D) FE model. at the bottom of the alveolar bone. The coefficient of
friction between the bracket slots and the archwire was
MATERIAL AND METHODS assumed to be 0.2.27-29 A cross-sectional view indicating
The construction method of the 3D FE model has the boundary between the bracket and the archwire is
been described previously.20 Computed tomography im- shown in Figure 4. The archwire was horizontally posi-
ages of the 14 maxillary teeth, taken with a multi-image tioned to contact the bottom surface of the bracket slots
cone-beam computed tomography scanner (3DX; J. and vertically in the middle of the bracket. Under these
Morita, Kyoto, Japan), were saved as DICOM data and conditions, 3D FE analysis was performed using a 3D
exported to 3D image processing and editing software FE program (Marc; MSC Software). We analyzed how
(Mimics 10.02; Materialize Software, Leuven, Belgium). the archwire was deformed and, consequently, how the
The 3D solid model was created and converted to a 3D maxillary central incisor moved. Then we compared the
FE model using FE analysis preprocess and postprocess results obtained with the 0.017 3 0.022-in stainless
software (Patran 2008r1; MSC Software, Los Angeles, steel archwire in the 0.018-in slot and the
Calif). Each 3D FE model for the periodontal ligament 0.019 3 0.025-in archwire in the 0.022-in slot.
(PDL), alveolar bone, bracket, archwire, and power arm
was separately constructed using the same software. RESULTS
The PDL had a uniform thickness of 0.2 mm.22-24 The The relationship between the degree of labiolingual
bracket height of the maxillary central incisor was tipping of the maxillary central incisor and the height
placed according to a prescription, which was 4.5 mm of retraction force on the power arm is shown in
in height from the incisal edge of the tooth.25,26 Two Figure 5. If the 0.017 3 0.022-in stainless steel archwire
3D solid models were constructed. One had the was engaged into the 0.018-in slot brackets as shown by
combination of brackets with a 0.018 3 0.025-in slot a solid line in Figure 5, lingual crown tipping of the

American Journal of Orthodontics and Dentofacial Orthopedics August 2014  Vol 146  Issue 2
168 Tominaga et al

Fig 2. Three-dimensional FE model of the maxillary dentition, including the PDL, alveolar bone,
brackets, and archwire.

as the type of tooth movement in which the tooth


Table. Material parameters of tooth, PDL, alveolar
tips around its incisal edge as the center of rotation.
bone, archwire, power arm, and bracket
On the other hand, controlled lingual crown tipping
Young's indicates the movement in which the tooth tips
Material modulus (MPa) Poisson's ratio around its root apex as the center of rotation.
Tooth 20000 0.30
If the 0.017 3 0.022-in archwire was used in a 0.018-
PDL 0.05 0.30
Alveolar bone 2000 0.30 in slot, controlled lingual root tipping was carried out at
Archwire/power arm/bracket 200000 0.30 the height of the retraction force of 9.5 mm, which was
2.3 mm higher than the level of the center of resistance.
At a height of 9.1 mm, bodily movement was achieved.
maxillary central incisor was observed when the retrac- Controlled lingual crown tipping was observed at the
tion force was applied at 0 mm, which corresponds to 8.3-mm height of retraction force level (Fig 6, A).
the bracket slot level. The direction of tooth rotation When the 0.019 3 0.025-in archwire was used in the
changed from lingual crown tipping to lingual root 0.022-in slot, controlled lingual root tipping was ob-
tipping as the level of the retraction force on the power tained at the height of 13.0 mm. Bodily movement
arm was moved apically from the bracket slot level. At was produced at an 11.6-mm height of retraction force.
the height of 9.1 mm, no rotation was observed; ie, Controlled lingual crown tipping occurred at a level of
bodily movement occurred. Lingual root tipping of the 10.3-mm height (Fig 6, B).
incisor was produced when the retraction force was set The deformation of the archwire and the resultant
above 9.1 mm. When the 0.022-in slot bracket system displacement of the maxillary central incisor and first
was combined with the 0.019 3 0.025-in archwire, molar after the application of retraction force at the level
bodily movement of the incisor was achieved at the of 12 mm are shown in Figure 7. For a better under-
height level of the retraction force of 11.6 mm as shown standing of the deformation of the archwire and the
by a dotted line in Figure 5, although the rotational tooth displacement, these displacements were magnified
endency was the same as the 0.018-in slot system. 50 times, and the displacements of the central incisor
Figure 6 shows the loading conditions under were focused on. The tooth and the archwire in blue
which controlled anterior tooth movements, such as show the initial positions.
controlled lingual root tipping, bodily movement, When the 0.017 3 0.022-in archwire was used in the
and controlled lingual crown tipping, can be 0.018-in slot, the anterior segment of the archwire was
achieved. Controlled lingual root tipping is defined deformed upward. The root of the maxillary central

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Tominaga et al 169

Fig 3. Illustration of the experimental conditions of anterior tooth retraction with the combinations of
various lengths of power arms and skeletal anchorage in sliding mechanics.

Fig 4. Cross-sectional view of the archwire/bracket interface in the FE model.

incisor was moved lingually, and the crown was moved DISCUSSION
labially (Fig 7, A). The labiolingual tipping was 0.17 We found that the dimension of the play between the
(lingual root tipping). bracket slot and the archwire has a significant impact on
When the 0.019 3 0.025-in archwire was used in the anterior tooth movement when the retraction force was
0.022-in slot, the incisor showed almost bodily move- applied to a power arm in sliding mechanics. Even if the
ment with less lingual root tipping of 0.02 , although same height of the horizontal retraction force was
the tendency of archwire deformation was similar to that applied, there were great discrepancies in the types of
of the 0.018-in slot coupled with the 0.017 3 0.022-in anterior tooth movement between the 2 combinations
archwire (Fig 7, B).

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170 Tominaga et al

a 0.017 3 0.022-in archwire in a 0.018-in slot (Fig 6, A).


On the other hand, bodily movement occurs at the level
of 11.6 mm, which is 4.4 mm apical to the position of the
center of resistance with a 0.019 3 0.025-in archwire in
a 0.022-in slot (Fig 6, B). Those results indicate that the
concepts based on theoretical considerations cannot be
simply applied to multibracket appliances.
When a 0.017 3 0.022-in archwire is used in a 0.018-
in slot, longer power arms than the perpendicular
distance from the bracket level to the center of resistance
are required to achieve controlled movement of the
anterior teeth, including controlled lingual root tipping,
bodily movement, and controlled lingual crown tipping
(Fig 6, A). If a 0.019 3 0.025-in archwire is engaged into
a 0.022-in slot, much longer power arms are required to
produce any anterior tooth movement (Fig 6, B).
As mentioned in the previous articles, when long
power arms were used, a substantial amount of bending
moment is generated at the portion of the archwire
Fig. 5. Degree of the labiolingual tipping of the maxillary where the power arms were attached as a cantilever ef-
central incisor subjected to the various heights of retrac- fect.20,21 As a result, the anterior segment of the
tion force on the power arm. Positive signs indicate lingual archwire was raised upward, causing lingual root
crown tipping, whereas negative signs indicate lingual tipping with a full-sized 0.018 3 0.025-in archwire.
root tipping. Although in this study we found similar results for the
phenomenon of the cantilever effect, bodily movement
of bracket slot size and archwire size. When the height or lingual root tipping seems to be difficult to obtain
level of the force was increased, this discrepancy was with the 0.022-in slot system compared with the
also increased (Fig 5). Although controlled tooth move- 0.018-in slot system in sliding mechanics with the
ment from lingual crown tipping to lingual root tipping combined use of power arms. Since the torsion of the
can be easily achieved with a 0.017 3 0.022-in archwire archwire within a bracket slot and its general deforma-
in a 0.018-in slot, lingual root tipping can hardly be tion were considered to have major impacts on tooth
generated with power arms shorter than 10 mm if a movement, displacements of the archwire and the
0.019 3 0.025-in archwire is used in a 0.022-in slot. resultant tooth displacement were analyzed when
This might be due to the difference in the play between 0.017 3 0.022-in and 0.019 3 0.025-in archwires are
brackets and archwires. used (Fig 7). The anterior segment of the archwire is sub-
From a biomechanical point of view, it has been jected to torsion caused by the power arms. When a
stated that the type of tooth movement, such as lingual 0.017 3 0.022-in archwire is used in a 0.018-in slot,
crown tipping, bodily movement, or lingual root tipping, the torque is likely to be practically transmitted to the
is determined by the relationship between a line of ac- bracket on the incisor. Moreover, a smaller play between
tion of a force and the location of the center of resistance the brackets and the archwire might contribute to a more
of a tooth, and a single force passing through the center efficient torque application. Thus, lingual root tipping
of resistance causes bodily tooth movement.7,30,31 can be clinically achieved with power arms in the
However, as shown in Figure 6, the tooth movements 0.018-in slot (Fig 7, A). Contrary to this, the torsion of
analyzed in this study did not agree with that concept the archwire is less likely to be transmitted effectively
based on the biomechanical principles. Since the loca- to the incisor because of the greater play between the
tion of the center of resistance of the maxillary central brackets and the archwire, thereby causing less lingual
incisor in the FE model, which we used, was determined root tipping in the 0.022-in slot (Fig 7, B).
to be at the level of 7.2 mm apically from the bracket To compare the interaction of an archwire with
slot, bodily movement of the incisor was expected to brackets on the incisor in the 0.018-in slot with that
be produced at the height of 7.2 mm of retraction force. in the 0.022-in slot and elucidate the mechanism of
Nevertheless, FE analysis showed that bodily movement generation of lingual root torque, the sagittal cross-
of the incisor occurred at the height of 9.1 mm, which is sectional view at the mesial surface of the maxillary
1.9 mm apical to the level of the center of resistance with central incisor bracket was constructed before and after

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Tominaga et al 171

Fig 6. Loading conditions when controlled movements of a maxillary central incisor are obtained:
A, 0.017 3 0.022-in archwire in 0.018-in slot; B, 0.019 3 0.025-in archwire in 0.022-in slot. CRe, Center
of resistance; CRo, center of rotation.

Fig 7. Displacement of the maxillary central incisor and the deformation of the archwire on the appli-
cation of retraction force at the height of 12 mm. For a better understanding of the displacement of the
tooth and deformation of the archwire, these movements are magnified 50 times. Initial positions of the
tooth and archwire are indicated by blue lines. A, 0.017 3 0.022-in archwire in 0.018-in slot;
B, 0.019 3 0.025-in archwire in 0.022-in slot.

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172 Tominaga et al

Fig 8. Sagittal cross-section at the mesial surface of the maxillary central incisor bracket before exert-
ing retraction force (left) and after the application of the force at the height of 12 mm (right):
0.017 3 0.022-in archwire in 0.018-in slot (top) and 0.019 3 0.025-in archwire in 0.022-in slot (bottom).

the application of the orthodontic force at the level of desired type of anterior tooth movement if there is a
12 mm (Fig 8). When an archwire is twisted by a large archwire/bracket clearance.
bending moment of the power arms, the diagonally As mentioned above, the dimension of the play is
opposite corners of the archwire contact the surface the most influential factor in determining the type
of the bracket slot. Then a pair of normal forces, called of anterior tooth movement in sliding mechanics
lingual root tipping moments, is generated. That is, combined with power arms. Thus, the conventional
torque acting on the anterior tooth becomes applicable biomechanical principles of tooth movement in ortho-
with a combination of a 0.017 3 0.022-in archwire and dontics cannot be directly applied in actual clinical sit-
0.018-in slot brackets with smaller archwire/bracket uations. Although a comprehension of the relationship
clearances (Fig 8, top). However, a normal force in between a line of action of a retraction force and the
the downward direction is not produced at this cross- position of the center of resistance of a tooth is an
sectional view when a 0.019 3 0.025-in archwire was important key to an estimation of how the tooth will
used in the 0.022-in slot, which has a larger play move, the effect of the archwire deflection within
(Fig 8, bottom). Although the horizontal dimension of the bracket slot and its general deformation on the
the play in the 0.018-in slot system is the same as force system acting on a tooth should also be consid-
that in the 0.022-in slot, the vertical dimension of the ered (Figs 7 and 8).
play in the 0.022-in slot is 3 times as large as that in Although applying a retraction force on the power
the 0.018-in slot (Fig 8). This indicates that play in arm modifies the type of anterior tooth movement in
the vertical dimension has a greater impact on the sliding mechanics in a simple way, quite long power
movements of the anterior teeth than in the horizontal arms of 10 to 13 mm are required to achieve controlled
dimension. It is considered that the greater the play be- movement of the anterior teeth in the 0.022-in slot sys-
tween the archwire and the bracket, the weaker the tem. Particularly, controlled lingual root tipping is only
normal forces. As a result, less lingual root tipping obtained with power arms of 13 mm; this is too long
moment is transmitted to the incisor in the 0.022-in to be applied in a clinical situation. In this case, the
slot system. Therefore, it becomes more difficult to pre- use of high-torque brackets on the anterior teeth seems
scribe an optimal power arm length for achieving the recommendable to optimize torque application.

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Tominaga et al 173

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