Fracture resistance of ceramic brackets to arch wire torsional force / 대한치과교정학회지

ABSTRACT

OBJECTIVE: The purpose of this study was to estimate the fracture resistance of commercially available ceramic brackets to torsional force exerted from arch wires and to evaluate the characteristics of bracket fracture. METHODS: Lingual root torque was applied to maxillary central incisor brackets with 0.022-inch slots by means of a 0.0215 x0.027-inch stainless steel arch wire. A custom designed apparatus that attached to an Instron was used to test seven types of ceramic brackets (n = 15). The torque value and torque angle at fracture were measured. In order to evaluate the characteristics of failure, fracture sites and the failure patterns of brackets were examined with a Scanning Electron Microscope. RESULTS: Crystal structure and manufacturing process of ceramic brackets had a significant effect on fracture resistance. Monocrystalline alumina (Inspire) brackets showed significantly greater resistance to torsional force than polycrystalline alumina brackets except InVu. There was no significant difference in fracture resistance during arch wire torsional force between ceramic brackets with metal slots and those without metal slots (p > 0.05). All Clarity brackets partially fractured only at the incisal slot base and the others broke at various locations. CONCLUSION: The fracture resistance of all the ceramic brackets during arch wire torsion appears to be adequate for clinical use.