Effect of saliva on load-deflection characteristics of superelastic nickel-titanium orthodontic wires.

OBJECTIVE: Most published results about the characteristics of NiTi wires are based on the mechanical laboratory tests on the as-received wires.The purpose of this study was to investigate the effect of saliva on load-deflection characteristics of superelastic NiTi wires. MATERIALS AND METHODS: In this experimental study, 15 wires of three kinds of superelastic NiTi wires (Sentalloy, Force I and Truflex) were prepared. Five specimens of each wire were tested in the as-received condition (T0) to provide baseline information and the remaining wires were divided into two groups of five. Half of them were kept inside artificial saliva for one month (T1), while the others were kept in air (T2). After 30 days, three-point bending test was done in a dental arch model and data from selected points on the unloading phase of the generated graphs were used for statistical analysis. RESULTS: Force I and Truflex showed significantly greater force than Sentalloy. The load values of Truflex and Force I after one month exposed to artificial saliva (T1) decreased significantly, but Sentalloy was not affected significantly. The plateau gap values were not considerably different among T0, T1 and T2. CONCLUSION: Saliva decreased the load of Force I and Truflex significantly, but it did not have a statistically significant effect on Sentalloy.

Combined effects of different heat treatments and Cu element on transformation behavior of NiTi orthodontic wires.

The shape memory nickel-titanium alloy has been applied in many fields due to its unique thermal and mechanical performance. One of the successful applications of NiTi wires is in orthodontics because of its good characteristics such as low stiffness, high spring back, high stored energy, biocompatibility, superelasticity and shape memory effect. The mechanical properties of wires are paid special attention which results in achieving continuous optimal forces and eventually causing rapid tooth movement without any damage. The behavior of the alloy can be controlled by chemical composition and thermo-mechanical treatment during the manufacturing process. In this study two kinds of commercial superelastic NiTi archwires of 0.41 mm diameter were investigated: Copper NiTi and Highland Metal. The chemical analysis of both wires was estimated by energy dispersive spectroscopy (EDS). It was showed that Copper NiTi wire contained copper and chromium. The two types of wires were exposed to different heat treatment conditions at 400 and 500 °C for 10 and 60 min to compare the behavior of the wires at aged and as-received conditions. Phase transformation temperatures clarified by differential scanning calorimetry (DSC) showed B2 <--> R <--> B19 transformation in Highland Metal wire and B2 <--> B19(') transformation in Copper NiTi wire. Three point bending (TPB) tests in the certain designed fixture were performed at 37 °C to evaluate the mechanical behavior of the wires. The experimental results revealed the superelastic behavior of the Highland Metal wire after 60 min ageing at 400 and 500 °C and the plastic deformation of the Copper NiTi wire after annealing due to the effect of copper in the alloy composition.

Clinical presentation and outcome of perforating ocular injuries due to BB guns: a case series.

PURPOSE: To describe the clinical presentations and treatment modalities of a series of BB gun-related perforating ocular injuries. METHODS: Clinical records of all consecutive cases of perforating BB gun injuries to the globe seen between September 2004 and September 2008 were reviewed retrospectively. At the time of the trauma and after final treatment, all patients underwent a complete ocular examination, including visual acuity,applanation tonometry for intraocular pressure, slit lamp biomicroscopy, indirect ophthalmoscopy and fundus photography, if possible. In all cases, primary globe repair was performed in the first session, and then appropriate surgery took place based on the individual situation. RESULTS: In this study, 13 patients (11 males and 2 females) with a mean age of 20.8 years (range 9­50 years) were enrolled. The mean follow-up period was 7.2 4.3 months (range 1­25 months). Initial visual acuity (VA) ranged from no-light perception (NLP) to finger counting (CF). Vitreous haemorrhage and retinal detachment were present in all involved eyes. Hyphema (30.76%), uveal and retinal prolapse (30.8%), retinalin carceration (30.8%) and retinal haemorrhage (53.8%) were other ocular findings. VA remained stable in 46.2% of the patients (6 cases). The best achieved final VA was CF at 2 min one case after 6 months follow-up.After several surgical procedures, enucleation was necessary in only 2/13 (15.4%) cases. CONCLUSION: Despite several surgical procedures which decreased the number of enucleations, BB gunperforating ocular injuries still lead to a grim visual outcome. This implies the importance of political strategies targeting on education of parents and restriction for children to access to these guns.