A Comparison of the Ligation Torque Expression of a Ribbonwise Bracket-Archwire Combination and a Conventional Combination: A Primary Study.

Abstract

Objective To assess the effect of the third-order mechanics of a new ribbonwise bracket–archwire combination using an orthodontic torque simulator. Material and Methods. An orthodontic torque simulator was used to measure the third-order moment of a maxillary central incisor as it changed from a neutral position to a 40° rotation in 1° increment. A new ribbonwise bracket (Xinya, China) was compared with a conventional ligation bracket (American Orthodontic, U.S.A.). The effects of different archwire sizes (i.e., 0.017″ × 0.025″ and 0.019″ × 0.025″) and materials (i.e., nickel-titanium, titanium-molybdenum alloy, and stainless steel) were analyzed. Paired sample t-tests were conducted to compare the moments between the two bracket types corresponding to each of the archwires. The effects of the stiffness of the bracket–archwire complexes were also assessed. Results Statistically significant differences (P=0.05) between the moments from the two brackets were found. The ribbonwise bracket–archwire complex generated larger moments when the rotation angle was lower than 30°. The ribbonwise brackets produced moments that could reach a threshold of 5 Nmm more quickly as the angle was increased. The higher the stiffness of the complex, the larger the moment. Conclusion The ribbonwise bracket–archwire complex reached the moment threshold limits earlier than the conventional complex. When the rotation angle is less than 30°, the ribbonwise bracket–archwire complex generated a greater torque moment in comparison with the conventional complex.