Orthodontic appliances for moving teeth

Abstract: An orthodontic appliance, especially an archwire (10), is made of a shape memory alloy comprising a nickel, titanium and copper composition which is formulated to provide the desired loading and unloading forces to an orthodontic bracket (12).

Description: The present invention relates to improved orthodontic appliances and systems for orthodontic movement of teeth. It is particularly concerned with improved orthodontic archwires. Traditional systems for the orthodontic movement of teeth have typically consisted of the use of a metal wire that is deformed and bent into a shape so as to provide a load on an orthodontic bracket attached to the tooth so as to move it in a predetermined direction. These metal orthodontic archwires are generally formed of a stainless steel, Co-Cr, or titanium based alloys. Two serious disadvantages with such prior art orthodontic archwires is that they have relatively low shape recovery and the force applied by the wire varies substantially as the tooth moves, thus requiring frequent adjustment or replacement by the orthodontist. In order to overcome the disadvantage of such wires, it has been suggested in the prior art to use a shape memory super-elastic alloy material for orthodontic archwires. The advantage of these shape memory super-elastic alloy orthodontic archwires is that they are able to apply a substantially constant load during movement of the tooth, thus improving efficiency of the orthodontic procedure. Typically, these super-elastic alloys are made of Ni-Ti alloys. Examples of such orthodontic archwires are discussed in U.S. Patents 4,037,324 and 4,490,112. A limitation encountered with such prior art type Ni-Ti alloy archwires is that the amount of force applied by the orthodontic archwire to the orthodontic bracket is relatively low, thus requiring a longer treatment time. An additional problem encountered with such wires is that the initial force necessary to engage the wire with the orthodontic bracket is quite high, thus making it difficult for the orthodontist to apply the archwire to the bracket. A further problem encountered with prior art orthodontic super-elastic archwires is that the substantially constant load is effective for only a relatively short distance and at a relatively low level of force. G Bouquet et al in Journal de Biomatériaux Dentaires, 3 , (3), 207 to 215 (1987) discloses Ni-Ti-Cu alloys in general terms and refers to orthodontic uses of such alloys. We have now discovered that by controlling the composition of the shape memory alloy the disadvantages of prior art shape memory archwires can be minimised or eliminated. According to the present invention there is provided an orthodontic appliance as defined in claim 1, to which reference should now be made. The dependent claims define preferred but optional features of the invention. Referring to Figure 1, there is illustrated a schematic diagram illustrating the principle of orthodontic movement of teeth utilising a shape memory super-elastic orthodontic archwire made in accordance with the present invention. Figure 2 is a graph illustrating the general stress-strain curve for an archwire made of a super-elastic shape memory alloy. Referring to Figure 1, there is illustrated in schematic form an orthodontic archwire 10 fastened to the teeth of a patient through the use of orthodontic brackets 12 which are bonded to the teeth by any method conventional in the art. For example, but not by way of limitation, the brackets 12 can be bonded directly to each tooth, or welded to a metal band fitted over the tooth. The orthodontic wire is designed to move maloccluded teeth 14 in a predetermined direction (for example as illustrated by arrow 16) whereby the orthodontic archwire 10 tries to go back to its original formed shape. In the application of the orthodontic wire 10 to the brackets 12 of the maloccluded teeth 14, a certain amount of force (loading force) is required to bend the orthodontic archwire 10 so that it properly engages the orthodontic brackets 12 as illustrated. After the orthodontic wire is securely attached to the orthodontic brackets 12, the unloading force of the orthodontic archwire causes the tooth to move in the desired direction. Referring to Figure 2 there is illustrated a typical graph of the stress-strain curve for an orthodontic archwire having a nickel titanium alloy composition made in accordance with the prior art, wherein: σ L = loading stress σ U = unloading stress Δσ = stress hysteresis ε S = super-elastic strain Values for σ L , σ U , Δσ and ε S were determined for an archwire made of an alloy composition in accordance with the following relationship (Relationship A): Ti 50 - X Ni 50 + X Table I below illustrates the results obtained. Col 1 Col 2 Col 3 Col 4 Col 5 X 0 0.3 0.5 0.7 1.0 Loading stress (σ L ) 400 400 400 400 400 Unloading stress (σ U ) 75 110 180 190 200 Stress hysteresis (Δσ) 325 290 220 210 200 Super-elastic strain (ε S ) 4.5 4.0 3.3 2.0 0 The amount of nickel and titanium was varied by an amount represented by the letter X. Column 1 represents a nickel titanium alloy composition which comprises, by atomic percent, 50% titanium and 50% nickel. Column 2 represents an alloy composition having, by atomic percent, 49.7% titanium and 50.3% nickel. Column 3 represents values for an alloy composition which comprises, by atomic percent, 49.5% titanium and 50.5% nickel. Column 4 represents an alloy composition, by atomic percent, having 49.3% titanium and 50.7% nickel. Column 5 represents an alloy composition which comprises, by atomic percent, 51% titanium and 49% nickel. The high loading stress σ L of approximately 400 MPa, while it requires a substantial amount of force to bend the wire so as to attach it properly to the brackets 12, provides a relatively low unloading stress of approximately 75 MPa to the brackets for the purpose of tooth movement as illustrated by column 1 of Table I. As the amount of titanium is reduced and nickel increased, as shown by columns 2 to 5, the distance through which a substantially constant unloading force can be applied to the tooth, as represented by ε S , is reduced such that the alloy of column 5 no longer provides a substantially constant force, thus minimising or eliminating the value of the shape recovery alloy. Table II below illustrates the stress-strain values of an orthodontic archwire 10 made in accordance with the present invention having an alloy composition according to the following relationship (Relationship B) having varying amounts of copper: Ti 50 Ni 50 - X Cu X Col 1 Col 2 Col 3 Col 4 Col 5 Col 6 Col 7 X 0 1 3 5 10 15 20 Loading stress (σ L ) 400 400 400 400 400 400 400 Unloading stress (σ U ) 75 70 140 210 290 340 380 Stress hysteresis (Δσ) 325 330 260 190 110 60 40 Super-elastic strain (ε S ) 4.5 4.6 4.7 4.3 2.3 1.6 1.4 Column 1 of Table II is identical to Column 1 of Table I in that this alloy composition has no copper. Column 2 of Table II illustrates an alloy composition having 1% copper, 50% titanium and 49% nickel (by atomic percent). Column 3 of Table II illustrates an alloy composition of relationship B having 3% copper. It can be seen that the unloading of this alloy stress was increased to about 140 MPa, thus increasing the force the orthodontic archwire applies to the bracket 12. It can be further seen that the distance over which a substantially constant force may be applied by the archwire 10 (as represented by ε S ) is substantially greater than the distance for the alloy composition of column 3 of Table I. Column 4 of Table II illustrates an alloy composition of relationship B having 5% copper, 50% titanium and 45% nickel. An archwire having this alloy composition provides a substantially increased amount of unloading stress to the orthodontic archwire 10 and has substantially reduced the difference between the loading and unloading stress (Δσ) of the orthodontic archwire to approximately 190 MPa. Here again, a substantially constant load is applied over a greater distance than for the alloy composition of column 3 of Table I. Column 5 of Table II illustrates orthodontic archwire made in accordance with the present invention having 10% copper. It can be seen that with this alloy composition the unloading stress has been increased to approximately 290 MPa, thus reducing the difference between loading and unloading stress to approximately 110 MPa. By further increasing the amount of copper in the composition to about 15 percent the unloading stress σ U is further increased to approximately 340 MPa thus further reducing the difference between the loading and unloading stress to approximately 60 MPa. However, the wire becomes increasingly brittle as more copper is added. We believe that a copper percentage greater than about 15% would be too brittle to function effectively as an orthodontic wire. It can be seen that while the unloading stress can be increased by increasing the amount of copper in the alloy, this is done at the expense of reducing the distance over which the orthodontic archwire applies a substantially constant force. Thus it is important to control the amount of copper in the alloy so that the desired physical and mechanical properties are obtained. The amount of copper in the alloy composition of relationship B should be at least 3% and preferably be in the range of approximately 5% to 11%, which will provide an alloy composition having a substantially constant loading/unloading force for a relatively large distance. Preferably the archwire is designed to have a maximum loading stress equal to or less than about 400 MPa and a minimum unloading stress equal to or greater than about 200 MPa. Table III below illustrates stress-strain values of a modified orthodontic wire, made in accordance with the present invention. The orthodontic archwires of Table III were made in accordance with the following relationship (Relationship C): Ti 50 - X Ni 50 Cu X Col 1 Col 2 Col 3 Col 4 Col 5 X 0 0.3 0.5 0.7 1.0 Loading stress (σ L ) 400 400 400 400 400 Unloading stress (σ U ) 75 150 230 235 240 Stress hysteresis (Δσ) 325 250 170 165 160 Super-elastic strain (ε S ) 4.5 4.0 3.4 3.3 3.2 The alloy composition of relationship C is substantially the same as the composition of relationship B except that instead of replacing the nickel with copper, copper replaces the titanium. Column 1 of Table III is identical to columns 1 of Table I and Table II wherein no copper is present. Column 3 of Table III illustrates an alloy composition of relationship C wherein 0.5% copper is present in the alloy. In particular, the alloy composition of column 3 comprises 49.5% titanium, 50% nickel and 0.5% copper. It can be seen that with this alloy the unloading stress was increased to about 230 MPa while still maintaining a substantially constant super-elastic strain ε S over a fairly large distance. Increasing the amount of copper to 1% and decreasing the amount of titanium to 49% provides the values of column 5 of Table III. This alloy composition is very similar to the alloy of column 3. Here again, the difference between the loading and unloading stresses is relatively small and substantially constant over a relatively large distance. It can be seen that an orthodontic archwire having an alloy composition as set forth in relationships B and C can be designed to provide an orthodontic archwire that has lower loading stress while still providing relative high unloading stress for more effective orthodontic movement of teeth, thus delivering more force per tooth movement, and maintains a substantially constant force as the teeth move closer to their intended position. We have found that the austenitic transformation temperature (Af) of nickel/titanium alloys generally increases with an increase in the amount of copper present. The addition of approximately 10% copper in the relationship would increase the austenitic transformation temperature (Af) to approximately 60°C. This temperature is obviously substantially greater than the normal body temperature of 37°C. Thus the potential for activation of this wire becomes extremely small and would only occur when very hot foods are consumed. This type of alloy would only be useful when pulsating loads are desired to be provided to the teeth. In order to provide a substantially constant load, a decrease in the austenitic transformation temperature (Af) is necessary. We have found that the addition of certain other elements will substantially reduce the austenitic transformation temperature to below the body temperature of 37°C. For example, the addition of such elements as V, Cr, W, Mn, Fe, Co and Al have been found effectively to reduce the austenitic transformation temperature of the alloy without substantially affecting its super-elastic or shape memory characteristics. It is believed that the addition of 0.5 to 2% iron (Fe) and up to 1.0% chromium (Cr) will reduce the Af temperature of a nickel titanium copper alloy to below body temperature. Depending upon the particular element added and the amount thereof, the transformation temperature may be varied as desired. We believe that in order to provide orthodontic archwires designed to have lower austenitic transformation temperatures they should be made in accordance with the following relationship wherein the amount of the additional element X is no greater than approximately 5%, preferably no greater than about 3%: (Ti 50-a /Ni 50-b /Cu a+b )100-c/X c wherein: a = 0 - 10 atomic % b = 0 - 20 atomic % a + b ≧ 0.3 and, preferably, up to 20 atomic % c = 0 - 5 atomic % X = V, Cr, Mn, Fe, Co, Mo, W, or Al While the present invention has been discussed with regard to orthodontic archwires, the alloy compositions disclosed herein may be used for other orthodontic appliances such as springs, auxiliaries, loops and brackets.

Claims: An orthodontic appliance having superelastic properties and made of a shape-memory alloy having a composition in accordance with the following relationship: (Ti 50-a /Ni 50-b /Cu a+b )100-c/X c wherein: Ni = nickel Ti = titanium Cu = copper X is selected from the following elements: V, Cr, Mn, Fe, Co, Mo, W and Al and: a = 0 to 10 atomic % b = 0 to 20 atomic % c = 0 to 5 atomic % a+b ≧ 0.3 An orthodontic appliance according to claim 1, wherein Ni is present in the range of about 37 to 47 atom% and Cu is present in the range of about 3 to 13 atom%. An orthodontic appliance according to claim 1 or 2, wherein Ni is present in the range of about 39 to 45 atom% and Cu is present in the range of about 5 to 11 atom%. An orthodontic appliance according to claim 1, 2 or 3, wherein the appliance produces a maximum loading stress approximately equal to or less than 400 MPa and a minimum unloading stress equal to or greater than about 200 MPa. An orthodontic appliance according to any preceding claim, wherein the difference between the loading and unloading stress of the appliance is no greater than about 150 MPa. An orthodontic appliance according to any preceding claim, wherein the appliance maintains a substantially constant load during both loading and unloading after reaching the first limit of proportionality. An orthodontic appliance according to any preceding claim, wherein the alloy has an austenitic transformation temperature (Af) less than or equal to about 37°C. An orthodontic appliance according to claim 1, 2 or 3, wherein the difference between the maximum and minimum stress for loading and unloading is approximately 110 MPa. An orthodontic appliance according to claim 1, 2 or 3, wherein the appliance has a minimum unloading stress during unloading of about 200 MPa. An orthodontic appliance according to claim 1, 2 or 3, wherein the appliance has a maximum constant loading stress no greater than about 400 MPa. An orthodontic appliance according to claim 1, comprising 35 to 45% nickel, 50% titanium and about 10% copper, and up to about 5% of the alloy consists of at least one of the following elements: V, Cr, Mn, Fe, Co, Mo, W and Al. An orthodontic appliance according to claim 1, wherein Ti is present in the range of about 47 to 49.5 atom%, Ni is present at about 50 atom% and Cu is present in the range of about 0.5 to 3 atom%. An orthodontic appliance according to claim 12, wherein Ti is present and the range of about 49 to 49.5 atom%. An orthodontic appliance according to claim 12 or 13, wherein the appliance produces a maximum loading stress approximately equal to or less than 400 MPa and a minimum unloading stress equal to or greater than about 200 MPa. An orthodontic appliance according to any of claims 12 to 14, wherein the difference between the loading and unloading stress of said appliance is no greater than about 150 MPa. An orthodontic appliance according to any of claims 12 to 15, wherein the appliance maintains a substantially constant load during both loading and unloading after reaching the first limit of proportionality. An orthodontic appliance according to any of claims 12 to 16, wherein the transformation temperature of the appliance is less than or equal to about 37°C. An orthodontic appliance according to claim 12, 13 or 14, wherein the difference between the maximum and minimum stress load is approximately 110 MPa. An orthodontic appliance according to claim 12, 13 or 14, wherein the orthodontic appliance has a minimum load stress during unloading of about 200 MPa. An orthodontic appliance according to claim 12, 13 or 14, wherein the appliance has a maximum loading force no greater than about 375 MPa. An orthodontic appliance according to claim 1, wherein Ni comprises 40% of the alloy, Cu comprises 10% of the alloy, and up to about 3% of the alloy consists of at least one of the following elements: V, Cr, Mn, Fe, Co, Mo, W and Al. An orthodontic appliance according to any preceding claim, wherein the appliance is in archwire. An orthodontic appliance according to any of claims 1 to 22, wherein the appliance is an auxiliary, a spring, a loop or a bracket.

Inventors: FARZIN-NIA FARROKH, MIYAZAKI SHUICHI, SACHDEVA ROHIT C L, FARZIN-NIA, FARROKH, MIYAZAKI, SHUICHI, SACHDEVA, ROHIT C.L.
Applicants: ORMCO CORP, ORMCO CORPORATION
Application year: 1991
Main classification: A61K6
IPC codes: A61C7, C22C19