Nanotomographic Analysis of Orthodontic Molar Tubes for Direct Bonding

Abstract

(1) Background: The most important part of an orthodontic attachment (bracket or tube) is the tube or slot for the insertion of the orthodontic wire. Aligning teeth along the archwire according to angular values preadjusted in the bracket slots (or tubes) requires a very precise size accordance between the archwires and slots. The aim of this study was to perform a nanotomographic analysis of the geometric features of molar tubes for direct bonding in terms of their dimensions and angles of their inner walls and analyze the presence of metallurgic imperfections. (2) Methods: Orthodontic tubes (n = 100) for upper right first molars from five different manufacturers (3M-Victory Series, Adenta-Bond Sing, Dentaurum-Ortho Cast M, GC-L LP, and ORMCO-Accent), 20 tubes each, were subjected to nanotomographic analysis. Measurements of the inner channel of the tubes, angles between the walls, and analysis of metallurgic imperfections were performed using high-resolution computed tomography. (3) Results: height measurements differed by 4–14% from ideal values declared by manufacturers, whereas the angles ranged from reducing by a maximum 1% comparing to values declared (hypodivergent walls) to increasing by a maximum 4.5% (divergent walls). (4) Conclusions: 1. The sizes of channels measured were slightly larger than those declared by manufacturers. 2. Slight deviations in wall parallelism and angles between the walls were found. 3. Some tubes were characterized by manufacturing defects of the metal. 4. Efforts should be made to further improve the production process of orthodontic attachments.

Keywords

• orthodontics
• molar tubes
• precision
• CT
• measurement
• size