Corrosion of laser-welded stainless steel orthodontic wires

In vitro wearing away of orthodontic brackets and wires in different conditions: A review

Introduction

The release of metallic ions from orthodontic brackets and wires typically depends on their quality (chemical composition) and the medium to which they are exposed, e.g., acidic, alkaline, substances with a high fluoride concentration, etc. This review examines corrosion and wear of orthodontic brackets, wires, and arches exposed to different media, including: beverages (juices), mouthwashes and artificial saliva among others, and the possible health effects resulting from the release of metallic ions under various conditions.

Objective

This review aims to determine the exposure conditions that cause the most wear on orthodontic devices, as well as the possible health effects that can be caused by the release of metallic ions under various conditions.

Sources

A search was carried out in the Scopus database, for articles related to oral media that can corrode brackets and wires. The initial research resulted in 8,127 documents, after applying inclusion and exclusion criteria, 76 articles remained.

Conclusion

Stainless steel, which is commonly used in orthodontic devices, is the material that suffers the most wear. It was also found that acidic pH, alcohols, fluorides, and chlorides worsen orthodontic material corrosion. Further, nickel released from brackets and wires can cause allergic reactions and gingival overgrowth into patients.

Influence of Filler Metal on Electrochemical Characteristics of a Laser-Welded CoCrMoW Alloy Used in Prosthodontics

This paper sought to determine corrosion resistance changes in the artificial saliva of a CoCrMoW-based alloy used for dental prostheses under Nd:YAG laser welding with CoCr alloy and stainless steel wire filler metals. The paper presents the corrosion characteristics of such joints, including the next stage of porcelain-fused-to-metal (PFM) firing. Corrosion tests were performed by electrochemical methods registering anodic polarization curves and electrochemical impedance spectroscopy (EIS). The microstructures were assessed by scanning microscopy (SEM) and chemical composition analysis (EDS) at the connection and heat-affected zones. Welding CoCrMoW alloy with and without a filler material increased the open circuit potential of the samples by 40-100 mV compared to unwelded base alloy. At the same time, a potentiodynamic test showed a polarization resistance R_pol reduction in welded samples, both for CoCr and stainless steel wires, as compared to the base CoCrMoW material. On the other hand, when comparing the current density and polarization resistance between materials welded with two different filler metals, better results were obtained for samples welded with stainless steel wire. The polarization resistance R_pol for the base alloy was 402 kΩ·cm², for the CoCr wire weld it was 436 kΩ·cm², and the value was 452 kΩ·cm² for stainless steel wire welds. Comparing polarization resistance R_pol from the Tafel analysis and the total charge transfer resistance from Rp_(EIS) from EIS, the CoCrMoW alloy welded with a stainless steel wire after heat treatment equaled or even slightly exceeded the corrosion resistance of the base alloy and alloy welded with dedicated CoCr wire after heat treatment. These results indicated the possibility of using stainless steel wire for the laser welding of CoCrMoW alloys dental prostheses, including the next stage of PFM, without sacrificing the corrosion resistance of such connections, and this was confirmed by most electrochemical parameters.

Comparison between traditional and alternative biocompatible welding techniques used in orthodontic devices

OBJECTIVE

To compare the mechanical strength of joints made by conventional soldering with those made by alternative, more biocompatible, methods (spot, tungsten inert gas [TIG] and laser welding), and to compare the microstructural morphology of wires welded with these techniques.

DESIGN

In vitro, laboratory study.

METHODS

Forty stainless-steel wire segments with 0.8-mm diameter were joined by silver soldering, spot, laser and TIG welding. Ten specimens were produced for each one. Tensile strength test was performed 24 h after welding on the Emic DL2000™ universal testing machine, using a load cell of 1000 N with a crosshead speed of 10 mm/min.

RESULTS

The highest tensile strength mean values were obtained with silver soldering (532 N), next were laser (420 N), spot (301 N) and TIG (296 N) welding. Statistically significant differences were observed between the groups; the Dunn post-hoc test revealed differences between laser and spot welding (p=0.046), laser and TIG (p = 0.016), spot and silver (p <0.001), and silver and TIG (p <0.001).

CONCLUSION

Laser welding strength is high, and comparable to silver welding. Spot and TIG techniques present comparable and significantly lower strengths. The four methods presented resistance values compatible with orthodontic use. The microstructural morphology is different for each technique. The association between the mechanical performance and the microstructure evaluation shows that laser presented the highest quality joint.

Are Metal Ions That Make up Orthodontic Alloys Cytotoxic, and Do They Induce Oxidative Stress in a Yeast Cell Model?

Compositions of stainless steel, nickel-titanium, cobalt-chromium and β-titanium orthodontic alloys were simulated with mixtures of Fe, Ni, Cr, Co, Ti and Mo metal ions as potential oxidative stress-triggering agents. Wild-type yeast Saccharomyces cerevisiae and two mutants ΔSod1 and ΔCtt1 were used as model organisms to assess the cytotoxicity and oxidative stress occurrence. Metal mixtures at concentrations of 1, 10, 100 and 1000 µM were prepared out of metal chlorides and used to treat yeast cells for 24 h. Every simulated orthodontic alloy at 1000 µM was cytotoxic, and, in the case of cobalt-chromium alloy, even 100 µM was cytotoxic. Reactive oxygen species and oxidative damage were detected for stainless steel and both cobalt-chromium alloys at 1000 µM in wild-type yeast and 100 µM in the ΔSod1 and ΔCtt1 mutants. Simulated nickel-titanium and β-titanium alloy did not induce oxidative stress in any of the tested strains.