A comparison of resistance to sliding of self-ligating brackets under an increasing applied moment

To test the null hypotheses that at clinically relevant amounts of applied moment, there are no differences in the amount of resistance to sliding (RS) between self-ligating (SL) and conventionally ligated (CL) brackets on both stainless steel (SS) and nickel-titanium (NT) archwire.

Three different SL brackets and one CL bracket, all 0.022″ slot, were tested on a custom-built device to simulate canine retraction mechanics in the second-order dimension. The setup allowed for simultaneous and continuous measurement of RS and applied moment at the bracket-archwire interface. The brackets tested were Damon3, In-Ovation R, Smartclip, and Victory, all of which were tested with 0.019″ × 0.025″ SS and NT archwires. The RS at calculated moments of 2000 g-mm and 4000 g-mm was determined and compared between the various brackets and both archwire types. Descriptive measures, analysis of variance, and Tukey-Kramer post-test comparisons were used to calculate results.

All brackets displayed a greater amount of RS with NT than with SS archwires. At the higher moment levels (4000 g-mm), no significant reduction in RS was found between CL and SL brackets on both SS and NT archwires. At lower levels of applied moment (2000 g-mm), reductions in RS of 18% (42.7 g) and 18% (38.5 g) were found between the CL bracket and the best performing SL bracket on NT and SS, respectively.

At low values of applied moment, some statistical differences were found; however, in general, the differences in RS amongst the various SL and CL brackets tested may not be clinically relevant.