Frictional Forces of Three Types of Lingual Appliance with Self-ligating Mechanisms.

AIM AND OBJECTIVE: The present study compared the frictional forces of three types of self-ligating lingual appliances. MATERIALS AND METHODS: The lingual appliances (2D, Forestadent; Alias, Ormco; and Clippy L, Tomy International) consisted of a self-ligating bracket (second premolar) and two self-ligating tubes (first and second molars) bonded to a stainless steel jig and attached to a "drawing-friction tester." Full-size and non-full-size stainless steel archwires were tested, and the static and kinetic friction acting on six lingual appliance/wire combinations was estimated (n = 5). Three-dimensional micro-computed tomography (micro-CT) analysis of each premolar bracket was performed. The frictional forces were compared between the bracket/wire combinations using the Kruskal-Wallis and Mann-Whitney U tests. RESULTS: The Alias and Clippy L bracket/wire combinations had greater contact between the wire surfaces and bracket slots compared to the 2D bracket/wire combination. For all lingual appliances, the static and kinetic frictional forces were significantly higher for the full-size than non-full-size archwire. The 2D bracket, which had a wider outer wing, had less frictional force than the other appliances. The Alias, which had a narrower outer wing, had a significantly lower frictional force than the Clippy L. CONCLUSIONS: Frictional force was significantly higher for heavier full-size bracket/archwire combinations than for non-full-size archwires. The 2D bracket had lower frictional force due to its archwire-holding mechanism. The outer wing width may influence the frictional resistance. CLINICAL SIGNIFICANCE: The frictional forces of self-ligating lingual appliances vary, and bracket design and archwire size may influence the frictional performance.

Wear characteristics and inhibition of enamel demineralization by resin-based coating materials.

In this study, wear and inhibition of enamel demineralization by resin-based coating materials were investigated. Seven commercially available coating materials, with and without fillers, were used. A mechanical wear test was performed, and the specimens were then examined with a scanning electron microscope. Hardness and elastic modulus measurements for each material were obtained by nanoindentation testing. Thin layers of each material were applied on human enamel surfaces, which were subjected to alternating immersion in demineralizing and remineralizing solutions. The inhibition ability of enamel demineralization adjacent to the coating was estimated with depth-dependent mechanical properties using the nanoindentation test. The non-filled coating material showed significantly lower hardness, lower elastic modulus, and higher weight loss. There were no significant differences in weight loss among the six filled coating materials. After the alternating immersion protocol, the enamel specimens having application of coating materials with ion-releasing ability were harder than those in the other groups in some locations 1-11 µm from the enamel surface and within 300 µm from the edge of the coating materials. In conclusion, clinical use of the resin-based coating materials with ion-releasing ability may prevent demineralization of exposed enamel adjacent to the coating during treatment.

Inhibition of enamel demineralization and bond-strength properties of bioactive glass containing 4-META/MMA-TBB-based resin adhesive.

We investigated the enamel demineralization-prevention ability and shear bond strength (SBS) properties of 4-methacryloxyethyl trimellitic anhydride/methyl methacrylate-tri-n-butyl borane (4-META/MMA-TBB)-based resin containing various amounts (0-50%) of bioactive glass (BG). Disk-shaped specimens were immersed in distilled water and ions released were analysed by inductively coupled plasma atomic-emission spectroscopy. Samples were also immersed in lactic acid solution (pH 4.6) to estimate acid-neutralizing ability. Brackets were bonded to human premolars with BG-containing resins and the bonded teeth were alternately immersed in demineralizing (pH 4.55) and remineralizing (pH 6.8) solutions for 14 d. The enamel hardness was determined by nanoindentation testing at twenty equidistant distances from the external surface. The SBS for each sample was examined. The amounts of ions released [calcium (Ca), sodium (Na), silicon (Si), and boron (B)] and the acid-neutralizing ability increased with increasing BG content. After alternating immersion, the specimens bonded with the BG-containing resin with high BG content were harder than those in the other groups in some locations 1-18.5 µm from the enamel surface. Bioactive glass-containing (10-40%) resin had bond strength equivalent to the control specimen. Thus, the SBS obtained for BG-containing resin (6.5-9.2 MPa) was clinically acceptable, suggesting that this material has the ability to prevent enamel demineralization.

In vivo degradation of orthodontic miniscrew implants: surface analysis of as-received and retrieved specimens.

This study investigated in vivo degradation of Ti-6Al-4V alloy miniscrew implants. Miniscrew implants were placed in patients, and the surfaces were studied upon retrieval by scanning electron microscopy, microscale X-ray photoelectron spectroscopy, elastic recoil detection analysis and nanoindentation testing. Bone-like structures were formed on the retrieved specimens. The hardness and elastic modulus of the surfaces of the retrieved specimens were significantly lower than the as-received specimens, although no statistically significant differences were observed for the hardness and elastic modulus in the bulk region. Thick organic over-layer containing carbon, oxygen, and nitrogen, with the thickness greater than 50 nm, covered the retrieved specimens, and higher concentrations of hydrogen were detected in the retrieved specimens compared with the as-received specimens. Minimal degradation of the bulk mechanical properties of miniscrew implants was observed after clinical use, although precipitation of bone-like structures, formation of a carbonaceous contamination layer, and hydrogen absorption were observed on the surfaces of miniscrew implants.

Effects of temperature changes and stress loading on the mechanical and shape memory properties of thermoplastic materials with different glass transition behaviours and crystal structures.

BACKGROUND/OBJECTIVE: To investigate the effects of temperature changes and stress loading on the mechanical and shape memory properties of thermoplastic materials with different glass transition behaviours and crystal structures. MATERIALS/METHODS: Five thermoplastic materials, polyethylene terephthalate glycol (Duran®, Scheu Dental), polypropylene (Hardcast®, Scheu Dental), and polyurethane (SMP MM®, SMP Technologies) with three different glass transition temperatures (T g) were selected. The T g and crystal structure were assessed using differential scanning calorimetry and X-ray diffraction. The deterioration of mechanical properties by thermal cycling and the orthodontic forces during stepwise temperature changes were investigated using nanoindentation testing and custom-made force-measuring system. The mechanical properties were also evaluated by three-point bending tests; shape recovery with heating was then investigated. RESULTS: The mechanical properties for each material were decreased significantly by 2500 cycles and great decrease was observed for Hardcast (crystal plastic) with higher T g (155.5°C) and PU 1 (crystalline or semi-crystalline plastic) with lower T g (29.6°C). The Duran, PU 2, and PU 3 with intermediate T g (75.3°C for Duran, 56.5°C for PU 2, and 80.7°C for PU 3) showed relatively stable mechanical properties with thermal cycling. The polyurethane polymers showed perfect shape memory effect within the range of intraoral temperature changes. The orthodontic force produced by thermoplastic appliances decreased with the stepwise temperature change for all materials. CONCLUSIONS/IMPLICATIONS: Orthodontic forces delivered by thermoplastic appliances may influence by the T g of the materials, but not the crystal structure. Polyurethane is attractive thermoplastic materials due to their unique shape memory phenomenon, but stress relaxation with temperature changes is expected.

Frictional and mechanical properties of diamond-like carbon-coated orthodontic brackets.

This study investigated the effects of a diamond-like carbon (DLC) coating on frictional and mechanical properties of orthodontic brackets. DLC films were deposited on stainless steel brackets using the plasma-based ion implantation/deposition (PBIID) method under two different atmospheric conditions. As-received metal brackets served as the control. Two sizes of stainless steel archwires, 0.018 inch diameter and 0.017 × 0.025 inch cross-section dimensions, were used for measuring static and kinetic friction by drawing the archwires through the bracket slots, using a mechanical testing machine (n = 10). The DLC-coated brackets were observed with a scanning electron microscope (SEM). Values of hardness and elastic modulus were obtained by nanoindentation testing (n = 10). Friction forces were compared by one-way analysis of variance and the Scheffé test. The hardness and elastic modulus of the brackets were compared using Kruskal-Wallis and Mann-Whitney U-tests. SEM photomicrographs showed DLC layers on the bracket surfaces with thickness of approximately 5-7 µm. DLC-coated brackets deposited under condition 2 showed significantly less static frictional force for the stainless steel wire with 0.017 × 0.025 inch cross-section dimensions than as-received brackets and DLC-coated brackets deposited under condition 1, although both DLC-coated brackets showed significantly less kinetic frictional force than as-received brackets. The hardness of the DLC layers was much higher than that of the as-received bracket surfaces. In conclusion, the surfaces of metal brackets can be successfully modified by the PBIID method to create a DLC layer, and the DLC-coating process significantly reduces frictional forces.

Effect of the quantity and quality of cortical bone on the failure force of a miniscrew implant.

This study examined the influence of the quantity and quality of cortical bone on the failure force of miniscrew implants. Twenty-six titanium alloy miniscrew implants (AbsoAnchor) 1.4mm in diameter and 5 or 7 mm long were placed in cross-sectioned maxillae (n = 6) and mandibles (n = 20) of human cadavers. Computed tomography imaging was used to estimate the cortical bone thickness and bone mineral density [total bone mineral density (TBMD, values obtained from cortical bone plus trabecular bone); cortical bone mineral density (CBMD, values obtained from only cortical bone)]. Maximum force at failure was measured in a shear test. Nanoindentation tests were performed to measure the hardness and elastic modulus of cortical bone around the miniscrew implants. The mean failure force of miniscrew implants placed in mandibles was significantly greater than that for implants in maxillae, and the bone hardness of mandibles was significantly greater than that of maxillae. The length of miniscrew implants did not influence the mean failure force in monocortical placement in the mandible. Cortical bone thickness, TBMD, CBMD, and bone hardness were significantly related to the mean failure force. CBMD was related to the mechanical properties of cortical bone. In conclusion, the quantity and quality of cortical bone greatly influenced the failure force of miniscrew implants.

Effect of immediate loading on the biomechanical properties of bone surrounding the miniscrew implants.

The aim of this study was to investigate the effect of immediate loading on the biomechanical properties of bone surrounding a miniscrew implant. Forty titanium alloy miniscrew implants were placed on the buccal side of the maxillae and mandibles in four beagle dogs. Twelve pairs of miniscrew implants were immediately loaded with approximately 150 g of continuous force using nickel-titanium coil springs and the remaining 16 implants were left unloaded for 8 weeks. Nanoindentation testing was performed (peak load 10 mN) and the hardness and elastic modulus were calculated. Two series of indentations (in cortical and trabecular bone) for both the compression and tension sides were made. For each site, five indentations were placed approximately 25 µm from the implant-bone interface and 250 µm from the screw thread. The mean hardness and elastic modulus were generally higher in mandibles than maxillae and were higher in cortical bone than in trabecular bone. The trabecular bone near the implant-bone interface on the compression side was significantly harder than that at other locations in trabecular bone. In conclusion, this is the first study that has investigated the biomechanical properties of bone surrounding a miniscrew implant under immediate loading using nanoindentation testing. The mechanical properties of bone surrounding a miniscrew implant may be influenced by immediate loading.

Effects of a torsion load on the shear bond strength with different bonding techniques.

The purpose of this study was to test the hypothesis that a torsional load applied after bracket bonding does not affect the shear bond strength (SBS) with different bonding techniques. Sixty human premolars were divided into two groups (experimental and control) to investigate the effects of a torsion load, and the two groups were further subdivided into three groups of 10 for the evaluation of different adhesive systems (one etch-and-rinse adhesive, Transbond XT; two self-etching primer adhesives, Transbond Plus and Beauty Ortho Bond). A torsion load (1.45 N/cm) was applied by beta-titanium wire at 15 minutes after bracket bonding in the experimental groups. All specimens were then thermocycled between 5 and 55°C for approximately 1 week (6000 cycles). The SBS for each sample was examined with a universal testing machine and the adhesive remnant index (ARI) score was calculated. Data were compared by two-way analysis of variance, Student's t-test, and a chi-square test. The SBS for Transbond XT after thermocycling with a torsion load was significantly lower than that without a torsion load. For Transbond Plus and Beauty Ortho Bond, there was no significant difference in the mean SBS between specimens thermocycled with and without a torsion load. No significant difference in the distribution of frequencies among the ARI categories was observed among the six groups, although the ARI scores for specimens with a torsion load tended to be higher than those without a torsion load. In conclusion, the SBS of the conventional etch-and-rinse adhesive system significantly decreased under a torsion load with thermocycling.

Comparisons of nanoindentation, 3-point bending, and tension tests for orthodontic wires.

INTRODUCTION: The purposes of this study were to obtain information about mechanical properties with the nanoindentation test for representative wire alloys and compare the results with conventional mechanical tests. METHODS: Archwires having 0.016 × 0.022-in cross sections were obtained of 1 stainless steel, 1 cobalt-chromium-nickel, 1 beta-titanium alloy, and 2 nickel-titanium products. Specimens of as-received wires were subjected to nanoindentation testing along the external surfaces and over polished cross sections to obtain values of hardness and elastic modulus. Other specimens of as-received wires were subjected to Vickers hardness, 3-point bending, and tension tests. All testing was performed at 25°C. RESULTS: Differences were found in hardness and elastic modulus obtained with the nanoindentation test at the external and cross-sectioned surfaces and with the conventional mechanical-property tests. Mechanical properties obtained with the nanoindentation test generally varied with indentation depth. CONCLUSIONS: The 3 testing methods did not yield identical values of hardness and elastic modulus, although the order among the 5 wire products was the same. Variations in results for the nanoindentation and conventional mechanical property tests can be attributed to the different material volumes sampled, different work-hardening levels, and an oxide layer on the wire surface.

Effects of sodium fluoride mouth rinses on the torsional properties of miniscrew implants.

INTRODUCTION: Effects of sodium fluoride (NaF) mouth rinse solutions on torsional properties of a miniscrew implant were investigated. METHODS: As-received Ti-6Al-4V miniscrew implants (AbsoAnchor [Dentos, Inc., Daigu, Korea]) were immersed in 0.1% or 0.2% NaF mouth rinse solution (pH 5.12 and 5.14, respectively) for 1 hour or 24 hours. Miniscrew implants selected as controls were not immersed. Each implant was subjected to increasing torque until fracture (n = 5 in sample groups). Mean moment and twist angle for fracture were compared using 1-way analysis of variance (ANOVA). Surfaces of implants after immersion were observed with a scanning electron microscope (SEM). Electron microprobe and micro-x-ray diffraction analyses were performed to obtain composition information about deposits on implant surfaces. RESULTS: Pits and cracks formed on the implant surfaces after immersion in both NaF mouth rinse solutions. Corrosion products, probably sodium aluminum fluoride (Na(3)AlF(6)), were observed on the implants after immersion in both NaF solutions for both time periods. There were no significant differences for mean torque (P = 0.063) and twist angle (P = 0.696) at fracture compared with control implants. CONCLUSIONS: Although titanium alloy miniscrew implants corroded slightly from immersion in 0.1% or 0.2% NaF solutions, mouth rinsing by patients with the same fluoride solution concentrations should not cause deterioration of their torsional performance.

Relationship between the metallurgical structure of experimental titanium miniscrew implants and their torsional properties.

The aims of this study were to investigate the torsional properties of three experimental titanium miniscrew implants for orthodontic anchorage and to determine the relationship between the torsional properties and metallurgical structures. Experimental miniscrew implants with a diameter of 1.4 mm were fabricated from commercially pure (CP) titanium (alpha-titanium), Ti-4Al-4V (duplex alpha-beta-titanium), and Ti-33Nb-15Ta-6Zr (beta-titanium). Micro-X-ray diffraction (XRD) was performed to identify phases, and microstructures of etched cross-sections were obtained with scanning electron microscopy (SEM). Implants were loaded in torsion (n = 5), and mean moments and twist angles at fracture were statistically compared using the Kruskal-Wallis and Mann-Whitney U-tests. Cyclic torsional moment for fracture of starting square wires (2 × 2 × 30 mm) was measured (n = 3). At fracture, the Ti-4Al-4V and Ti-33Nb-15Ta-6Zr implants demonstrated significantly higher mean torque than the CP titanium implant, while the Ti-33Nb-15Ta-6Zr implant had a significantly higher mean twist angle than the other two implants. The CP titanium and Ti-33Nb-15Ta-6Zr implants displayed good fatigue performance and excellent ductility. Ti-33Nb-15Ta-6Zr beta-titanium alloy is suitable for manufacturing miniscrew implants since it has excellent torsional properties.

Effect of mechanical properties of fillers on the grindability of composite resin adhesives.

INTRODUCTION: The purpose of this study was to investigate the effect of filler properties on the grindability of composite resin adhesives. METHODS: Six composite resin products were selected: Transbond XT (3M Unitek, Monrovia, Calif), Transbond Plus (3M Unitek), Enlight (Ormco, Glendora, Calif), Kurasper F (Kuraray Medical, Tokyo, Japan), Beauty Ortho Bond (Shofu, Kyoto, Japan), and Beauty Ortho Bond Salivatect (Shofu). Compositions and weight fractions of fillers were determined by x-ray fluorescence analysis and ash test, respectively. The polished surface of each resin specimen was examined with a scanning electron microscope. Vickers hardness of plate specimens (15 × 10 × 3 mm) was measured, and nano-indentation was performed on large filler particles (>10 µm). Grindability for a low-speed tungsten-carbide bur was estimated. Data were compared with anlaysis of variance (ANOVA) and the Tukey multiple range test. Relationships among grindability, filler content, filler nano-indentation hardness (nano-hardness), filler elastic modulus, and Vickers hardness of the composite resins were investigated with the Pearson correlation coefficient test. RESULTS: Morphology and filler size of these adhesives showed great variations. The products could be divided into 2 groups, based on composition, which affected grindability. Vickers hardness of the adhesives did not correlate (r = 0.140) with filler nano-hardness, which showed a significant negative correlation (r = -0.664) with grindability. CONCLUSIONS: Filler nano-hardness greatly influences the grindability of composite resin adhesives.

Effect of bracket bonding on nanomechanical properties of enamel.

INTRODUCTION: In this study, we investigated the nanohardness and elastic modulus of enamel after debonding metal brackets. METHODS: The surfaces of 3 maxillary premolars were subdivided into 3 regions. Two regions were exposed to a conventional etching system (Transbond XT, 3M Unitek, Monrovia, Calif) and a self-etching system (Transbond Plus primer, 3M Unitek); the third region was not etched. Metal brackets were bonded with Transbond XT composite to the 2 etched regions. After storage for 24 hours in distilled water, the brackets and residual adhesive were removed, and the teeth were sectioned transversely. Seven nanoindentations (2 mN load) were placed 1 to 25 µm from the surface in each region. Mean nanohardness and elastic modulus were compared with analysis of variance (ANOVA) and the Scheffé test. RESULTS: Locations 1 and 5 µm from the enamel surface had significantly (P < 0.05) lower nanohardness and elastic modulus values for the conventional system compared with the self-etching system and the unetched region. All other locations for the conventional system and all locations for the self-etching system and unetched area had no significant differences. The nanohardness was much higher than the Vickers hardness for enamel. CONCLUSIONS: The minimal effect of the self-etching system on the nanomechanical properties of enamel arises from much lower chemical attack. The much greater effects of the conventional system require further study.

Corrosion behavior of ion implanted nickel-titanium orthodontic wire in fluoride mouth rinse solutions.

This study investigated the corrosion properties of ion implanted nickel-titanium wire (Neo Sentalloy Ionguard) in artificial saliva and fluoride mouth rinse solutions (Butler F Mouthrinse, Ora-Bliss). Non ion implanted nickel-titanium wire (Neo Sentalloy) was used as control. The anodic corrosion behavior was examined by potentiodynamic polarization measurement. The surfaces of the specimens were examined with SEM. The elemental depth profiles were characterized by XPS. Neo Sentalloy Ionguard in artificial saliva and Butler F Mouthrinse (500 ppm) had a lower current density than Neo Sentalloy. In addition, breakdown potential of Neo Sentalloy Ionguard in Ora-Bliss (900 ppm) was much higher than that of Neo Sentalloy although both wires had similar corrosion potential in Ora-Bliss (450 and 900 ppm). The XPS results for Neo Sentalloy Ionguard suggested that the layers consisted of TiO(2) and TiN were present on the surface and the layers may improve the corrosion properties.

Effects of long-term storage and thermocycling on bond strength of two self-etching primer adhesive systems.

The effects of 2 years of storage and 6000 thermocycles on the shear bond strength (SBS) of two self-etching adhesive systems were studied. Two self-etching primer (SEP) systems (Transbond Plus and Beauty Ortho Bond) and one etch and rinse system (Transbond XT) were used to bond brackets to 126 human premolars that were then stored in artificial saliva for 24 hours or 2 years and thermocycled in distilled water before SBS testing with a universal testing machine. The adhesive remnant index (ARI) scores were calculated. Data were compared by two-way analysis of variance and chi-square analysis. Enamel/adhesive interfaces were examined by scanning electron microscopy. There was no significant difference in the mean SBS for the bonding materials among the three conditions. ARI scores showed that Transbond XT and Beauty Ortho Bond had less adhesive remaining on the teeth after ageing compared with storage for 24 hours. Specimens bonded with Beauty Ortho Bond showed leakage between the resin adhesive and enamel after ageing. Both SEP systems produced adequate SBS even after 2 years or 6000 times thermocycling. Thermocycling is an appropriate technique for determining the durability of orthodontic bracket bonding materials.

Effects of bioactive glass coating by electrophoretic deposition on esthetical, bending, and frictional performance of orthodontic stainless steel wire.

We investigated the surface modification of orthodontic stainless steel wire using electrophoretic deposition (EPD) of bioactive glass (BG). BG coatings were characterized by spectrophotometry, three-dimensional (3D) focal laser scanning microscopy and scanning electron microscopy. The mechanical properties of the BG-coated wires were estimated nanoindentation, three-point bending and drawing friction tests. BG-coated specimens prepared at higher voltage showed higher values for both reflectance and L* compared to those prepared at lower voltage. Specimens coated at higher voltage had significantly lower surface roughness than those coated at lower voltage, and their BG layers had higher hardness and elastic modulus values. In the three-point bending test, BG-coated wires produced significantly lower elastic modulus than non-coated wires. Most BG-coated specimens produced similar frictional forces to those produced by non-coated specimens. The surface modification technique applying EPD and BG coating to orthodontic stainless steel wire could be used to develop new esthetical orthodontic wire.

Effects of application time and agitation for bonding orthodontic brackets with two self-etching primer systems.

The purpose of this study was to evaluate the shear bond strength, adhesive remnant index (ARI) and etching effect of two self-etching systems (Transbond Plus, Beauty Ortho Bond) at different application times (3, 10, 30 seconds) with and without agitation. Share bond strengths were examined and the ARI score was estimated (n=15). Enamel surfaces after priming were examined by SEM. Increasing application time and applying agitation of self-etching primers produced slightly increased etching efficacy. Increasing application time did not significantly increase the shear bond strength. Also, agitation did not significantly increase the shear bond strength except for specimen bonded with the Beauty Ortho Bond with 10 seconds application time. No significant difference was found in bond-failure sites among 10 groups. Although increasing application time and applying agitation of both self-etching primers did not affect the shear bond strength, increasing application time in indirect bonding technique should not cause remarkable adverse effect.

Joining characteristics of orthodontic wires with laser welding.

Laser welding 0.016 x 0.022 in. beta-Ti, Ni-Ti, and Co-Cr-Ni orthodontic wires was investigated by measuring joint tensile strength, measuring laser penetration depth, determining metallurgical phases using micro X-ray diffraction (micro-XRD), and examining microstructures with an scanning electron microscope (SEM). Welding was performed from 150 to 230 V. Mean tensile strength for Ni-Ti groups was significantly lower (p < 0.05) than for most other groups of laser-welded specimens. Although mean tensile strength for beta-Ti and Co-Cr-Ni was significantly lower than for control specimens joined by silver soldering, it was sufficient for clinical use. The beta-Ti orthodontic wire showed deeper penetration depth from laser welding than the Ni-Ti and Co-Cr-Ni orthodontic wires. Micro-XRD patterns of laser-welded beta-Ti and Ni-Ti obtained 2 mm from the boundary were similar to as-received specimens, indicating that original microstructures were maintained. When output voltages of 190 V and higher were used, most peaks from joint areas disappeared or were much weaker, perhaps because of a directional solidification effect, evidenced by SEM observation of fine striations in welded beta-Ti. Laser welding beta-Ti and Co-Cr-Ni wires may be acceptable clinically, since joints had sufficient strength and metallurgical phases in the original wires were not greatly altered.

Torsional properties and microstructures of miniscrew implants.

INTRODUCTION: Titanium miniscrew implants are popular in orthodontics, but there is little information about their torsional performance. METHODS: Four brands of miniscrew implants (A-D) with 1.6-mm diameters were compared, with miniscrew A implants also having diameters of 1.2 to 2.0 mm. Nominal compositions of the implants were determined by x-ray fluorescence (n = 8). The miniscrews were loaded to failure in torsion, and the mean moment and twist angle were determined for each group (n = 8). Data were compared by ANOVA and the Tukey multiple range tests. Micro x-ray diffraction (n = 3) was used to identify phases in the implants, and the phases were also examined in etched cross-sections with a scanning electron microscope. RESULTS: Miniscrew A and C implants were pure titanium, whereas miniscrew B and D implants contained small amounts of vanadium, aluminum, iron, and manganese. Only alpha-titanium peaks were detected for all implants by micro x-ray diffraction, but beta titanium was observed in the microstructures of miniscrew B and D implants, which had significantly higher torsional moments at failure. CONCLUSIONS: Addition of small amounts of other elements to titanium yielded significantly improved torsional performance for miniscrew implants. Research to develop optimum compositions for mechanical properties and biocompatibility is needed.