The aim of the present study was to describe and determine changes in the superelastic properties of NiTi archwires after clinical use and sterilization. Ten archwires from five different manufacturers (GAC, 3M, ODS, GC, FOR) were cut in two segments and evaluated using a three-point bending test in accordance with ISO 14841:2006. The centre of each segment was deflected to 3.1mm and then unloaded to 0 N to obtain a load-deflection curve. Deflection at the end of the plateau and forces at 3, 2, 1 and 0.5mm on the unloading curve were recorded. Plateau slopes were calculated at 2, 1 and 0.5mm of deflection. Data obtained were statistically analysed to determine differences (p<0.001). Results showed that the degree of superelasticity and exerted forces differed significantly among brand groups. After three months of clinical use, FOR released a greater force for a longer activation period. GC, EURO and FOR archwires seemed to lose their mechanical properties. GC wires released more force than other brand wires after clinical use. Regarding superelasticity after sterilization, GAC, 3M and FOR wires recovered their properties, while EURO archwires lost more.

(1) Background: A wide literature based on loading and unloading bending tests has been carried out over the half past century for assessing the force released by superelastic wires. The aim of this investigation is not only to characterize a broadly described superelastic NiTi and a novel CuNiTi archwire, but also to provide novel insights into the load vs deflection profiles. A harmonic scenario for superelastic wires will be shown as temperature is kept constant at 37°C. However, a completely different picture will be highlighted as a temporary heating step up to 50°C is introduced within the force vs deflection profiles. (2) Methods: A variety of NiTi and a novel CuNiTi round and rectangular cross-section archwires have been investigated. Static 3-point bending tests up to a deflection level of 3.0 mm have been carried out for detecting the unloading force plateau levels occurring at 37°C. A hold deflection step of 5 min at deflection levels occurring along the unloading plateau extension is introduced. The effect of a temporary heating up to 50°C on the force plateau level released by the investigated wires is analyzed. (3) Results: Mechanical profiles suggest that the plateau force levels detected at 37°C are consistent with those broadly reported in the literature, but they only represent a single block puzzle of the force scenario that a superelastic wire releases during the orthodontic treatment. (4) Conclusions: Once a superelastic wire is bent and clinically applied, the effect of a temporary heating up to 50°C (e.g. hot food or drink ingestion) produces a significant plateau force increase whose magnitude depends on the deflection level. The highest force increase of about 50% and 40% have been detected at deflection levels located at the beginning of the unloading plateau extension for NiTi and CuNiTi wires, respectively.

(1) Background: The aim of this investigation is to determine the effect of archwires’ deflection on the temperature transitions driving the austenite to martensite transformation (and vice versa) and the force released by NiTi and CuNiTi orthodontic wires. (2) Methods: Round cross-section archwires have been investigated. The calorimetric approach has been used for measuring transition temperatures occurring in the unstressed (e.g. undeflected) state of the wires. Static Thermo-mechanical analysis in a temperature controlled wet environment has been performed in the range of temperature between 5°C and 55°C for measuring temperature transitions occurring in highly deflected archwires in conjunction with the force released by these wires. (3) Results: Plateau forces investigated in Part I and those reported in the literature describes the wire’s behaviour only at deflection levels close to the end point of the force plateau extension detected at 37°C. Upon heating or cooling, the austenite finish (Af) transition temperature and the martensite start (Ms) temperature largely depends on the deflection level for both NiTi and CuNiTi. (4) Conclusions: The plateau force levels at 37°C, broadly reported in the literature, only represent the lower boundary force that a superelastic wire releases at 37°C above its elastic limit. For both NiTi and CuNiTi, plateau force levels at 37°C can be predicted by the static TMA profile matching the end point of the force plateau extension. Transition temperatures in largely deflected wires are significantly higher than those determined through the calorimetric approach.