Review Article

Clinical Features and Physical Properties of Gummetal Orthodontic Wire in Comparison with Dissimilar Archwires: A Critical Review

Table 2

In vitro studies.

NoAuthors, year (lang.)Wire typeSize of the wireOutcome measuredApplied testMain findings

Zhang et al. [11], 2019 (English)Gummetal
Ti
TC4
0.3 mmMicrostructural and mechanical properties of cold-drawn and annealed TNTZO wiresOptical Microscope and Transmission Electron Microscope (TEM, JEM 2100) used to characterize microstructure. Nanoindentation (UNHT) performed to test elastic modulus and creep behaviorMarble-like cross-section microstructure of cold-drawn TNTZO wire.
The tensile strength of cold-drawn TNTZO (1000 MPa) much higher than annealed TNTZO (680 MPa)
Similar elastic modulus: cold-drawn 69 GPa, annealed 65 GPa. TNTZO exhibited higher creep resistance and lower stress exponent than Ti and TC4 wires
Grauberger [12], 2018 (German)Gummetal
Supercable
TMA
Nitinol
Discovery SS brackets 0.018″
0.014 (Gummetal)
0.016
(Supercable)
0,016
(TMA)
0.014
(Nitinol)
Initial force systems investigation of Gummetal and conventional wiresInitial 3D force systems were measured with 3D force moment sensor and RX 60 robotAmount of force:
Supercable < Gummetal < NiTinol < TMA
60% of Gummetal wires showed plastic deformation
The forces of NiTi, Gummetal and TMA exceeded the recommended values for leveling
Suzuki et al. [13], 2015 (Japanese)Beta-titanium (TiMo), CBA (TiMo), Beta III (TiMo), TitanMoly (TiMo), TMA (TiMo), LOW FRICTION TMA (TiMo), BT3 (TiMo), BENDALOY (TiMo), BETA TITANIUM (TiMo), β III (TiMo), Gummetal (Ti-Nb-Ta-Zr-O), TIMOLIUM (Ti-A-V), SS, NEO SENTALLOY F160 (NiTi)Bending properties: stiffness, active deflection range, load at 3 mm displacement, plastic deformation3-point bending testGummetal presented:
lowest stiffness (below 3 N/mm)
second highest active deflection range after NiTi
second lowest load at 3 mm deflection (N) after NiTi
apparent plastic deformation (only NiTi provided no plastic deformation)
Murakami et al. [14], 2015 (English)Gummetal
Resolve
TMA
(Gummetal)
(Resolve)
(TMA)
Fatigue evaluation, high-cycle fatigue testStatic 3 point bending test with 3 point bending mode
SEM observation of fractured wires, micro X-ray diffraction of postfatigue crystal structures
Gummetal exhibited the lowest elastic modulus (44.54 MPa), bending strength (1.241 MPa), fatigue limit (304 MPa) and the highest resilience (0.00086 J).
Takada et al. [15], 2018 (English)TiNi, TiNb, TiMo, SS brackets 0.018 and 0.022, elastic modules0.016

(0.018-slot-bracket
0.018

(0.022-slot-bracket
Torque moment delivered by bracket-wire combinationsDynamic FF at three bracket-wire angles (0°, 5°, 10°) with InStron 5567 loading apparatusTiNb had almost the same dynamic FFs as the NiTi in 0.018″ bracket. TiMo presented significantly higher () values. FFs were 1.5-2 times lower in 0.022″ bracket regardless of alloy wire type. SEM images showed that the surface of TiMo was much rougher with scratches visible comparing to the other wires
Kopsahilis [16], 2018 (German)Gummetal
SS
Elgiloy
NiTi
TMA in various brackets:
Clarity, Discovery, Inspire Ice, Micro Sprint brackets 0.018 and 0.022, steel wire ligation
0.014
0.016

Dynamic friction in the binding modus, dry state, room temperatureRobotic measurement system (RMS) testLoss of applied force due to friction in Gummetal was comparable to SS and Elgiloy. Friction of Gummetal in Micro Sprint brackets was outstandingly low.
Round wires provided lower friction (except for ceramic bracket Inspire Ice)
Micro Sprint—low friction
Kuroda et al. [17], 2014 (English)TiNb
NiTi
TiMo, 0.022 SS brackets, elastic modules or ligature wires

Torque moment delivered by bracket-wire combinationsMeasuring apparatus consisted of torque transducer connected to a torque gaugeTiNb presented unique torque characteristics - effective torque was smaller than those of TiMo and NiTi when applied torque was larger than 20°
Meros et al. [18], 2019 (English)Gummetal
Blue Elgiloy
Brackets
(Gummetal)
(Blue Elgiloy)
Tension distribution in the anterior region of mandible in MEAW and GEAW technique with and without intermaxillary elasticsTension distribution assessed on photoelastic models simulating lower arch, measured by means of reflection polariscopeGummetal with elastics generated the lowest mean tension values significantly different () from the other groups
MEAW with elastics and GEAW without elastic yielded tension values statistically similar ()
Jácome et al. [19], 2016 (Spanish)Blue Elgiloy (with multiloops)
Gummetal
Brackets SS 0.018
Blue Elgiloy
Gummetal
Distribution of stress and strain with and without intermaxillary elasticsMandibular dentoalveolar unit generated by rapid programming and subjected to 300 g force applied by class III elastics (in specialized software)Gummetal presented lower values of the strains than Blue Elgiloy. The use of elastics did not affect the distribution of stress and strain regardless tested alloy
Pacheco et al. [20], 2014 (Spanish)Gummetal
Nitinol
Buccal tube
Distribution of stress and strain of the wiresSimulation of Newton 0.9807 mechanical load applied by mechanical stress in the pipe arch and distributed along the lower left quadrant on simulated observation unitGummetal showed less stress and deformation than NiTi under the same mechanical conditions
Bertl et al. [21], 2013 (German)Gummetal
TMA
Blue Elgiloy (with multiloops)
Damon CuNiTi
Sentalloy Green
Sentalloy Black
Sentalloy White
Standard Edgewise 0.018 brackets
(Gummetal)
(Blue Elgiloy)
Damon CuNiTi ( and )
Sentalloy Green ()
Sentalloy Black and White ()
Uprighting moments produced with different archwires2D measuring machine with three independent force tranducers for displaying horizontal (x-axis) and vertical (y-axis) forces, as well as moments around z-axisNo significant differences between Gummetal and TMA in producing uprighting moments were observed
Laino et al. [22], 2012 (English)Gummetal
TMA
35° Copper NiTi
Thermalloy Plus
Nitinol SE
NiTi
0.016 (Gummetal)
(other alloys)
Mechanical and calorimetric properties of the wires3-point bending test, dynamic mechanical analysis (DMA) and differential scanning calorimetry (DSC)Gummetal and TMA presented flexural elastic modulus constant with temperature. TMA elastic modulus (105 GPa) was approximately twice higher than Gummetal’s elastic modulus (40 GPa)