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Friction does not increase anchorage loading


Thomas E. Southard,a Steve D. Marshall,b and Nicole M. Groslandc
Iowa City, Iowa

Conventional wisdom suggests that orthodontists must apply added force to overcome friction during canine
retraction (sliding mechanics), the result of which can be increased anchorage loading and anchorage loss.
However, for a frictional force to be exerted mesially by the archwire against a canine during retraction, the
archwire must be compressed between the canine and the anchor molar, and an equal but opposite force
must be applied distally against the molar by the archwire. In other words, the frictional force that reduces
the force of retraction on the canine must also reduce the protraction force on the molar. Emphasis on
employing reduced-friction (eg, self-ligating) brackets during sliding mechanics to prevent added posterior
anchorage loading is unwarranted and based more on bracket salesmanship than on orthodontic
biomechanics. (Am J Orthod Dentofacial Orthop 2007;131:412-4)

A
commonly used orthodontic technique to close archwires and reduced-friction brackets during sliding
interdental spaces is termed “sliding mechan- mechanics. They demonstrated significant differences
ics,” in which the bracketed tooth, in effect, among the groups of brackets tested and concluded that
slide along an archwire. In orthodontic cases including not all brackets provided reduced friction, even though
maxillary first premolar extractions, a distally directed the manufacturers describe them as doing so. Cacciaf-
force is typically applied against the maxillary canines esta et al11 measured the frictional resistance generated
to move them distally along the archwire, and a between stainless steel self-ligating brackets, polycar-
reciprocal, mesially directed force, is applied against bonate self-ligating brackets, and conventional stainless
the posterior anchor teeth. steel brackets using 3 orthodontic wire alloys. They
During sliding mechanics, a frictional resistance re- reported that stainless steel self-ligating brackets gen-
sults between the bracket and the archwire. This frictional erated significantly lower frictional forces and beta-
force acts in a direction tangential to the plane of titanium archwires had higher frictional resistances
contact between the bracket and the archwire, opposes than stainless steel or nickel-titanium archwires. Tecco
the sliding motion of the tooth along the archwire, and et al12 reported similar findings.
is proportional to the normal force transmitted across Why are orthodontists concerned with friction
the plane of contact.1 during sliding mechanics? Conventional wisdom states
Many articles in the orthodontic literature have that an orthodontist must apply added force to
dealt with friction and explored various factors that can overcome friction, the result of which can be in-
affect frictional resistance during sliding mechanics. creased anchorage loading and subsequent anchorage
These factors include bracket slot width, bracket com- loss (Fig 1).7,9,13,14 In other words, for maxillary canine
position, wire size, wire shape, wire composition, distal retraction through a first premolar extraction
wire-to-slot ligation method, bracket/wire surface con- space, not only must a reciprocal force be applied
ditions, interbracket distance, saliva, and relative inter- between the canine and the anchor molar, but also an
face motion between bracket and archwire.2-9 additional load must be applied by the anchor molar to
Recently, increasing emphasis has been placed on overcome archwire friction as the canine moves dis-
the design of brackets to decrease friction. Redlich et tally. This additional load against the anchor molar can
al10 evaluated the static friction force created between increase anchorage loss.
This concept has motivated our specialty to seek
From the University of Iowa, Iowa City.
a
Professor and head, Department of Orthodontics.
techniques to reduce friction and, consequently, reduce
b
Adjunct associate professor, Department of Orthodontics. the potential for increased anchorage loss.9 But is it
c
Assistant professor, Department of Biomedical Engineering. true? Does archwire/bracket friction increase anchorage
Reprint requests to: Thomas E. Southard, Department of Orthodontics, College
of Dentistry, University of Iowa, Iowa City, IA 52246; e-mail, tom-
loading during sliding mechanics?
southard@uiowa.edu. Let us explore this concept carefully. First, examine
Submitted, June 2006; revised and accepted, September 2006. a frictionless orthodontic system shown in Figure 2.
0889-5406/$32.00
Copyright © 2007 by the American Association of Orthodontists. Here, a 100-g elastic force is being applied between the
doi:10.1016/j.ajodo.2006.09.037 canine and the molar brackets. The force is equal, but
412
American Journal of Orthodontics and Dentofacial Orthopedics Southard, Marshall, and Grosland 413
Volume 131, Number 3

Fig 1. To retract a canine by sliding it along an archwire


(in this case with 100-g distal force), conventional
wisdom dictates that additional force, beyond what is
required to move the tooth, is necessary to overcome Fig 3. In this simplified diagram illustrating an orth-
friction (in this case also assumed to be 100 g). Some odontic system with friction (frictional force between
authors suggest that additional frictional force in- canine bracket and archwire assumed to be 20 g), the
creases loading on anchor molar to value equal to archwire between canine and molar is under compres-
canine retraction force plus frictional force (in this case sion; ie, for 20-g frictional force to be applied by the
to 200 g) and, consequently, increases molar anchorage archwire against canine, equal but opposite force must
loss.7,9,13,14 be applied distally against the molar by compressed
archwire. Frictional force that reduces force of retrac-
tion on the canine root to 80 g must also reduce force of
protraction on the molar root to 80 g.

mesially against the canine, there must be an equal, but


opposite, 20-g force applied distally against the molar.
Explained from a different perspective, for the archwire to
exert a 20-g mesial force against the canine, the archwire
must be under compression between the canine and the
molar, and the compressed archwire must push distally
an equal amount against the molar. Simply put, if a
frictional force opposes the distal slide of the canine, it
will reduce the force applied to the roots of both the
Fig 2. In a frictionless orthodontic system, in which canine and the molar by an equal amount (in this case
equal-but-opposite 100-g elastic force is applied be- by 20 g).
tween canine and molar brackets, entire 100-g elastic Next, assume that the orthodontist is not content
force is transmitted directly to roots of both teeth.
with having 80 g of retraction force applied against the
Furthermore, teeth can slide freely along the archwire,
and the archwire is not compressed.
canine root. So he or she increases the elastic force
applied at the bracket of the canine and the molar from
100 to 120 g (Fig 4). In this case, assuming that the
opposite, at the canine and the molar. Because there is frictional force remains at 20 g, the retraction force
no friction, the entire 100-g force being applied to the applied against the root of the canine (and the protrac-
bracket of both teeth is transmitted directly to the roots tion force applied against the root of the molar)
of the teeth. increases back to the 100-g force initially found in the
In an orthodontic system with friction (Fig 3), the frictionless orthodontic system (Fig 1).
molar and the canine are still free to translate along the Finite element analysis confirmed these conclu-
archwire, but part of the 100-g retraction force applied sions. A simplified 3-dimensional model was devel-
against the canine is reduced by the frictional force; less oped with an archwire sliding freely between brackets
force is available for retracting the canine root. If one on a canine and a molar. A 100-g load was applied
assumes a frictional force of 20 g, then the retraction force between the teeth. With wire/bracket friction values of
applied to the canine root is reduced from 100 to 80 g. 0 to 0.5, the resulting forces acting against the canine
Now, for this 20-g frictional force to be applied and the molar roots were found to be equal.
414 Southard, Marshall, and Grosland American Journal of Orthodontics and Dentofacial Orthopedics
March 2007

2. Frank C, Nikolai R. A comparative study of frictional resistances


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5. Kapila S, Angolkar P, Duncanson M, Nanda R. Evaluation of
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6. Yamaguchi K, Nanda R, Morimoto N, Yoshihito O. A study of
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Fig 4. Increasing the elastic force applied against the 50-6.
brackets of a canine and a molar to overcome friction 7. Braun S, Bluestein M, Moore K, Benson G. Friction in perspec-
and restore retraction force against root of a canine to tive. Am J Orthod Dentofacial Orthop 1999;115:619-27.
100 g concomitantly increases protraction force against 8. Loftus B, Årtun J, Nichollis J, Alonzo T, Stoner J. Evaluation of
molar anchor to 100 g. In other words, increasing friction during sliding tooth movement in various bracket-arch
interbracket elastic force to 120 g to overcome frictional wire combinations. Am J Orthod Dentofacial Orthop 1999;116:
force of 20 g essentially returns force system against 336-45.
roots back to original frictionless system. 9. Taylor N, Ison K. Frictional resistance between orthodontic
brackets and archwires in the buccal segments. Angle Orthod
What does this mean for the practicing orthodon- 1996;66:215-21.
10. Redlich M, Mayer Y, Harari D, Lewinstein I. In vitro study of
tist? Emphasis on using reduced-friction (eg, self-
frictional forces during sliding mechanics of “reduced-friction”
ligating) brackets during sliding mechanics to help brackets. Am J Orthod Dentofacial Orthop 2003;124:69-73.
preserve posterior anchorage is unwarranted and based 11. Cacciafesta V, Sfondrini F, Ricciardi A, Scribante A, Klersy
more on bracket salesmanship than on orthodontic C, Auricchio F. Evaluation of friction of stainless steel and
biomechanics. esthetic self-ligating brackets in various bracket-archwire
Was conventional wisdom true? Does friction be- combinations. Am J Orthod Dentofacial Orthop 2003;124:
tween brackets and archwires result in increased an- 395-402.
12. Tecco S, Festa F, Caputi S, Traini T, Di Iorio D, D’Attilio M.
chorage loading during sliding mechanics? No. If the
Friction of conventional and self-ligating brackets using a 10
teeth are free to slide along the archwire, friction bracket model. Angle Orthod 2005;75:1041-5.
between brackets and archwires does not increase 13. Articolo L, Kusy R. Influence of angulation on the resistance of
anchorage loading. sliding in fixed appliances. Am J Orthod Dentofacial Orthop
1999;115:39-51.
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1. Shames I. Engineering mechanics. Vol. 1. 2nd ed. Englewood chanics and mechanics. In: Contemporary orthodontics. 3rd ed.
Cliffs, NJ: Prentice-Hall; 1966. St Louis: Mosby; 2000. p. 346-7.

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