Multi-Element Ion Release from Stainless Steel and Nickel–Titanium Orthodontic Archwires in Neutral and Fluoride-Containing Artificial Saliva: A Factorial In Vitro ICP-OES Study
Source abstract
Abstract
Background: Corrosion of orthodontic archwires raises biocompatibility concerns; yet, comparative multi-element data across manufacturers remain scarce. Methods: Ni, Cr, Fe, and Ti release was quantified by ICP-OES from SS and NiTi rectangular archwires (0.43 × 0.64 mm) from four manufacturers (Ormco, 3M Unitek, Dentaurum, and American Orthodontics) and immersed in artificial saliva (pH~7.0) and fluoride-containing saliva (+0.05% NaF) at six time points (days 1–35). Release was normalised to wire mass (mg g−1). Non-parametric tests were applied. Results: NiTi wires released significantly more Ni than SS wires in +NaF at all time points (p = 0.029). An exploratory manufacturer effect on Ni release from NiTi was detected (Kruskal–Wallis H = 12.99, p = 0.005); American Orthodontics exceeded Dentaurum and Ormco. Ormco SS released ~3-fold more Fe than other SS wires (H = 13.68, p = 0.003). Ti was detectable exclusively in NiTi wires in +NaF; all specimens were below LOQ in pH~7.0. Cr release was uniformly low (0.017–0.023 mg g−1). Conclusions: Manufacturer identity influences Ni and Fe release independently of alloy type. Fluoride selectively disrupts the NiTi passive film. These exploratory findings, derived from a single-specimen pilot design, may inform clinical material selection in nickel-sensitive patients pending replication.
Source: crossref · Quality: baseline
Research context
OpenAlex topics: Dental materials and restorations · Orthodontics and Dentofacial Orthopedics · Titanium Alloys Microstructure and Properties
SciVX discovery tags are terminology-based. OpenAlex topics are source-provided classifications.
Affiliations
Department of Dentofacial Orthopedics and Orthodontics, Division of Facial Abnormalities, Medical University of Wroclaw, 50-425 Wroclaw, Poland
Department of Prosthodontics, Medical University of Wroclaw, 50-425 Wroclaw, Poland
Department of Conservative Dentistry with Endodontics, Medical University of Wroclaw, 50-425 Wroclaw, Poland
Department of Advanced Material Technologies, Faculty of Chemistry, Wroclaw University of Science and Technology, 50-372 Wroclaw, Poland
Funding
Wroclaw Medical University
References (25)
Show source-provided references
1. (2019). Biological Evaluation of Medical Devices—Part 15: Identification and Quantification of Degradation Products from Metals and Alloys (Standard No. ISO 10993-15:2019).
2. Symptoms of titanium and nickel allergic sensitization in orthodontic treatment10.1186/s40510-020-00318-4 ↗
3. Smell and taste in titanium and nickel allergic sensitization in orthodontic patients10.1111/ocr.12379 ↗
4. Amato, A., Martina, S., De Benedetto, G., Michelotti, A., Amato, M., and Di Spirito, F. (2025). Hypersensitivity in orthodontics: A systematic review of oral and extra-oral reactions. J. Clin. Med., 14.10.3390/jcm14134766 ↗
5. (2012). IARC Working Group on the Evaluation of Carcinogenic Risks to Humans. Arsenic, Metals, Fibres and Dusts. IARC Monogr. Eval. Carcinog. Risks Hum., 100, 1–527.
6. Metal release and cytotoxicity of different orthodontic bracket-wire combinations: An in vitro study10.4103/jispcd.JISPCD_65_23 ↗
7. Effects of titanium dioxide micro- and nanoparticles on cytoskeletal organization, cell adhesion, migration, and proliferation in human gingival fibroblasts in the presence of lipopolysaccharide10.1111/jre.12993 ↗
8. Pastor, F., Rodriguez, J.C., Barrera, J.M., Garcia-Menocal, J.A.D., Brizuela, A., Puigdollers, A., Espinar, E., and Gil, J. (2023). Effect of fluoride content of mouthwashes on the metallic ion release in different orthodontic archwires. Int. J. Environ. Res. Public Health, 20.10.3390/ijerph20042780 ↗
9. Mikulewicz, M., Suski, P., Tokarczuk, O., Warzyńska-Maciejewska, M., Pohl, P., and Tokarczuk, B. (2024). Metal ion release from orthodontic archwires: A comparative study of biocompatibility and corrosion resistance. Molecules, 29.10.3390/molecules29235685 ↗
10. Influence of Nitinol wire surface treatment on oxide thickness and composition and its subsequent effect on corrosion resistance and nickel ion release10.1002/jbm.a.30720 ↗
11. Petkovic Didovic, M., Jelovica Badovinac, I., Fiket, Z., Zigon, J., Rincic Mlinaric, M., and Canadi Juresic, G. (2023). Cytotoxicity of metal ions released from NiTi and stainless steel orthodontic appliances, Part 1: Surface morphology and ion release variations. Materials, 16.10.3390/ma16114156 ↗
12. Release of metal ions from orthodontic appliances: An in vitro study10.1007/s12011-011-9233-4 ↗
13. Stoyanova-Ivanova, A., Georgiev, V., and Martins, J.N.R. (2025). Nickel ion release in nickel-containing orthodontics archwires: A narrative review of in vitro and in vivo studies. Dent. J., 13.10.3390/dj13050206 ↗
14. Paldauskaitė, S., Lekavičiūtė, R., Kriūkienė, R., Trakinienė, G., and Lopaitienė, K. (2026). Effect of fluoride toothpaste on the physical, chemical, and mechanical properties of NiTi orthodontic archwires: An in vitro study. BMC Oral Health, 26.10.1186/s12903-026-08056-5 ↗
15. Long-term evaluation of metal ion release in orthodontic patients using fluoridated oral hygiene agents: An in vivo study
16. Mocnik, P., and Kosec, T. (2021). A critical appraisal of the use and properties of nickel-titanium dental alloys. Materials, 14.10.3390/ma14247859 ↗
17. Corrosion of gold and amalgam placed in contact with each other10.1177/00220345630420051301 ↗
18. Exposure to the oral environment enhances the corrosion of metal orthodontic appliances caused by fluoride-containing products: Cytotoxicity, metal ion release, and surface roughness10.1016/j.ajodo.2020.03.035 ↗
19. Release of nickel and chromium ions from orthodontic wires following the use of teeth whitening mouthwashes10.1186/s40510-018-0203-7 ↗
20. Evaluating the elemental composition, transformation behavior, crystalline structure, and mechanical properties of three 0.016-inch by 0.022-inch nickel-titanium archwires: An in vitro study
21. Jusufi Osmani, Z., Tariba Knezevic, P., Vucinic, D., Alimani Jakupi, J., Reka, A.A., Can, M., Kara, K., and Katic, V. (2024). Orthodontic alloy wires and their hypoallergenic alternatives: Metal ions release in pH 6.6 and pH 5.5 artificial saliva. Materials, 17.10.3390/ma17215254 ↗
22. Influence of intraoral application of antiseptics and fluorides during orthodontic treatment on corrosion and mechanical characteristics of nickel-titanium alloy in orthodontic appliances10.2319/052620-480.1 ↗
23. Corrosion of copper nickel titanium archwire in chlorhexidine, sodium fluoride, and chitosan mouthwashes10.12688/f1000research.129043.3 ↗
24. Influence of different storage temperatures on the mechanical properties of NiTi, Cu-NiTi and SS orthodontic archwires: An in vitro study10.1016/j.ortho.2020.05.009 ↗
25. The effect of pH, fluoride and tribocorrosion on the surface properties of dental archwires10.1016/j.msec.2017.04.050 ↗