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The effects of third-order torque and self - Saint Louis University

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produced about 40% to 45% less friction than slots <strong>of</strong> cast<br />

brackets.<br />

Ceramic brackets are a popular choice for many adults<br />

because <strong>of</strong> their esthetic appearance. Like stainless steel<br />

brackets, ceramic brackets are also available in multiple<br />

designs. Whether they (including the slots) are single-<br />

crystal sapphire, polycrystalline alumina or zirconia,<br />

these brackets have generally been found to produce more<br />

friction than stainless steel brackets with the same wires<br />

at nonbinding angulations. 4,25-27,36,51,54,80-82 Some<br />

investigators have not found a difference in frictional<br />

resistance between stainless steel <strong>and</strong> ceramic brackets. 35,83<br />

In an effort to maintain the esthetic advantages <strong>of</strong><br />

ceramic brackets, but reduce the friction potentials<br />

associated with them, some polycrystalline alumina brackets<br />

are manufactured with metallic slots. One <strong>of</strong> these, with a<br />

stainless steel slot, the Clarity bracket (3M/Unitek<br />

Corporation, Monrovia, CA), was compared by Cacciafesta’s<br />

group 36 with conventional ceramic <strong>and</strong> stainless steel<br />

brackets. <strong>The</strong>y reported that the steel-slot/ceramic<br />

bracket produced less friction than the conventional all-<br />

ceramic bracket, but more than the stainless steel bracket<br />

with stainless steel, nickel-titanium alloy or ß-titanium<br />

alloy wires. Kusy <strong>and</strong> Whitley 84 found that both the Clarity<br />

16

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