교정학적 적용을 위한 초내식성 스테인리스강의 특성

Abstract

Various kinds of orthodontic appliances have been developed for ideal tooth movement during orthodontic treatment. The orthodontic appliances made of metals are bands, arch wires, brackets and miniscrews as orthodontic anchorage. Generally, these appliances are made of stainless steel, pure titanium, Ni-Ti and TMA with the proper biocompatibility. However, localized corrosion of these materials can frequently occur in the particular environment. Super stainless steels, recently developed, have good corrosion resistance to reduce metal ion release induced by many kinds of corrosion. Recently, it has been reported that nickel ion release from orthodontic appliances affect the prevalence of nickel sensitization; however, there has been some controversy about nickel hypersensitivity to orthodontic appliances containing nickel.

The purpose of this study was to evaluate and compare the microhardness, nickel ion release, corrosion resistance and cytotoxicity of 4 types of super stainless steels and 316L stainless steel as the control group according to nickel contents, and to determine the acceptability as the new material for various kinds of orthodontic appliances.

All super stainless steels showed higher microhardness than 316L stainless steel, SR-3Mo showed expecially the highest microhardness. In anodic polarization test, corrosion resistance was high in order of SR-50A, SFSS, SR-6DSR-50A, SFSS, SR-6DX, 316LX, 316L stainless steel, SR-3Mo. There was no increase in nickel ion release from SR-50A, SR-6DX, 316L stainless steel with immersion time in artificial saliva; whereas there was some increase from SFSS and SR-3Mo with immersion time. All super stainless steels showed very low cytotoxicity regardless of nickel contents although SR-3Mo showed relatively higher cytotoxicity than the others.

It is concluded that SR-50A among super stainless steels has the highest corrosion resistance and biocompatibility. It is undesirable to consider the alloys with high nickel content to release lots of nickel ion.