Effect of steam and dry heat sterilization on the insertion and fracture torque of orthodontic miniscrews

Abstract

Background: Titanium miniscrews are used at an ever‑increasing rate to provide orthodontic
anchorage. The aim of this study was to evaluate the mechanical performance of miniscrews after
dry and steam sterilization.
Materials and Methods: In this experimental study, a total of 72 miniscrews from two different
manufacturers with a diameter of 1.6 mm and height of 8 mm were divided into six groups (n = 12).
One group of screws from each manufacturer was considered as the control group; the second
underwent steam sterilization; and the last group was subjected to dry sterilization. Insertion and
fracture torques of each miniscrew were assessed by a torque tester. Data were analyzed using
the Kruskal–Wallis and Mann–Whitney tests (P < 0.05).
Results: For Jeil miniscrew, no statistically significant differences were detected between the
steam‑sterilized and control groups in their insertion torques (P > 0.05). There was a statistically
significant difference between the steam sterilized, dry sterilized and control groups with respect
to their fracture torque (P < 0.001). For Hubit miniscrew, there were no significant differences
between steam sterilized, dry sterilized and control groups in their insertion torque (P > 0.05)
and between steam sterilized and control groups with respect to their fracture torque (P > 0.05).
There were significant differences in the mean values of insertion and fracture torques between
the two different manufacturers (P < 0.001).
Conclusion: Steam sterilization had no detrimental effects on torque values of miniscrews, but
dry heat sterilization affected their mechanical properties.