groups: strain-controlled and stress-controlled. Although practically most fatigue
environments in human body are a combination of the two, the highly compliant
nature of biological materials tends to place them toward the direction of strain-
controlled fatigue [5-10]. Examples for strain-controlled application include pace-
maker leads, which require a conductive metal that can survive very high numbers
of flexing motions without breaking, and clasps of RPD, which require adequate
retention for insertion and removal of the device [5-11]. Lin et al. [5-12] employed
the tension-to-tension stress mode for fatigue tests on titanium materials (CpTi, Ti-
13Nb-13Zr, Ti-6Al-4V, and Ti-7.5Mo) in air under R (stress ratio ⫽
min
/
max
) of
0.1, with frequency of 10 Hz. It was found that (i) Ti-6Al-4V and CpTi have higher
stress-controlled fatigue
1
resistance, but lower strain-controlled fatigue (see foot-
note 1) resistance than Ti-7.5Mo and Ti-13Nb-13Zr, (ii) Ti-7.5Mo demonstrates
the best strain-controlled fatigue performance, and (iii) the fatigue cracks almost
always initiate from casting-induced surface/subsurface pores [5-12].
Clasps undergo permanent deformation to cause fatigue fracture under repeated
flexures during denture insertion and removal, and masticatory actions [5-13–5-
16]. The fatigue life of cast clasps made of CpTi was reported to be shorter than
that of Co-Cr and gold alloy clasps [5-11]. However, the fatigue fracture and per-
manent deformation of cast claps made of Ti-based alloy has not been sufficiently
assessed in relation to stress distribution, and little is known about how these
clasps would function in long-term clinical use. Permanent deformation and
fatigue fracture are caused by the stress created in the clasp [5-17, 5-18]. The stress
distribution may depend on the elastic modulus of the alloy, dimensions and cur-
vature of the clasp [5-19, 5-20], and amount and direction of deflection in relation
to the abutment undercut [5-21]. Mahmoud et al. [5-22] investigated the gold alloy
and Ti-6Al-7Nb, which were subjected to cyclic deflection of pre-set values of
0.25, 0.50, and 0.75 mm for 10
6
cycles. It was concluded that the gold alloy
(70Au-4.4Pt-13.5Ag-8.8Cu-2Pd-0.1Ir) clasps exhibited significantly longer
fatigue lives, while the Ti-6Al-7Nb clasps showed significantly greater resistance
to permanent deformation under cyclic deflection [5-22].
108 Bioscience and Bioengineering of Titanium Materials
1
Stress-controlled fatigue test is conducted in such a way that repeated load is controlled between
pre-determined upper and lower stress levels. If the tested material is fully annealed to start with and
a work-hardening type, the material’s strength increases by repeated stressing. Hence, the severity of
fatigue process is getting milder. On the other hand, if the starting material’s condition is a work-soft-
ening type, its original strength decreases by cycles, resulting in shortening fatigue life. On the con-
trary, by the strain-controlled fatigue testing, each cycle is controlled between pre-set upper and
lower strain. If the fully annealed and work-hardening material is tested under the strain-controlled
fatigue mode, because the material strength increases by cyclic loading, the applied stress needs to
increase to maintain the pre-set level of upper strain. On the other, by the work-softening type mate-
rials, applied stress level decreases.
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