Metal Ions Released from Fixed Orthodontic Appliance Affect Hair Mineral Content

The objective was to evaluate metal ion accumulation in hair of patients undergoing orthodontic treatment with fixed appliances in time. The patients (N = 47) participated in a questionnaire survey. Hair sampling was performed at the beginning and in the 4th, 8th, and 12th month of the treatment. The content of metals (Cr, Ni, Fe) in hair was analyzed by ICP-OES equipped with USN nebulizer. The peak release of Cr and Fe occurred after 4 months of the treatment, and the peak release of Ni gradually increased throughout the whole year of the therapy. During 1 year treatment, an average accumulation of metals in hair tissue was 7.42 ± 14.19 μg of Ni, 8.94 ± 13.1 μg of Cr, and 131 ± 279 μg of Fe. The mean content of Cr was higher than the 90th percentile value for this element. The upper limit of literature reference ranges for Cr, Ni, and Fe in hair was not exceeded. The value of exposure (kinetics and dose) of orthodontic patients to metal ions released from orthodontic appliances can be assessed by hair mineral analysis. The content of Cr was statistically significantly higher during the treatment than before the beginning of therapy.