Kanhu Charan Sahoo et al
5005/jp-journals-10021-1263
Clinical Innovation
A New Attachment for Mock Surgery in
Hanau Wide-Vue Arcon Articulator
1
Kanhu Charan Sahoo, 2Roopa Sidde Gowda, 3N Raghunath, 4BM Shivlinga
ABSTRACT
Over few decades, orthognathic surgery has become a routine
procedure for the correction of facial deformities. People
have become more aware and concerned about maxillofacial
deformations. Articulators are of interest to both orthodontic
and maxillofacial team as they facilitate the planning of com­
bined orthodontic treatment and orthognathic surgery. A new
attachment was designed in order to the limitations of the
manual method.
Keywords: New attachment, Mock surgery, Hanau articulator,
Surgical splint.
How to cite this article: Sahoo KC, Gowda RS, Raghunath  N,
Shivlinga BM. A New Attachment for Mock Surgery in Hanau Wide-
Vue Arcon Articulator. J Ind Orthod Soc 2014;48(4):288-290.
Source of support: Nil
Conflict of interest: None
Received on: 7/12/13
Accepted after Revision: 31/1/14
Introduction
Facebows were developed in conjunction with articulators
to relate the maxillary arch to the axis of the condylar hinge
in three planes of space.1 A facebow is a mechanical device
which uses tripod localization by two posterior references
approximating each of the temporomandibular joints, and an
anterior reference point to relate the maxillary cast vertically
to the selected horizontal reference plane.1
This is the step-wise procedure for a model surgery:
1. Making an impression
2. Making of models
3. Facebow transfer
1
Senior Lecturer, 2Research Scholar, 3Professor
4
Professor and Head
1
Department of Orthodontics, Institute of Dental Sciences
Bhubaneswar, Odisha, India
2
Department of Orthodontics, Vokkaligara Sangha Dental
College, Bengaluru, Karnataka, India
3,4
Department of Orthodontics, JSS Dental College, Mysore
Karnataka, India
Corresponding Author: Roopa Sidde Gowda, Research Scholar
Department of Orthodontics, Vokkaligara Sangha Dental College
Bengaluru, Karnataka, India, Phone: 919845692563, e-mail:
roopagowda@ymail.com
288
10.
4. Articulators
5. Fabrication of splints
Rudolf L Hanau designed an articulator in 1923 origi­
nally for complete denture construction. There are many
more models with modifications. But, the routinely used
Hanau articulator for the surgical splint preparation is Hanau
Wide-Vue (Models 183).
The newest type of Hanau Wide-Vue articulator are
Hanau Wide-Vue I and Hanau Wide-Vue II. They are Arcon
with fixed intercondylar distance of 110 mm. The difference
being, that the Hanau Wide-Vue I has a closed condylar
track and the Hanau Wide-Vue II has an open con­dylar
track which allows upper member to be removed. Wide-Vue
II has condylar retainers to avoid accidental separa­tion of
upper member. A micrometer protrusive-retrusive condylar
adjust­ment is available which is accurate to 0.05.2 Horizontal
condylar angle is adjustable from –20° to 60° and side shift
angle adjustment is from 0 to 30°. The straight incisal guide
pin or with adjustable foot is available. The straight pin has
dual ends—chisel and spherical—which extend above the
upper member to act as a third point stability when inverting
the articulator for mandi­bular cast mounting. Three incisal
guide tables are avail­able: mechanical, flat and pant-acrylic
table. After articu­lation of model to the articulator, mock
surgical procedure is carried out manually which is not at all
a precise method to get proper result.3 So, a attachment was
made for the Hanau articulator to do mock surgery easily and
precisely in order to good result in the orthognathic procedure.
Appliance Fabrication
Components needed for the new attachment as shown in
(Fig. 1):
1. Bitt of 4 mm diameter
2. Screw driver
3. Screws of 5 mm diameter
4. A connector
5. Bow attachment
Procedures for the attachment of the model to the
appliance are as follows:
1. Mark the point of attachment on the cast.
2. Drill the model with the bitt to make the hole in the
model.
 JIOS

A New Attachment for Mock Surgery in Hanau Wide-Vue Arcon Articulator

Fig. 1: Components for the attachment Fig. 2: Frontal view of the Hanau articulator with model

Fig. 3: New attachment—right lateral view Fig. 4: Left lateral view

Fig. 5: Bow attached with screws Fig. 6: Final fixation of the new attachment

3. Assemble all the components of the appliance. 6. Then with this appliance, the position of the model can
4. Later, attach the screws from the bow to model. be changed in all the three planes of Proffit (i.e. pitch,
5. The bow is attached to the vertical rod of articulator roll and yaw) to get the desired jaw relation for the proper
main­taining the occlusion in the articulator for further orthognathic surgical splint.
mock surgical procedures to be carried out with the help 7. Anterioposterior vertical movement can be done by the
of this appliance (Figs 2 to 6). graded marking in the horizontal and vertical rods.
The Journal of Indian Orthodontic Society, October-December 2014;48(4):288-290 289
Kanhu Charan Sahoo et al
8. Rotations of model in mock surgery can be done precisely
by this appliance.
This attachment can be used in different stages of splint-
fabrication process without the use of dental plaster.
Advantages over Manual Technique
1. Precision of jaw movement can be done for proper treat­ment
result.
2. No need of plaster for attachment of model.
3. Measurement can be made in linear direction and in
angular pattern of mock surgeries.
4. Rotation of jaw bases is possible in an axis with this
attachment rather than by hand.
5. Planning of movement of jaw bases is possible by this
attachment.
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6. Three-dimensional movements, i.e. vertical, horizontal
and transverse jaw movements, are possible with this
attachment thus maintaining the jaw relation.
References
1. O’Malley AM, Milosevic A. Comparison of three facebow/
semi­a djustable articulator systems for planning ortho­
gnathic surgery. Br J Oral Maxillofac Surg 2000;38(3):
185-190.
2. O’Malley AM, Milosevic A. Use of articulators in the United
Kingdom by consultant orthodontists in planning orthognathic
surgery. Int J Adult Orthodont Orthognath Surg 1999;14(3):
236-242.
3. Shekar SE, Ranganath K, Gunasheela B, Supriya N. New
splint for orthognathic surgery. World J Dentist 2011;2(2):
143-149.