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SPECIAL C O N TRIBU TIO N

D l

The gliding path of the mandible along the skull

F e r d in a n d G r a f S p e e ( 1 8 5 5 - 1 9 3 7 )
Prosector at the Anatomy Institute of Kiel

Translated and reviewed by


M aria A. Biedenbach, PhD
M argaret Hotz, MD, DMD
H. Perry H itchcock, DMD, MSD

T he follow ing argum ents concern the path of the M eyer,2 who used his com parative anatom ical
m andibular m ovem ents such as the gliding of the studies successfully in order to establish the sign ifi­
occlu sal surfaces of the dental arches against each cance of fine structural details of the hum an m an­
other, either ju st in contact or in full occlusion, dibular joint, does not even m ention an axis for
possibly w ith interposition of a thin layer of food. In sagittal displacem ent. N either does H enke.3
other words, these are movem ents w hich could be However, a definite axis can be established at least
selectively perform ed as w ell laterally and sagit- in the m ajority of cases, if we consider the occlusal
tally. Furtherm ore, a backward gliding of the m an­ configuration of the teeth. The m andible rotates
dible often occurs at the end of an incising m ove­ around this axis w hile perform ing the ordinary
ment. T he course of these specifically m asticatory sagittal gliding, w ith maybe ju st a sligh t deviation to
m ovem ents does not depend only on the m echanical the left or the right.
array of the m andibular joint in its narrower sense A profile view of a hum an skull usually shows
but also on the configuration of the m asticatory sur­ that on both sides the m asticatory surfaces of the
faces of the teeth. A ccordingly, there is harm onious molars are aligned in a downward convex curve
interaction. However, up to now, no studies have along the upper jaw and in an upward concave curve
disclosed this relationship. Langer’s view ,1 for in­ along the lower jaw. T h is relationship is not consid­
stance, w hich he derived from a study on the low er­ ered in anatom ical textbooks. O ccasionally, it is cor­
ing of the m andible is not correct. He stipulates that, rectly reproduced in illu stratio n s, esp ecially in
during forward and backward gliding in sagittal those made by artists according to nature, but gener­
direction, the m andibular condyle m oves around ally it is not shown. It also received no reasonable
the lower surface of the tuberculum glenoidale in a consideration in plastic reconstructions of hum an
curve supposed to be concentric to the surface cur­ dentitions by dental tech nician s, nor in the prepara­
vature of the tuberculum glenoidale, the axis of tions o f hum an skulls w ith artificially inserted teeth
w hich is supposed to lie w ithin the tuberculum. w hich were made in Paris. W e rather frequently find
T h is view, however, is incorrect, at least, for m ove­ an unjustified tendency to arrange the m asticatory
m ents during w h ich dental arches are in full o cclu ­ surfaces of the teeth in a horizontal plane.
sion. A good illustration of the downward convex curve
670 ■ JADA, Vol. 100, M ay 1980
A ll dentists have heard o f th e “Curve of Spee.” It has m eant d ifferen t things to
d ifferen t dentists. S om e h a v e said that it is an an terop o sterio r cu rv e in the
vertical p la n e o f the low er arch. O thers h a v e said th at it is an anteroposterior
curve in the vertical p lane o f th e u p p er arch (with the opposite arch assum ing a
com p en satin g curve).
In trying to learn w hat F erd in an d G raf S p ee actu ally sa id , it w as fo u n d that a
rea d ily available translation o f G raf S p e e ’s original work did not exist.
Two tran slations were n e e d e d : on e fro m archaic G erm an to m odern G erm an,
an d another from m odern G erm an to English.
M aria B ied en b a ch , PhD, assistan t professor of physiology, U niversity of
Texas H ealth Science Center at San A ntonio, tran slated th e origin al article.
H ow ever, sh e was not en tirely sa tisfied that s h e h a d correctly in terpreted the
den tal terms.
Later, M argaret H otz, MD, DMD, Z ah nartzlich es Institut d er U niverstat
Z urich, agreed to tran slate it using current den tal term in ology.
Now, all E n glish-speakin g d en tists can b e aw are o f w hat G raf S p e e sa id ; an d
on e no longer has to d ep en d on an oth er’s interpretation.
I d id n on e o f th e tran slation but on ly served to p ersu ad e Dr. B ied e n b a c h an d
Dr. H otz to interpret this fa m o u s w ork.
H. PERRY HITCHCOCK, DMD, MSD

in the sagittal plane in w hich the m asticatory sur­ ation of this arc touches the m ost anterior point of
faces of upper and lower teeth occlude can be ob­ the m andibular condyle.
tained from the photographic profile of the skull in A ccordingly, the points of the m andible w hich
Figure 1. Here, as a consequence of attrition, the glide in contact along the upper part of the skull are
molars have lost all the cusps of the crow ns so that lying on the same cylin drical surface. The location
th e m u tu a lly abrad ed m a stic a to ry su rfa ces fit of the axis of that cylin d er’s curvature could be de­
exactly on top of each other. Thus, the upward con ­ term ined by reconstruction and m easurem ent w ith
cave curve describes a sm ooth line in the sagittal the com pass at the level of the horizontal m idorbital
plane. T eeth with com pletely intact crown cusps plane, posteriorly from the crista lacrim alis poste­
fundam entally also present the same curvelike ar­ rior. In the lateral view it appears as a point (Fig 1, a).
rangem ent of (masticatory) occlu sal surfaces, except The attritional configuration of the teeth develops
that they show an irregularly em bossed profile line, through their respective gliding m ovem ents and
w hose in d en tation s are clea rly reco g n izab le as thus conform s to the pathway w hich the teeth of the
sm all fluctuations on an assum ed curvilinear base m andible follow. As the teeth in the jaw s have to be
(Zero line) (Fig 2). As an exact exam ination of the considered as fixed, this pathway is not only a m an­
curve is more com plicated in a dentition w ith pre­ ifestation of tooth m ovem ent but an effect of the
served cusps than in cases in w hich they are reduced displacem ent of the w hole m andible. C onsidering at
by wear, it is preferable to choose the worn cases in the same tim e Figure 1, it follow s that the m ovem ent
order to discuss the basic findings. occurs in circular paths ju st as a pendulum m oves
If, in such a special case, the curve is determ ined around an axis. T h is axis is given by a transverse
in a profile view of the skull, for exam ple, Figure 1, connecting line from the sagittally projected centers
or w ith a com pass, on its geom etric projection on the of the masticatory curvature of both sides.
sagittal plane, the findings are the follow ing: From Figure 2, it further follow s that the m ost
— That the total visible con tact lin e of the molar anterior part of the surface of the condyle also m oves
m asticatory surfaces lies on the same arc of a circle; on a circular path w ith the same length of radius as
furthermore, the occlu sal surfaces of the m olars. In other words,
— That in the sagittal plane the posterior continu­ these parts move on the sam e cylin d ric surface.
Spee : GLIDING PATH OF MANDIBLE ALONG SKULL ■ 671
S P E C IA L C O N T R IB U T IO N

Fig 1 a, b ■ Illustrations from


same skull; l,a in exact profile
view; 1 ,b from somewhat anterior
view. Fig l,a shows curve for for­
ward movement of mandible; 1 ,b
shows curve for occlusal surface
without reduction in length. Di­
mensions of illustrations are
comparable as they were repro­
duced at equal magnification (r
indicates radius of curve for mas­
ticatory [occlusal] surfaces and c
indicates center of curve).

Fig 2 ■ Dentition of adult with


well-preserved crown cusps.
Only surface of still-present sec­
ond deciduous molar (m) shows
attrition. This surface prolongs
occlusal line of articulatory sur­
faces of posteriorly located mo­
lars quite naturally.

Fig 3 ■ Mandible of child.

Fig 4 ■ Series of points of hu­


man, worn occlusal surface accu­
rately located in relative position
to each other and to anterior sur­
face of mandibular condyle, k.
Natural size. Two preparations a,
b.

v'enag \e’d & Comp, e

The m ost prom inent anterior part of the m andibu­ culum is m uch shorter than the radius of the cy lin ­
lar condyle is also the most lateral. Thus, according der. Yet a con cen trically arranged series of basic
to the explanations of M eyer,2 it belongs to that half points corresponding to its surface can be estab­
of the condyle w hich during sym m etric forward and lished for the com plete lin e of m otion of the m an­
backward m ovem ents of the m andible is moving up dibular condyle along the tuberculum , because the
and down very closely along the tuberculum. thicker part of the wedge-shaped m eniscus in terca­
T he m asticatory surface of the upper teeth and the lates betw een the two areas and com pensates the
articulating surface of the glenoid tuberculum with shorter radius of the tubercular curvature. As for­
its m eniscus form the analogous parts of a big cy lin ­ ward and backward gliding of the m andible takes
drical curve around whose surface area the points of place in a path of circular m otion, such d isp lace­
the low er jaw glide. The radius of the glenoid tuber- m ents can occu r over longer distances w ithout any
672 ■ JADA, Vol. 100, M ay 1980
SPEC IA L CO NTRIBUTIO N

need for the arches to separate from each other. it somewhat digresses from a cylindrical surface.
Thus, m asticatory efficiency is guaranteed. A sep­ This effect, aside from the difference in thickness of
aration of the occlusal surfaces is only inevitable in the enamel, is due to the tilted position of the teeth.
order to overcom e the contact of strongly protruding As is well-known, the crow n of the second molar
upper and lower canines. But this can also be elimi­ and even more so of the third is inclined lingually in
nated by wear. the mandible and labially in the upper jaw in order
If the occlusal surfaces of the teeth were arranged to contact its antagonist. The resulting com plication
on a plane, and, since the tuberculum articulare is for the occlusal surfaces is not significant enough to
present, parallel shifting of the closely apposed cause a relevant deviation from the path of m andibu­
arches for purposes of crushing and grinding food lar motion just described. During sagittal sym m etric
would not be possible. This ought to be considered displacements, the com plication does not even ap­
in the construction of dentures, not only to enable pear, because all sym m etric m ovement effects in the
better m astication but also in order to avoid lever direction of the m edian plane are mutually cancel­
effects during chewing. These levering effects are led, the sam e as the medially directed forces of the
less manifest with increased length of contact sur­ external pterygoid muscles.
face in every position of the firmly occluded teeth. Regarding the path for sagittal displacem ent,
The backward gliding of the m andible, usually fol­ based on autographic curves about the m ovem ent of
lowing an incising movement, is especially effective the lower incisor, Langer expressed the opinion that
and m ainly responsible for sagittal attrition. Isolated the mandible is shifting on very flat curves or rather
backward m ovem ents of the mandible are rather on straight lines. As a rule, this is not the case.
unusual. Furthermore, the photographic curve about jaw dis­
In addition, as concerns wear, one has to consider placem ent recently obtained by Luce,4 under Bow-
alternating lateral rotation of the mandible around ditch’s guidance, is not in accord with Langer’s
nearly vertical axes. During these m ovem ents, the views, but is in agreement with the results which
grinding action on the teeth on the side toward derive from the modeling of the occlusal surfaces of
w hich the movement occurs is in alm ost transverse the teeth in the path of sagittal displacement. It
directions. During this, the teeth of the lower arch shows that the mandible glides forward in an up­
shift in a laterally descending direction below the ward concave curve.
m ost protruding lateral border of the upper crowns However, the autographic curves are short, be­
(Fig 2). Evidently the teeth of the other side w hich cause the greatest possible forward gliding distance
simultaneously move forward and m edially cannot of the mandible amounts to about V-k cm (footnote, p
remain in contact with the upper arch. This would 289). With this displacement, the lower incisors and
also be a consequence of the unilateral protrusion of canines usually enclose the upper ones from an­
the condyle on top of the m edial half of the tuber­ teriorly and laterally. At the same time, the buccal
culum (Meyer). The backward movement, during edges of a lower molar move under the buccal edges
w hich the mandibular condyle slips back into the of the next anterior upper tooth. For m astication,
fossa, can occur by gliding of the arches (backward only about two thirds of this gliding distance is
and outward), just as they are aligned. This m ove­ used, and for specific grinding movements, only a
ment, of course, also follows the upw ard concave third. For m asticatory function, this rather small
curve w hich was considered above in the sagittal gliding distance is very efficient and m ost important
projection (however slightly shortened), as the path because of its many repetitions on very long m asti­
of sagittal gliding of the mandible. But this time the catory surfaces. Along the whole length of these
movem ent occurs parallel to the greatest length of surfaces, the d irection of m ovem ent is clearly
the curve w hich is visible only if view ed somewhat marked through the form of attrition, just as on a
anteriorly and laterally, since it is flatter. From this surface of a joint. Therefore, the form of the gliding
perspective, the transverse distance between con­ surface of the molars offers the best information for
dyle and lateral surfaces of the teeth does no longer evaluating the course of the movement. It is also the
appear shortened. Y et one finds that in spite of its best criterion for analysis of the autographic curves.
longer radius the continuation of this curve also Within certain limits, the ligaments of the m andi­
touches the lateral anterior surface of the condyle ble generally adapt themselves to the new position
(Fig 1, b). of the shifted mandible without tension. A s Langer1
Strictly speaking, the worn surfaces of the molars already found, only the fibers of the medial a c­
on each side form together, more or less, a rectangu­ c e s s o r y lig a m e n t, w ith in th e f a s c ia b u c c o -
lar area. Its diagonal line, slightly sagittally posi­ pharyngea, tighten very early during forward glid­
tioned, is curved spirally towards the opposite side; ing. Since it inserts on the anterior surface of the
since the surfaces of the third molars have an inward condyle, a force develops w hich would m ove the
slant, those of the second m olars are m ore horizontal chin in the direction of the forehead. This is in
and those of the first molars inclined outward. Thus accordance with the upward concave curve of the
Spee: GLIDING PATH OF MANDIBLE ALONG SKULL ■ 673
S PEC IA L CO NTRIBUTIO N

m asticatory surfaces of the teeth. projections. Since, in adults, the alignm ent of m o­
In case of a m aximal mandibular forward dis­ lars does not decidedly deviate from the sagittal
placem ent, the concordant movement of the m enis­ plane (on the average less than 20°), projections
cus is restrained by its posterior attachm ents. Its through large lenses, for exam ple, photographs, can
anterior half being inserted like a strong wedge be­ be used w ithout relevant errors. By measuring the
tween condyle and tubercle, a further inhibition of crowns w ith calipers, I determined the radius of the
condylar forward movement results in conjunction curve approxim ately if strong cusps were present (in
with the tension of the lateral ligament. I interpret ruminants). In abraded m asticatory surfaces in hu­
the small dip at the end of the autographic glenoidal mans I did it more accurately: the vertical distances
curve in L u ce’s Figure 4 as a consequence of a more of a line of arbitrary points on the occlusal surface
pronounced interposition of the m eniscus between and of the m ost anterior point of the condylar sur­
the bony parts of the temporomandibular joint. face of the mandible were determined from the hori­
zontal plane and correctly entered in a system of
Specific findings in different dentitions coordinates. Through accurate reconstruction, the
center of a circle touching as many of the points as
Among anim als, as far as my experience goes, the possible was determined; the results could not be
ruminating and hoofed species as well as some pri­ anticipated, but in most cases such a center could be
m ates show the sam e upw ard con cave occlusal obtained approxim ately. In some cases with decided
curves in their dentition without exception. The abrasion all points were located exactly on the same
posterior continuation of the curve touches the an­ circle (Fig 4). Such exact circular attrition is not
terior surface of the condyle just as in humans. The explainable by simple wear. Specific effects or form
radius of the cylindric surface on w hich the concave relationships, which continuously acted toward this
curve lies, is longer in larger animals and more kind of development, m ust have existed from the
prognathic skulls. Different lengths were: horse, beginning. As mentioned at the beginning, this is
21.9 cm ; Cervus elephas, 18.0 cm ; Cervus dama, 12.9 partly reflected from the fact, that even in nonabrad­
cm ; small monkey, 8.5 cm; and adult man, 6.5 to 7.0 ed molars, cusps are arranged along a downward
cm. convex circle, w hich already shows in a ch ild ’s jaw
A com parison of the measurements found in ani­ with deciduous teeth at the same time as the tuber­
mals w ith those found in man shows that, aside from culum articulare develops. U ltim ately, develop­
body size, the relative sm allness of the visceral mental relationships peculiar to a species m ust be
cranium coincides w ith a shorter radius and a larger considered (Fig 2, 4).
curvature. This appears to point tow ard an increase In the beginning, the curve of the m asticatory
of the m asticatory surface within a lim ited special surface of the mandible is sometimes not very clear
area and therefore it seems appropriate. Rodents and and is m uch flatter than in the upper jaw where it is
carnivores do not show curves of the m asticatory seldom missing. In such cases, the varying pressure
surfaces. The tuberculum articulare, present in all exerted on the teeth appears to gradually induce
the former anim als, is missing. Therefore, develop­ com pensation of the curve difference.
ment of curved occlusal surfaces as well as the circu ­ In general, it appears that teeth whose antagonists
lar path during sagittal forward displacem ent seems are missing are more and more elongated by new
to depend on the presence of the tuberculum . Based bone formation in the alveoli. Roots of teeth with
on this recognition, several human cases w hich de­ intact antagonists remain deeply set in the alveolus.
viate from the rule can be explained. These cases Therefore, we may assume that teeth, as long as they
w ill be discussed at the end of this paper. I under­ are subject to little pressure, will continue to grow
took the specific exam ination of hum an jaws on as more than those exposed to stronger pressure. This
m any sp ecim ens as possible, in order to avoid would be a continuously acting m echanism in order
p u re ly in d iv id u a l v a ria tio n s . H o w e v e r, th e ir to adjust the curves of the masticatory surfaces of
number w as not very large because only beautifully both arches. In adults, the radius of the curve of
preserved and com pletely developed jaws could be mandibular motion had a length of 6.5 to 7.0 cm,
used. Skeletal jaws w ith indiscrim inately and artifi­ usually equal on both sides. Variations within these
cially inserted teeth were rejected. But, since good limits depend on the angular position of the ramus
jaws of different races yielded the same findings just to the arch and on the width and height of the ramus.
described, they have a general significance. In children with complete sets of deciduous teeth,
The observations had to establish the positional the radius is shorter than in adults, because of the
relationship between the occlusal surfaces of the generally smaller dimensions, despite the obtuse
teeth and the surface of the mandibular condyle. position of the still short ramus to the arch. In a
They w ere made in various ways. special case the radius measured approxim ately 4.6
The sim plest way to obtain the necessary m ea­ cm.
surements is to evaluate exact geom etric sagittal Among the m any individual variations of the
674 ■ JADA, Vol. 100, May 1980
S PEC IA L CONTRIBUTION

fixed parts of the m asticatory “ array,” we have to W ith s u c h c o n f ig u r a tio n of th e te m p o r o ­


consider those in w hich the upward concave curve m and ib ular joint, the m a stica to ry m ovem en ts
of the m asticatory surface did not exist. They are not would have to occu r through level forward and
especially rare. backward gliding within the joints as in rodents.
For all of them , it appears that the effect of the — K ie l, th e 2 4 th o f M a rc h , 1 8 9 0 .
tuberculum articulare is elim inated (blocked). I
have observed the following:
— An extrem ely low or almost nonexisting tuber­ Originally published in the Archives of Anatomy and Physiology,
culum (several cases). 16:285-294, 1890.
— Shortening of the sagittal and vertical dimen­
Translation rights and illustrations use granted by Springer Verlag,
sions of the ramus on one side so that its condyle Heidelburg.
could never have been in the fossa, while the other
side showed the usual configuration (one case). Dr. Biedenbach is associate professor, department of physiology, Uni­
versity of Texas Health Science Center at San Antonio. Dr. Hotz is founder
— Unusual bulk of the condyle with so short a of the cleft palate program, department of orthodontics, Zahnartzliches
distance between tuberculum and anterior wall of Institut der Universtat Zurich. Dr. Hitchcock is professor and chairman,
the external auditory canal that the condyle of either department of orthodontics, University of Texas Dental School at San
Antonio, 7703 Floyd Curl Dr, San Antonio, 78229. Address requests for
side could never have been in the fossa (one case). reprints to Dr. Hitchcock.
— The m ost protruding part of the condyle does
not lie laterally but opposite the posteriorly tilted 1. Langer, Das Kiefergelenk des Menschen. Sitzungsberichte der
kaiserl. Akademie der Wissenchaften zu Wien 1880. S. 457.
medial part of the tuberculum, with the middle of its 2. Meyer, H. Das Kiefergelenk VH. Beitrag zur Statik und Mechanik des
anterior surface on its m edial half, so that it does not menschlichen Knochengerüstes. Dies Archiv 1865. S. 719.
stay as deep in the fossa as usual (three cases). 3. Henke, Handbuch der Anatomie und Mechanik der Gelenke, 1863.
4. Luce, C.E. The movements of the lower jaw. Boston Med Surg J, 1889,
Extrem e thickness of the m eniscus, w hich I, how­ Figure 4.
ever, have not observed, w ould also eliminate the
action of the tuberculum.

Spee : GLIDING PATH OF MANDIBLE ALONG SKULL ■ 675

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