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Gothic Arch Tracing Honoratovilla1959
Gothic Arch Tracing Honoratovilla1959
HONORATO
VILLA A., D.D.S.
Mexico, D. F.
GYSI TECHNIQUE
In the original Gysil technique the occlusal plane is determined by locating the
correct height of the upper occlusion rim. Then the lower occlusion rim is adapted
to the upper rim at the correct vertical dimension of occlusion. The Gothic arch
tracer is fixed to the occlusion rims with the tracing table parallel to, or continuous
with, the plane of occlusion. The central bearing point is not used. No mention
is made of the inclination of the tracing point. No cusp height is introduced when
the Gothic arch tracing is registered. This means that even contact of the occlusion
rims is lost when the patient makes forward or lateral excursions of the mandible
because of the forward and downward movement of the condyles.
For accurate tracings to be made, the baseplates must be positioned correctly
on the residual ridges at all times during the movements of the mandible. This
may be accomplished only with the use of a central bearing point. Therefore, the
first requisite to correctly develop a Gothic arch tracing is the use of a central bear-
ing point and stabilized baseplates. The tracing point must be adaptable to the
different inclinations necessary for each patient.
A registering table was fixed to a lower occlusion rim, and a tracing point was
attached to the upper rim (Fig. 1). An adjustable tracing point that could be
inclined or moved forward and backward was used.
A tracing was made with the tracing point perpendicular to the tracing table.
The condylar guidances were set at 30 degrees, and the incisal guide ‘was horizontal.
This is the fifth of a series of articles dealing with problems of jaw movements, articu-
lators, tooth forms, and occlusion.
Received for publication June 19, 1958.
624
Volume 9 GOTHIC ARCH TRACING 62.5
Number 4
Then the incisal guide was rotated to a 30-degree inclination without changing the
Gothic arch tracer, and a new tracing was made. A small difference in the tracing
was noted (Fig. 2). This difference is more noticeable when the Gathic arch tracin;l
is nearer 100 degrees.
Fig. 1. Fig. 2.
Fig. 3. Fig. 4.
Fig. I.-The tracing point is attached to tihe upper occlusion rim, and the tracing plate ix
attached to the lower rim.
Fig. 2.-Tracings are made with different angulations of the in&al guide. The tracing
point was perpendicular to the tracing plate. Note the difference in the tracings.
Fig. 3.-The tracing point is adjusted so that it is perpendicular to a line from the open
ing axis to the point of contact on the tracing plate. This is the correct inclination of the
stylus.
Fig. 4.-When the cusp height is introduced, two tracings are developed by an intraoral
tracing device. A correctly inclined extraoral tracing stylus develops only one tracing.
The tracing point was adjusted so that it was perpendicular to a line from the
condylar axis to the point where the tracing point touches the tracing table (Fig. 3)
A tracing was made with a horizontal incisal guide. The incisal guide was again
VILLA A. J. Pros. Den.
626 July-August, 1959
Fig. 5. Fig. 6.
Fig. 5.YWhen the Gothic arch tracing has been developed correctly, the occlusion on the
working side will coincide on both the articulator and in the mouth.
Fig. B.-When the Gothic arch tracing has not been obtained correctly, the occlusion on
the working side will not coincide on the articulator and in the patient’s mouth.
DISCUSSION
When the Gothic arch tracing is correctly obtained, the occlusion on the work-
ing side will be the same in the mouth as it is on the articulator (Fig. 5). How-
ever, when the Gothic arch tracing is not correctly obtained, the centric relation
will be correct, but the occlusion on the working side as seen on the articulator will
not be the same when the dentures are placed in the patient’s mouth (Fig. 6).
The correct Gothic arch tracing is one that will be the same whether it is made
with or without cusp height. This kind of tracing may be obtained only when the
tracing point is placed perpendicular to a line from the condyle to the point of
the tracer. Also, the tracing point inclination is variable according to the size of
the face and the anteroposterior width of the face. The longer the face and the
narrower the face, the more inclination to the tracing point (Fig. 7). Therefore,
a tracing point with fixed inclination should not be used, and the inclination of the
GOTHIC ARCH TRACING
Fig. 7.-The tracings will have different angulations according to the length and width
of the face. RP, The relation plane for: 2, short; 3, medium; and 4, long faces. 1, The angu-
lation is greater for a narrow face.
++yg
Cl
Fig. S.-Intraoral tracings used as a guide to reproduce the Gothic arch tracing will pro-
duce incorrect results. C, Centric relation at the vertical dimension of occlusion. Cl, Centric
relation after vertical increase for cusp height. 2, The tracing at the vertical dimension of
occlusion. 3, The tracing allowing for cusp height. 4 and 5, The incorrect paths obtained when
using the two intraoral tracings as a guide.
SUMMARY
A study of Gothic arch tracings made by intraoral and extraoral methods was
made. Different inclinations of the extraoral tracer were used.
J. Pros. Den.
628 VILLA A. July-August, 1959
REFERENCE
1. Gysi, A.: Practical Conclusions From Scientific Research in Denture Construction, New
York, 1929,Dentists’ Supply Co. of New York.
BOLIVAR 21, DESP. 307
EDIFICIO “SAN FRANCISCO”
MEXICO 1, D. F.