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Journal of Oral Rehabilitation 1997 24; 929-935

Methods for minimizing the errors in mandibular model


mounting on an articulator
p. A D R I E N & J . S C H O U V E R * Nancy and Metz, France

SUMMARY The study examines the errors that occur localization. It was influenced by the orientation of
in mandibular mounting on a hinge-axis articulator the occlusion plane and especially by the thickness of
using impression wax and an arbitrary hinge axis. the impression wax. Analysis of the results provided
The transfer of the model positions on the articulator clinical conclusions that help minimize localization
was anaJysed mathematically. The error varied errors.
considerably as a function of the real hinge axis

Introduction localization and transfer angle. In centric occlusion,


the movement of the condyles is a pure rotation
Building a mandibular model on a hinge-axis locator around the patient's real hinge axis {McCollum &
is a delicate operation. Even when it is done carefully
Stuart, 1955; Posselt, 1968; Ingervall, Helklmo &
and accurately, there are frequently differences
Carlsson, 1971; Ziebert fr Knap, 1973; Preston, 1979;
between the position of the actual occlusion and
Beard & Clayton, 1981). Consider a point E, a vertex
those of the articulalor models. If the modelling is
of a mandibular cusp, that comes into contact with
done using an arbitrary hinge axis, the use of wax
a point Cp (patient contact) of a maxillary occlusal
to record the inter-maxiliary relationships, or the
surface. E and Cp become confounded under centric
placing of any other material between the occlusal
occlusion. The bite occlusion was recorded by placing
surfaces, can lead to an altered hinge axis localization.
a sheet of wax in between the occluding teeth. The
This difference was calculated by Weinberg in 1959
for one specific case, but several groups have examined trajectory of E from the time it touched the wax
the nature of the hinge axis and its influence on the until contacting Cp was given by a circular arc of
use of articulators (McCoUum, 1939; Jankelson, 1955; centre O (patient's real rotation axis) (Fig. 1).
Cohen, 1956; Borgh & Posselt, 1958; Page, 1958). Recording wax was used to prepare the mandibular
Weinberg analysed the clinical consequences of an models. The model was first fixed to the lower limb
arbitrary localization of the hinge axis. The present of the articulator, then the wax was removed. The
study extends the work of Weinberg (1959) to articulator was again closed by a rotation around the
minimize the occlusion error in the preparation of arbitrary hinge axis O'. Point E contacted a point Ca
prostheses. (articular contact). This was different from Cp because
the arbitrary centre of articular rotation was not that
Materials and methods of the patient (Fig. 2). The difference between the
contact point Ca on the articulator and the point Cp
Model building on the articulator in the patient's mouth is the model error demonstrated
The maxillary mgdel was mounted using an arbitrary by Weinberg (1959). /

1997 Blackwel! Science Lid 929


930 P. ADRIEN & J. SCHOUVER

Real hinge axis

Fig. 1. Trajectory of a mandibular cusp during occlusion.

t Z

Fig. 3. Principle of the mathematical resolution.

used, as the coordinates of the articulator contact Ca


were readily measurable. To sum up, the calculations
O : Real axis were carried out in the following order: (i) calculation
O': Arbitrary axis
of E from Ca in the articulator system; (ii) transfer of E
to the patient system; (iii) calculation of the patient
Fig. 2. Difference in closing for real and arbitrary hinge axes. contact Cp; and (iv) calculation of the difference
Ca - Cp.
Calculations
Relative positions of the hinge axis. Several workers have Mathematical treatment
shown that the real hinge axis O lies within a 5 mm
Geometric model of displacement of a point on the mandible
radius circle concentric to O' when an arbitrary facial
The movement of Ca towards E, as with that of Cp
arc of localization is used (Beck, 1960; Lauritzen &
towards E (i.e. calculation of the points E and Cp) is in
Bodner, 1961; Lavigne & Spirgi, 1972; Slavicek &
essence the problem of determining the intersection
Lugner, 1982). The distance Ca - Cp was calculated for
point between a straight line D and a circle C (Fig. 3).
all the real hinge axis positions O lying 5 mm around
If R is the radius of the circle C; z is the intersection of
the arbitrary axis O'.
the straight line D with the circle C and b is intersection
Reference systems for calculation. There are two reference of D with the axis of Z then we have the following
systems (Fig. 2): one is the 'patient' system based on O,
summary of equations:
in which E is calculated from Cp and the other is the
for the straight line T>: Z = ax + b
'articulator' system based on O' in which Ca is calculated
for the circle of centre O: Z^ = R^ - X^
from E.
With a the slope of D and b the distance Ob, the
Method of calculation. Two procedures can be used intersection point / is given by the equations
leading to the same result. The first one consists in
calculating Ca from Cp. In the other, the reasoning is Z; — a Aj -\ 1.2 — n2 _ y2

reversed and the position of the point on the articulator and


is transferred to the patient. This is the procedure we Xj(a^ + 1) + / + b'^ -R^ ^ 0

1997 Blackwell Science Ltd, Journal of Oral Rehabilitation 24; 929-935


MANDIBULAR MODEL MOUNTING ERRORS 931

z Calculation ofCp in the patient system. Parameter values:


0' X
a = -t
b = Oc = Oe - ec
with:
c 'Oe ^ Z^ + X
W
_
ec = m'Ca = cosco
Ca
and
e

^^ /m

Fig. 4. Parameters arising in the different equations.


T Results
All the calculations were done on a microcomputer
using specific software written in Turbo Pascal (Adrien
& Schouver, 1990). All result data are to four decimal
places, as were those of Weinberg (1959), and we used
the same numerical values as Weinberg:
Which has the general form AX^ + BZ + C, with
1 Contact position Ca: Z = 50 mm and Z = 32 mm
A = €?• + \ 2 Orientation of the horizontal occlusion plane: co = 0°
B = 2ab 3 Wax thickness: W = 3 mm

for which the roots are Variations of Weinberg's error as a function of


the hinge axis position
-B ± A/B^ - 4AC -B ± Figure 5 shows the change in error with the position
X= or Z =
2A 2A of the real axis on a 5 mm radius circle around 0', the
arbitrary hinge axis. The line passing through 0 ' and
If B^ - 4:AC is positive, there are two roots. The the 0° position of the real axis was related to the upper
positive root X is used to obtain: arm of the articulator. The ordinate gives the value of
the localization error (in mm). The localization error
-B + -4AC varied from zero to 0-3850 mm, depending on the
2A position of the real hinge axis, as shown by two almost
identical curves. There were two extreme values,
Zj = AXj + B 0-3850 mm for a real hinge axis position of 50-9°, and
Values of the parameters in the above equations (Fig. 4) 0-3460 mm for an angle of 240-0°. The error was zero
Calculation of E in the articulator system for angles of 145-6° and 325-6°. These two values are
situated on the straight line connecting the centre of
a — -tgo) rotation of the articulator and the midpoint of the chord
b = O'e = O'c + ce joining the mandibular and maxillary contact points (E
with: and Ca). Two sectors of the real hinge axis position
gave rise to a localization error exceeding 0-2 mm; they
O'c = Zca + ^ca X
are 355-110° and 185-295° (shaded values).
W
ce = Cam' = -"
cosco Incidence of the occlusion plane orientation
and The localization error was calculated for four occlusal
~ + plane values, 0°, 10°, 20° and 30°, and for a wax

1997 Blackwell Science Ltd, Journal of Oral Rehabilitation 24; 929-935


932 P. ADRIEN & J. SCHOUVER

50-9'
110
120
130

140

150

20°

10°
Upper arm of X
o 0°
355° the articulator
350°

Fig. 5. Location error for different hinge axis positions.

thickness of 3 mm. The error became smaller as the more than 0-1032 mm when the wax thickness was
angle of the occlusal plane increased (Fig. 6). This is 1 mm, giving a difference of 0-2088 mm. Variations of
because its slope approaches that of the straight line the localization error were essentially proportional to
defined by the hinge axis and the tooth contact the wax thickness (Table 1).
examined. A variation of 30° in the occlusion plane
gave a maximum error difference of 0-1295 mm for a
wax thickness of 3 mm. This difference became Discussion
0-0416 mm when the wax thickness was reduced to
1 mm. The occlusion plane has relatively little influence Weinberg (1959) examined the specific case of a cusp
on the localization error and was not proportional to vertex placed 50 mm in front of and 32 mm below the
its inclination (Table 1). hinge axis of the articulator. The real hinge axis was
situated 5 mm in front on a plane horizontal to the
Effect of wax thickness
arbitrary axis. The occlusion plane was at 0° and the
impression wax was 3 mm thick and the calculated error
A total of three wax thicknesses, 1, 2 and 3 mm, were was 0-1934 mm. Using the same values, we obtained an
examined: (Fig. 7). Using an occlusion plane of 10° error of 0-2274 mm. The difference is due to the fact that
and a hinge angle of 51°, the maximum error was Weinberg (1959) constructed a first reference system to
0-3120 mm with a wax thickness of 3 mm. It was no calculate the patient contact Cp and a second one to

1997 Blackwell Science Ltd, Journal of Oral Rehabilitation 24; 929-935


MANDIBULAR MODEL MOUNTING ERRORS 933

Occlusal plane :0'

120, Occlusal plane:


130

140
Occlusal plane:20'
150

160 Occlusal plane

200

210

220 .20°

230 310°
240 300°
240-4° 250 290°
260 280°
270

Fig. 6. Location error for different occlusion plane orientations.

Table 1. Location error as a function of the wax thickness and This study has provided three main conclusions.
occlusion plane orientation
1. An error in the orientation of the occlusion plane
has only a small incidence on the mandible localization
Occlusion plane (degrees)
model. A difference in orientation of 10° can increase
V^ax thickness (mm) 0 10 20 30 the error by maximally 0-0730 mm with a wax 3 mm
thick, and by only 0-0235 for wax 1 mm thick.
0-1267 0-1032 0-0906 0-0851 2. When the real hinge axis is located at 5 mm (limit
0-2550 0-2072 0-1817 0-1702 value) from the arbitrary hinge axis of the articulator
0-3850 0-3120 0-2731 0-2555
and the wax is 3 mm thick, only positions 355-110°
and 185-295° cause errors greater than 0-2 mm in the
calculate the articular contact Ca. He compared the two localization of the mandibular model. As the real axis
points in a third reference system constructed from F, position is random, it is clinically impossible to estimate
which he arbitrarily declared to be common to the two the size of the error due to an arbitrary determination
preceding ones. This is not true mathematically. Studies of the hinge axis.
of other cusp vertices or other dentitions would give 3. The impression wax for recording the relationships
different numerical values. All results should not be under centric occlusion causes an error that is directly
considered as references, but simply as giving an order proportional to its thickness, and this is a major factor
of magnitude. in the localization error. A 1 mm change in wax

1997 Blackwell Science Ltd, Journal of Oral Rehahilitation 24; 929-935


934 P. ADRIEN & J. SCHOUVER

115 wax thickness = 3 mm


120
125
130
135
wax thickness = 2mm

wax thickness = 1mm

Upper arm of

the articulator

230 310
235 305
240 300
245 295
250 255 290
285

Fig. 7. Location error for different wax thicknesses.

thickness may cause an extra error of 0-130 mm. This back molars. But this wax must not be punctured so as
parameter is directly linked to the operator and is the to avoid all distorting contacts. It must also retain its
only truly controllable one. qualities of rigidity and optimal fidelity. A preliminary
occlusal analysis before any inter-maxillary recording is
Clinical consequences thus needed to eliminate the pre-contacts that could
prevent the production of accurate wax impressions.
The localization on the real hinge axis articulator avoids
the error due to the use of wax for recording inter-
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position of the models is reproducible and stable. In all de y cycle pour le Doctorat en Sciences Odontologiques,
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1997 Blackwell Science Ltd, Journal of Oral Rehabilitation 24; 929-935


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© 1997 Blackwell Science Ltd, Journal of Oral Rehabilitation 24; 929-935

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