Professional Documents
Culture Documents
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
t Z
^^ /m
50-9'
110
120
130
140
150
20°
10°
Upper arm of X
o 0°
355° the articulator
350°
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
140
Occlusal plane:20'
150
200
210
220 .20°
230 310°
240 300°
240-4° 250 290°
260 280°
270
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
Upper arm of
the articulator
230 310
235 305
240 300
245 295
250 255 290
285
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-
References
maxillary relationships. When the hinge axis is
determined arbitrarily, a localization without wax avoids ADRIEN, P. & SCHOUVER, J. (1990) Etude de la trajectoire des faces
localization error. But this requires that the maximal occlusales mandibulaires sur articulateur semi-adaptable par
simulation mathematique en fonction de la programmation des
cusp contact occurs with a centred axis and that the determinants de I'occlusion. Etude experimentale metrologique. These
position of the models is reproducible and stable. In all de y cycle pour le Doctorat en Sciences Odontologiques,
other cases, impression wax must be used. Thus, in Nancy, France.
order to minimize the error, it is important to use a BEARD, C.C. & CLAYTON, J.A. (1981) Study on the validity of the
facial arc of localization and transfer in order to obtain terminal hinge axis. Journal of Prosthetic Dentistry, 46, 185.
BECK. H.O. (1960) Selection of an articulator and jaw registration.
an occlusion plane as close as possible to that of the Journal of Prosthetic Dentistry, 5, 878.
patient. Second, the wax used to take the centred BoRGH, O. & PossELT, U. (1958) Hinge axis registration: experiment
impression should be as thin as possible between the on the articulator. Journal of Prosthetic Dentistry, 8, 35.
COHEN, R. (1956) The relationship of anterior guidance to condylar PAGE, H.L. (1958) Some confusing concepts in articulation. Dental
guidance in mandibular movement. Journal of Prosthetic Dentistry, Digest, 64 (71), 120.
6, 758. PossELT, U. (1968) Physiology of occlusion and rehabilitation (ed. C. O.
INGERVALL, B., HELKIMO, M . & CARLSSON, G, E. (1971) Recording of Davis), 2nd edn. Philadelphia. : ; \
the retruded position of the mandihle Vi'ith application of varying
PRESTON, J . D . (1979) A reassessment of the mandibular transverse
external pressure to the lower jaw in man. Archives of Oral
horizontal axis theory. Journal of Prosthetic Dentistry, 41, 605.
Biology, 16, 1165.
SLAVICEK, R. & LUGNER, P. (1982) Rapport entre l'articulateur
JANKELSON, B. (1955) Physiology of human dental occlusion.
Journal of American Dental Association, 50, 664. semi-adaptable et la relation anatomique cranienne. Analyse
LAURITZEN, A. & BODNER, G.H. (1961) Variations in localisation of mathematique et mecanique. Cahiers de Prothese, 37, 137; 38,
arbitrary and true hinge axis points. Journal of Prosthetic Dentistry, 133:39,127.
11, 224. WEINBERG, L.A. (1959) The transverse hinge axis: real or imaginary.
LAVIGNE, J. & SPIRGI, M . (1972) Etude du mouvement d'ouverture Journal of Prosthetic Dentistry, 9, 755.
mandibulaire en retrusion. Schweizer Monatsschrift fur ZiERBERT, G.J. & KNAP, E.J. (1973) Effect of jaw guidance on
Zahnmedizin, 82, 671.
retruded stroke as recorded in the sagittal plan. Journal of
McCoLLUM, B.B. (1939) Fundamentals involved in prescribing
Prosthetic Dentistry, 42, 262. .
restorative dental remedies. Dental Items Interest, 6 1 , 522, 641,
724, 852, 942.
McCoLLUM, B.B. &• STUART, Ch.E. (1955) A research report, (ed. Ch. Correspondence: Dr Pascal Adrien, 29, Rue de la Salle, 54000
F. STUART), Ventura, CA. Nancy, France.