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Supported by the Basic Science Research Program through the National Research Foundation of Korea (NRF) funded by the Ministry of Education (NRF-2018R1D1A1A02043173).
a
Postdoctoral Researcher, Department of Prosthodontics, School of Dentistry, Seoul National University, Seoul, Republic of Korea.
b
Professor, Dental Research Institute and Department of Prosthodontics, School of Dentistry, Seoul National University, Seoul, Republic of Korea.
c
Professor, Dental Research Institute and Department of Prosthodontics, School of Dentistry, Seoul National University, Seoul, Republic of Korea.
d
Professor, Dental Research Institute and Department of Prosthodontics, School of Dentistry, Seoul National University, Seoul, Republic of Korea.
100.0
A B C D
% Max Total Force
80.0
60.0
40.0
20.0
0.0
0.0 0.8 1.6 2.4
T0 T1 T2 T3
Figure 1. Occlusal force changes over time: T0 represents beginning of jaw movement made in one direction, and T3 time point when teeth on
nonworking side for right and left excursion and posterior teeth for protrusion completely separated. Time point halfway between T0 and T3 defined as
T1, and time point three-quarters between T0 and T3 defined as T2.
Table 2. Mean horizontal and lateral condylar inclinations (degrees) Table 3. Concordance (%) between intraoral and articulator occlusal
Standard contacts of all teeth during excursive movements
Condylar Inclination Average Deviation P Value All Teeth Right Left Protrusion
Horizontal condylar inclination Right 48.3 9.9 .815 T0 91.1 ±7.8 91.4 ±9.6 91.0 ±9.7
Left 48.6 9.7 T1 77.8 ±14.6 78.3 ±10.5 78.0 ±15.4
Lateral condylar inclination Right 5.3 2.4 .739 T2 71.6 ±13.1 72.9 ±13.5 66.5 ±13.6
(Bennett angle)
Left 6.7 5.1 T3 82.3 ±13.1 86.1 ±9.9 85.0 ±11.5
Concordance
Concordance
0.6 0.6 0.6
Table 4. Statistical differences in concordance between intraoral and Table 5. Concordance (%) between intraoral and articulator occlusal
articulator occlusal contacts according to mandibular movement contacts of working side and nonworking side teeth during excursive
direction and time by using 2-way RM-ANOVA (a=.01) movements
Factor P Right Left Protrusion
Time <.001 Time Working Nonworking Working Nonworking Anterior Posterior
Left/Right/Protrusion .313 T0 91.1 ±9.7 91.1 ±10.9 91.2 ±11.1 91.6 ±12.1 83.3 ±19.5 96.4 ±8.8
Time×Left/Right/Protrusion .322 T1 81.8 ±16.6 73.8 ±20.1 83.6 ±14.4 73.2 ±19.2 72.0 ±24.0 82.1 ±17.0
T2 75.7 ±18.8 67.4 ±18.7 77.1 ±16.8 68.8 ±20.3 72.8 ±19.0 61.5 ±16.0
T3 67.5 ±24.8 96.6 ±6.8 76.3 ±18.1 95.8 ±8.5 73.6 ±23.0 92.8 ±9.3
Right Excursion
Left Excursion
*
* * Protrusion
* *
* * *
* * *
* * * * *
1.0
1.0 1.0
0.8 0.8
Concordance
Concordance
Concordance
0.8
Table 7. Rate (%) of positive and negative occlusal errors at T3 for excursive movement
Right Left Protrusion
Occlusal Error Working Nonworking Working Nonworking Anterior Posterior
Positive error 22.02 (67.7)* 2.75 (80) 11.50 (48.5) 2.79 (66.7) 10.81 (40.9) 3.78 (52.3)
Negative error 10.48 (32.3) 0.65 (20) 12.20 (51.5) 1.41 (33.3) 15.59 (59.1) 3.42 (47.7)
Total occlusal error 33.50 (100) 3.40 (100) 23.70 (100) 4.20 (100) 27.78 (100) 7.20 (100)
*Values in parentheses indicate total discrepancy.
Table 8. Intraclass correlation coefficients of repeated excursive 14. Pelletier LB, Campbell SD. Comparison of condylar control settings using
three methods: a bench study. J Prosthet Dent 1991;66:193-200.
movements by using T-scan
15. Posselt UP, Skytting B. Registration of the condyle path inclination: variations
Left Right Protrusive using the Gysi technique. J Prosthet Dent 1960;10:243-7.
Direction of
Time Excursion ICC SD ICC SD ICC SD 16. Gross M, Nemcovsky C, Friedlander LD. Comparative study of condylar
settings of three semi-adjustable articulators. Int J Prosthodont 1990;3:
T0 Mandible 0.960 0.001 0.950 0.001 0.956 0.002 135-41.
Articulator 0.874 0.003 0.884 0.001 0.763 0.006 17. Gross M, Nemcovsky C, Tabibian Y, Gazit E. The effect of three different
recording materials on the reproducibility of condylar guidance registrations
T1 Mandible 0.850 0.006 0.821 0.006 0.752 0.006 in three semi-adjustable articulators. J Oral Rehabil 1998;25:204-8.
Articulator 0.669 0.018 0.730 0.010 0.648 0.012 18. Ciancaglini R, Gherlone EF, Redaelli S, Radaelli G. The distribution of
T2 Mandible 0.769 0.014 0.827 0.007 0.616 0.019 occlusal contacts in the intercuspal position and temporomandibular disor-
der. J Oral Rehabil 2002;29:1082-90.
Articulator 0.769 0.014 0.780 0.021 0.624 0.017 19. Haralur SB, Addas MK, Othman HI, Shah FK, El-Malki AI, Al-Qahtani MA.
T3 Mandible 0.820 0.017 0.827 0.007 0.814 0.016 Prevalence of malocclusion, its association with occlusal interferences and
temporomandibular disorders among the Saudi sub-population. Oral Health
Articulator 0.899 0.011 0.780 0.021 0.784 0.014 Dent Manag 2014;13:164-9.
ICC, intraclass correlation coefficients; SD, standard deviation.
20. Le Bell Y, Niemi PM, Jämsä T, Kylmälä M, Alanen P. Subjective re-
actions to intervention with artificial interferences in subjects with and
without a history of temporomandibular disorders. Acta Odontol Scand
2006;64:59-63.
21. Tamaki K, Celar AG, Beyrer S, Aoki H. Reproduction of excursive tooth
2. The reproducibility of initial eccentric tooth contact contact in an articulator with computerized axiography data. J Prosthet Dent
on a semi-adjustable articulator appeared to be 1997;78:373-8.
22. Kerstein RB, Radke J. Clinician accuracy when subjectively interpreting
reliable. articulating paper markings. Cranio 2014;32:13-23.
3. A semi-adjustable articulator simulated the 23. Millstein P, Maya A. An evaluation of occlusal contact marking indicators: a
descriptive quantitative method. J Am Dent Assoc 2001;132:1280-6.
nonworking side (for lateral excursion) and posterior 24. Halperin GC, Halperin AR, Norling BK. Thickness, strength, and plastic
teeth (for protrusive excursion) accurately. However, deformation of occlusal registration strips. J Prosthet Dent 1982;48:575-8.
25. Gazit E, Fitzig S, Lieberman MA. Reproducibility of occlusal marking tech-
the working side might require occlusal adjustments niques. J Prosthet Dent 1986;55:505-9.
after prosthesis delivery. 26. Carossa S, Lojacono A, Schierano G, Pera P. Evaluation of occlusal contacts
in the dental laboratory: influence of strip thickness and operator experience.
Int J Prosthodont 2000;13:201-4.
27. Millstein P. Know your indicator. J Mass Dent Soc 2008;56:30-1.
REFERENCES 28. Saracoglu A, Ozpinar B. In vivo and in vitro evaluation of occlusal indicator
sensitivity. J Prosthet Dent 2002;88:522-6.
1. Mohamed SE, Schmidt JR, Harrison JD. Articulators in dental education and 29. Mullick SC, Stackhouse JA Jr, Vincent GR. A study of interocclusal records
practice. J Prosthet Dent 1976;36:319-25. materials. J Prosthet Dent 1981;46:304-7.
2. Donegan SJ, Christensen LV. Sagittal condylar guidance as determined 30. Fattore L, Malone WF, Sandrik JL, Mazur B, Hart T. Clinical evaluation of the
by protrusion records and wear facets of teeth. J Prosthet Dent 1991;4: accuracy of interocclusal recording materials. J Prosthet Dent 1984;51:152-7.
469-72. 31. Millstein PL, Kronman JH, Clark RE. Determination of the accuracy of wax
3. Celenza FV. An analysis of articulators. Dent Clin North Am 1979;23:305-26. interocclusal registrations. J Prosthet Dent 1971;25:189-96.
4. Caro AJ, Peraire M, Martinez-Gomis J, Anglada JM, Samso J. Reproducibility 32. Millstein PL, Clark RE, Kronman JH. Determination of the accuracy of wax
of lateral excursive tooth contact in a semi-adjustable articulator depending interocclusal registrations. Part II. J Prosthet Dent 1973;29:40-5.
on the type of lateral guidance. J Oral Rehabil 2005;32:174-9. 33. Millstein PL, Clark RE. Determination of the accuracy of laminated wax
5. Dos Santos J Jr, Nelson S, Nowlin T. Comparison of condylar guidance interocclusal wafers. J Prosthet Dent 1983;50:327-31.
setting obtained from a wax record versus an extraoral tracing: a pilot study. 34. Millstein PL. An evaluation of occlusal indicator wax. J Prosthet Dent
J Prosthet Dent 2003;89:54-9. 1985;53:570-2.
6. Bailey JO, Nowlin TP. Evaluation of the third point of reference for mounting 35. Lassila V. Comparison of five interocclusal recording materials. J Prosthet
maxillary casts on the Hanau articulator. J Prosthet Dent 1984;51:199-201. Dent 1986;55:215-8.
7. Weinberg LA. An evaluation of basic articulators and their concepts: part II. 36. Kerstein RB. Articulating paper mark misconceptions and computerized
Arbitrary, positional, semi-adjustable articulators. J Prosthet Dent 1963;13: occlusal analysis technology. Dent Implantol Update 2008;19:41-6.
645-63. 37. Qadeer S, Kerstein RB, Kim RJ, Huh JB, Shin SW. Relationship between
8. Shanahan TEJ, Leff A. Mandibular and articulator movements. J Prosthet articulation paper mark size and percentage of force measured with
Dent 1959;9:941-5. computerized occlusal analysis. J Adv Prosthodont 2012;4:7-12.
9. Clayton JA. Border positions and restoring occlusion. Dent Clin North Am 38. Carey JP, Craig M, Kerstein RB, Radke J. Determining a relationship between
1971;15:525-42. applied occlusal load and articulating paper mark area. Open Dent J 2007;1:
10. Hobo S, Shillingburg HT Jr, Whitsett LD. Articulator selection for restorative 1-7.
dentistry. J Prosthet Dent 1976;36:35-43. 39. Saad MN, Weiner G, Ehrenberg D, Weiner S. Effects of load and indicator
11. Watchel HC, Curtis DA. Limitations of semi-adjustable articulators Part I: type upon occlusal contact markings. J Biomed Mater Res B Appl Biomater
straight line articulators without setting for immediate side shift. J Prosthet 2008;85:18-22.
Dent 1987;58:438-42. 40. Maness WL, Benjamin M, Podoloff R, Bobick A, Golden RF. Computerized
12. Chou TM, Pameijer CH. An investigation of the reproducibility of articulators. occlusal analysis: a new technology. Quintessence Int 1987;18:287-92.
J Prosthet Dent 1987;58:442-8. 41. Kerstein RB. Handbook of research on computerized occlusal analysis
13. Dos Santos Junior J, Ash MMJ. A comparison of the equivalence of jaw and technology applications in dental medicine. Hershey: IGI global; 2015. p.
articulator movements. J Prosthet Dent 1988;59:36-42. 12-8.
42. Koos B, Godt A, Schille C, Goz G. Precision of an instrumentation-based 55. Ecker GA, Goodacre CJ, Dykema RW. A comparison of condylar control
method of analyzing occlusion and its resulting distribution of forces in the settings obtained from wax interocclusal records and simplified mandibular
dental arch. J Orofac Orthop 2010;71:403-10. motion analyzers. J Prosthet Dent 1984;51:404-6.
43. Stern K, Kordaß B. Comparison of the Greifswald Digital Analyzing System 56. Campos AA, Nathanson D. Compressibility of two polyvinyl siloxane inter-
with the T-Scan III with respect to clinical reproducibility for displaying occlusal record materials and its effect on mounted cast relationships.
occlusal contacts. J Cranio Mandib Func 2010;2:107-19. J Prosthet Dent 1999;82:456-61.
44. Kerstein RB, Lowe M, Harty M, Radke J. A force reproduction analysis of 57. Chee WW, Donovan TE. Polyvinyl siloxane impression materials: a review of
two recording sensors of a computerized occlusal analysis system. Cranio properties and techniques. J Prosthet Dent 1992;68:728-32.
2006;24:15-24. 58. Mandikos MN. Polyvinyl siloxane impression materials: an update on clinical
45. Bozhkova TP. The T-Scan system in evaluating occlusal contacts. Folia Med use. Aust Dent J 1998;43:428-34.
2016;58:122-30. 59. Millstein PL, Hsu CC. Differential accuracy of elastomeric recording materials
46. Cerna M, Ferreira R, Zaror C, Navarro P, Sandoval P. In vitro evaluation of T- and associated weight change. J Prosthet Dent 1994;71:400-3.
Scan III through study of the sensels. Cranio 2015;33:299-305. 60. Koo TK, Li MY. A guideline of selecting and reporting intraclass cor-
47. Beninati CJ, Katona TR. The combined effects of salivas and occlusal in- relation coefficients for reliability research. J Chiropr Med 2016;15:
dicators on occlusal contact forces. J Oral Rehabil 2019;46:468-74. 155-63.
48. Mitchem JA, Katona TR, Moser EAS. Does the presence of an occlusal in-
dicator product affect the contact forces between full dentitions? J Oral Corresponding author:
Rehabil 2017;44:791-9. Professor Ho-Beom Kwon
49. Da Silva M, Caramelo F, Ramalho J, Gomes P. In vitro study on the sensibility Dental Research Institute and Department of Prosthodontics
and reproducibility of the new T-Scan III HD system. Rev Port Estomatol Cir School of Dentistry
Maxilofac 2014;55:14-22. Seoul National University
50. Jeong MY, Lim YJ, Kim MJ, Kwon HB. Comparison of two computerized 101, Daehak-ro, Jongno-gu, Seoul 03080
occlusal analysis systems for indicating occlusal contacts. J Adv Prosthodont REPUBLIC OF KOREA
2020;12:49-54. Email: proskwon@snu.ac.kr
51. Olsson A, Posselt U. Relationship of various skull reference lines. J Prosthet
Dent 1961;11:1045-9. CRediT authorship contribution statement
52. Gregory WA, Kaplan MD. A comparison of the accuracy of two articulating Min-Young Jeong: Conceptualization, Methodology, Software, Investigation,
methods: the double-arch impression technique vs. hand-articulated full- Writing e original draft, Visualization. Myung-Joo Kim: Writing e review &
arch casts. Quintessence Int 1988;19:631-4. editing, Investigation, Resources. Young-Jun Lim: Writing e review & editing,
53. Rosenstiel SF, Land MF, Walters RD. Contemporary fixed prosthodontics. Investigation, Resources. Ho-Beom Kwon: Conceptualization, Methodology,
6th ed. Philadelphia: Elsevier Inc; 2023. p. 66. Writing e review & editing, Supervision, Project administration.
54. Kavo PROTAR evo manual. Available at: https://embed.widencdn.net/download/
kavokerr/tkfzcl3jdj/GA_Z0922-PROTARevo-3_20160729_01_en.pdf?u=a0aubk. Copyright © 2021 by the Editorial Council for The Journal of Prosthetic Dentistry.
Accessed July 29, 2016. https://doi.org/10.1016/j.prosdent.2021.11.026