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CLINICAL RESEARCH

Evaluation of eccentric tooth contact on a semi-adjustable


articulator by using an occlusal analysis system
Min-Young Jeong, DDS, MS, PhD,a Myung-Joo Kim, DDS, MS, PhD,b Young-Jun Lim, DDS, MS, PhD,c and
Ho-Beom Kwon, DDS, MS, PhDd

Articulators are used for precise ABSTRACT


diagnosis and accurate dental Statement of problem. Duplicating mandibular movement with a semi-adjustable articulator has
restorations.1 Clinicians use been reported to lack accuracy. However, although previous studies have analyzed articulator
semi-adjustable articulators to movement, few have compared excursive tooth contact on the articulator with tooth contact
simulate patient mandibular during actual mandibular movement.
movement and occlusal re- Purpose. The purpose of this clinical study was to evaluate the concordance of semi-adjustable
lationships,2-5 which aids articulator contacts with intraoral contacts during eccentric movements by using a T-scan
prosthesis fabrication by trans- occlusal analysis system.
ferring occlusal adjustments to Material and methods. Forty-two participants with normal occlusion and without signs of
the articulator, thus requiring temporomandibular disorder were analyzed for the reproducibility of eccentric tooth contact on
fewer intraoral occlusal adjust- a semi-adjustable articulator. Maxillary casts made from irreversible hydrocolloid impressions
ments.5-7 However, a semi- were mounted on a semi-adjustable articulator with the facebow. The condylar inclination of the
adjustable articulator cannot articulator was set by using interocclusal records. Three recordings of right and left excursive
mandibular movement and protrusive mandibular movement were made in the supine position
accurately duplicate mandib-
by using the T-scan v9.1. The same procedure was then performed with the articulator. The
ular movement.8-13 Because of results of complete mandibular movement from T-scan measurements were divided into 4 time
the straight line movement and points for analysis: T0, T1, T2, and T3. The concordance of intraoral and articulator occlusal
the inability to adjust for im- contacts was evaluated at each point, and the occlusal force for each tooth was compared.
mediate side shift or the dis- Overall concordance and concordance of the working and nonworking sides were also
tance of the superior wall, calculated. Repeated measures analysis of variance was used to analyze differences between the
posterior wall, and inter- concordance of intraoral and articulator contacts according to mandibular movement direction,
time, and working and nonworking sides (a=.01).
condylar width, eccentric
movements are not well simu- Results. For all teeth, concordance between the intraoral and articulator occlusal contacts during
lated by semi-adjustable artic- excursive mandibular movement was greatest at T0, decreasing at T1 and T2, and increasing at
T3. No significant differences were found in the concordance among the right lateral, left lateral,
ulators.8,11 Because a semi- and protrusive excursion (P>.01). The concordance of working side occlusal contacts during
adjustable articulator does not lateral excursion was significantly lower at T3 than that at T0 (P<.01).
accurately reproduce mandib-
Conclusions. When comparing intraoral and articulator contacts during lateral eccentric
ular movement, prostheses mandibular movement, concordance was affected by time and working or nonworking side.
made by using the semi- Reproducibility of initial eccentric tooth contact on a semi-adjustable articulator appeared to be
adjustable articulator are likely reliable. However, occlusal adjustment of the working side might be required after prosthesis
to show occlusal errors.9,14-17 delivery. (J Prosthet Dent 2024;131:34-41)

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.

34 THE JOURNAL OF PROSTHETIC DENTISTRY


January 2024 35

The purpose of this clinical study was to evaluate the


Clinical Implications concordance between semi-adjustable articulator contact
This clinical study demonstrated the reliable and intraoral contact during eccentric movement by us-
ing an occlusal analysis system. The null hypotheses were
reproducibility of initial eccentric tooth contact on a
that concordance for all teeth would not change over
semi-adjustable articulator and accurate
time, tested by comparing intraoral contact with articu-
nonworking-side simulation. Despite some
lator contact during mandibular lateral eccentric move-
limitations, the semi-adjustable articulator is
ment, and that concordance of the working side would
clinically useful when the user understands
not be different from that of the nonworking side.
mandibular movement and the articulator
movement.
MATERIAL AND METHODS
The reproducibility on a semi-adjustable articulator of the
Hobo et al10 classified articulator-related occlusal errors eccentric tooth contacts of 42 participants was evaluated
as positive or negative. Positive errors occur when the by comparing the concordance between semi-adjustable
articulator undercompensates for mandibular move- articulator contact and intraoral contact during eccentric
ment, and negative errors occur when the articulator movement by using an occlusal analysis system (T-scan;
overcompensates for mandibular movement. Adjust- Tekscan, Inc). The concordance was analyzed at 4 time
ment for positive errors is recommended because points during eccentric movement by comparing occlusal
occlusal interference could induce temporomandibular contact points.
disorders.18-20 The participants were selected from patients from the
Few studies have evaluated the ability of articulators Department of Prosthodontics at Seoul National Uni-
to reproduce excursive tooth contact during mandibular versity Dental Hospital and were chosen according to
movement. Tamaki et al21 analyzed the reproduction of inclusion and exclusion criteria (Table 1). Approval from
excursive tooth contact by an articulator by using the Institutional Review Board of the School of Dentistry
computerized axiography and reported that the articu- at Seoul National University (S-D20170046) was ob-
lator reproduced 82% of the protrusive tooth contacts tained for this study. Informed consent was obtained
and 90% of the laterotrusive tooth contacts. Caro et al4 from all participants.
assessed lateral excursive tooth contacts produced by Irreversible hydrocolloid (Aroma Fine Plus Normal
using a semi-adjustable articulator and articulating paper set; GC) impressions of maxillary and mandibular arches
and reported that it reproduced 82% of intraoral contacts were poured in dental stone (Snow Rock dental stone;
with canine guidance, 40% with anterior guidance, and DK MUNGYO Corp). Before mounting, the maxillary
0% with group function. cast was scanned with a model scanner (T-300; Medit
Previous studies used wax or articulating paper to Corp) and then mounted with plaster (Snow Rock dental
indicate excursive occlusal contacts.4,21 However, results plaster; DK MUNGYO Corp) in an arcon-type semi-
from studies using these methods have been shown to be adjustable articulator (PROTAR Evo 7; KaVo Dental
unreliable,22-25 often including false positives and sub- GmbH) by using a facebow (ARCUS; KaVo Dental
jective interpretation of articulating paper marks.26-28 GmbH) with the orbitale as the third reference point.51
Possible alterations in the temporomandibular joint and The mandibular cast was hand-articulated to the maxil-
tooth positions might have been caused by wax resistance, lary cast, fixed with a metal rod and sticky wax, and
resulting in inaccurate tooth contact recordings.29-35 mounted to the articulator with the 2-step plaster
Furthermore, contact marks from articulating paper or technique.52,53
wax can only show the location of contacts and cannot The condylar inclination was set by using each par-
indicate occlusal force or changes in occlusal contact.36-39 ticipant’s protrusive interocclusal record according to the
The T-scan (Tekscan, Inc) is a computerized occlusal manufacturer’s instructions.54 Before making inter-
analysis system developed by Maness et al40 that dem- occlusal records, participants were instructed to protrude
onstrates not only static occlusion similar to conventional their mandible to determine the edge-to-edge relation-
occlusal indicating methods but also dynamic occlusion, ship of the incisors.14,55 Immediate side shift was set as
including timing and force in real-time display.41-45 The 0 mm. The Bennett angle was adjusted by using lateral
T-scan system consists of an intraoral sensor film, a interocclusal records.54 For laterotrusive records, the
computer-connected handpiece, and a software pro- participants were trained to position the mandible to
gram.46 The sensor foil is about 100 mm thick.47-49 The determine the cusp tip-to-cusp tip relationship of the
T-scan system has been reported to be precise and reliable canines in both right and left lateral excursion.14,55 The
and is a rapid method for recording occlusal interocclusal record from maximum intercuspation (MIP)
contacts.42,43,50 was also made to use as a reference for positioning the

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36 Volume 131 Issue 1

Table 1. Inclusion and exclusion criteria denoted as A, B, C, and D. A to B indicates occlusion


Inclusion Criteria Exclusion Criteria time, and C to D indicates disclusion time. According to
Free of signs and symptoms of Missing teeth (except third molars the manufacturer’s protocols, occlusion time is defined as
temporomandibular disorders (TMD) and premolars for orthodontics)
including muscle tenderness to palpation, the time elapsed from the initial tooth contact until the
pain on mandibular movement, joint final tooth contact, and disclusion time is defined as the
sounds, and temporomandibular joint
tender to palpation time elapsed since the beginning of a jaw movement
Intact complete dentition Severe crowding made in 1 direction until only the canine or incisors are in
Angle class I molar relationships Currently undergoing orthodontic contact.41 Because the T-scan defines the D line based on
treatment
anterior guidance, the D line was adjusted by the
Positive horizontal overlap and vertical
overlap (2 to 4 mm)
d
examiner to the point when the nonworking side was
Absence of reverse articulation d completely separated. As this study was focused on
Absence of tooth mobility or fremitus d evaluating eccentric mandibular movements, the C line
Absence of deviation from anterior d was defined as T0. The time point halfway between C
disclusion and D was considered T1; three-quarters of the way
between C and D was considered T2; and the D line was
defined as T3 (Fig. 1). At each time point, the relative
occlusal force of each tooth was recorded.
standard tessellation language (STL) file of the cast in the
Relative occlusal force measurements by the occlusal
software program of the occlusal analysis system. Pro-
analysis system were repeated 3 times and averaged. Any
trusive and lateral interocclusal records and MIP inter-
occlusal force data point detected was assumed to indi-
occlusal records were made for all participants with a
cate the presence of occlusal contact on each tooth, and
polyvinyl siloxane material (O-bite; DMG). The recording
the tooth was scored as “1.” Otherwise, it was scored as
material was selected considering minimal resistance
“0.” The concordance of intraoral occlusal contacts and
during the intercuspation phase and dimensional stabil-
articulator occlusal contacts was calculated by comparing
ity after setting.56-59 After setting the sagittal and lateral
the presence of occlusal contacts for each participant at
condylar inclinations, eccentric mandibular movements
T0, T1, T2, and T3. The concordance of all teeth, teeth on
on the articulator were recorded by using the occlusal
the working side, teeth on the nonworking side, anterior
analysis system.
teeth, and posterior teeth was calculated. Differences in
The participants were seated in a dental chair, and the
concordance between contacts on the semi-adjustable
average width of 2 maxillary central incisors was
articulator and intraoral contacts were analyzed accord-
measured. Missing teeth were noted, and the measure-
ing to mandibular movement direction and time. The
ment was input to the occlusal analysis system to
discrepancies between intraoral and articulator contacts
customize the arch size. The occlusal analysis system
on the working and nonworking sides were sorted into 2
automatically determined the average value for tooth
categories: positive occlusal error and negative occlusal
width. After determining the arch size, the position guide
error.10
of the sensor support was placed between the central
Paired t tests were used to examine differences be-
incisors, and the handle was kept as parallel to the
tween left and right sagittal and lateral condylar in-
occlusal plane as possible. Before making measurements,
clinations. Intraclass correlation coefficients (ICC) were
a pretest was conducted by asking the participants to
used to evaluate the reproducibility of repeated tests.60
close their jaw 3 times, and sensitivity was adjusted until
Repeated measures analysis of variance (RM-ANOVA)
1 to 3 pink sensor elements were shown, based on the
was used to analyze factors affecting concordance be-
manufacturer’s recommendations. Each recording
tween intraoral and articulator contacts (a=.01). After
included eccentric movement in 1 direction. Recordings
RM-ANOVA, Bonferroni post hoc tests were used to
of right, left, and protrusive mandibular movement were
examine statistically significant differences (a=.01).
conducted 3 times each. The same procedure was per-
formed with the articulator.
RESULTS
To analyze contacts for each tooth, the STL files of the
maxillary cast were aligned with the arch for each The mean sagittal condylar inclination of 42 participants
participant by using the software program of the occlusal obtained by the interocclusal record was 48.3 degrees for
analysis system. The interocclusal record from maximum the right side and 48.6 degrees for the left side. The
intercuspation was used as a reference for positioning the mean Bennett angle was 5.3 degrees for the right side
STL file. After positioning the STL file, the arch was and 6.7 degrees for the left side (Table 2). No significant
divided into individual teeth. The occlusal analysis sys- differences in sagittal condylar inclination and Bennett
tem depicted occlusal force changes over time as a graph, angle were found between the right and left sides
and the force graph was marked with 4 vertical lines (P>.01).

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January 2024 37

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

were divided into 2 categories: positive occlusal error and


For all teeth, concordance between intraoral occlusal
negative occlusal error (Table 7). Fewer discrepancies
contacts and articulator contacts during excursive
were found for nonworking side measurements than for
mandibular movement was highest at T0, decreasing at
working side measurements.
T1 and T2, and increasing slightly at T3 (Table 3, Fig. 2).
The reproducibility of the thrice-repeated tests for
No statistically significant differences were found in the
mandibular eccentric movement made by the occlusal
concordance of the right lateral, left lateral, and protru-
analysis system is shown in Table 8. ICC values between
sive excursion (P>.01). However, there were significant
0.5 and 0.75 indicated moderate reliability; 0.75 and 0.9
differences among concordance values regarding the
indicated good reliability; and 0.9 and higher indicated
timelines of excursive movement (P<.01, Table 4). The
excellent reliability.58 All ICC values for eccentric move-
concordance of the right, left, and protrusive excursion at
ments measured by the T-scan yielded better than
T0 was higher than that at T3; however, these differences
moderate reliability. ICC values at T0 and T3 yielded
were significant only during right excursion (Bonferroni
better than good reliability.
adjusted P<.01).
When comparing the working and nonworking sides
DISCUSSION
of lateral excursion, the concordance between intraoral
occlusal contacts and articulator contacts during excur- Concordance between intraoral occlusal contact and
sive mandibular movement on the working side was articulator occlusal contact varied significantly over time,
similar to that at T0 on the nonworking side (Bonferroni indicating that concordance changed during excursive
adjusted P>.01). The concordance on the nonworking mandibular movements. Therefore, the null hypothesis
side was significantly higher than the working-side that concordance for all teeth would not change over
concordance at T3 (For the right and left excursion, time was rejected. Concordance of the nonworking side
Bonferroni adjusted P<.01; Tables 5 and 6, Fig. 3). (right and left excursion) and posterior teeth (protrusive
Posterior teeth showed significantly higher concordance excursion) were significantly higher than those of the
than anterior teeth during protrusive excursion at T0 working side (right and left excursion) and anterior teeth
and T3 (Bonferroni adjusted P<.01; Tables 5 and 6, (protrusive excursion) at T3. This indicated higher
Fig. 3). reproducibility on the nonworking side, and therefore,
Discrepancies in working side concordance at T3 were the null hypothesis that concordance of the working side
33.5% for right excursion and 23.7% for left excursion. would not be different from that of the nonworking side
Discrepancies between intraoral and articulator contacts was rejected.

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38 Volume 131 Issue 1

Right Excursion Left Excursion Protrusion


*
* * *
* * *
1.0 1.0 1.0

0.8 0.8 0.8


Concordance

Concordance
Concordance
0.6 0.6 0.6

0.4 0.4 0.4

0.2 0.2 0.2

0.0 0.0 0.0


T0 T1 T2 T3 T0 T1 T2 T3 T0 T1 T2 T3
Time Time Time
All teeth A All teeth B All teeth C
Figure 2. Concordance between intraoral and articulator occlusal contacts of all teeth. A, Right excursion. B, Left excursion. C, Protrusive excursion.
*Significantly different groups, P.01.

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

Using the T-scan, concordance was found to be


significantly higher at T0 than that at T3 on the working
side during right and left excursion; that is, an articulator left excursion) and posterior teeth (protrusive excursion),
could precisely simulate movement of the working side the mean positive occlusal error was 2.75% on the right,
immediately after lateral excursion. However, at T3, 2.79% on the left, and 3.78% on protrusive excursion.
concordance discrepancies were found for the working However, the possibility of additional occlusal adjust-
side (33.5% for the right and 23.7% for the left excursion) ment of the nonworking side after prosthesis delivery
and anterior teeth (27.78% for protrusive excursion). might be concerning because an occlusal interference on
Among the concordance discrepancies between intraoral the nonworking side might increase the risk for tempo-
contacts and articulator contacts, the mean positive romandibular disorders.18-20 With the Frankfort plane as
occlusal error of the working side (right and left excur- the reference plane, the mean sagittal condylar inclina-
sion) and anterior teeth (protrusive excursion) was tion in this study was 48.3 degrees on the right and 48.6
18.10% on the right, 15.49% on the left, and 14.62% on degrees on the left, similar to a previous study.51 The
protrusive excursion. Consequently, occlusal adjustment reproducibility of thrice-repeated tests of mandibular
of the working side may be necessary after prosthesis eccentric movement by using the occlusal analysis sys-
delivery. This limitation might have arisen from the linear tem was good or excellent at T0 and at T3. ICC values
structure of the condylar guidance structure of the semi- were lower on the articulator than on the mandible for
adjustable articulator. Although the Bennett angle was most recordings. Because an articulator is an instrument
set by the laterotrusive record, Bennett movement was with joints, its movement can vary with the applied
reproduced as only linear movement. Moreover, the force. Accordingly, clinicians and dental laboratory
immediate side shift, the superior wall, the posterior wall, technicians should be careful when operating
and the intercondylar distance could not be adjusted articulators.
precisely on the semi-adjustable articulator. These In this study, the mean concordance for all teeth at T3
structural limitations of the semi-adjustable articulator was 82.3% on the right, 86.1% on the left, and 85.0% on
might have caused significantly lower concordance for protrusive excursion, similar to the values of Tamaki
the working side during lateral excursive move- et al21 but higher than the values reported by Caro et al.4
ment.8,10,11,13 Meanwhile, the semi-adjustable articulator Similar results from the present study and the study by
could reproduce nonworking-side contacts more pre- Tamaki et al might be because of the dimensional sta-
cisely in relation to the working side. Among concor- bility and rigidity of polyvinyl siloxane as an interocclusal
dance discrepancies in the nonworking side (right and recording material.21 In the study by Caro et al,4 only 17

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January 2024 39

Right Excursion
Left Excursion
*
* * Protrusion
* *
* * *
* * *
* * * * *
1.0
1.0 1.0

0.8 0.8

Concordance
Concordance

Concordance
0.8

0.6 0.6 0.6

0.4 0.4 0.4

0.2 0.2 0.2

0.0 0.0 0.0


T0 T1 T2 T3 T0 T1 T2 T3 T0 T1 T2 T3
Time Time Time

Working Balancing A Working Balancing B Anterior teeth Posterior teeth C


Figure 3. Concordance between intraoral and articulator occlusal contacts of working side and nonworking side. A, Right excursion. B, Left excursion.
C, Protrusive excursion. *Significantly different groups, P.01.

Table 6. Statistical differences in concordance between intraoral and


participants were included, and only the first 2 mm of articulator occlusal contacts according to mandibular movement
mandible gliding movement to the right and left direction, time, and working and nonworking side by using 3-way RM-
(equivalent to T1 or T2) was measured, whereas the ANOVA (a=.01)
maximum mandibular excursions of 42 participants were Factor P
measured in the present study. Both Tamaki et al21 and Time <.001
Caro et al4 used 40-mm articulating paper as the occlusal Working/Nonworking .001
indicator and wax as the protrusive interocclusal Left/Right/Protrusion .154
recording material. False-positive marks are often Time×Working/Nonworking <.001
observed on articulating paper, and saliva can affect Time×Left/Right/Protrusion .649
contact marking.22-25,28 Wax has been reported to be one Working/Nonworking×Left/Right/Protrusion .059
of the most inaccurate interocclusal record materials Time×Working/Nonworking×Left/Right/Protrusion .001

because of its high thermal expansion coefficient and


high resistance during occlusion.29-35 In the present
normal occlusion. Differences might exist for individuals
study, polyvinyl siloxane was used as the interocclusal
with malocclusion. Furthermore, interocclusal records
recording material because of its minimal resistance
were used to determine condylar inclination, but this
during the intercuspation phase, its dimensional stabil-
ity, and its rigidity after setting.54-57 The occlusal anal- method has been found to be neither accurate nor
reproducible in previous studies.14-17 However, inter-
ysis system was used as an occlusal indicator, as it has
occlusal records are still used to determine condylar
been reported to be precise and reliable for recording
inclination because it is a straightforward approach and
occlusal contacts and shows not only static occlusion but
is available without the need for special equipment.
also the transition of occlusal force and contact over
Further studies using extraoral devices such as comput-
time.42,43,50
erized pantographs to determine the condylar inclination
The occlusal analysis system has limitations. Da Silva
are needed to evaluate the semi-adjustable articulator
et al49 reported that the surface of the sensor film does
not always show uniform sensitivity. Also, the direction more accurately.
of the mandible can be shifted by the sensor film upon
closing, causing occlusal contact force and occlusal con- CONCLUSIONS
tact points to be inaccurately detected.47,48 Furthermore,
Based on the findings of this clinical study, the following
Jeong et al50 reported that some regions of the sensor
conclusions were drawn:
films can malfunction, which was confirmed by regions
showing a positive signal even though no force was 1. Assessment between semi-adjustable articulator
applied. This phenomenon was also observed in the contact and intraoral contact during eccentric
present study. This error could have occurred because of movement when using a T-scan for sound complete
a manufacturing error or tearing of the sensor film dur- dentition with normal occlusion revealed that
ing excursion. In addition, the present study was con- concordance between the 2 measurement ap-
ducted on participants with a complete dentition and proaches changed over time.

Jeong et al THE JOURNAL OF PROSTHETIC DENTISTRY


40 Volume 131 Issue 1

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.

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