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ARTICULATORS IN FIXED DENTAL

PROSTHESIS

Dr. Mamata Dugaraju


III MDS
Table of contents

01 02 03
OCCLUSAL RADIUS OF MOVEMENT AND
INTRODUCTION
INTERFERENCES OCCLUSAL MORPHOLOGY

04 05 06
DIFFERENT TYPES OF CONCLUSION REFERENCES
ARTICULATORS USED
DEFINITION

ARTICULATOR: A mechanical instrument that represents the

temporomandibular joints and jaws, to which maxillary and mandibular

casts may be attached to simulate some or all mandibular movements.

CONDYLAR GUIDANCE: mandibular guidance generated by the condyle

and articular disc traversing the contour of the articular eminence

-GPT9
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• A shift of orbiting condyle is seen even before the

working condyle begins to translate from the fossa.

This is called an immediate lateral translation

movement or immediate side shift.

• If the shift of orbiting condyles occurs in

conjunction with an eccentric movement, the

movement is known as a progressive lateral

translation movement or progressive side shift.

• The more immediate the side shift, the shorter the


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posterior teeth

Okeson, Jeffrey P. Management of temporomandibular disorders and occlusion. Elsevier, 7th ed.. 2013.
CLASSIFICATION
● According to Gillies (1926), Boucher (1934), kingrey (1934)

1. Adjustable

2. Non Adjustable

● Becks (1962) : 1. Suspension instrument

2. Axis instrument

3. Hinge instrument

● Posslet’s (1968) : 1. Plain line

2. Mean value 5

3. Adjustable
● Thomas (1973) : 1. Arbitary

2. Positional

3. Functional

● Riliani (1980): 1. Fully adjustable

2. Semi adjustable

3. Non adjustable

● Weinberg (1963): 1. Arbitary

2. Positional

3. Semi adjustable
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4. Non adjustable
● Sharry : 1. Simple
2. Hinge type
3. Fixed guide type
4. Adjustable
In International prosthodontic workshop on complete denture occlusion at the University of Michigan in
1972, the articulators classified based on
– instrument capability
– intent
– recording procedure
– record acceptance
• Class I : Hinge Type
• Class II : Arbitrary – subdivision A, B, C
• Class III : Average - subdivision A, B
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• Class IV : Special – subdivision A, B
Introduction

● The articulator selected, and even more importantly, the skill and care with which it is

used have a direct bearing on the success of fixed or removable restorations.

● Where the dentist’s only concern is the relationship of the opposing teeth at the point

of maximum intercuspation, both the design and the use of an articulator would be

greatly simplified. Since the position of intercuspation is static, the articulator need act

only as a rigid hinge.

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Hobo S, Shillingburg HT Jr, Whitsett LD. Articulator selection for restorative dentistry. J Prosthet Dent 1976;36:35–43.
● The mandible, however, does not act as a simple hinge. Rather, it is capable of

rotation about axes in three planes.

● The occlusal morphology of any restoration for the mouth must accommodate the

free passage of the opposing teeth without interfering with the movement of the

mandible.

Hobo S, Shillingburg HT Jr, Whitsett LD. Articulator selection for restorative dentistry. J Prosthet Dent 1976;36:35–43.
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● As the mandible moves up and down in the retruded position, the cusp

tip of a mandibular tooth moves along an arc in a sagittal plane, with

the center for that rotation located at the transverse horizontal axis

(THA), which passes through the condyles.

● If the location of the axis of rotation relative to the cusp tip differs

markedly from the patient to the articulator, the radius of the arc of

closure of the cusp tip may be different, producing an error that can

affect the placement of morphologic features such as cusps, ridges, and

grooves on the occlusal surface


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Hobo S, Shillingburg HT Jr, Whitsett LD. Articulator selection for restorative dentistry. J Prosthet Dent 1976;36:35–43.
OCCLUSAL INTERFERENCES

● Centric occlusal interference

● Working occlusal interference

● Non working occlusal interference – The destructive nature of the nonworking occlusal interference has

been widely reported.

● Protrusive occlusal interference

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Hobo S, Shillingburg HT Jr, Whitsett LD. Articulator selection for restorative dentistry. J Prosthet Dent 1976;36:35–43.
Errors in occlusal restorations
● Positive error - when the articulator undercompensates for the mandibular movement,

resulting in a positive feature existing on the occlusal surface where that feature should be

smaller or nonexistent; e.g., a cusp tip or ridge that is too high or one that is in the path of

an opposing ridge or tip during a mandibular excursion.

● Negative error - articulator overcompensates for a mandibular movement. This results in a

negative feature, such as a fossa or groove that is wider than ideal, or conversely in a

positive feature, such as a ridge or cusp that is somewhat narrower than ideal. Such

posterior teeth are allowed to disocclude more freely when the mandible moves. 12

Hobo S, Shillingburg HT Jr, Whitsett LD. Articulator selection for restorative dentistry. J Prosthet Dent 1976;36:35–43.
RADIUS OF MOVEMENT AND OCCLUSAL
MORPHOLOGY

● When the jaws close, a cusp tip of a mandibular tooth travels along an arc in a

sagittal plane, with the center of rotation at the hinge axis.

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Hobo S, Shillingburg HT Jr, Whitsett LD. Articulator selection for restorative dentistry. J Prosthet Dent 1976;36:35–43.
● When an approximate (or arbitrary) hinge axis is used in

making the face-bow record, the radius of movement

produced on the articulator will reproduce the tooth axis

relationship with a fair degree of accuracy, and the resulting

error will be slight.

● Casts mounted on a small hinge articulator produce an error

that is likely to be significant. During closure in the centric

position, the tooth mounted on a small articulator has a much

shorter radius of movement. As a result, the tooth travels a

somewhat steeper arc of closure on the small instrument than 14

it would in the mouth.


Hobo S, Shillingburg HT Jr, Whitsett LD. Articulator selection for restorative dentistry. J Prosthet Dent 1976;36:35–43.
INTERCONDYLAR DISTANCE AND OCCLUSAL
MORPHOLOGY

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CONDYLAR INCLINATION AND OCCLUSAL
MORPHOLOGY

● A steep condylar inclination allows steeper inclines on the cusps of the teeth, while a less

steep inclination demands a flatter occlusal surface with shallower cuspal inclination.

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Hobo S, Shillingburg HT Jr, Whitsett LD. Articulator selection for restorative dentistry. J Prosthet Dent 1976;36:35–43.
MATCHING THE ARTICULATOR WITH
TREATMENT

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Stephen F. Rosenstiel, Martin F. Land, Junhei Fujimoto. Contemporary fixed prosthodontics. Elsevier, 5th ed.. 2016.
SMALL NON ADJUSTABLE
ARTICULATORS

● Their use often leads to restorations with occlusal discrepancies

because these instruments do not have the capacity to reproduce the

full range of mandibular movement.

● Some discrepancies can be corrected intraorally, but this is often

time consuming and leads to increased inaccuracy.

● If discrepancies are left uncorrected, occlusal interferences and


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associated neuromuscular disorders may result
Stephen F. Rosenstiel, Martin F. Land, Junhei Fujimoto. Contemporary fixed prosthodontics. Elsevier, 5th ed.. 2016.
● If the location of the axis of rotation in relation to the

cusp tip differs from the articulator to the patient, the

radius of the arc of movement of the cusp tip may be

different or the center of rotation may be displaced, and

an error will exist.

● This results in steeper travel than it is present intraorally

resulting in premature contacts between distal inclines of

maxillary and mesial inclines of mandibular teeth.

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Stephen F. Rosenstiel, Martin F. Land, Junhei Fujimoto. Contemporary fixed prosthodontics. Elsevier, 5th ed.. 2016.
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SEMI ADJUSTABLE ARTICULATORS
● Less descrepencies than non adjustable articulator

● Basically of two types: 1. Arcon

2. Non arcon

● Nonarcon instruments gained considerable popularity in complete denture prosthodontics

because the upper and lower members are rigidly attached, enabling easier control when

artificial teeth are positioned.

● Uses interocclusal records to set the articulator 21

Stephen F. Rosenstiel, Martin F. Land, Junhei Fujimoto. Contemporary fixed prosthodontics. Elsevier, 5th ed.. 2016.
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Stephen F. Rosenstiel, Martin F. Land, Junhei Fujimoto. Contemporary fixed prosthodontics. Elsevier, 5th ed.. 2016.
Fully adjustable articulators

● Pantographic tracings are used to record border

movements

● when all four posterior quadrants are to be restored

simultaneously or when it is necessary to restore a

patient’s entire dentition, especially in the presence of

atypical mandibular movements.


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Stephen F. Rosenstiel, Martin F. Land, Junhei Fujimoto. Contemporary fixed prosthodontics. Elsevier, 5th ed.. 2016.
Facebows
Facebows
● Transverse horizontal axis or terminal hinge axis :

An imaginary line around which the mandible may rotate within the sagittal plane – GPT 9

● Facebow:

An instrument used to record the spatial relationship of the maxillary arch to some anatomic reference

point or points and then transfer this relationship to an articulator; it orients the dental cast in the same

relationship to the opening axis of the articulator; customarily the anatomic references are the

mandibular transverse horizontal axis and one other selected anterior reference point – GPT 9

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● Facebows are used to record the anteroposterior and mediolateral spatial position of the

maxillary occlusal surfaces in relation to this transverse opening and closing axis of the

patient’s mandible.

● Two types of facebows:

1. Kinematic facebow – used to locate accurate hinge axis. Eg: when decision is made to

increase the vertical dimension.

2. Arbitary facebow
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Stephen F. Rosenstiel, Martin F. Land, Junhei Fujimoto. Contemporary fixed prosthodontics. Elsevier, 5th ed.. 2016.
Kinematic facebow
● The hinge axis of the mandible can be recorded within 1 mm by observing

the movement of kinematic facebow where styli positioned immediately

lateral to the temporomandibular joint, close to the skin.

● A clutch, which is essentially a segmented impression tray–like device, is

attached to the mandibular teeth with a suitable rigid material such as

polyvinyl siloxane putty or impression plaster

● 3 components – one transverse component, two adjustable side arms.


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Stephen F. Rosenstiel, Martin F. Land, Junhei Fujimoto. Contemporary fixed prosthodontics. Elsevier, 5th ed.. 2016.
● The mandible is manipulated to produce a

terminal hinge movement, and the stylus

locations are adjusted with thumbscrews

(superiorly and inferiorly, anteriorly and

posteriorly) until they make a purely rotational

movement.
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ARBITARY HINGE AXIS FACEBOW
● Arbitrary hinge axis facebows approximate the horizontal transverse axis and rely on

anatomic average values.

● Regardless of which arbitrary position is chosen, a minimum error of 5 mm from the axis

can be expected.

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Stephen F. Rosenstiel, Martin F. Land, Junhei Fujimoto. Contemporary fixed prosthodontics. Elsevier, 5th ed.. 2016.
ANTERIOR REFERENCE POINT

● The use of an anterior reference point enables the clinician


to duplicate the recorded position on the articulator at future
appointments.
● After this point has been marked, it is used, along with the
two points of the hinge axis, to define the position of the
maxillary cast in space.

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Stephen F. Rosenstiel, Martin F. Land, Junhei Fujimoto. Contemporary fixed prosthodontics. Elsevier, 5th ed.. 2016.
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Shillingburg HT, et al: Fundamentals of Fixed Prosthodontics, 2nd ed. Quintessence Publishing, 1981.
JAW MANIPULATION FORCENTRIC RELATION
RECORD
● In Dawsons technique, the dental chair is reclined, and
the patient’s head is cradled by the dentist. With both
thumbs on the patient’s chin and the fingers resting
firmly on the inferior border of the patient’s mandible.
● the dentist exerts gentle downward pressure on the
thumbs and upward pressure on the fingers,
manipulating the condyle-disk assemblies into their
fully seated positions in the mandibular fossae. Next,
the mandible is carefully hinged along the arc of
terminal hinge closure.

32 Stephen F. Rosenstiel, Martin F. Land, Junhei Fujimoto. Contemporary fixed


prosthodontics. Elsevier, 5th ed.. 2016.
ANTERIOR
DEPROGRAMMING DEVICE
● If tooth contact can be prevented, the reflexes disappear, and

manipulation becomes easier. The teeth can be kept apart with

cotton rolls, a plastic leaf gaue or lucia jig.

● If the mandible cannot be manipulated satisfactorily after an

anterior programming device has been in place for 30 minutes, the

patient is likely to have marked neuromuscular dysfunction


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Stephen F. Rosenstiel, Martin F. Land, Junhei Fujimoto. Contemporary fixed
prosthodontics. Elsevier, 5th ed.. 2016.
CENTRIC RELATION RECORDING
TECHNIQUE

INTEROCCLUSAL RECORD MEDIUM:

● Highly accurate casts with elastomeric impressions – polyvinyl siloxane

● Reversible hydrocolloid – reinforced wax.

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Stephen F. Rosenstiel, Martin F. Land, Junhei Fujimoto. Contemporary fixed prosthodontics. Elsevier, 5th ed.. 2016.
REINFORCED ALUWAX TECHNIQUE
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ANTERIOR PROGRAMMING DEVICE
WITH ELASTOMERIC OR ZINC
OXIDE–EUGENOL RECORD
38 Stephen F. Rosenstiel, Martin F. Land, Junhei Fujimoto. Contemporary fixed
prosthodontics. Elsevier, 5th ed.. 2016.
EVALUATION OF CENTRIC RECORD
● During the clinical examination, the position of tooth contacts in CR can be marked
with thin articulating film.
● Normally, the markings are on the mesial inclines of maxillary cusps and the distal
inclines of mandibular cusps.
● To transfer their exact location, the patient should close through thin occlusal
indicator wax.
● The articulated casts are closed, and the retruded tooth contacts marked with
articulating film.
● When the indicator wax is transferred to the casts, the perforations should
correspond exactly to these marks.
39 Stephen F. Rosenstiel, Martin F. Land, Junhei Fujimoto. Contemporary fixed
prosthodontics. Elsevier, 5th ed.. 2016.
POSTERIOR ARTICULATOR CONTROLS

● Fully adjustable articulators – follow condylar path more precisely

● Semi adjustable articulator - replicates most clinically significant positions

(condylar path and side shift)

● Can be programmed with eccentric occlusal records or pantographs.

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Stephen F. Rosenstiel, Martin F. Land, Junhei Fujimoto. Contemporary fixed
prosthodontics. Elsevier, 5th ed.. 2016.
ARBITARY VALUES

● On the basis of clinical investigations, certain generally applicable average anatomic

values have evolved for condylar inclination, both immediate and progressive side shift.

● These values have been described in relation to the Frankfort horizontal plane and the

midsagittal plane. For instance, an average value of 1.0 mm has been reported for

immediate side shift.

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Stephen F. Rosenstiel, Martin F. Land, Junhei Fujimoto. Contemporary fixed
prosthodontics. Elsevier, 5th ed.. 2016.
Eccentric occlusal recordings
● The protrusive record can be used to adjust both condylar inclinations on the articulator,
● the lateral records are used to adjust the side shift on semiadjustable articulator

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Stephen F. Rosenstiel, Martin F. Land, Junhei Fujimoto. Contemporary fixed prosthodontics. Elsevier, 5th ed.. 2016.
Eccentric occlusal recordings
● The patient’s mandible can be guided into an anterior end-to-end position and into left and right

lateral positions in which the canines are end to end when viewed from the front.

● For the lateral records, add additional wax to one posterior quadrant of a wax record to

compensate for the additional space on the patient’s nonworking side.

● Should be taken no more than 5mm of

eccentric movement.

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Simplified pantographs
● Measures only condylar inclination and side shifts.

● Numerical values are diretly measured from the

recording and adjusted to semi adjustable articulators

● Some manufacturers offer inserts of standard “fossae” of

varying configuration, whose selection depends on the

measurements obtained with a simplified pantograph

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Stephen F. Rosenstiel, Martin F. Land, Junhei Fujimoto. Contemporary fixed prosthodontics. Elsevier, 5th ed.. 2016.
Pantographic recordings

● A total of six plates are needed

to achieve a precise movement

record of the mandible.

● Left and right lateral border and

protrusive tracings are made on

each plate.

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Stephen F. Rosenstiel, Martin F. Land, Junhei Fujimoto. Contemporary fixed prosthodontics. Elsevier, 5th ed.. 2016.
Electronic pantograph

● It consists of upper and lower bows that record and measure mandibular
movements and has been shown to provide valid and reliable measures
of condylar determinants.

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Stephen F. Rosenstiel, Martin F. Land, Junhei Fujimoto. Contemporary fixed prosthodontics. Elsevier, 5th ed.. 2016.
CUSTOM GUIDE TABLE FABRICATION

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VIRTUAL ARTICULATORS
● Virtual casts derived from an optical scan can be positioned within the framework of the
virtual articulator, and several of these have some degree of adjustability of condylar
controls
● Requires digital equivalent of facebow.

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CONCLUSION
● There are many types of articulators that can be used for making fixed restorations. While

unquestionably the most accurate, the fully adjustable instrument is not feasible or

necessary for many forms of simple occlusal treatment.

● The effects of tooth-hinge axis radius, intercondylar distance, and condylar inclination on

occlusal morphology holds a great importance.

● Guidelines have been proposed for matching the type of articulator with the extent of

treatment anticipated. The use of small, nonadjustable hinge articulators is not

recommended.
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REFERENCES

● Stephen F. Rosenstiel, Martin F. Land, Junhei Fujimoto. Contemporary fixed

prosthodontics. Elsevier, 5th ed.. 2016.

● Shillingburg HT, et al: Fundamentals of Fixed Prosthodontics, 2nd ed. Quintessence

Publishing, 1981.

● Hobo S, Shillingburg HT Jr, Whitsett LD. Articulator selection for restorative dentistry. J

Prosthet Dent 1976;36:35–43.

.
● Hodge LC, Mahan PE. A study of mandibular movement from centric occlusion to

maximum intercuspation. J Prosthet Dent 1967;18:19–30

● Beyron H. Orienteringsproblem vid protetiska rekonstruktioner och bettstudier. Sven

Tandlak Tidskr 1942;35:1–55.

● Beck HO. A clinical evaluation of the arcon concept of articulation. J Prosthet Dent

1959;9:409–421.

● Lauritzen AG, Bodner GH. Variations in location of arbitrary and true hinge axis points. J

Prosthet Dent 1961;11:224–229


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