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Articulators in FPD
Articulators in FPD
PROSTHESIS
01 02 03
OCCLUSAL RADIUS OF MOVEMENT AND
INTRODUCTION
INTERFERENCES OCCLUSAL MORPHOLOGY
04 05 06
DIFFERENT TYPES OF CONCLUSION REFERENCES
ARTICULATORS USED
DEFINITION
-GPT9
3
• A shift of orbiting condyle is seen even before the
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
2. Axis instrument
3. Hinge instrument
2. Mean value 5
3. Adjustable
● Thomas (1973) : 1. Arbitary
2. Positional
3. Functional
2. Semi adjustable
3. Non adjustable
2. Positional
3. Semi adjustable
6
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
7
• Class IV : Special – subdivision A, B
Introduction
● The articulator selected, and even more importantly, the skill and care with which it is
● 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
8
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
● 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.
9
● As the mandible moves up and down in the retruded position, the cusp
the center for that rotation located at the transverse horizontal axis
● 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
● Non working occlusal interference – The destructive nature of the nonworking occlusal interference has
11
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
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
13
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
15
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.
16
Hobo S, Shillingburg HT Jr, Whitsett LD. Articulator selection for restorative dentistry. J Prosthet Dent 1976;36:35–43.
MATCHING THE ARTICULATOR WITH
TREATMENT
17
Stephen F. Rosenstiel, Martin F. Land, Junhei Fujimoto. Contemporary fixed prosthodontics. Elsevier, 5th ed.. 2016.
SMALL NON ADJUSTABLE
ARTICULATORS
19
Stephen F. Rosenstiel, Martin F. Land, Junhei Fujimoto. Contemporary fixed prosthodontics. Elsevier, 5th ed.. 2016.
20
SEMI ADJUSTABLE ARTICULATORS
● Less descrepencies than non adjustable articulator
2. Non arcon
because the upper and lower members are rigidly attached, enabling easier control when
Stephen F. Rosenstiel, Martin F. Land, Junhei Fujimoto. Contemporary fixed prosthodontics. Elsevier, 5th ed.. 2016.
22
Stephen F. Rosenstiel, Martin F. Land, Junhei Fujimoto. Contemporary fixed prosthodontics. Elsevier, 5th ed.. 2016.
Fully adjustable articulators
movements
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
25
● 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.
1. Kinematic facebow – used to locate accurate hinge axis. Eg: when decision is made to
2. Arbitary facebow
26
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
Stephen F. Rosenstiel, Martin F. Land, Junhei Fujimoto. Contemporary fixed prosthodontics. Elsevier, 5th ed.. 2016.
● The mandible is manipulated to produce a
movement.
23
28
ARBITARY HINGE AXIS FACEBOW
● Arbitrary hinge axis facebows approximate the horizontal transverse axis and rely on
● Regardless of which arbitrary position is chosen, a minimum error of 5 mm from the axis
can be expected.
29
Stephen F. Rosenstiel, Martin F. Land, Junhei Fujimoto. Contemporary fixed prosthodontics. Elsevier, 5th ed.. 2016.
ANTERIOR REFERENCE POINT
30
Stephen F. Rosenstiel, Martin F. Land, Junhei Fujimoto. Contemporary fixed prosthodontics. Elsevier, 5th ed.. 2016.
31
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.
33
Stephen F. Rosenstiel, Martin F. Land, Junhei Fujimoto. Contemporary fixed
prosthodontics. Elsevier, 5th ed.. 2016.
CENTRIC RELATION RECORDING
TECHNIQUE
34
Stephen F. Rosenstiel, Martin F. Land, Junhei Fujimoto. Contemporary fixed prosthodontics. Elsevier, 5th ed.. 2016.
REINFORCED ALUWAX TECHNIQUE
36
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
40
Stephen F. Rosenstiel, Martin F. Land, Junhei Fujimoto. Contemporary fixed
prosthodontics. Elsevier, 5th ed.. 2016.
ARBITARY VALUES
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
41
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
42
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
eccentric movement.
43
Simplified pantographs
● Measures only condylar inclination and side shifts.
44
Stephen F. Rosenstiel, Martin F. Land, Junhei Fujimoto. Contemporary fixed prosthodontics. Elsevier, 5th ed.. 2016.
Pantographic recordings
each plate.
45
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.
46
Stephen F. Rosenstiel, Martin F. Land, Junhei Fujimoto. Contemporary fixed prosthodontics. Elsevier, 5th ed.. 2016.
CUSTOM GUIDE TABLE FABRICATION
47
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.
49
50
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
● The effects of tooth-hinge axis radius, intercondylar distance, and condylar inclination on
● Guidelines have been proposed for matching the type of articulator with the extent of
recommended.
51
REFERENCES
Publishing, 1981.
● Hobo S, Shillingburg HT Jr, Whitsett LD. Articulator selection for restorative dentistry. J
.
● Hodge LC, Mahan PE. A study of mandibular movement from centric occlusion to
● 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