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INDIAN DENTAL ACADEMY
Leader in continuing dental education
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Introduction
Definition
History and Development
Parts of an Articulator
Classification
Requirements, Uses and Limitations
“Mouth is the best Articulator”
Selection of an Articulator
Non-adjustable (Arbitrary)
Semi-adjustable (Arcon Vs NonArcon)
Fully-adjustable
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Individual Articulators
Mean Value Articulator
Hanau Articulator
Whipmix Articulator
Denar Articulator
Programming an Articulator
Face bow
Horizontal Condylar guidance
Lateral Condylar guidance
Incisal guidance
Custom Anterior guidance
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Gothic arch tracing
Care and Maintenance of Articulators
Conclusion
References
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A mechanical instrument that
represents the temporomandibular
joint and jaws, to which maxillary
and mandibular casts may be attached
to simulate some or all mandibular
movements. (GPT-8)
ARTICULATORARTICULATOR
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.
The Plaster Articulator
The slab articulator devised by Philip Pfaff in 1756
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The origin of mechanical
hinge articulator -1805 J B
Garriot.
The first mechanical articulator
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The Howarth Plaster Articulator 1830s.
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The Barn door hinge articulator
(Plane line articulator)
Vertical stop at anterior end introduced
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James
Cameron’s
articulator
1840
Evans’ articulator
1840
The first US patented articulators
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Daniel T Evans’ articulator 1840
First to imitate mandibular movements – but not successful
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Fixed condylar guide articulators (1858)
Bonwill’s
Starr’s Ante-Lewiswww.indiandentalacademy.com
30 years later………..www.indiandentalacademy.com
Richmond Hayes 1889
Fixed descending condylar path - incorporated
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History to be continued………..www.indiandentalacademy.com
MANDIBULAR MOVEMENTS
ANY MOVEMENT OF THE LOWER JAW (GPT)www.indiandentalacademy.com
Frontal plane Horizontal plane
Sagittal plane
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Intra border functional movements
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Condylar Guidance
1. Mandibular guidance generated by the condyle and articular disc
traversing the contour of the glenoid fossa
2. The mechanical form located in the upper posterior region of an
articulator that controls the movements of its mobile members.
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Sir Norman Godfrey Bennett
British Dental Surgeon (1870-1947)
Condylar movement on the working side in the
horizontal plane.
The angle formed by the sagittal plane and the
average path of the advancing condyles as
viewed in the horizontal plane during lateral
mandibular movements
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Bennet’s movement
Bodily shift of the mandible toward the working side during
lateral excursion.
Immediate / Early side shift
Progressive side shift
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Gritmans articulator 1889
George B Snow- 15 degrees condylar guidance
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A caliper like instrument used to record the
spatial relationship of the maxillary arch to
some anatomic reference point(s) and then
transfer this relationship to an articulator; it
orients the cast in the same relationship to
the opening axis of the articulator.
Hingebow
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Early development of face-bow (1889)
Articulating caliper Jaw gauge-1894
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Traditional face- bow 1899
George B snow-Face-bow & orientation of occlusal planewww.indiandentalacademy.com
Wadsworth articulator and face-bow 1921
Third point of reference - Naso-optic condylar triangle
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Later-infra orbital pointer - Hanau
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Francis H Balkwil 1886
Angle formed between the plane of two lines drawn from
the articulating surfaces of the condyles to the occlusal
plane - estimated to be 26 degrees.www.indiandentalacademy.com
But a puzzle was still to be answered
?
Why should be condylar guides fixed?
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First adjustable condylar guide articulators
William Earnest Walker-Physiological articulators
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Walkers Facial
clinometer
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Carl Christensen, Danish Dentist and EducatorCarl Christensen, Danish Dentist and Educator
The space that occurs between opposing occlusal surfaces during mandibular protrusion
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Recording the condylar guidance
Christensens interocclusal wax record
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Incisal Pin & Guide Feature
Luce articulator 1911 Eltner articulator 1912
Anterior guidance concept introducedwww.indiandentalacademy.com
Anterior guidance
1. The influence of the contacting surfaces of anterior teeth on
mandibular movements for analysis and treatment of occlusion.
2.The fabrication of restorations in harmony with mandibular
movements as guided by the anterior teeth.
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Condylar guidance
Incisal guidance
Compensatory curve Orientation of occlusal
plane
Thielmann Formula CG *IG = CI*CC*OP
Functional
movements
Cuspal inclination
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Gysi series of articulators
Snow acme articulator
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Articulators based on Geometric theories
of Mandibular movements
Monson’s
spherical
theory
Hall’s
conical
theory
Bonwill’s
Equilateral
theory
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Bonwill’s Equilateral theory
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Monson’s spherical theory
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Hall’s conical theory
Alligator
Hall articulatorwww.indiandentalacademy.com
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Adaptable or Adjustable
Average or Fixed type
Two dimensional instrument
Three dimensional instrument
i. Suspension instrument
ii. Axis instrument
iii. Tripod instrument
GILLIS(1926)
BOUCHER (1934)
BECK’S (1962)
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i. Arbitrary
ii. Positional
iii. Semi adjustable
iv. Fully adjustable
1. Plain line
2. Mean value
3. Adjustable
WEINBERG (1963)
POSSELT’S (1968)
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Functional
Axis type
Non axis type
Static type
Functional type
Axis type
Non axis type
C.J. THOMAS (1973)
Arbitrary
Positional
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1. Simple hinge type
2. Fixed guide type,
3. Adjustable instruments
JOHN J. SHARRY (1974)
HALPERIN et al
i. Simple or Hinge articulators
ii. Fully adjustable articulators
iii. Semi adjustable articulators
Arcon
Non-arcon
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Rectilinear
Curvilinear
(1)The theories of occlusion
(2) The types of records used for their adjustment.
a) Those utilizing the Inter occlusal records.
b) Those using the Graphic record adjustment.
c) Those utilizing hinge-axis location for adjusting the articulator.
HALPERIN
BOUCHER
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CHARLES M. HEARTWELL Jr
Class II
Type 1 (Hinge)
Type 2 (Arbitrary)
Types 3 (Average)
Type 4 (Special)
Class I
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Class I.
Subdivision A
Subdivision B
Class II.
Subdivision A
Subdivision B
Subdivision C
Class III.
Subdivision A
Subdivision B
Class IV.
Subdivision A
Subdivision B
International prosthodontics workshop
(University of Michigan in 1972)
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A Simple holding instrument capable of accepting a single
static registration.
Subdivision A: Vertical motion is
possible, but only for convenience.
The Corelator
(Denar Corp.)
The Verticulator
(Jelenko)
Class I. Articulator
International prosthodontics workshop (university of michigan in 1972)
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Subdivision B: Vertical motion
is joint related.
The Centric relator (Denar Corp)
This instrument rotates on the
terminal arc registered by a
face-bow that ensures a positive
centric .
International prosthodontics workshop (university of michigan in 1972)
Class I. Articulator
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Subdivision A: Eccentric
motion permitted is based
on average or arbitrary
values
Gysi Simplex
Articulator
An instrument that permits horizontal as well as vertical motion
but does not orient the motion to the temporomandibular joints.
Class II. Articulator
International prosthodontics workshop (university of michigan in 1972)
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Subdivision B: Eccentric
motion permitted is based
on theories of arbitrary
motion.
The Monson Maxillo-mandibular
articulator
International prosthodontics workshop (university of michigan in 1972)
Class II. Articulator
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Subdivision C:
Eccentric motion
permitted is
determined by the
patient using
engraving methods.
The Gnathic
Relator
International prosthodontics workshop (university of michigan in 1972)
Class II. Articulator
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Instruments that simulate condylar pathways by using averages or
mechanical equivalents for all or part of the motion. These
instruments allow for orientation of the cast relative to the joints and
may be arcon or nonarcon instruments, accept facebows, and have
mounting plates for unlimited case load.
Subdivision A: Instruments
that accept static protrusive
registrations and use
equivalents for the rest of the
motion.
Class III. Articulator
International prosthodontics workshop (university of michigan in 1972)
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Dentatus articulator
Hanau Nonarcon
H2 Articulator
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Subdivision B: Instruments that
accept static lateral protrusive
registrations and use equivalents for
the rest of the motion.
Gysi trubyte
Denar Mark II
Articulator
Hanau-TeledynePanadent Model P
ArticulatorWhipmix
Articulator
International prosthodontics workshop (university of michigan in 1972)
Class III. Articulator
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Subdivision A: The cam
representing the condylar
paths are formed by
registration engraved by the
patient.
Class IV. Articulator
Instruments that will accept three dimensional dynamic registrations.
These instruments allow for orientation of the casts to the
temporomandibular joints and replication of all mandibular
movements.
TMJ-Stereographic
instrument
Denar Combi articulator
International prosthodontics workshop (university of michigan in 1972)
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Class IV. Articulator
Subdivision B: Instruments
that have condylar paths that
can be angled and customized
either by selection from a
variety of curvatures, by
modification, or both.
Stuart ArticulatorDenar D5A Articulator
International prosthodontics workshop (university of michigan in 1972)
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Can accept one or
two of the following
records:
1. Face bow
2. Centric jaw
relation record
3. Protrusive record.
Can accept all the
following three
records.
1. Face bow
2. Centric jaw
relation record
3. Protrusive record.
Can accept all the
following five
records.
1. Face bow
2. Centric jaw
relation record
3. Protrusive record.
4. Lateral records
5. Intercondylar
distance record
Rihani A: classification of articulators, J Prosthet Dent 1980;43:344-347
Fully adjustable Semiadjustable Nonadjustable
RIHANI 1980
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Basic Requirements
Hold casts in correct horizontal
and vertical position
Positive anterior stopAccept face bow transfer
Open and close in hinge movement
And
Allow for protusive &lateral motion
Moving parts should move freely & be
accurately machined
Non moving parts should be of rigid
construction
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Adjustable horizontal and lateral condylar
guide elements
Conylar element - lower frame
Condylar guide - upper frame
Accept third point of referenceTerminal hinge position locking deviceRemovable mounting platesAdjustable incisal guide tableAdjustable Intercondylar width – graphic
tracings
Additional Requirements
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1. Diagnosis, treatment planning and
patient presentation in both the
natural and artificial dentitions.
2. To plan dental procedures
3. To aid in the fabrication of dental
restorations and lost dental parts.
4. To correct and modify completed
restorations.
5. Teaching and studying of occlusion
and mandibular movements.
USES
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LIMITATIONS
Subject to error in tooling and to error resulting
from metal fatigue and wear.
Does not completely duplicate the condylar
movements in the temporomandibular joints.
Movements simulated are empty-mouth sliding
motions, not functional movements.
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M uth is the best
articulatorwww.indiandentalacademy.com
..then why not use
it Patient’s saliva, tongue, and cheeks
 Shifting denture bases
 Resiliency of the supporting tissues
 Inability of humans to detect visually subtle changes in motion
 The inability to know exact location of the condyles
 More chair time
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NON-ADJUSTABLE ARTICULATORS
For complete dentures
For fixed prosthodontics*Arc of opening www.indiandentalacademy.com
SEMI-ADJUSTABLE ARTICULATORS
For complete dentures
For fixed prosthodontics
KAVO WHIPMIX
HANAU
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Arcon v/s Non-arcon
Derived from Articulator & Condyle
Beck 1956,Weinberg 1963 : No difference
Survey 1985 : Out of 81 ,67 were arconwww.indiandentalacademy.com
Rectilinear or Curvilinear
Sagittal condylar path-Convex S-shaped curvature
Aull 1965 : 8%-Straight line
92%-Curved path
Diameter:10mm in 34% Population
Curvature noticeable appeared when 5-10mm tracings were drawn
Within 2-3mm from centric condylar path is almost a straight line.www.indiandentalacademy.com
FULLY ADJUSTABLE ARTICULATORS
For complete dentures
For fixed prosthodontics
The Denar D5A Articulator Cyberhoby Articulator
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Denar articulators
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Pantographic tracing
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STEREOGRAPHS
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Stereograph (TMJ articulator)
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Stereograph (TMJ articulator)
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Fully adjustable….Do we really need it ?
According to Dawson
 Bilaterally balanced occlusion is traumatogenic (Dentulous)
 Condylar guidance does not dictate anterior guidance
 Tripod contact no more stable than cusp tip to fossa contact
 Posterior disclusion by anterior guidance most desirable
(Christenson’s phenomenon/mutually protected occlusion)
 Immediate side shift cannot occur from centric (medial part of
the condyle will be in close proximity with the glenoid fossa)
 Not necessary to reproduce Fischer’s anglewww.indiandentalacademy.com
Fischer’s angle
Rudolph Fischer, Swiss Dentist
The angle formed by the intersection of the
protrusive and nonworking side condylar
paths as viewed in the sagittal plane.
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Articulators for Functionally generated path
Verticulator
Twin-Stage occluderwww.indiandentalacademy.com
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Mean value articulator
• Upper member can be
moved upward and
backward .
• Condylar inclination
of 30 degrees on both
side .
• Anterior part is
supported by the
incisal guide rod
above and incisal
guide table below with
10 to 15 inclination.www.indiandentalacademy.com
Hanau Articulators
Hanau H (Arcon) :
• Rudolf L. Hanau in 1923.
• Arcon
• Intercondylar distance - 110 mm
• Horizontal condylar guidance - 40 to +800
• Lateral condylar guidance 0 to 200
• Hanau formula : L =H/8 + 12.
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Hanau H2 (Model 96) ( Non Arcon):
• Has all features of original Hanau and additions as
auditory pins have been added to the condylar
mechanism.
• Lateral condylar guidance increased to 0 to 300
Hanau H2 (Model 158) (Arcon) 1977
• Retained all the features of H2 model 96 but it is of
arcon type.
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Hanau wide vue (models183 & 184)
• Vue 1 has close condylar track.
• Vue 2 has open condylar track. Also has condylar
retainers to avoid accidental separation.
• Has micrometer protrusive, retrusive condylar
adjustments.
• Horizontal condylar guidance -20 to +600
• Lateral condylar angle is from 0 to 300
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Hanau Radial shift (Model 166) : 1981
• Arcon type
• Upper member can be removed for waxing
• A curved immediate side shift ( Radial shift) with
adjustable progressive Bennet angle of 0 to 600
• Radial shift of 3mm is provided.
• Has a curved superior wall with 0.75” radius.
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Hanaumate – 165 (Average articulator) :
• Condylar width is 110 mm.
• Horizontal condylar inclination 300
• 100
protrusive and lateral incisal guide
table.
• 150
fixed progressive side shift. (Bennet)
• Upper frame can be separated
• Receives most average face bows.
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Whipmix Articulators
Introduced by Dr Charles Stuart in 1963.
His main objective was
1. Aid in teaching the principles of occlusion for
better diagnosis of the occlusion
1. To provide simplified instrument for fabrication of
prosthodontic restorations.
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Whipmix Articulator
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Features (8500)
• Adjustable Intercondylar distance S(96mm),
M(110) and L(124) by means of removable
condylar guidance spacer.
• Horizontal and lateral condylar inclinations are set
by interocclusal records. Horizontal 0 to 700.
Lateral 0 to 450.
)
• The upper and lower member are attached by
means of spring latch assembly.
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Model 8300 :
• Retains all normal features and
• Has 3/4th
inch curved superior and medial wall.
• Immediate side shift from 0 to 4mm with progressive
angle of 60
Model 8340 :
• Has been modified so that the casts are
interchangeable through a special fixture called as
“accumount” (precise special mounting plate)
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Model 8800:
• This provides a additional 1/2inch space to mount
the maxillary cast.
Model 9000 :
• This provides a additional ½ inch space to mount
the mandibular cast.
Model 9800 :
• This provides ½ inch space for both maxillary and
mandibular casts
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Denar Articulators
In 1968 Dr Miles Guichet introduced the Denar 4A
articulator. The current model is D5A.
Advantage : Saves time and effort needed to manually
transfer the recordings and to programme the
articulator.
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Denar D5A Articulator
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Features :
• Denar reference plane locator and marker is useful
for locating the reference points.
• Pantronic digital recorder in which the condylar
guidance settings are determined automatically.
• For condylar guidance a precurrent inserts are
available which are made up of nylon or acrylic
resins.
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Denar mark II :
• Introduced in 1975 and developed to satisfy the
undergraduate needs of education for a simpler arcon
articulator.
• Has adjustable horizontal inclinations of 0 to 600.
• Has immediate side shift of 0 to 4mm + progressive
shift of 0 to 150.
• The posterior wall is inclined posteriorly 250. to allow
backward movement of condyle.
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Face Bow Record & Transferring it to
Articulator
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Obtaining Protrusive Record for adjusting
HORIZONTAL CONDYLAR GUIDANCE
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Hanau Bennett angle formula L = H/8 + 12
How far is it valid
?
 Even with large variation in condylar guidance
Bennet angle changes to a small degree
 Gradations with 5mm difference
 But yet it is popularly followed
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Adjusting LATERAL CONDYLAR GUIDANCE
( Bennet angle )
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Adjusting ANTERIOR GUIDANCE
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Custom Anterior guidance
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For Complete Dentures
Gothic arch tracing
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LUBRICATION
 Light application of quality hand piece oil
 Excess oil should be wiped off
 Thin coating of petroleum jelly-when in
contact with gypsum
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CLEANING
Cleaning solvent or mild detergent
Liberal use of fluid with small brush removes all
wax and abrasive grit
NO to Scraping or Abrasive cleanser
Effect of chlorine in abrasive cleansers
Blow dry air, re-lubricate
Watch for thumb screw AWASH !!!!
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STORAGE
When not in use ,store in clean, dry atmosphere-free of
plaster and abrasive dust
A corrugated carrying carton
NOT near acids, alkalies or medicaments-Fumes may be
of corrosive nature.
DONOT CONFINE THE ARTICULATOR in a
instrument case
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Carl O Boucher, “It must be recognized that the person
operating the instrument is more important than the
instrument. If dentists understand articulators and their
deficiencies, they can compensate for their inherent
inadequacies”.
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• Teledyne (Hanau) Industries: Illustrated Instruction Manual
for the Hanau Wide Vue Arcon Articulator and Wide Vue II
Articulator.
• Thomas C. J. “A Classification of Articulators”. J.Prosthet
Dent 1993 ; 30 : 11-14.
• Walker PM: Discrepancies between arbitrary and true hinge
axes, J Prosthet Dent 43:279-285, 1980.
• Winkler Sheldon: Essentials of complete Denture
Prosthodontics, 2nd edition, U.S.A. JEA, 1996, p 142-182.
www.indiandentalacademy.com
• Dawson - Occlusion
• Gross M, Nissan J, Ormianer Z et al: The effect of
increasing occlusal vertical dimension on face height, Int J
Prosthodont 15:353-357, 2002.
• Heartwell Cm Jr, Rahn AO : Textbook of complete
dentures, 5th edition, Philadelphia, Lea and Febiger, 1993, p-
59.
• Hobo - Occlusal Rehabilitation
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• J Prosthodont 2000 (9) ;1 : 51
• J Prosthodont 2000 (9) ;2 : 110
• J Prosthodont 2000 (9) ;3 : 161
• J Prosthodont 2000 (9) ;4: 217
• J Prosthodont 2001 (10) ;1 : 52
• J Prosthodont 2001 (10) ; 2 : 115
• J Prosthodont 2001 (10) ;3 : 170
• J Prosthodont 2001 (10) ;4 : 240
• J Prosthodont 2002 (11) ;1 : 53
• J Prosthodont 2002 (11) ;2 : 134
• J Prosthodont 2002 (11) ;3 : 183
• J Prosthodont 2002 (11) ;4 : 305
• J Prosthodont 2003 (12) ;1 : 51-62
HISTORY OF ARTICULATORS
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• Keshvad A, Winstanley RB: An appraisal
of the literature on centric relation, part III,
J Oral Rehabil 28:55-63, 2001.
• Morneburg TR, Proschel PA: Predicted
incidence of occlusal errors in centric
closing around arbitrary axes, Int J
Prosthodont 15:358-364, 2002.
www.indiandentalacademy.com
• Noel D. Wilkie, Donald L. Mitchell : Articulators through the
years. Part – I J Prosthet dent 1978 ; 39 :140-141.
• Noel D.W., Donald L. Mitchell: Articulators through the years.
Part – II J Prosthet dent 1978 ; 39 :168-181.
• Rihami A. “Classification of Articulators”. J.Prosthet Dent 1980
; 43:344-47.
• Rosenstiel s., Land M.F. And Fujimoto “Contemporary fixed
prosthodontics”. 3rd Edition, Mosby, St. Louis, USA, 2001.
.
• Sharry J.J. : Complete denture Prosthodontics, 1st edition, New
York, McGrew–Hiel, 1962, p-196.
• Shillingburg H. T. “Fundamentals of fixed prosthodontics”. 3rd
Edition, Quintessence Publishing Co., Chicago, 1997.
www.indiandentalacademy.com
Ash and Ramford “Occlusion”
Beck Ho, Morrison We : Investigation of an Arcon
Articulator, J Prosthet dent 1956 ; 6 : 359 – 372.
Boucher’s : Prosthetic Treatment for edentulous patients, 11th
edition, 1997, p.220.
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• Bowley JF, Bowman HC: Evaluation of
variables associated with the transverse
horizontal axis, J Prosthet Dent 68:537- 541,
1992.
• Bowley JF, Pierce CJ: Reliability and validity of
a transverse horizontal axis location instrument ,J
Prosthet Dent 1990;64:646-650.
• Cabot L.B. “using articulators to enhance clinical
practice”. BDJ 1998 ; 184:272-276.
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Thank you
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Articulators / fixed orthodontic courses

  • 1. INDIAN DENTAL ACADEMY Leader in continuing dental education www.indiandentalacademy.com www.indiandentalacademy.com
  • 4. Introduction Definition History and Development Parts of an Articulator Classification Requirements, Uses and Limitations “Mouth is the best Articulator” Selection of an Articulator Non-adjustable (Arbitrary) Semi-adjustable (Arcon Vs NonArcon) Fully-adjustable www.indiandentalacademy.com
  • 5. Individual Articulators Mean Value Articulator Hanau Articulator Whipmix Articulator Denar Articulator Programming an Articulator Face bow Horizontal Condylar guidance Lateral Condylar guidance Incisal guidance Custom Anterior guidance www.indiandentalacademy.com
  • 6. Gothic arch tracing Care and Maintenance of Articulators Conclusion References www.indiandentalacademy.com
  • 8. A mechanical instrument that represents the temporomandibular joint and jaws, to which maxillary and mandibular casts may be attached to simulate some or all mandibular movements. (GPT-8) ARTICULATORARTICULATOR www.indiandentalacademy.com
  • 11. . The Plaster Articulator The slab articulator devised by Philip Pfaff in 1756 www.indiandentalacademy.com
  • 12. The origin of mechanical hinge articulator -1805 J B Garriot. The first mechanical articulator www.indiandentalacademy.com
  • 13. The Howarth Plaster Articulator 1830s. www.indiandentalacademy.com
  • 14. The Barn door hinge articulator (Plane line articulator) Vertical stop at anterior end introduced www.indiandentalacademy.com
  • 15. James Cameron’s articulator 1840 Evans’ articulator 1840 The first US patented articulators www.indiandentalacademy.com
  • 16. Daniel T Evans’ articulator 1840 First to imitate mandibular movements – but not successful www.indiandentalacademy.com
  • 17. Fixed condylar guide articulators (1858) Bonwill’s Starr’s Ante-Lewiswww.indiandentalacademy.com
  • 19. Richmond Hayes 1889 Fixed descending condylar path - incorporated www.indiandentalacademy.com
  • 20. History to be continued………..www.indiandentalacademy.com
  • 21. MANDIBULAR MOVEMENTS ANY MOVEMENT OF THE LOWER JAW (GPT)www.indiandentalacademy.com
  • 22. Frontal plane Horizontal plane Sagittal plane www.indiandentalacademy.com
  • 23. Intra border functional movements www.indiandentalacademy.com
  • 24. Condylar Guidance 1. Mandibular guidance generated by the condyle and articular disc traversing the contour of the glenoid fossa 2. The mechanical form located in the upper posterior region of an articulator that controls the movements of its mobile members. www.indiandentalacademy.com
  • 26. Sir Norman Godfrey Bennett British Dental Surgeon (1870-1947) Condylar movement on the working side in the horizontal plane. The angle formed by the sagittal plane and the average path of the advancing condyles as viewed in the horizontal plane during lateral mandibular movements www.indiandentalacademy.com
  • 27. Bennet’s movement Bodily shift of the mandible toward the working side during lateral excursion. Immediate / Early side shift Progressive side shift www.indiandentalacademy.com
  • 28. Gritmans articulator 1889 George B Snow- 15 degrees condylar guidance www.indiandentalacademy.com
  • 29. A caliper like instrument used to record the spatial relationship of the maxillary arch to some anatomic reference point(s) and then transfer this relationship to an articulator; it orients the cast in the same relationship to the opening axis of the articulator. Hingebow www.indiandentalacademy.com
  • 30. Early development of face-bow (1889) Articulating caliper Jaw gauge-1894 www.indiandentalacademy.com
  • 31. Traditional face- bow 1899 George B snow-Face-bow & orientation of occlusal planewww.indiandentalacademy.com
  • 32. Wadsworth articulator and face-bow 1921 Third point of reference - Naso-optic condylar triangle www.indiandentalacademy.com
  • 33. Later-infra orbital pointer - Hanau www.indiandentalacademy.com
  • 34. Francis H Balkwil 1886 Angle formed between the plane of two lines drawn from the articulating surfaces of the condyles to the occlusal plane - estimated to be 26 degrees.www.indiandentalacademy.com
  • 35. But a puzzle was still to be answered ? Why should be condylar guides fixed? www.indiandentalacademy.com
  • 36. First adjustable condylar guide articulators William Earnest Walker-Physiological articulators www.indiandentalacademy.com
  • 38. Carl Christensen, Danish Dentist and EducatorCarl Christensen, Danish Dentist and Educator The space that occurs between opposing occlusal surfaces during mandibular protrusion www.indiandentalacademy.com
  • 39. Recording the condylar guidance Christensens interocclusal wax record www.indiandentalacademy.com
  • 41. Incisal Pin & Guide Feature Luce articulator 1911 Eltner articulator 1912 Anterior guidance concept introducedwww.indiandentalacademy.com
  • 42. Anterior guidance 1. The influence of the contacting surfaces of anterior teeth on mandibular movements for analysis and treatment of occlusion. 2.The fabrication of restorations in harmony with mandibular movements as guided by the anterior teeth. www.indiandentalacademy.com
  • 43. Condylar guidance Incisal guidance Compensatory curve Orientation of occlusal plane Thielmann Formula CG *IG = CI*CC*OP Functional movements Cuspal inclination www.indiandentalacademy.com
  • 44. Gysi series of articulators Snow acme articulator www.indiandentalacademy.com
  • 45. Articulators based on Geometric theories of Mandibular movements Monson’s spherical theory Hall’s conical theory Bonwill’s Equilateral theory www.indiandentalacademy.com
  • 48. Hall’s conical theory Alligator Hall articulatorwww.indiandentalacademy.com
  • 63. Adaptable or Adjustable Average or Fixed type Two dimensional instrument Three dimensional instrument i. Suspension instrument ii. Axis instrument iii. Tripod instrument GILLIS(1926) BOUCHER (1934) BECK’S (1962) www.indiandentalacademy.com
  • 64. i. Arbitrary ii. Positional iii. Semi adjustable iv. Fully adjustable 1. Plain line 2. Mean value 3. Adjustable WEINBERG (1963) POSSELT’S (1968) www.indiandentalacademy.com
  • 65. Functional Axis type Non axis type Static type Functional type Axis type Non axis type C.J. THOMAS (1973) Arbitrary Positional www.indiandentalacademy.com
  • 66. 1. Simple hinge type 2. Fixed guide type, 3. Adjustable instruments JOHN J. SHARRY (1974) HALPERIN et al i. Simple or Hinge articulators ii. Fully adjustable articulators iii. Semi adjustable articulators Arcon Non-arcon www.indiandentalacademy.com
  • 67. Rectilinear Curvilinear (1)The theories of occlusion (2) The types of records used for their adjustment. a) Those utilizing the Inter occlusal records. b) Those using the Graphic record adjustment. c) Those utilizing hinge-axis location for adjusting the articulator. HALPERIN BOUCHER www.indiandentalacademy.com
  • 68. CHARLES M. HEARTWELL Jr Class II Type 1 (Hinge) Type 2 (Arbitrary) Types 3 (Average) Type 4 (Special) Class I www.indiandentalacademy.com
  • 69. Class I. Subdivision A Subdivision B Class II. Subdivision A Subdivision B Subdivision C Class III. Subdivision A Subdivision B Class IV. Subdivision A Subdivision B International prosthodontics workshop (University of Michigan in 1972) www.indiandentalacademy.com
  • 70. A Simple holding instrument capable of accepting a single static registration. Subdivision A: Vertical motion is possible, but only for convenience. The Corelator (Denar Corp.) The Verticulator (Jelenko) Class I. Articulator International prosthodontics workshop (university of michigan in 1972) www.indiandentalacademy.com
  • 71. Subdivision B: Vertical motion is joint related. The Centric relator (Denar Corp) This instrument rotates on the terminal arc registered by a face-bow that ensures a positive centric . International prosthodontics workshop (university of michigan in 1972) Class I. Articulator www.indiandentalacademy.com
  • 72. Subdivision A: Eccentric motion permitted is based on average or arbitrary values Gysi Simplex Articulator An instrument that permits horizontal as well as vertical motion but does not orient the motion to the temporomandibular joints. Class II. Articulator International prosthodontics workshop (university of michigan in 1972) www.indiandentalacademy.com
  • 73. Subdivision B: Eccentric motion permitted is based on theories of arbitrary motion. The Monson Maxillo-mandibular articulator International prosthodontics workshop (university of michigan in 1972) Class II. Articulator www.indiandentalacademy.com
  • 74. Subdivision C: Eccentric motion permitted is determined by the patient using engraving methods. The Gnathic Relator International prosthodontics workshop (university of michigan in 1972) Class II. Articulator www.indiandentalacademy.com
  • 75. Instruments that simulate condylar pathways by using averages or mechanical equivalents for all or part of the motion. These instruments allow for orientation of the cast relative to the joints and may be arcon or nonarcon instruments, accept facebows, and have mounting plates for unlimited case load. Subdivision A: Instruments that accept static protrusive registrations and use equivalents for the rest of the motion. Class III. Articulator International prosthodontics workshop (university of michigan in 1972) www.indiandentalacademy.com
  • 76. Dentatus articulator Hanau Nonarcon H2 Articulator www.indiandentalacademy.com
  • 77. Subdivision B: Instruments that accept static lateral protrusive registrations and use equivalents for the rest of the motion. Gysi trubyte Denar Mark II Articulator Hanau-TeledynePanadent Model P ArticulatorWhipmix Articulator International prosthodontics workshop (university of michigan in 1972) Class III. Articulator www.indiandentalacademy.com
  • 78. Subdivision A: The cam representing the condylar paths are formed by registration engraved by the patient. Class IV. Articulator Instruments that will accept three dimensional dynamic registrations. These instruments allow for orientation of the casts to the temporomandibular joints and replication of all mandibular movements. TMJ-Stereographic instrument Denar Combi articulator International prosthodontics workshop (university of michigan in 1972) www.indiandentalacademy.com
  • 79. Class IV. Articulator Subdivision B: Instruments that have condylar paths that can be angled and customized either by selection from a variety of curvatures, by modification, or both. Stuart ArticulatorDenar D5A Articulator International prosthodontics workshop (university of michigan in 1972) www.indiandentalacademy.com
  • 80. Can accept one or two of the following records: 1. Face bow 2. Centric jaw relation record 3. Protrusive record. Can accept all the following three records. 1. Face bow 2. Centric jaw relation record 3. Protrusive record. Can accept all the following five records. 1. Face bow 2. Centric jaw relation record 3. Protrusive record. 4. Lateral records 5. Intercondylar distance record Rihani A: classification of articulators, J Prosthet Dent 1980;43:344-347 Fully adjustable Semiadjustable Nonadjustable RIHANI 1980 www.indiandentalacademy.com
  • 82. Basic Requirements Hold casts in correct horizontal and vertical position Positive anterior stopAccept face bow transfer Open and close in hinge movement And Allow for protusive &lateral motion Moving parts should move freely & be accurately machined Non moving parts should be of rigid construction www.indiandentalacademy.com
  • 83. Adjustable horizontal and lateral condylar guide elements Conylar element - lower frame Condylar guide - upper frame Accept third point of referenceTerminal hinge position locking deviceRemovable mounting platesAdjustable incisal guide tableAdjustable Intercondylar width – graphic tracings Additional Requirements www.indiandentalacademy.com
  • 84. 1. Diagnosis, treatment planning and patient presentation in both the natural and artificial dentitions. 2. To plan dental procedures 3. To aid in the fabrication of dental restorations and lost dental parts. 4. To correct and modify completed restorations. 5. Teaching and studying of occlusion and mandibular movements. USES www.indiandentalacademy.com
  • 85. LIMITATIONS Subject to error in tooling and to error resulting from metal fatigue and wear. Does not completely duplicate the condylar movements in the temporomandibular joints. Movements simulated are empty-mouth sliding motions, not functional movements. www.indiandentalacademy.com
  • 86. M uth is the best articulatorwww.indiandentalacademy.com
  • 87. ..then why not use it Patient’s saliva, tongue, and cheeks  Shifting denture bases  Resiliency of the supporting tissues  Inability of humans to detect visually subtle changes in motion  The inability to know exact location of the condyles  More chair time www.indiandentalacademy.com
  • 89. NON-ADJUSTABLE ARTICULATORS For complete dentures For fixed prosthodontics*Arc of opening www.indiandentalacademy.com
  • 90. SEMI-ADJUSTABLE ARTICULATORS For complete dentures For fixed prosthodontics KAVO WHIPMIX HANAU www.indiandentalacademy.com
  • 91. Arcon v/s Non-arcon Derived from Articulator & Condyle Beck 1956,Weinberg 1963 : No difference Survey 1985 : Out of 81 ,67 were arconwww.indiandentalacademy.com
  • 92. Rectilinear or Curvilinear Sagittal condylar path-Convex S-shaped curvature Aull 1965 : 8%-Straight line 92%-Curved path Diameter:10mm in 34% Population Curvature noticeable appeared when 5-10mm tracings were drawn Within 2-3mm from centric condylar path is almost a straight line.www.indiandentalacademy.com
  • 93. FULLY ADJUSTABLE ARTICULATORS For complete dentures For fixed prosthodontics The Denar D5A Articulator Cyberhoby Articulator www.indiandentalacademy.com
  • 100. Fully adjustable….Do we really need it ? According to Dawson  Bilaterally balanced occlusion is traumatogenic (Dentulous)  Condylar guidance does not dictate anterior guidance  Tripod contact no more stable than cusp tip to fossa contact  Posterior disclusion by anterior guidance most desirable (Christenson’s phenomenon/mutually protected occlusion)  Immediate side shift cannot occur from centric (medial part of the condyle will be in close proximity with the glenoid fossa)  Not necessary to reproduce Fischer’s anglewww.indiandentalacademy.com
  • 101. Fischer’s angle Rudolph Fischer, Swiss Dentist The angle formed by the intersection of the protrusive and nonworking side condylar paths as viewed in the sagittal plane. www.indiandentalacademy.com
  • 102. Articulators for Functionally generated path Verticulator Twin-Stage occluderwww.indiandentalacademy.com
  • 104. Mean value articulator • Upper member can be moved upward and backward . • Condylar inclination of 30 degrees on both side . • Anterior part is supported by the incisal guide rod above and incisal guide table below with 10 to 15 inclination.www.indiandentalacademy.com
  • 105. Hanau Articulators Hanau H (Arcon) : • Rudolf L. Hanau in 1923. • Arcon • Intercondylar distance - 110 mm • Horizontal condylar guidance - 40 to +800 • Lateral condylar guidance 0 to 200 • Hanau formula : L =H/8 + 12. www.indiandentalacademy.com
  • 106. Hanau H2 (Model 96) ( Non Arcon): • Has all features of original Hanau and additions as auditory pins have been added to the condylar mechanism. • Lateral condylar guidance increased to 0 to 300 Hanau H2 (Model 158) (Arcon) 1977 • Retained all the features of H2 model 96 but it is of arcon type. www.indiandentalacademy.com
  • 107. Hanau wide vue (models183 & 184) • Vue 1 has close condylar track. • Vue 2 has open condylar track. Also has condylar retainers to avoid accidental separation. • Has micrometer protrusive, retrusive condylar adjustments. • Horizontal condylar guidance -20 to +600 • Lateral condylar angle is from 0 to 300 www.indiandentalacademy.com
  • 108. Hanau Radial shift (Model 166) : 1981 • Arcon type • Upper member can be removed for waxing • A curved immediate side shift ( Radial shift) with adjustable progressive Bennet angle of 0 to 600 • Radial shift of 3mm is provided. • Has a curved superior wall with 0.75” radius. www.indiandentalacademy.com
  • 109. Hanaumate – 165 (Average articulator) : • Condylar width is 110 mm. • Horizontal condylar inclination 300 • 100 protrusive and lateral incisal guide table. • 150 fixed progressive side shift. (Bennet) • Upper frame can be separated • Receives most average face bows. www.indiandentalacademy.com
  • 110. Whipmix Articulators Introduced by Dr Charles Stuart in 1963. His main objective was 1. Aid in teaching the principles of occlusion for better diagnosis of the occlusion 1. To provide simplified instrument for fabrication of prosthodontic restorations. www.indiandentalacademy.com
  • 112. Features (8500) • Adjustable Intercondylar distance S(96mm), M(110) and L(124) by means of removable condylar guidance spacer. • Horizontal and lateral condylar inclinations are set by interocclusal records. Horizontal 0 to 700. Lateral 0 to 450. ) • The upper and lower member are attached by means of spring latch assembly. www.indiandentalacademy.com
  • 113. Model 8300 : • Retains all normal features and • Has 3/4th inch curved superior and medial wall. • Immediate side shift from 0 to 4mm with progressive angle of 60 Model 8340 : • Has been modified so that the casts are interchangeable through a special fixture called as “accumount” (precise special mounting plate) www.indiandentalacademy.com
  • 114. Model 8800: • This provides a additional 1/2inch space to mount the maxillary cast. Model 9000 : • This provides a additional ½ inch space to mount the mandibular cast. Model 9800 : • This provides ½ inch space for both maxillary and mandibular casts www.indiandentalacademy.com
  • 115. Denar Articulators In 1968 Dr Miles Guichet introduced the Denar 4A articulator. The current model is D5A. Advantage : Saves time and effort needed to manually transfer the recordings and to programme the articulator. www.indiandentalacademy.com
  • 117. Features : • Denar reference plane locator and marker is useful for locating the reference points. • Pantronic digital recorder in which the condylar guidance settings are determined automatically. • For condylar guidance a precurrent inserts are available which are made up of nylon or acrylic resins. www.indiandentalacademy.com
  • 118. Denar mark II : • Introduced in 1975 and developed to satisfy the undergraduate needs of education for a simpler arcon articulator. • Has adjustable horizontal inclinations of 0 to 600. • Has immediate side shift of 0 to 4mm + progressive shift of 0 to 150. • The posterior wall is inclined posteriorly 250. to allow backward movement of condyle. www.indiandentalacademy.com
  • 120. Face Bow Record & Transferring it to Articulator www.indiandentalacademy.com
  • 125. Obtaining Protrusive Record for adjusting HORIZONTAL CONDYLAR GUIDANCE www.indiandentalacademy.com
  • 126. Hanau Bennett angle formula L = H/8 + 12 How far is it valid ?  Even with large variation in condylar guidance Bennet angle changes to a small degree  Gradations with 5mm difference  But yet it is popularly followed www.indiandentalacademy.com
  • 127. Adjusting LATERAL CONDYLAR GUIDANCE ( Bennet angle ) www.indiandentalacademy.com
  • 130. For Complete Dentures Gothic arch tracing www.indiandentalacademy.com
  • 132. LUBRICATION  Light application of quality hand piece oil  Excess oil should be wiped off  Thin coating of petroleum jelly-when in contact with gypsum www.indiandentalacademy.com
  • 133. CLEANING Cleaning solvent or mild detergent Liberal use of fluid with small brush removes all wax and abrasive grit NO to Scraping or Abrasive cleanser Effect of chlorine in abrasive cleansers Blow dry air, re-lubricate Watch for thumb screw AWASH !!!! www.indiandentalacademy.com
  • 134. STORAGE When not in use ,store in clean, dry atmosphere-free of plaster and abrasive dust A corrugated carrying carton NOT near acids, alkalies or medicaments-Fumes may be of corrosive nature. DONOT CONFINE THE ARTICULATOR in a instrument case www.indiandentalacademy.com
  • 135. Carl O Boucher, “It must be recognized that the person operating the instrument is more important than the instrument. If dentists understand articulators and their deficiencies, they can compensate for their inherent inadequacies”. www.indiandentalacademy.com
  • 137. • Teledyne (Hanau) Industries: Illustrated Instruction Manual for the Hanau Wide Vue Arcon Articulator and Wide Vue II Articulator. • Thomas C. J. “A Classification of Articulators”. J.Prosthet Dent 1993 ; 30 : 11-14. • Walker PM: Discrepancies between arbitrary and true hinge axes, J Prosthet Dent 43:279-285, 1980. • Winkler Sheldon: Essentials of complete Denture Prosthodontics, 2nd edition, U.S.A. JEA, 1996, p 142-182. www.indiandentalacademy.com
  • 138. • Dawson - Occlusion • Gross M, Nissan J, Ormianer Z et al: The effect of increasing occlusal vertical dimension on face height, Int J Prosthodont 15:353-357, 2002. • Heartwell Cm Jr, Rahn AO : Textbook of complete dentures, 5th edition, Philadelphia, Lea and Febiger, 1993, p- 59. • Hobo - Occlusal Rehabilitation www.indiandentalacademy.com
  • 139. • J Prosthodont 2000 (9) ;1 : 51 • J Prosthodont 2000 (9) ;2 : 110 • J Prosthodont 2000 (9) ;3 : 161 • J Prosthodont 2000 (9) ;4: 217 • J Prosthodont 2001 (10) ;1 : 52 • J Prosthodont 2001 (10) ; 2 : 115 • J Prosthodont 2001 (10) ;3 : 170 • J Prosthodont 2001 (10) ;4 : 240 • J Prosthodont 2002 (11) ;1 : 53 • J Prosthodont 2002 (11) ;2 : 134 • J Prosthodont 2002 (11) ;3 : 183 • J Prosthodont 2002 (11) ;4 : 305 • J Prosthodont 2003 (12) ;1 : 51-62 HISTORY OF ARTICULATORS www.indiandentalacademy.com
  • 140. • Keshvad A, Winstanley RB: An appraisal of the literature on centric relation, part III, J Oral Rehabil 28:55-63, 2001. • Morneburg TR, Proschel PA: Predicted incidence of occlusal errors in centric closing around arbitrary axes, Int J Prosthodont 15:358-364, 2002. www.indiandentalacademy.com
  • 141. • Noel D. Wilkie, Donald L. Mitchell : Articulators through the years. Part – I J Prosthet dent 1978 ; 39 :140-141. • Noel D.W., Donald L. Mitchell: Articulators through the years. Part – II J Prosthet dent 1978 ; 39 :168-181. • Rihami A. “Classification of Articulators”. J.Prosthet Dent 1980 ; 43:344-47. • Rosenstiel s., Land M.F. And Fujimoto “Contemporary fixed prosthodontics”. 3rd Edition, Mosby, St. Louis, USA, 2001. . • Sharry J.J. : Complete denture Prosthodontics, 1st edition, New York, McGrew–Hiel, 1962, p-196. • Shillingburg H. T. “Fundamentals of fixed prosthodontics”. 3rd Edition, Quintessence Publishing Co., Chicago, 1997. www.indiandentalacademy.com
  • 142. Ash and Ramford “Occlusion” Beck Ho, Morrison We : Investigation of an Arcon Articulator, J Prosthet dent 1956 ; 6 : 359 – 372. Boucher’s : Prosthetic Treatment for edentulous patients, 11th edition, 1997, p.220. www.indiandentalacademy.com
  • 143. • Bowley JF, Bowman HC: Evaluation of variables associated with the transverse horizontal axis, J Prosthet Dent 68:537- 541, 1992. • Bowley JF, Pierce CJ: Reliability and validity of a transverse horizontal axis location instrument ,J Prosthet Dent 1990;64:646-650. • Cabot L.B. “using articulators to enhance clinical practice”. BDJ 1998 ; 184:272-276. www.indiandentalacademy.com
  • 144. Thank you For more details please visit www.indiandentalacademy.com www.indiandentalacademy.com