Articulators / fixed orthodontic courses

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Articulators / fixed orthodontic courses

  1. 1. INDIAN DENTAL ACADEMY Leader in continuing dental education www.indiandentalacademy.com www.indiandentalacademy.com
  2. 2. ARTICULATORS Definition: Articulator may bedefined asamechanical device that represents human Temporomandibular joint and jaw members to which maxillary ands mandibular cast are attached to simulate jaw movements. GPT www.indiandentalacademy.com
  3. 3. FUNCTIONS The primary function of the articulator is to act asarepresentativein patients It is used to simulate the patients Temporomandibular joint, muscles of mastication, mandibular ligaments, maxilla and mandible and the complex neuromuscular mechanism that programmes the mandibular movements. www.indiandentalacademy.com
  4. 4. The articulator is made to simulate the equivalent movements of the TMJ but does not duplicate or produce identical movements as in the human mouth It forms an important instrument to the dentist as it can be programmed with certain patients records allowing the operator and laboratory technician to fabricate a restoration that will be physiologically and psychologically acceptable. www.indiandentalacademy.com
  5. 5. ADVANTAGES Properly mounted cast allow the operated to better visualizethepatient occlusion from thelingual side. Patient’s co-operation is not required once the Interocclusal recordsareobtained from thepatients Refinement of thecompletedenturesin thepatient’s mouth is extremely difficult because of shifting of denture bases and resiliency of the supporting tissues. Thisdoesnot takeplacein thearticulator. www.indiandentalacademy.com
  6. 6. Chair sideappointment isreduced and more work can bedesignated to theauxiliary personnel. Patient’stonguesaliva, check etc. arenot a factorsof hinderenceunder using the articulator www.indiandentalacademy.com
  7. 7. LIMITATIONS An articulator is a mechanical device made by metal hence is subjected to error in tooling and thereby resulting from fatigueand bear Articulator will not duplicate but simulates the condylar movementsof TMJ www.indiandentalacademy.com
  8. 8. REQUIREMENTS It should hold casts in correct horizontal and vertical relationshipsi.e., centric relations. It should provideapositiveanterior vertical stop. It should accept a face bow transfer record. It should open and closein ahingemovement. It should allow protrusiveand lateral jaw motions Moving partsshould movefreely and accurately Moving partsshould beoften rigid construction Should be easy to fix and attach the maxillary and mandibular cast to thearticulator and also to attach from the articulators www.indiandentalacademy.com
  9. 9. Additional Requirements Adjustable horizontal, lateral condylar guide element & allow protrusive movements A mechanism to accept the 3rd point of reference from a face bow A terminal hinge locking positional device Removable mounting plates that can be positioned accurately An adjustable incisal guide table Adjustable intercondylar width of the condylar element www.indiandentalacademy.com
  10. 10. Classification of Articulators An articulator classification was developed based on the instruments function, instrument capability, intent, registration procedure and registration acceptance were considered. www.indiandentalacademy.com
  11. 11. Classification based on Theories of Occlusion BONWILLS THEORY OF OCCLUSION CONICAL THEORY OF OCCLUSION  ( R.E.Hall ) SPHERICAL THEORY OF OCCLUSION (G.S.Monson 1918 ) www.indiandentalacademy.com
  12. 12. BONWILLS THEORY OF OCCLUSION Also know as THEORY OF EQUILATERAL TRIANGLE. It stated that a 4" (10 cm ) distance occurs between the condyles and between each condyle & the incisal point E.g. Bonwills articulator www.indiandentalacademy.com
  13. 13. CONICAL THEORY OF OCCLUSION R.E.HALL proposed that the lower teeth move over the surface of the upper teeth as over the surface of a cone with an angle of 45° with the central axis of the cone tipped at 45° Angle to the occlusal plane E.g. Hall automatic articulator. teeth with 45° cusp are necessary to construct dentures on these articulators. www.indiandentalacademy.com
  14. 14. SPHERICAL THEORY OF OCCLUSION (Monson 1918) Monson proposed that lower teeth moves over the surface of the upper teeth as over the surface of a sphere with a diameter of 8 " (20cm). the center of the sphere is located in the region of Glabella & the surfaces of the sphere passes through the Glenoid fossa along the articulating eminences. E.g. Maxillomandibular instrument. www.indiandentalacademy.com
  15. 15. Drawbacks Articulators based on theories of occlusion was that they made no provision for variation from the theoretical relationships that occurs in different people. www.indiandentalacademy.com
  16. 16. CLASSIFICATION BASED ON THE TYPES OF RECORDS USED FOR THEIR ADJUSTMENT  INTEROCCLUSAL RECORD ADJUSTMENT  GRAPHIC RECORD ADJUSTMENT  HINGE AXIS LOCATION FOR ADJUSTING ARTICULATORS www.indiandentalacademy.com
  17. 17. INTEROCCLUSAL RECORD ADJUSTMENT These records may be made in wax, dental plaster ZnOE paste or cold-cure acrylic resin. Each of these records are of only one positional relationship of the lower jaw to the upper jaw Either centric or to protrusive OR Centric or to lateral record E.g. Hanau articulatorswww.indiandentalacademy.com
  18. 18. GRAPHIC RECORD ADJUSTMENT The graphic records consists of records of the extreme border positions of mandibular movement which are curved and the articulators must be capable of producing at least the equivalent of curved movements simple procedure if natural teeth exists in both jaws & it becomes difficult and unreliable in edentulous patientswww.indiandentalacademy.com
  19. 19. HINGE AXIS LOCATION FOR ADJUSTING ARTICULATOR Correct location of the opening axis of mandibular hinge axis is essential for the correct adjustment of instrument www.indiandentalacademy.com
  20. 20. CLASSIFICATION OF ARTICULATORS USING NEW SYSTEMS FULLY ADJUSTABLE ARTICULATORS SEMI ADJUSTABLE ARTICULATORS NON ADJUSTABLE ARTICULATORS www.indiandentalacademy.com
  21. 21. FULLY ADJUSTABLE ARTICULATORS Articulators which can accept all the following 5 records 1).Face bow transfer 2) Centric jaw relation record 3) Protrusive record 4) Lateral records 5) Intercondylar distance record E.g.. Hanau kinescope(1923) Mc Collum Gnathoscope(1935) Granger Gnatholator (1950) Stuarticulator(1955) Ney-Depietro(1962) Hanau 130-21 (1953) Simulator (1968) Dentar D4-A (1968) www.indiandentalacademy.com
  22. 22. SEMIADJUSTABLE ARTICULATORS Articulators which can accept the following 3 record 1).Face bow transfer 2) Centric jaw relation record 3) Protrusive record www.indiandentalacademy.com
  23. 23. E.g. Snow Acme (1910) Gysi Adaptable (1910) (does not accept lateral record ) Wadsworth (1924) Hanau H (1922) Gysi Trubyte (1926) (does not accept intercondylar records ) House(1927) (does not accept intercondylar records & satisfies Bonwills principle) Dentatus (1944) Bergstorm Arcon(1950) Hanau 130-28 (1963) Whip-mix (1968) www.indiandentalacademy.com
  24. 24. NONADJUSTABLE ARTICULATORS Articulators which can accept 1 OR 2 of the following 3 records 1).Face bow transfer 2) Centric jaw relation record 3) Protrusive record Gariot (1805) Evans (1840) Barn door hinge (1858) Bonwill (1858) Walker (1896) Has adjustable condylar guidance but does not accept face bow record www.indiandentalacademy.com
  25. 25. Gritman (1899) Snow (1906) Gysisimplex (1912 ) Monson (1918) Stansbery (1929)  Based on Tripod theory (no condylar control ) Phillips Occlusoscope (1931) (tripod theory & does not accept face bow record ) Kile Dentograph (1945 ) ( tripod principle ) Transograph (1952 ) ( contains 2 face bows & no condylar guidance ) Pankey-Mann (1955) (Based on spherical theory ) www.indiandentalacademy.com
  26. 26. BASED ON INSTRUMENT FUNCTION International Prosthodontics workshop Class I – Simple holding instruments capable of accepting a single static registration. Vertical motion is possible, but only for convenience E.g.. Slab articulator, barn door hinge articulator www.indiandentalacademy.com
  27. 27. Class II – Instrument that permit horizontal as well as vertical motion but do not orient the motion to the TMJ via, a face bow transfer. Class II A- These articulators permit eccentric motion based on average or arbitrary values. E.g.. – GYSI Simplex articulators. www.indiandentalacademy.com
  28. 28. Class II B- Articulators permit only eccentric movements based on theories of arbitrary motion. E.g..-Monson Maxillomandibular articulators www.indiandentalacademy.com
  29. 29. Class IIC - Articulators permit eccentric motion determined by the patient using engraving methods E.g..-House articulator www.indiandentalacademy.com
  30. 30. Class III – Instrument can accept a face bow transfer. Class III A- Instrument that accept a static protrusive registration and use equivalents for the rest of the motion E.g.: Hanau Model-H Articulator www.indiandentalacademy.com
  31. 31. Class III B- Instrument in this class accept a face bow transfer, protrusive Interocclusal records, and some lateral Interocclusal records E.g.: Trubyte articulator www.indiandentalacademy.com
  32. 32. Class IV – Instruments that will accepts three dimensional dynamic registration Class IV A- Instruments in this class will accept three dimensional dynamic registrations and utilize a face bow transfer E.g.: TMJ articulators www.indiandentalacademy.com
  33. 33. Class IV B – Instrument in this class will accept three dimensional dynamic registrations and utilize a face bow transfer E.g.:- Denar www.indiandentalacademy.com
  34. 34. Posselt Classification Plane line or simple hinge type Mean value type with fixed condylar part Adjustable type In the first two types no control mechanism exists. Only the Interocclusal centric relation can be recorded. They lack individualized information concerning spatial relationship and occlusal arrangement of artificial teeth. So may not resemble patient actual jaw movementswww.indiandentalacademy.com
  35. 35. Arcon and Non-Arcon articulators Arcon Type: Instruments with condyles in the lower member and condylar guides on the upper. i.e., lower member is movable. Non-Arcon type: Condyles are on the upper member and condylar guides on the lower member www.indiandentalacademy.com
  36. 36. MEAN VALUE ARTICULATOR OR FIXED ARTICULATOR OR THREE POINT ARTICULATOR It consists an upper and lower member representing the maxilla and mandible Opens and closes around a axis i.e., the condylar shaft Shaft is engaged in the condylar slot representing glenoid fossa Vertical Separation is done by vertical pin Vertical pin consists of a mid incisal pin Condylar slot is inclined at the angulation of 330 to the horizontal plane www.indiandentalacademy.com
  37. 37. www.indiandentalacademy.com
  38. 38. Distance between the two condyle slots is fixed and is 110 mm Vertical pin rests on incisal table Incisal table has an angulation of 50 into the horizontal plane The distance between the centre of the centre of the condyle shaft and mid incisive pin is again.110 mm. Based on Bonwill equilateral triangle www.indiandentalacademy.com
  39. 39. HISTORY OF ARTICULATORS UPTO 1940 www.indiandentalacademy.com
  40. 40. PLASTER ARTICULATORS It was 1st described by Phillips Pfaff (1756) A plaster extension on the distal portion of the mandibular cast was grooved to serve as a guide for a plaster extension of the maxillary cast. The extended casts together constituted the 1st articulator, commonly called a SLAB ARTICULATOR www.indiandentalacademy.com
  41. 41. BARN DOOR HINGE Its hinge is modified by bending each arm 90°  FORM L-shaped upper & lower members. www.indiandentalacademy.com
  42. 42. ADAPTABLE BARN DOOR HINGE It is capable of opening & closing only in a hinge movement. It has an anterior vertical stop, which is usually a machine bolt. www.indiandentalacademy.com
  43. 43. GARIOT HINGE JOINT ARTICULATOR (J.B.GARIOT (1805) It consists of 2 metal frames to which the casts are attached with a simple hinge & a set screw to hold the frames in fixed vertical position. www.indiandentalacademy.com
  44. 44. BOWILLS ARTICULATOR(1858 ) It’s the 1st articulator developed to imitate the movements of the mandible in eccentric position. Based on Bonwills theory of equilateral triangle www.indiandentalacademy.com
  45. 45. KERR ARTICULATOR (1902) It has fixed protrusive & lateral movements Hinge is located on approximately the same plane as the occlusal plane of the mounted cast. www.indiandentalacademy.com
  46. 46. NEW CENTURY ARTICULATOR (1906) George B.Snow It has a tension spring which allows a greater range of movement Rotation centers placed 4" apart in accordance with Bonwills theory Modified articulator has an incisal pin & post extension added to lower member to prevent tipping www.indiandentalacademy.com
  47. 47. ACME ARTICULATOR (1910) George B.Snow Its an elaboration of New Century Instrument (1910) 3 models of different widths that accommodate 3 ranges of intercondylar distance Condylar paths are straight & adjustable condylar inclinations Provided Bennett movement Posterior adjustment is possible to increse the distance between upper & lower members Guiding mechanisms are on the upper member www.indiandentalacademy.com
  48. 48. GYSI ADAPTABLE & GYSI SIMPLEX ARTICULATOR (1910) Alfred Gysi It was beyond the technical ability & finances of most dentists Extra oral tracing & parallel Condylar path plates accepted Gysi simplex (1914)was introduced as a mean value articulator It does not require great technical ability to operate & competitively priced Condylar guidance is fixed at 33° & is shaped like the ogee path (S shaped curve in profile) Incisal guide is not adjustablewww.indiandentalacademy.com
  49. 49. MAXILLOMANDIBULAR INSTRUMENT (1918) George Monson Based on spherical theory It has set screws to vary the instruments radius www.indiandentalacademy.com
  50. 50. HAGMAN BALANCER (1920) Based on Spherical theory of occlusion It opens & closes on a hinge that is in the center of the upright support It doesnot require facebow & interocclusal records for mounting This technique directs reconstruction of the mandibular teeth to the curve of Spee using a balanced occlusal guide The maxillary teeth are constructed secondarily to conform to the mandibular teeth www.indiandentalacademy.com
  51. 51. STEPHANS ARTICULATOR (1921) Simiar to gariots hinge articulator It has fixed condylar inlination & allows for an arbitrary lateral movement A posterior set screw holds the upper & lower members of the articulator at a fixed vertical dimension www.indiandentalacademy.com
  52. 52. HANAU MODEL M KINOSCOPE (1923) Rudolph L.Hanau an engineer was influenced by Dr.Rupert E.Hall to study the design of articulators It has double condylar posts on each side Inner posts serve 2 purposes: they act as horizontal condylar guides & they have variable rotation centers when the posts are moved inward or outward. Outer post- it helps to adjust the Bennett angle www.indiandentalacademy.com
  53. 53. HOMER RELATOR (1923) Joseph Homer Plastic material rather than mechanical guides is used to preserve articulator position 3 cups in lower member filled with plastic material (impression compound) capture the record & record the tripoded upper member into the recorded positions Same principle is used in Irish Duplifunctional & TMJ instruments www.indiandentalacademy.com
  54. 54. WADSWORTH ARTICULATOR (1924) Frank Wadsworth Based on Monson's spherical theory Casts are mounted with a face bow & Wadsworth T-attachment which determines the 3rd point of reference It does not accept bilateral condylar symmetry  It has adjustable intercondylar distances www.indiandentalacademy.com
  55. 55. HANAU MODEL H110 (1922) It has individual condylar guidance adjustments in both sagittal & horizontal planes It has incisal guide cup with its fixed curvature could be moved only as a unit & it did not have calibrations for resetting Lateral setting is calculated by dividing the horizontal condylar inclination by 8 and adding 12 L = H8 + 12 www.indiandentalacademy.com
  56. 56. HANAU MODEL H110 MODIFIED (1927) It has incisal guide table with calibrations instead of the incisal guide cup www.indiandentalacademy.com
  57. 57. PHILIPS STUDENT (PANTOGRAPHIC ) ARTICULATOR (1929) George P.Philips It’s a fully adaptable articulator because it follows any graphic record It was designed to trace Gothic arch (needlepoint ) tracing & inclination of the glenoid fossa in one step www.indiandentalacademy.com
  58. 58. STANBERY TRIPOD INSTRUMENT (1929) C.J.STANSBERY It was designed without a hinge to facilitate the reproduction of any positional relationship In this instrument there is no mechanical equivalent or representation of condyles The articulator reproduces positions not movements www.indiandentalacademy.com
  59. 59. HOUSE ARTICULATOR (1930) M.M.HOUSE in early 1930s It was adjusted with maxillomandibular relation record that use the needle house method It has a milling device for occlusal adjustment after denture processing Intercondylar guidance, lateral condylar guidance are controlled by Bennett guide www.indiandentalacademy.com
  60. 60. PRECISION CO-ORDINATOR W.H.Terrell (1930) Its an arcon type of articulator that has curvilinear condylar guides Twin parabolic cams control vertical & horizontal anterior guidance Incisal pin is curved to allow for changes in the vertical dimension A milling device, in the articulator can be varied from 0 to 0.04". It mills circularly in the molar region, elliptically in the premolar region and laterally in the incisal region www.indiandentalacademy.com
  61. 61. HANAU CROWN & BRIDGE ARTICULATOR (1934) It’s a small articulator & it doesnot require face bow transfer It has a posterior pin & cam guidance mechanism ti stimulate working & balancing side excursions of 15° It has a fixed protrusive movement of 30° www.indiandentalacademy.com
  62. 62. PHILLIPS OCCLUSOSCOPE (1938) George Phillips No face bow transfer required Its adjusted by either intra or extra oral tracing Lower member has 2 adjustable units representing the TMJs which control the working inclination & balancing inclinations There is no adjustable incisal guide www.indiandentalacademy.com
  63. 63. Thank you For more details please visit www.indiandentalacademy.com www.indiandentalacademy.com

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