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Page1
Welcome to the seminar
                Model Management

                                歡迎參加
                        模型製作的講習




Model Management/ What is it?              Page2
AmannGirrbach today 今日的阿曼吉爾巴赫
                        Company focal points 公司主要領
Company headquarters
                        域
公司總部
                        Articulation/ Registration 咬合 /
Pforzheim / Germany 德
                        紀錄
國
                        Process planning
Koblach / Austria 奧地利
                        Casting 鑄造 / Joining 連接
Tampa / USA 美國
                        Aesthetic veneering materials
                        美觀假牙築盛材料
France 法國
                        Milling technique 研磨技術
Asia 亞洲




                                                     Page4
METHOD l PRODUCT l KNOW-HOW l SERVICE
            如何進行模型製作


        MODEL
      MANAGEMENT


   HIGH-PRECISION MASTER MODELS
         WITH ADDED VALUE
      高度精確的模型製作以提升價值               Page5
What are the main complaints of dentists
about C&B cases from their labs?
牙醫通常會向技工所抱怨牙冠和牙橋的哪 些方面?




              Problems
                  in
              Occlusion
              問題在咬合上

                                           Page6
The crown
    is:
“too high”!?
牙冠“過高” ?
               Page7
„Dentists could safe
 30 %working time
    during their life,
    if they would use
articulatorsandfacebows!“
如果醫師使用咬合器和面弓,將
  節約 30% 以上的工作時間
      Prof. R. Slavicek,
      Vienna, Austria
                            Page8
Where is our way? 如何解決
?




                         Page9
The dull daily life             andthe target goal

 Median customization 普遍情況           Individual 個體差異

        Static: 靜態參數                   Static: 靜態參數


Bonwill-triangle LJ 用三角理論上咬       Facebow UJ 用面弓上咬合器
               合器
Terminal occlusion UJ 終極咬合 CO      Centering LJ 中心咬合 CR

       Kinetics: 動態參數                 Kinetics: 動態參數

 依平均值定前傾角在 SKN 30°-35°          Position registry 依前突紀錄定角度

 依平均值定側移角在 TKN 10°-15°            Mechanical impression or
                                        electronics
                                 依手工或電子式取側移紀錄來定角度


                                                          Page11
The Average Articulator 平均值咬合
器




             110      2
             mm       5°




                                Page12
Models mounted by average values
用平均值來上咬合器




                                   Page13
step by step


              •Impression 取模 and model

         制模
              •Facebow 面弓 – why 為什麼 ?

              •Model managment 模型製作安

         排–

              Why 為什麼 ?
                                         Page14
Impression = registration of the situation
 取模(精確) = 紀錄了患者的情況




                                             Page15
Second question –What do we know about
upper and lower jaw in occlusion 第二個問題 –
要知道上下顎是如何咬合?




                                           Page16
The radial distance of teeth to the condyle 牙齒與髏
狀突的半徑距離 ,
which is the rotational center of the mandibler 就
是下顎的旋轉中心軸點




                                            Page17
Bonwill-Triangle 邦威爾 - 三
角理論




                           Page18
Different rotational center changes the arc of
closure
不同的旋轉軸心會改變咬合的閉合弧度




                                                 Page19
Checking contact points with the incorrect arch
用不正確的閉合弧來檢查咬合點




                                                  Page20
There is only one consequence – the facebow
只有用面弓重新檢測確定




                                              Page22
Artex Rotofiix 面弓的使用方法




                         Page24
The facebow connected with the articulator
連接咬合器的面弓含紀錄




                                             Page29
STEP 37




Transfer of the facebow registration   Remove transfer table from the
to the transfer table                  transfer stand and insert into the
                                       articulator or plastering apparatus
將面弓紀錄移到轉移台上 , 並用石膏固
                                       將轉移台上含石膏固定咬叉的轉移座從磁性
  定
                                         底座上取下 , 插入咬合器的磁性下座
咬叉



                                                                      Page30
STEP 39




Attach the giroform secondary plate Position artifix articulation plaster
to the base of the model            on the retention area of the giroform
植釘底盤和對合板扣合                          secondary plate and articulate into
                                     the upper jaw model
                                     使用 artifix 著裝石膏加在咬合器及 Giroform 底
                                       板的對合板上固位部位來著裝上顎模型



                                                                        Page31
STEP 41




Top of Artex CR with inserted   Align the lower jaw model in
                                maximal intercuspidation to the
  upper
                                lower jaw model
jaw model                       根據上顎模型牙尖的最大咬合來吻合
上顎模型插入在咬合架的上部                   下顎模型




                                                                  Page32
Three-dimensional movement of the masticatory
organ
咀嚼器官的三方向移動圖




                                           Page34
Condyle-inclination 髏的導引 -( 向前 ) 傾斜
( 角度 )




                                      Page35
Benett Movement 貝內特 ( 側方 ) 運動


  R                                                    L




                     正
                     中                         矢
                  a de M
                       n




                              enalp lat ggaS
                                               狀
                                 Bennett angle 平
                                               貝內特角度
                                               面
                  i




                                      i
            Right-lateral movement 向右側移動
                                                       Page38
Bennett Movement with ISS 瞬間位移
Tolerances and movements a patient may experience.
某些病人在向右移動時會有瞬間位移

     R                                        ISS               L
                                                          矢
                                  正                       狀
                                  中                       平
                                                          面




                                na de M




                                                     latt gaS
                                                       enalp
                                                     Bennett
                                                     angle 貝內特角度




                                                        i
                                 i




                      Right-lateral movement 向右側移動
                                                                Page39
Dynamic Information 動態資訊




              ?
                           Page40
Average Settings for Articulators




Condyle Inclination (SCI) 髏突起傾斜度
35°
Bennett Angle (TCI)Bennett 角度 10°
Condyle Radius 髏突起半徑      19 mm



                                    Page41
Dynamic 動態參數



   To program the articulator we
   need special checkbites
   在調節咬合器前需要特別的咬臘紀錄
   protrusionand lateral checkbites
   前突及左右側移的咬臘紀錄




                                      Page42
Regiwax plates for the checkbites 蠟型
咬合板




                                       Page43
Individual 個人的

                  Protrusive
                 Checkbite for
                   Condyle
                  Inclination
                  Adjustment
                 調節髏突起傾斜角度




                                 Page44
Individual 個人的

                 Laterotrusive
                 Checkbite for
                 Bennett Angle
                  Adjustment
                 拿側移咬臘紀錄來
                  調節貝內特角度




                                 Page45
CENTROFIX 顎間關係紀錄儀




                    No Plast set 無需石膏固定模
                    型




                                     Page46
1 - Articulator centric is closed. Loosen the holding screw of the
    anterior guidance pin 將咬合器的正中鎖定, (CT 為左右兩個白
色
    快鎖夾壓下 ) 旋鬆前齒導引釘螺絲。                                             Page47
2 - Remove anterior guidance pin from the top part of the Artex articulator
     將咬合器的前齒導引釘從咬合器上部 取出。
                                                                         Page48
3 - Remove anterior guidance pin from the top part of the Artex articulator
     將咬合器的前齒導引釘從咬合器上部 取出。
                                                                         Page49
4 - Loosen the holding screw on the front tooth guidance dish
    將咬合器的前齒導引盤螺絲旋鬆
                                                                Page50
5 - Remove the front tooth guidance dish from base of the Artex articulator
    將咬合器的前齒導引盤從咬合器下部 取出。
                                                                        Page51
6 - Insert the front tooth guidance dish backwards into the top of the
                  Artex (high edge is visible from the front)
   將咬合器的前齒導引盤反方向放入咬合器上部 ( 藍色高的部分朝
                                                                      Page52
                                 外)。
7 - Fix the holding screw on the front tooth guidance dish
    將咬合器的前齒導引盤固定螺絲扭 緊
                                                             Page53
8 - Insert the transfer jig into the front groove in the base of the Artex
    up to the stop position 將轉移架放入咬合器底部,要推入到底。
                                                                             Page54
9 - Fix the holding screw of the transfer jig
    將轉移架螺絲鎖緊,固定在咬合器底部
                                                Page55
10 - Open the holding screw of the front tooth guidance dish and slide the
     plate to the front, till there is a stop on the high edge of the transfer jig.
     Refix the holding screw 將前齒導引盤固定螺絲轉鬆,向前移直到可
     停靠在轉移架上,再將前齒導引盤固定螺絲轉緊。                                                    Page56
11 - Place bite fork support into the base part of the Artex
     將咬叉支撐 放在咬合器磁性底部中央 ( 會吸住 )
                                                               Page57
12 - Insert the joint support into the receptacle on the transfer jig
     將取下的面弓記錄 關節部份 套在轉移架上接合部位
                                                                        Page58
13 - Insert the joint support into the receptacle on the transfer jig
       將取下的面弓記錄 關節部份 套在轉移架上接合部位
                                                                        Page59
14 - Fix the joint support into the transfer jig with the adapter
     bolt on the joint support
     用關節上的螺栓將面弓記錄 關節部份 固定在轉移架上                                      Page60
15 - Detach the support pin and place the articulator upon its head.
     Detach the screws on the bite fork support 將咬合器上面的支持
     釘取下,倒放咬合器並轉鬆咬叉支撐 上的固定螺栓使降下支撐 Page61
16 - Bring the crossbar on the bite fork support into contact with the
     bite fork - fix the screw on the bite fork support.The crossbar stabilises
     the bite fork 使支撐橫 桿接觸到咬叉後再固定咬叉支撐 螺絲,如此交叉
      咬叉橫 桿將使咬叉得到支撐                                                         Page62
17 - Replace the articulator in working position, open and insert
     Splitex counterplate>> Artex Facebow Homepage 再正放咬合器,
    鎖上支撐 柱並掀開咬合器上部,將白 ( 藍 ) 色著裝板含圓鐵片固定在磁鐵座上
                                                           Page63
18 - Opened articulator before insertion of the upper jaw model
      在放入上顎石膏模之前請先掀開咬合器                                           Page64
19 - Insertion of the upper jaw model (with attached secondary plate)
     in the impression of the bite fork
     放入上顎石膏模,對放在咬叉上的印模                                              Page65
20 - Insertion of the upper jaw model (with attached secondary plate)
     in the impression of the bite fork
     放入上顎石膏模,對放在咬叉上的印模位置                                            Page66
21 - Upper jaw model inserted
      放入上顎石膏模
                                Page67
22 - Examine available space between the model and top of the
     Artex with closed articulator top
   閉合咬合器上部,並檢查 石膏模型與咬合器著裝板之間的距離                                 Page68
23 - Mix articulation plaster (artifix) till creamy. 調拌固定石膏至奶 油狀
     Position articulation plaster (artifix) on the retention area of the
     giroform secondary plate 放置固定石膏在 (Giroform 的二階板上 ) 模型背部上
                                                                  Page69
24- Mix articulation plaster (artifix) till creamy. 調拌固定石膏至奶油狀
    Position articulation plaster (artifix) on the retention area of the
    giroform secondary plate
     放置固定石膏在 (Giroform 的二階板上 ) 模型背部上                                     Page70
25 - Mix articulation plaster (artifix) till creamy. 調拌固定石膏至奶油狀
     Position articulation plaster (artifix) on the retention area of the
     giroform secondary plate
     放置固定石膏在 (Giroform 的二階板上 ) 模型背部上                                      Page71
26 - Position articulation plaster (artifix) on the retention area of the
     Splitex counterplate
     放置固定石膏在 Giroform 的快拆對合板 及 白色固定板上的固位部                                 Page72
27 - Position articulation plaster (artifix) on the retention area of the
     Splitex counterplate 放置固定石膏在 (Giroform 的快拆板 ) 或藍色固定板上
                                                                 Page73
28 - Position articulation plaster (artifix) on the retention area of the
     Splitex counterplate 放置咬合器固定石膏在 (Giroform 的快拆板 ) 或
      藍色固定板上的固位區域。                                                        Page74
29 - Close the top of the articulator till the front tooth guidance
     dish is in contact with the transfer plate
       閉合咬合器上部,直到前齒導引盤接觸到轉移架上板                                        Page75
30 - Close the top of the articulator till the front tooth guidance
     dish is in contact with the transfer plate
       閉合咬合器上部,直到前齒導引盤接觸到轉移架上板                                        Page76
31 - Close the top of the articulator till the front tooth
     guidance dish is in contact with the transfer plate
       閉合咬合器上部,直到前齒導引盤接觸到轉移架上
                                                             Page77
板
32 - Tap finger multiple times on the top of the Artex to release
     the tension in the articulation plaster
      用手指輕敲幾下咬合器上部,以釋放咬合石膏的張力                                       Page78
33 - After hardening of the articulation plaster. Open the centric
      locking device on the Artex CR - turn the centric lever to the top
模型石膏硬化後,打開 Artex CR 上的中心鎖裝置—將中心杠杆轉到頂部
                                  Page79
34 - Centric on the top of the Artex CR is open - central locking lever is open
       將 Artex CR 咬合器上部的中心鎖裝置打開 - 中心鎖裝置被
       打開                                                                   Page80
35 - Raise the top of the Artex CR, thereby detaching the model
     from the impression on the bite fork
將 Artex CR 的頂部抬高,就可以將模型從咬叉紀錄裏分離出
                             Page81
來
36 - Top of the Artex CR is detached from the base
     Artex CR 咬合器頂部已經從下座脫
                                                     Page82
     離
37 - Loosen the adapter bolt on the joint support
  將面弓萬向關節連接在轉移台上的螺絲
                                                    Page83
  鬆開
38 - Remove the joint support from the transfer jig with the bite fork
     將萬向關節連咬叉從轉移架上分離                                                 Page84
39 - Remove the joint support from the transfer jig with the bite fork
     將萬向關節連咬叉從轉移架上分離                                                 Page85
40 - The anterior guidance table is removed from the top and repaced
     into the articulator base 前齒導引台從咬合器上部取下後,
    重新安置到咬合器下部底座上                                               Page86
41 - The anterior guidance table is removed from the top and repace
     into the articulator base
  前齒導引台從咬合器上部取下後,重新安置到咬合器下部底座上
                                                              Page87
42 - Replace anterior guidance pin in the top of the Artex
     在 Artex CR 咬合器頂部再放上前齒導引
     釘                                                       Page88
43 - Replace anterior guidance pin in the top of the Artex
     在 Artex CR 咬合器頂部再放上前齒導引釘 ,並轉
    緊
                                                             Page89
44 - anterior guidance pin is set to 0
   將前齒導引釘刻度固定在 0 的位
                                         Page90
   置
45 - Top part of the Artex CR with inserted upper jaw model
    將上顎模型放在 Artex CR 咬合器的上部                                   Page91
46 - Insert the Splitex counterplate into the base of the CR articulator
    將可分離的白色對合板放入 CR 咬合器的磁性底座上Page92
47 - Place articulator upon its head
     把咬合器倒過來放置                         Page93
48 - Align the lower jaw model in maximal intercuspidation
     to the lower jaw model
    調整下顎模型使其最大限度的與上顎模型咬
                                                             Page94
    合
49 - Align the lower jaw model in maximal intercuspidation
     to the lower jaw model
    調整下顎模型使其最大限度的與上顎模型咬合
                                                             Page95
50 - Mix articulation plaster (artifix) till creamy. Position articulation
plaster (artifix) on the retention area of the giroform secondary plate
放置咬合固定石膏在 Giroform 的快拆對合板 及 白色固定板上
                                                                         Page96
51 - Position articulation plaster (artifix) on the retention area
     of the Splitex counterplate
     放置咬合固定石膏在白色快拆對合板上的固位部分
                                                                     Page97
52 - Close top of the articulator, while securing the lower jaw model with hand

      將咬合器頂部向下閉合,同時用手拖住下顎模型                                              Page98
53 - Close top of the articulator, while securing the lower jaw model with hand
         將咬合器頂部向下閉合,同時用手拖住下顎模型                                           Page99
54 - Close top of the articulator, while securing the lower jaw model with hand
     將咬合器頂部向下閉合,當用手拖住下顎模型時                                              Page100
55 - Tap finger multiple times on the top of the Artex to release
     the tension in the articulation plaster
在咬合器頂部用手指敲打多次,以此來放鬆咬合石膏的張
                       Page101
力
56 - Result: With the aid of facebow registration the model is
     inserted into Artex CR
 結果:在面弓紀錄的協助下,模型可以放固定在 Artex CR 咬合
                                                               Page102
 器裏
台倢企業有限公司
Tel : (02)29995960 Fax : (02)29951033
台北縣三重市光復路一段 83 巷 1 號 5 樓
E-mail : teijel@ms53.hinet.net
網址 : http://www.teijel.com.tw




                                        Page103
Flexibility 靈活性 : articulator and
models
Why is an articulator rigid, not soft and loose?
為什麼咬合器是固定的而不是鬆軟的? The stability is required to ensure
a secure centring 此固定性可保證穩定的中心咬合 , and subsequently a
consistent, defined starting point for a movement. 最後有一個固定的移
動起點




                                                     Page105
MODEL MANAGEMENT




STEP BY STEP
       步   驟




                     Page107
Clases of Stone 石膏種類
    I     impression-stone
          取模石膏
    II    Alabaster-stone
    III   Hardstone 硬石
     膏
    IV    Superhardstone
           or Die-stone
           超硬石膏
                              Page108
Linear expansion of die-stone 石膏的線性膨脹




                                    1.linear expansion
                                         線性膨脹
Giroform® Model-System| The Model                        Page109
Linear expansion of die-stone 石膏的直線性
 膨脹                          2. Expansion !
                                    線性膨脹




       1. Expansion
              線性膨脹
Giroform® Model-System| The Model          Page110
Linear expansion of die-stone 石膏的直線膨脹
                                     3. Expansion !
                                          膨脹
After trimming
with water!
在磨石膏與水
混合後



                    2. Expansion
                        膨脹
 Giroform® Model-System| The Model                    Page111
Giroform® Model-System 種釘系統




 Giroform® Model-System       Page112
Giroform-Plates   Giroform 各式種釘板




Premiu        Premium    Secondar
m+            + large    y plate




Cla           Classi     Classi     Page113
STEP 01




The first information   Preparing of the impression
Two impressions 先取兩個模   對取出的模進行修整




                                                Page114
STEP 13




Attach the impression carrier Position of the laser point
onto the plate holder         and carry out drilling
將模放置在托盤上                       procedure
                              對準雷射光點,準備打孔



                                                        Page115
Drilling the holes for the   Fixation of the pins
pins                         固定釘在底板上
鑽孔




                                                    Page116
Antagonist Model




Using the baseplate a   8 pins for the 4 segments
second time             在 4 個部分插入 8 根釘子
第二次使用已使用過的底板


                                                    Page117
Upper and lower jaw before effusion
in each case with pins , in the base
  plate, the later Position of the
  segments is fixed
在倒石膏模前利用這已植釘的底板將每
  部分的位置已先控制住



                                       Page118
Smartbox and Smartmix




Always the same amount of   Always the same homogenius
 water and powderratio      Quality of the stone
按一定比例調和水和粉                  使用相同品質的石膏


                                                  Page119
Fill the alpenrock without any   Wet the pins on the retention
voids into the lower jaw
                                 area of the base plate
mould (opposite bite)
倒 alpenrock 超硬石膏在下顎              with alpenrock
 印模 ( 對咬 ) 並防止氣泡產生               刷上石膏在底板的釘子上


                                                         Page120
Reactions of the plaster 石膏反應表


                                      Harde
Water   Premi   Vacuu    Castin
                                                       0,2%
 and     xing     m       g 倒模
powde
  r
         預攪拌    mixing
                 真空攪拌                 ness             0,15
 水和粉
                                        硬度Expansion    0,10

                                  Aushärten
                                              膨脹度
                                                       40°
                                                       C

                                          Tempe        30

                                          ratur        20
  10    30 s    4 – 6 min         7       30 1 h 24 h
  s                               min     min




                                                      Page121
Detach the model from the        Detach tooth arch from base plate – 從基
                                   底板取出牙弓
  mould – 分離印模和模型                lightly tap on the base plate with a
apply a leverage effect          small hammer to achieve this
  through                        用小錘頭輕敲基底板,取出牙弓

the plaster knife onto the
  model
                                                                Page123
plaster, not on the base plate
Opposite jaw model: tooth arch
Tooth arch is detached from   (basal) detached from base plate
base plate 從底板取出牙弓            procedural method as explained
                              above 對頜模用同樣方法取出




                                                                 Page124
Partition / saw tooth arch
Dry grind both teeth            (Tip: in oder not to damage the
Important: Dry grind to avoid   tooth arch, first separate the tooth
recording any additional        arch in the middle) 分割模型(避免損壞牙
                                  弓,從中間開始分割)
 expansions 幹磨,避免額外膨
 脹
                                                              Page125
Reduction of Expansion 減少膨脹係
數




                               Page126
Giroform-Modelpair



                      Kontrolled Expansion
                       with the Segments of
                       Giroform Models 分割
                       後的模型可以將膨脹控制
                       住




                                              Page129
Giroform model is articulated Looking for the abrasions
with facebow registration      and the static contacts
  into                        找出磨損與靜態接觸點
the central occlusion



                                                      Page131
Mark out the grinding facets    Realising the strong canina
  on                             guidance, without any contacts
the occlusion with a pencil 將    on the premolars 小臼齒 and
                                 molars 臼齒 如果小臼齒和臼齒無
  需打磨處用鉛筆標示出來
                                 接觸點則前面接觸太強


                                                            Page132
STEP 59




Test front tooth guidance     Remove objectionable
(right-lateral movement)      (objectionable in regard
Corner tooth leads with its   to movement dynamics)
grinding facet                  segments 把前牙模型取出



                                                         Page133
Removing the distracting   Only the neighborhood teeth
Segments and teeth         Are now in contact 把其他部分
                            模型取出,只留下鄰牙




                                                  Page134
Oppening the ISS (max.   Gliding into the final vertical
 0,5mm)                   dimension 滑動直到完全咬合




                                                    Page135
The new reference height 新的
 參考高度

                              Page136
STEP 51




The remaining segments of      Lock the ISS on zero-position
the models are put back into   將 ISS 調到0度
the model 放回其他分割模型




                                                       Page137
STEP 53




Lock articulator centric –     Anterior guidance pin is out of
 upper                         contact with the anterior
and lower jaw have contact 鎖   guidance plate when the
                               articulator centric is closed
 住中心,上下頜就可以接觸到
                               前牙引導針與引導板未接觸


                                                           Page138
STEP 55




Remove the neighbouring        Mark out the early contacts
teeth / segments for           with occlusion foil –
restoration, which will        by closed articulator centric
be used in the determination   用咬合紙標出最初的咬合點
of height 去掉鄰牙,確定高度

                                                         Page139
STEP 57




Systematically etch in the    Etch in until the anterior
early contacts with a scalpel guidance pin has contact
following the known grinding with the plate
  rules



                                                           Page140
Artex CR




           Page143
Artex
CT




        Page144
Interchangeabilty with the
Splitex-System




                             Page145
Calibration of Artex Articulators




                                    Page146
Page147
The calibration of our articulators 刻度調
節




                                          Page148
Artex®articulators
    are not only
the painless
friends of the
patient,
of dentist and
of the technician...


                       Page150
...but also the
         “Key to
Communication”




                   Page151
Everybody is an
       Individual
Detailed information creates
 s ucces s ful res torations !



                             Page152

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Artex articulator

  • 2. Welcome to the seminar Model Management 歡迎參加 模型製作的講習 Model Management/ What is it? Page2
  • 3. AmannGirrbach today 今日的阿曼吉爾巴赫 Company focal points 公司主要領 Company headquarters 域 公司總部 Articulation/ Registration 咬合 / Pforzheim / Germany 德 紀錄 國 Process planning Koblach / Austria 奧地利 Casting 鑄造 / Joining 連接 Tampa / USA 美國 Aesthetic veneering materials 美觀假牙築盛材料 France 法國 Milling technique 研磨技術 Asia 亞洲 Page4
  • 4. METHOD l PRODUCT l KNOW-HOW l SERVICE 如何進行模型製作 MODEL MANAGEMENT HIGH-PRECISION MASTER MODELS WITH ADDED VALUE 高度精確的模型製作以提升價值 Page5
  • 5. What are the main complaints of dentists about C&B cases from their labs? 牙醫通常會向技工所抱怨牙冠和牙橋的哪 些方面? Problems in Occlusion 問題在咬合上 Page6
  • 6. The crown is: “too high”!? 牙冠“過高” ? Page7
  • 7. „Dentists could safe 30 %working time during their life, if they would use articulatorsandfacebows!“ 如果醫師使用咬合器和面弓,將 節約 30% 以上的工作時間 Prof. R. Slavicek, Vienna, Austria Page8
  • 8. Where is our way? 如何解決 ? Page9
  • 9. The dull daily life andthe target goal Median customization 普遍情況 Individual 個體差異 Static: 靜態參數 Static: 靜態參數 Bonwill-triangle LJ 用三角理論上咬 Facebow UJ 用面弓上咬合器 合器 Terminal occlusion UJ 終極咬合 CO Centering LJ 中心咬合 CR Kinetics: 動態參數 Kinetics: 動態參數 依平均值定前傾角在 SKN 30°-35° Position registry 依前突紀錄定角度 依平均值定側移角在 TKN 10°-15° Mechanical impression or electronics 依手工或電子式取側移紀錄來定角度 Page11
  • 10. The Average Articulator 平均值咬合 器 110 2 mm 5° Page12
  • 11. Models mounted by average values 用平均值來上咬合器 Page13
  • 12. step by step •Impression 取模 and model 制模 •Facebow 面弓 – why 為什麼 ? •Model managment 模型製作安 排– Why 為什麼 ? Page14
  • 13. Impression = registration of the situation 取模(精確) = 紀錄了患者的情況 Page15
  • 14. Second question –What do we know about upper and lower jaw in occlusion 第二個問題 – 要知道上下顎是如何咬合? Page16
  • 15. The radial distance of teeth to the condyle 牙齒與髏 狀突的半徑距離 , which is the rotational center of the mandibler 就 是下顎的旋轉中心軸點 Page17
  • 16. Bonwill-Triangle 邦威爾 - 三 角理論 Page18
  • 17. Different rotational center changes the arc of closure 不同的旋轉軸心會改變咬合的閉合弧度 Page19
  • 18. Checking contact points with the incorrect arch 用不正確的閉合弧來檢查咬合點 Page20
  • 19. There is only one consequence – the facebow 只有用面弓重新檢測確定 Page22
  • 21. The facebow connected with the articulator 連接咬合器的面弓含紀錄 Page29
  • 22. STEP 37 Transfer of the facebow registration Remove transfer table from the to the transfer table transfer stand and insert into the articulator or plastering apparatus 將面弓紀錄移到轉移台上 , 並用石膏固 將轉移台上含石膏固定咬叉的轉移座從磁性 定 底座上取下 , 插入咬合器的磁性下座 咬叉 Page30
  • 23. STEP 39 Attach the giroform secondary plate Position artifix articulation plaster to the base of the model on the retention area of the giroform 植釘底盤和對合板扣合 secondary plate and articulate into the upper jaw model 使用 artifix 著裝石膏加在咬合器及 Giroform 底 板的對合板上固位部位來著裝上顎模型 Page31
  • 24. STEP 41 Top of Artex CR with inserted Align the lower jaw model in maximal intercuspidation to the upper lower jaw model jaw model 根據上顎模型牙尖的最大咬合來吻合 上顎模型插入在咬合架的上部 下顎模型 Page32
  • 25. Three-dimensional movement of the masticatory organ 咀嚼器官的三方向移動圖 Page34
  • 26. Condyle-inclination 髏的導引 -( 向前 ) 傾斜 ( 角度 ) Page35
  • 27. Benett Movement 貝內特 ( 側方 ) 運動 R L 正 中 矢 a de M n enalp lat ggaS 狀 Bennett angle 平 貝內特角度 面 i i Right-lateral movement 向右側移動 Page38
  • 28. Bennett Movement with ISS 瞬間位移 Tolerances and movements a patient may experience. 某些病人在向右移動時會有瞬間位移 R ISS L 矢 正 狀 中 平 面 na de M latt gaS enalp Bennett angle 貝內特角度 i i Right-lateral movement 向右側移動 Page39
  • 30. Average Settings for Articulators Condyle Inclination (SCI) 髏突起傾斜度 35° Bennett Angle (TCI)Bennett 角度 10° Condyle Radius 髏突起半徑 19 mm Page41
  • 31. Dynamic 動態參數 To program the articulator we need special checkbites 在調節咬合器前需要特別的咬臘紀錄 protrusionand lateral checkbites 前突及左右側移的咬臘紀錄 Page42
  • 32. Regiwax plates for the checkbites 蠟型 咬合板 Page43
  • 33. Individual 個人的 Protrusive Checkbite for Condyle Inclination Adjustment 調節髏突起傾斜角度 Page44
  • 34. Individual 個人的 Laterotrusive Checkbite for Bennett Angle Adjustment 拿側移咬臘紀錄來 調節貝內特角度 Page45
  • 35. CENTROFIX 顎間關係紀錄儀 No Plast set 無需石膏固定模 型 Page46
  • 36. 1 - Articulator centric is closed. Loosen the holding screw of the anterior guidance pin 將咬合器的正中鎖定, (CT 為左右兩個白 色 快鎖夾壓下 ) 旋鬆前齒導引釘螺絲。 Page47
  • 37. 2 - Remove anterior guidance pin from the top part of the Artex articulator 將咬合器的前齒導引釘從咬合器上部 取出。 Page48
  • 38. 3 - Remove anterior guidance pin from the top part of the Artex articulator 將咬合器的前齒導引釘從咬合器上部 取出。 Page49
  • 39. 4 - Loosen the holding screw on the front tooth guidance dish 將咬合器的前齒導引盤螺絲旋鬆 Page50
  • 40. 5 - Remove the front tooth guidance dish from base of the Artex articulator 將咬合器的前齒導引盤從咬合器下部 取出。 Page51
  • 41. 6 - Insert the front tooth guidance dish backwards into the top of the Artex (high edge is visible from the front) 將咬合器的前齒導引盤反方向放入咬合器上部 ( 藍色高的部分朝 Page52 外)。
  • 42. 7 - Fix the holding screw on the front tooth guidance dish 將咬合器的前齒導引盤固定螺絲扭 緊 Page53
  • 43. 8 - Insert the transfer jig into the front groove in the base of the Artex up to the stop position 將轉移架放入咬合器底部,要推入到底。 Page54
  • 44. 9 - Fix the holding screw of the transfer jig 將轉移架螺絲鎖緊,固定在咬合器底部 Page55
  • 45. 10 - Open the holding screw of the front tooth guidance dish and slide the plate to the front, till there is a stop on the high edge of the transfer jig. Refix the holding screw 將前齒導引盤固定螺絲轉鬆,向前移直到可 停靠在轉移架上,再將前齒導引盤固定螺絲轉緊。 Page56
  • 46. 11 - Place bite fork support into the base part of the Artex 將咬叉支撐 放在咬合器磁性底部中央 ( 會吸住 ) Page57
  • 47. 12 - Insert the joint support into the receptacle on the transfer jig 將取下的面弓記錄 關節部份 套在轉移架上接合部位 Page58
  • 48. 13 - Insert the joint support into the receptacle on the transfer jig 將取下的面弓記錄 關節部份 套在轉移架上接合部位 Page59
  • 49. 14 - Fix the joint support into the transfer jig with the adapter bolt on the joint support 用關節上的螺栓將面弓記錄 關節部份 固定在轉移架上 Page60
  • 50. 15 - Detach the support pin and place the articulator upon its head. Detach the screws on the bite fork support 將咬合器上面的支持 釘取下,倒放咬合器並轉鬆咬叉支撐 上的固定螺栓使降下支撐 Page61
  • 51. 16 - Bring the crossbar on the bite fork support into contact with the bite fork - fix the screw on the bite fork support.The crossbar stabilises the bite fork 使支撐橫 桿接觸到咬叉後再固定咬叉支撐 螺絲,如此交叉 咬叉橫 桿將使咬叉得到支撐 Page62
  • 52. 17 - Replace the articulator in working position, open and insert Splitex counterplate>> Artex Facebow Homepage 再正放咬合器, 鎖上支撐 柱並掀開咬合器上部,將白 ( 藍 ) 色著裝板含圓鐵片固定在磁鐵座上 Page63
  • 53. 18 - Opened articulator before insertion of the upper jaw model 在放入上顎石膏模之前請先掀開咬合器 Page64
  • 54. 19 - Insertion of the upper jaw model (with attached secondary plate) in the impression of the bite fork 放入上顎石膏模,對放在咬叉上的印模 Page65
  • 55. 20 - Insertion of the upper jaw model (with attached secondary plate) in the impression of the bite fork 放入上顎石膏模,對放在咬叉上的印模位置 Page66
  • 56. 21 - Upper jaw model inserted 放入上顎石膏模 Page67
  • 57. 22 - Examine available space between the model and top of the Artex with closed articulator top 閉合咬合器上部,並檢查 石膏模型與咬合器著裝板之間的距離 Page68
  • 58. 23 - Mix articulation plaster (artifix) till creamy. 調拌固定石膏至奶 油狀 Position articulation plaster (artifix) on the retention area of the giroform secondary plate 放置固定石膏在 (Giroform 的二階板上 ) 模型背部上 Page69
  • 59. 24- Mix articulation plaster (artifix) till creamy. 調拌固定石膏至奶油狀 Position articulation plaster (artifix) on the retention area of the giroform secondary plate 放置固定石膏在 (Giroform 的二階板上 ) 模型背部上 Page70
  • 60. 25 - Mix articulation plaster (artifix) till creamy. 調拌固定石膏至奶油狀 Position articulation plaster (artifix) on the retention area of the giroform secondary plate 放置固定石膏在 (Giroform 的二階板上 ) 模型背部上 Page71
  • 61. 26 - Position articulation plaster (artifix) on the retention area of the Splitex counterplate 放置固定石膏在 Giroform 的快拆對合板 及 白色固定板上的固位部 Page72
  • 62. 27 - Position articulation plaster (artifix) on the retention area of the Splitex counterplate 放置固定石膏在 (Giroform 的快拆板 ) 或藍色固定板上 Page73
  • 63. 28 - Position articulation plaster (artifix) on the retention area of the Splitex counterplate 放置咬合器固定石膏在 (Giroform 的快拆板 ) 或 藍色固定板上的固位區域。 Page74
  • 64. 29 - Close the top of the articulator till the front tooth guidance dish is in contact with the transfer plate 閉合咬合器上部,直到前齒導引盤接觸到轉移架上板 Page75
  • 65. 30 - Close the top of the articulator till the front tooth guidance dish is in contact with the transfer plate 閉合咬合器上部,直到前齒導引盤接觸到轉移架上板 Page76
  • 66. 31 - Close the top of the articulator till the front tooth guidance dish is in contact with the transfer plate 閉合咬合器上部,直到前齒導引盤接觸到轉移架上 Page77 板
  • 67. 32 - Tap finger multiple times on the top of the Artex to release the tension in the articulation plaster 用手指輕敲幾下咬合器上部,以釋放咬合石膏的張力 Page78
  • 68. 33 - After hardening of the articulation plaster. Open the centric locking device on the Artex CR - turn the centric lever to the top 模型石膏硬化後,打開 Artex CR 上的中心鎖裝置—將中心杠杆轉到頂部 Page79
  • 69. 34 - Centric on the top of the Artex CR is open - central locking lever is open 將 Artex CR 咬合器上部的中心鎖裝置打開 - 中心鎖裝置被 打開 Page80
  • 70. 35 - Raise the top of the Artex CR, thereby detaching the model from the impression on the bite fork 將 Artex CR 的頂部抬高,就可以將模型從咬叉紀錄裏分離出 Page81 來
  • 71. 36 - Top of the Artex CR is detached from the base Artex CR 咬合器頂部已經從下座脫 Page82 離
  • 72. 37 - Loosen the adapter bolt on the joint support 將面弓萬向關節連接在轉移台上的螺絲 Page83 鬆開
  • 73. 38 - Remove the joint support from the transfer jig with the bite fork 將萬向關節連咬叉從轉移架上分離 Page84
  • 74. 39 - Remove the joint support from the transfer jig with the bite fork 將萬向關節連咬叉從轉移架上分離 Page85
  • 75. 40 - The anterior guidance table is removed from the top and repaced into the articulator base 前齒導引台從咬合器上部取下後, 重新安置到咬合器下部底座上 Page86
  • 76. 41 - The anterior guidance table is removed from the top and repace into the articulator base 前齒導引台從咬合器上部取下後,重新安置到咬合器下部底座上 Page87
  • 77. 42 - Replace anterior guidance pin in the top of the Artex 在 Artex CR 咬合器頂部再放上前齒導引 釘 Page88
  • 78. 43 - Replace anterior guidance pin in the top of the Artex 在 Artex CR 咬合器頂部再放上前齒導引釘 ,並轉 緊 Page89
  • 79. 44 - anterior guidance pin is set to 0 將前齒導引釘刻度固定在 0 的位 Page90 置
  • 80. 45 - Top part of the Artex CR with inserted upper jaw model 將上顎模型放在 Artex CR 咬合器的上部 Page91
  • 81. 46 - Insert the Splitex counterplate into the base of the CR articulator 將可分離的白色對合板放入 CR 咬合器的磁性底座上Page92
  • 82. 47 - Place articulator upon its head 把咬合器倒過來放置 Page93
  • 83. 48 - Align the lower jaw model in maximal intercuspidation to the lower jaw model 調整下顎模型使其最大限度的與上顎模型咬 Page94 合
  • 84. 49 - Align the lower jaw model in maximal intercuspidation to the lower jaw model 調整下顎模型使其最大限度的與上顎模型咬合 Page95
  • 85. 50 - Mix articulation plaster (artifix) till creamy. Position articulation plaster (artifix) on the retention area of the giroform secondary plate 放置咬合固定石膏在 Giroform 的快拆對合板 及 白色固定板上 Page96
  • 86. 51 - Position articulation plaster (artifix) on the retention area of the Splitex counterplate 放置咬合固定石膏在白色快拆對合板上的固位部分 Page97
  • 87. 52 - Close top of the articulator, while securing the lower jaw model with hand 將咬合器頂部向下閉合,同時用手拖住下顎模型 Page98
  • 88. 53 - Close top of the articulator, while securing the lower jaw model with hand 將咬合器頂部向下閉合,同時用手拖住下顎模型 Page99
  • 89. 54 - Close top of the articulator, while securing the lower jaw model with hand 將咬合器頂部向下閉合,當用手拖住下顎模型時 Page100
  • 90. 55 - Tap finger multiple times on the top of the Artex to release the tension in the articulation plaster 在咬合器頂部用手指敲打多次,以此來放鬆咬合石膏的張 Page101 力
  • 91. 56 - Result: With the aid of facebow registration the model is inserted into Artex CR 結果:在面弓紀錄的協助下,模型可以放固定在 Artex CR 咬合 Page102 器裏
  • 92. 台倢企業有限公司 Tel : (02)29995960 Fax : (02)29951033 台北縣三重市光復路一段 83 巷 1 號 5 樓 E-mail : teijel@ms53.hinet.net 網址 : http://www.teijel.com.tw Page103
  • 93. Flexibility 靈活性 : articulator and models Why is an articulator rigid, not soft and loose? 為什麼咬合器是固定的而不是鬆軟的? The stability is required to ensure a secure centring 此固定性可保證穩定的中心咬合 , and subsequently a consistent, defined starting point for a movement. 最後有一個固定的移 動起點 Page105
  • 94. MODEL MANAGEMENT STEP BY STEP 步 驟 Page107
  • 95. Clases of Stone 石膏種類  I impression-stone  取模石膏  II Alabaster-stone  III Hardstone 硬石 膏  IV Superhardstone or Die-stone 超硬石膏 Page108
  • 96. Linear expansion of die-stone 石膏的線性膨脹 1.linear expansion 線性膨脹 Giroform® Model-System| The Model Page109
  • 97. Linear expansion of die-stone 石膏的直線性 膨脹 2. Expansion ! 線性膨脹 1. Expansion 線性膨脹 Giroform® Model-System| The Model Page110
  • 98. Linear expansion of die-stone 石膏的直線膨脹 3. Expansion ! 膨脹 After trimming with water! 在磨石膏與水 混合後 2. Expansion 膨脹 Giroform® Model-System| The Model Page111
  • 99. Giroform® Model-System 種釘系統 Giroform® Model-System Page112
  • 100. Giroform-Plates Giroform 各式種釘板 Premiu Premium Secondar m+ + large y plate Cla Classi Classi Page113
  • 101. STEP 01 The first information Preparing of the impression Two impressions 先取兩個模 對取出的模進行修整 Page114
  • 102. STEP 13 Attach the impression carrier Position of the laser point onto the plate holder and carry out drilling 將模放置在托盤上 procedure 對準雷射光點,準備打孔 Page115
  • 103. Drilling the holes for the Fixation of the pins pins 固定釘在底板上 鑽孔 Page116
  • 104. Antagonist Model Using the baseplate a 8 pins for the 4 segments second time 在 4 個部分插入 8 根釘子 第二次使用已使用過的底板 Page117
  • 105. Upper and lower jaw before effusion in each case with pins , in the base plate, the later Position of the segments is fixed 在倒石膏模前利用這已植釘的底板將每 部分的位置已先控制住 Page118
  • 106. Smartbox and Smartmix Always the same amount of Always the same homogenius water and powderratio Quality of the stone 按一定比例調和水和粉 使用相同品質的石膏 Page119
  • 107. Fill the alpenrock without any Wet the pins on the retention voids into the lower jaw area of the base plate mould (opposite bite) 倒 alpenrock 超硬石膏在下顎 with alpenrock 印模 ( 對咬 ) 並防止氣泡產生 刷上石膏在底板的釘子上 Page120
  • 108. Reactions of the plaster 石膏反應表 Harde Water Premi Vacuu Castin 0,2% and xing m g 倒模 powde r 預攪拌 mixing 真空攪拌 ness 0,15 水和粉 硬度Expansion 0,10 Aushärten 膨脹度 40° C Tempe 30 ratur 20 10 30 s 4 – 6 min 7 30 1 h 24 h s min min Page121
  • 109. Detach the model from the Detach tooth arch from base plate – 從基 底板取出牙弓 mould – 分離印模和模型 lightly tap on the base plate with a apply a leverage effect small hammer to achieve this through 用小錘頭輕敲基底板,取出牙弓 the plaster knife onto the model Page123 plaster, not on the base plate
  • 110. Opposite jaw model: tooth arch Tooth arch is detached from (basal) detached from base plate base plate 從底板取出牙弓 procedural method as explained above 對頜模用同樣方法取出 Page124
  • 111. Partition / saw tooth arch Dry grind both teeth (Tip: in oder not to damage the Important: Dry grind to avoid tooth arch, first separate the tooth recording any additional arch in the middle) 分割模型(避免損壞牙 弓,從中間開始分割) expansions 幹磨,避免額外膨 脹 Page125
  • 112. Reduction of Expansion 減少膨脹係 數 Page126
  • 113. Giroform-Modelpair  Kontrolled Expansion with the Segments of Giroform Models 分割 後的模型可以將膨脹控制 住 Page129
  • 114. Giroform model is articulated Looking for the abrasions with facebow registration and the static contacts into 找出磨損與靜態接觸點 the central occlusion Page131
  • 115. Mark out the grinding facets Realising the strong canina on guidance, without any contacts the occlusion with a pencil 將 on the premolars 小臼齒 and molars 臼齒 如果小臼齒和臼齒無 需打磨處用鉛筆標示出來 接觸點則前面接觸太強 Page132
  • 116. STEP 59 Test front tooth guidance Remove objectionable (right-lateral movement) (objectionable in regard Corner tooth leads with its to movement dynamics) grinding facet segments 把前牙模型取出 Page133
  • 117. Removing the distracting Only the neighborhood teeth Segments and teeth Are now in contact 把其他部分 模型取出,只留下鄰牙 Page134
  • 118. Oppening the ISS (max. Gliding into the final vertical 0,5mm) dimension 滑動直到完全咬合 Page135
  • 119. The new reference height 新的 參考高度 Page136
  • 120. STEP 51 The remaining segments of Lock the ISS on zero-position the models are put back into 將 ISS 調到0度 the model 放回其他分割模型 Page137
  • 121. STEP 53 Lock articulator centric – Anterior guidance pin is out of upper contact with the anterior and lower jaw have contact 鎖 guidance plate when the articulator centric is closed 住中心,上下頜就可以接觸到 前牙引導針與引導板未接觸 Page138
  • 122. STEP 55 Remove the neighbouring Mark out the early contacts teeth / segments for with occlusion foil – restoration, which will by closed articulator centric be used in the determination 用咬合紙標出最初的咬合點 of height 去掉鄰牙,確定高度 Page139
  • 123. STEP 57 Systematically etch in the Etch in until the anterior early contacts with a scalpel guidance pin has contact following the known grinding with the plate rules Page140
  • 124. Artex CR Page143
  • 125. Artex CT Page144
  • 127. Calibration of Artex Articulators Page146
  • 129. The calibration of our articulators 刻度調 節 Page148
  • 130. Artex®articulators are not only the painless friends of the patient, of dentist and of the technician... Page150
  • 131. ...but also the “Key to Communication” Page151
  • 132. Everybody is an Individual Detailed information creates s ucces s ful res torations ! Page152

Editor's Notes

  1. Zentrikregistrat Gibt die Zuordnung der Modell zueinander wieder bei der die Kondylen in zentrischer Position stehen. (Kondyle nach vorne oben nicht seitenversetzt).
  2. Hier
  3. p