This document discusses the use of a facebow to transfer jaw orientation from a patient to an articulator. It begins by explaining the importance of recording jaw orientation and its relationship to the skull. It then defines orientation jaw relation and describes how a facebow is used to locate three reference points (condylar centers and infraorbital notch) to establish the maxilla's angle. The document discusses arbitrary and kinematic facebows and their parts. It provides steps for making a facebow recording and transferring it to mount the dental cast on an articulator.
The human mandible can be related to the maxilla in several positions in the horizontal plane. Among these centric relation is a significant position, because of its usefulness in relating the dentulous and edentulous mandible to maxilla, where the teeth , muscles and temporomandibular joint function in harmony. It is a position of occluso-articular harmony.
Fabrication of functional complete dentures for edentulous patients who have undergone hemimandibulectomy is a very arduous and demanding endeavor.
The most challenging situation encountered during this procedure is the deviation of the mandible to the resected side. The deviation of the mandible to the resected side is directly proportional to the loss of tissues in the area hemi-mandibulectomy has been performed.
In cases with Cantor and Curtis classes II, III, IV, and V, guide flange prosthesis would be a treatment modality. For guide flange prosthesis to be effective, the sufficient number of posterior teeth that are periodontally sound should be present in the opposite arch.
In patients where reconstruction is not done after resection of the mandible, scar tissue formation occurs over a period of time that stiffens the tissues and worsens prosthetic rehabilitation, leading to compromised treatment planning.
The human mandible can be related to the maxilla in several positions in the horizontal plane. Among these centric relation is a significant position, because of its usefulness in relating the dentulous and edentulous mandible to maxilla, where the teeth , muscles and temporomandibular joint function in harmony. It is a position of occluso-articular harmony.
Fabrication of functional complete dentures for edentulous patients who have undergone hemimandibulectomy is a very arduous and demanding endeavor.
The most challenging situation encountered during this procedure is the deviation of the mandible to the resected side. The deviation of the mandible to the resected side is directly proportional to the loss of tissues in the area hemi-mandibulectomy has been performed.
In cases with Cantor and Curtis classes II, III, IV, and V, guide flange prosthesis would be a treatment modality. For guide flange prosthesis to be effective, the sufficient number of posterior teeth that are periodontally sound should be present in the opposite arch.
In patients where reconstruction is not done after resection of the mandible, scar tissue formation occurs over a period of time that stiffens the tissues and worsens prosthetic rehabilitation, leading to compromised treatment planning.
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it is a ppt regarding different types of facebows used in Prosthodontics.classification and history of facebows used with different types of articulators has been described in it.
CONTENTS
INTRODUCTION
DEFINITION
THE EVOLUTION OF THE FACEBOW
CLASSIFICATION OF FACEBOW
ANTERIOR REFERENCE POINT
POSTERIOR REFERENCE POINT
PARTS OF FACEBOW
ADVANTAGES
WHAT IF FACEBOW IS NOT USED
CONCLUSION
DEFINITION OF FACEBOW
A caliper like instrument used to record the spatial relationship of the maxillary arch to some anatomic reference point or points and then transfer this relationship to an articulator; it orients the dental cast in the same relationship to the opening axis of the articulator; customarily the anatomic references are the mandibular transverse horizontal axis and one other selected anterior reference point. (GPT 9)
HISTORY OF FACEBOW
HISTORY OF FACEBOW
A.D. Gritman gave the statement : the implement devised by Prof. Snow as a bow of metal that reaches around the face. The face-bow is also a convenient instrument for supporting the casts while they are being attached to the articulator” : hence the term “FACEBOW”
According to Prothero , Thomas L.Gilmer was the first to suggest the principle of a face bow in a paper presented at a meeting of the Illinois State Dental Society in 1882.
Richmond S. Hayes (1880): introduced the first example of functional facebow like device intended for locating the position of casts correctly in the articulator.
George B. Snow (1899): is credited for the development of modern traditional facebow.
THE EVOLUTION OF THE FACEBOW
BONWILL – 1860
The distance between the centre of the CONDYLE and the MEDIAN INCISAL POINT OF THE LOWER TEETH - 10cm.
BALKWILL – 1866
The angle formed by the occlusal plane of the teeth and the line passing through the condyle to the incisal line of the lower teeth - 22 – 30 degrees
He could also determine approximately the distance from each condyles and ‘the front of the gums.
THE ARTICULATING CALIPER
Richmond S. Hayes - 1889
Did not enable a fixed transfer or three dimensional orientation of the cast to the articulator.
With discs C, placed on the cheeks over the condyles and the point of rod D pressed into the wax occlusion rim, this one relationship was used to determine the position of cast in the articulator.
FACIAL CLINOMETER
WILLAM E. WALKER – 1896.
Was used only for measurement of the condylar inclination.
First instrument deviced to determine the individual relationship and movements of the mandible for the purpose of constructing mechanisms for imitating these movements.
GYSI CONDYLE PATH REGISTER
GYSI – Towards the end of the 19Th Century
With the condylar graphic tracing device and incisor point marker Gysi was capable of tracing the gothic arch as well as the condyle paths on both vertical and horizontal plane.
THE PLANE OF ORIENTATION
A horizontal plane established on the face of the patient by one anterior reference point and two posterior reference points from which measurements of the posterior anatomic determinants of occlusion and mandibular motions are made. (GPT-9)
Two points
Orientation jaw relation 4 / dental implant courses by Indian dental academy Indian dental academy
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This presentation goes through various articles and books based on Articulators and gives a brief of the types of articulators used in dentistry from the classical ones to recent advances ones.
Following the orientation of maxilla and determination of vertical
dimension, the final relation to be recorded is the horizontal relation.
This is the anteroposterior relation of the mandible to the maxilla in
the horizontal plane.
The horizontal relations can be classified as:
• Centric relation
• Eccentric relations – protrusive and lateral.
The maxillomandibular relationship in which the condyles articulate with the thinnest avascular portion of their respective discs with the complex in the anterior–superior position against the slopes of the articular eminencies. This position is independent of tooth contact. This position is clinically discernible when the mandible is directed superiorly and anteriorly. It is restricted to a purely rotary movement about the transverse horizontal axis
These lecture slides, by Dr Sidra Arshad, offer a quick overview of physiological basis of a normal electrocardiogram.
Learning objectives:
1. Define an electrocardiogram (ECG) and electrocardiography
2. Describe how dipoles generated by the heart produce the waveforms of the ECG
3. Describe the components of a normal electrocardiogram of a typical bipolar leads (limb II)
4. Differentiate between intervals and segments
5. Enlist some common indications for obtaining an ECG
Study Resources:
1. Chapter 11, Guyton and Hall Textbook of Medical Physiology, 14th edition
2. Chapter 9, Human Physiology - From Cells to Systems, Lauralee Sherwood, 9th edition
3. Chapter 29, Ganong’s Review of Medical Physiology, 26th edition
4. Electrocardiogram, StatPearls - https://www.ncbi.nlm.nih.gov/books/NBK549803/
5. ECG in Medical Practice by ABM Abdullah, 4th edition
6. ECG Basics, http://www.nataliescasebook.com/tag/e-c-g-basics
NVBDCP.pptx Nation vector borne disease control programSapna Thakur
NVBDCP was launched in 2003-2004 . Vector-Borne Disease: Disease that results from an infection transmitted to humans and other animals by blood-feeding arthropods, such as mosquitoes, ticks, and fleas. Examples of vector-borne diseases include Dengue fever, West Nile Virus, Lyme disease, and malaria.
Couples presenting to the infertility clinic- Do they really have infertility...Sujoy Dasgupta
Dr Sujoy Dasgupta presented the study on "Couples presenting to the infertility clinic- Do they really have infertility? – The unexplored stories of non-consummation" in the 13th Congress of the Asia Pacific Initiative on Reproduction (ASPIRE 2024) at Manila on 24 May, 2024.
The prostate is an exocrine gland of the male mammalian reproductive system
It is a walnut-sized gland that forms part of the male reproductive system and is located in front of the rectum and just below the urinary bladder
Function is to store and secrete a clear, slightly alkaline fluid that constitutes 10-30% of the volume of the seminal fluid that along with the spermatozoa, constitutes semen
A healthy human prostate measures (4cm-vertical, by 3cm-horizontal, 2cm ant-post ).
It surrounds the urethra just below the urinary bladder. It has anterior, median, posterior and two lateral lobes
It’s work is regulated by androgens which are responsible for male sex characteristics
Generalised disease of the prostate due to hormonal derangement which leads to non malignant enlargement of the gland (increase in the number of epithelial cells and stromal tissue)to cause compression of the urethra leading to symptoms (LUTS
Recomendações da OMS sobre cuidados maternos e neonatais para uma experiência pós-natal positiva.
Em consonância com os ODS – Objetivos do Desenvolvimento Sustentável e a Estratégia Global para a Saúde das Mulheres, Crianças e Adolescentes, e aplicando uma abordagem baseada nos direitos humanos, os esforços de cuidados pós-natais devem expandir-se para além da cobertura e da simples sobrevivência, de modo a incluir cuidados de qualidade.
Estas diretrizes visam melhorar a qualidade dos cuidados pós-natais essenciais e de rotina prestados às mulheres e aos recém-nascidos, com o objetivo final de melhorar a saúde e o bem-estar materno e neonatal.
Uma “experiência pós-natal positiva” é um resultado importante para todas as mulheres que dão à luz e para os seus recém-nascidos, estabelecendo as bases para a melhoria da saúde e do bem-estar a curto e longo prazo. Uma experiência pós-natal positiva é definida como aquela em que as mulheres, pessoas que gestam, os recém-nascidos, os casais, os pais, os cuidadores e as famílias recebem informação consistente, garantia e apoio de profissionais de saúde motivados; e onde um sistema de saúde flexível e com recursos reconheça as necessidades das mulheres e dos bebês e respeite o seu contexto cultural.
Estas diretrizes consolidadas apresentam algumas recomendações novas e já bem fundamentadas sobre cuidados pós-natais de rotina para mulheres e neonatos que recebem cuidados no pós-parto em unidades de saúde ou na comunidade, independentemente dos recursos disponíveis.
É fornecido um conjunto abrangente de recomendações para cuidados durante o período puerperal, com ênfase nos cuidados essenciais que todas as mulheres e recém-nascidos devem receber, e com a devida atenção à qualidade dos cuidados; isto é, a entrega e a experiência do cuidado recebido. Estas diretrizes atualizam e ampliam as recomendações da OMS de 2014 sobre cuidados pós-natais da mãe e do recém-nascido e complementam as atuais diretrizes da OMS sobre a gestão de complicações pós-natais.
O estabelecimento da amamentação e o manejo das principais intercorrências é contemplada.
Recomendamos muito.
Vamos discutir essas recomendações no nosso curso de pós-graduação em Aleitamento no Instituto Ciclos.
Esta publicação só está disponível em inglês até o momento.
Prof. Marcus Renato de Carvalho
www.agostodourado.com
These simplified slides by Dr. Sidra Arshad present an overview of the non-respiratory functions of the respiratory tract.
Learning objectives:
1. Enlist the non-respiratory functions of the respiratory tract
2. Briefly explain how these functions are carried out
3. Discuss the significance of dead space
4. Differentiate between minute ventilation and alveolar ventilation
5. Describe the cough and sneeze reflexes
Study Resources:
1. Chapter 39, Guyton and Hall Textbook of Medical Physiology, 14th edition
2. Chapter 34, Ganong’s Review of Medical Physiology, 26th edition
3. Chapter 17, Human Physiology by Lauralee Sherwood, 9th edition
4. Non-respiratory functions of the lungs https://academic.oup.com/bjaed/article/13/3/98/278874
Flu Vaccine Alert in Bangalore Karnatakaaddon Scans
As flu season approaches, health officials in Bangalore, Karnataka, are urging residents to get their flu vaccinations. The seasonal flu, while common, can lead to severe health complications, particularly for vulnerable populations such as young children, the elderly, and those with underlying health conditions.
Dr. Vidisha Kumari, a leading epidemiologist in Bangalore, emphasizes the importance of getting vaccinated. "The flu vaccine is our best defense against the influenza virus. It not only protects individuals but also helps prevent the spread of the virus in our communities," he says.
This year, the flu season is expected to coincide with a potential increase in other respiratory illnesses. The Karnataka Health Department has launched an awareness campaign highlighting the significance of flu vaccinations. They have set up multiple vaccination centers across Bangalore, making it convenient for residents to receive their shots.
To encourage widespread vaccination, the government is also collaborating with local schools, workplaces, and community centers to facilitate vaccination drives. Special attention is being given to ensuring that the vaccine is accessible to all, including marginalized communities who may have limited access to healthcare.
Residents are reminded that the flu vaccine is safe and effective. Common side effects are mild and may include soreness at the injection site, mild fever, or muscle aches. These side effects are generally short-lived and far less severe than the flu itself.
Healthcare providers are also stressing the importance of continuing COVID-19 precautions. Wearing masks, practicing good hand hygiene, and maintaining social distancing are still crucial, especially in crowded places.
Protect yourself and your loved ones by getting vaccinated. Together, we can help keep Bangalore healthy and safe this flu season. For more information on vaccination centers and schedules, residents can visit the Karnataka Health Department’s official website or follow their social media pages.
Stay informed, stay safe, and get your flu shot today!
Lung Cancer: Artificial Intelligence, Synergetics, Complex System Analysis, S...Oleg Kshivets
RESULTS: Overall life span (LS) was 2252.1±1742.5 days and cumulative 5-year survival (5YS) reached 73.2%, 10 years – 64.8%, 20 years – 42.5%. 513 LCP lived more than 5 years (LS=3124.6±1525.6 days), 148 LCP – more than 10 years (LS=5054.4±1504.1 days).199 LCP died because of LC (LS=562.7±374.5 days). 5YS of LCP after bi/lobectomies was significantly superior in comparison with LCP after pneumonectomies (78.1% vs.63.7%, P=0.00001 by log-rank test). AT significantly improved 5YS (66.3% vs. 34.8%) (P=0.00000 by log-rank test) only for LCP with N1-2. Cox modeling displayed that 5YS of LCP significantly depended on: phase transition (PT) early-invasive LC in terms of synergetics, PT N0—N12, cell ratio factors (ratio between cancer cells- CC and blood cells subpopulations), G1-3, histology, glucose, AT, blood cell circuit, prothrombin index, heparin tolerance, recalcification time (P=0.000-0.038). Neural networks, genetic algorithm selection and bootstrap simulation revealed relationships between 5YS and PT early-invasive LC (rank=1), PT N0—N12 (rank=2), thrombocytes/CC (3), erythrocytes/CC (4), eosinophils/CC (5), healthy cells/CC (6), lymphocytes/CC (7), segmented neutrophils/CC (8), stick neutrophils/CC (9), monocytes/CC (10); leucocytes/CC (11). Correct prediction of 5YS was 100% by neural networks computing (area under ROC curve=1.0; error=0.0).
CONCLUSIONS: 5YS of LCP after radical procedures significantly depended on: 1) PT early-invasive cancer; 2) PT N0--N12; 3) cell ratio factors; 4) blood cell circuit; 5) biochemical factors; 6) hemostasis system; 7) AT; 8) LC characteristics; 9) LC cell dynamics; 10) surgery type: lobectomy/pneumonectomy; 11) anthropometric data. Optimal diagnosis and treatment strategies for LC are: 1) screening and early detection of LC; 2) availability of experienced thoracic surgeons because of complexity of radical procedures; 3) aggressive en block surgery and adequate lymph node dissection for completeness; 4) precise prediction; 5) adjuvant chemoimmunoradiotherapy for LCP with unfavorable prognosis.
Title: Sense of Smell
Presenter: Dr. Faiza, Assistant Professor of Physiology
Qualifications:
MBBS (Best Graduate, AIMC Lahore)
FCPS Physiology
ICMT, CHPE, DHPE (STMU)
MPH (GC University, Faisalabad)
MBA (Virtual University of Pakistan)
Learning Objectives:
Describe the primary categories of smells and the concept of odor blindness.
Explain the structure and location of the olfactory membrane and mucosa, including the types and roles of cells involved in olfaction.
Describe the pathway and mechanisms of olfactory signal transmission from the olfactory receptors to the brain.
Illustrate the biochemical cascade triggered by odorant binding to olfactory receptors, including the role of G-proteins and second messengers in generating an action potential.
Identify different types of olfactory disorders such as anosmia, hyposmia, hyperosmia, and dysosmia, including their potential causes.
Key Topics:
Olfactory Genes:
3% of the human genome accounts for olfactory genes.
400 genes for odorant receptors.
Olfactory Membrane:
Located in the superior part of the nasal cavity.
Medially: Folds downward along the superior septum.
Laterally: Folds over the superior turbinate and upper surface of the middle turbinate.
Total surface area: 5-10 square centimeters.
Olfactory Mucosa:
Olfactory Cells: Bipolar nerve cells derived from the CNS (100 million), with 4-25 olfactory cilia per cell.
Sustentacular Cells: Produce mucus and maintain ionic and molecular environment.
Basal Cells: Replace worn-out olfactory cells with an average lifespan of 1-2 months.
Bowman’s Gland: Secretes mucus.
Stimulation of Olfactory Cells:
Odorant dissolves in mucus and attaches to receptors on olfactory cilia.
Involves a cascade effect through G-proteins and second messengers, leading to depolarization and action potential generation in the olfactory nerve.
Quality of a Good Odorant:
Small (3-20 Carbon atoms), volatile, water-soluble, and lipid-soluble.
Facilitated by odorant-binding proteins in mucus.
Membrane Potential and Action Potential:
Resting membrane potential: -55mV.
Action potential frequency in the olfactory nerve increases with odorant strength.
Adaptation Towards the Sense of Smell:
Rapid adaptation within the first second, with further slow adaptation.
Psychological adaptation greater than receptor adaptation, involving feedback inhibition from the central nervous system.
Primary Sensations of Smell:
Camphoraceous, Musky, Floral, Pepperminty, Ethereal, Pungent, Putrid.
Odor Detection Threshold:
Examples: Hydrogen sulfide (0.0005 ppm), Methyl-mercaptan (0.002 ppm).
Some toxic substances are odorless at lethal concentrations.
Characteristics of Smell:
Odor blindness for single substances due to lack of appropriate receptor protein.
Behavioral and emotional influences of smell.
Transmission of Olfactory Signals:
From olfactory cells to glomeruli in the olfactory bulb, involving lateral inhibition.
Primitive, less old, and new olfactory systems with different path
Ethanol (CH3CH2OH), or beverage alcohol, is a two-carbon alcohol
that is rapidly distributed in the body and brain. Ethanol alters many
neurochemical systems and has rewarding and addictive properties. It
is the oldest recreational drug and likely contributes to more morbidity,
mortality, and public health costs than all illicit drugs combined. The
5th edition of the Diagnostic and Statistical Manual of Mental Disorders
(DSM-5) integrates alcohol abuse and alcohol dependence into a single
disorder called alcohol use disorder (AUD), with mild, moderate,
and severe subclassifications (American Psychiatric Association, 2013).
In the DSM-5, all types of substance abuse and dependence have been
combined into a single substance use disorder (SUD) on a continuum
from mild to severe. A diagnosis of AUD requires that at least two of
the 11 DSM-5 behaviors be present within a 12-month period (mild
AUD: 2–3 criteria; moderate AUD: 4–5 criteria; severe AUD: 6–11 criteria).
The four main behavioral effects of AUD are impaired control over
drinking, negative social consequences, risky use, and altered physiological
effects (tolerance, withdrawal). This chapter presents an overview
of the prevalence and harmful consequences of AUD in the U.S.,
the systemic nature of the disease, neurocircuitry and stages of AUD,
comorbidities, fetal alcohol spectrum disorders, genetic risk factors, and
pharmacotherapies for AUD.
Ozempic: Preoperative Management of Patients on GLP-1 Receptor Agonists Saeid Safari
Preoperative Management of Patients on GLP-1 Receptor Agonists like Ozempic and Semiglutide
ASA GUIDELINE
NYSORA Guideline
2 Case Reports of Gastric Ultrasound
New Directions in Targeted Therapeutic Approaches for Older Adults With Mantl...i3 Health
i3 Health is pleased to make the speaker slides from this activity available for use as a non-accredited self-study or teaching resource.
This slide deck presented by Dr. Kami Maddocks, Professor-Clinical in the Division of Hematology and
Associate Division Director for Ambulatory Operations
The Ohio State University Comprehensive Cancer Center, will provide insight into new directions in targeted therapeutic approaches for older adults with mantle cell lymphoma.
STATEMENT OF NEED
Mantle cell lymphoma (MCL) is a rare, aggressive B-cell non-Hodgkin lymphoma (NHL) accounting for 5% to 7% of all lymphomas. Its prognosis ranges from indolent disease that does not require treatment for years to very aggressive disease, which is associated with poor survival (Silkenstedt et al, 2021). Typically, MCL is diagnosed at advanced stage and in older patients who cannot tolerate intensive therapy (NCCN, 2022). Although recent advances have slightly increased remission rates, recurrence and relapse remain very common, leading to a median overall survival between 3 and 6 years (LLS, 2021). Though there are several effective options, progress is still needed towards establishing an accepted frontline approach for MCL (Castellino et al, 2022). Treatment selection and management of MCL are complicated by the heterogeneity of prognosis, advanced age and comorbidities of patients, and lack of an established standard approach for treatment, making it vital that clinicians be familiar with the latest research and advances in this area. In this activity chaired by Michael Wang, MD, Professor in the Department of Lymphoma & Myeloma at MD Anderson Cancer Center, expert faculty will discuss prognostic factors informing treatment, the promising results of recent trials in new therapeutic approaches, and the implications of treatment resistance in therapeutic selection for MCL.
Target Audience
Hematology/oncology fellows, attending faculty, and other health care professionals involved in the treatment of patients with mantle cell lymphoma (MCL).
Learning Objectives
1.) Identify clinical and biological prognostic factors that can guide treatment decision making for older adults with MCL
2.) Evaluate emerging data on targeted therapeutic approaches for treatment-naive and relapsed/refractory MCL and their applicability to older adults
3.) Assess mechanisms of resistance to targeted therapies for MCL and their implications for treatment selection
Explore natural remedies for syphilis treatment in Singapore. Discover alternative therapies, herbal remedies, and lifestyle changes that may complement conventional treatments. Learn about holistic approaches to managing syphilis symptoms and supporting overall health.
2. CONTENTS
• Introduction
• Maxillomandibular relations
• Orientation jaw relation
• Facebow
• Arbitrary facebow
• Kinematic facebow
• Parts of facebow
• Facebow transfer
• Clinical procedures for recording orientation jaw relation
• Mounting on the articulator
• Reference
3. INTRODUCTION
The relationship of mandible to maxilla and their orientation to
cranium is very important consideration in prosthodontics.
The recorded jaw relation are then transferred to articulator which
simulate these movements and assessed in arranging artificial
tooth accordingly.
4. MAXILLOMANDIBULAR RELATIONS AND RECORDS
• Any spatial relationship of maxillae to mandible ; any one of infinite
relationships of the mandible to the maxillae (GPT8)
It can be classified as
Orientation relations
Vertical relations
Horizontal relations
5. ORIENTATION JAW RELATION
DEFINITION
‘The jaw relation when the mandible is kept in most posterior position , it
can rotate in the Sagittal plane around an imaginary transverse axis
passing through or near the condyle’s (GPT)
6. • These establish the relationship of the maxilla to the base of the skull or
cranium
• This is the first jaw relation to recorded
• It establishes the angle or tilt of the maxilla in the three reference
planes
• The mandible moves against a fixed maxilla and to accurately
reproduce mandibular movements,it is necessary to establish and record
the tilt of maxilla
• To record the angulation of the maxilla, a plane should be formed with
at least two posterior reference and one anterior reference
7.
8. • As the mouth opens and closes in centric relations , the movements of
the condyles in the initial stages (up about 12mm) of opening and final
stages of closing, is a rotational movement in the horizontal axis
following an arc of circle.
• Axis of rotation passes through the centre of both condyles.
• The condyles are centered in the glenoid fossa during this rotational
movement.
• If the centre of condylar rotation can be determined it will correspond
to the two posterior reference point necessary to form a plane for the
maxilla.
9. • This is a repeatable border position and can be located consistently.
• A third reference point located anteriorly in the maxilla-infra orbital
notch or nasion will complete the plane.
10.
11. FACE BOW
Definition
“ a caliper like instrument used to record the spatial relationship of the
maxillary arch to some anatomic reference point or points and then
transfer this relationship to an articulator ; it orients the dental cast in
the same relationship to the opening axis of the articulator”.(GPT 8)
Types of face bow
• 1.arbitrary face bow
• 2. kinematic/hinge face bow
12. INDICATIONS OF FACEBOW
• Face bow may be indicated when:
Balanced occlusion is desired.
Vertical dimension is subjected to change.
13. ARBITRARY FACEBOW
Definition:
• A device used to relate the maxillary cast to the condylar elements of
an articulator using average anatomic landmarks to estimate the
position of the transverse horizontal axis on the face. –(GPT8)
• Most commonly used two types
1.Earpiece type
2.Facia type
14. KINEMATIC FACEBOW
Definition:
• A face bow with adjustable caliper ends used to locate the transverse
horizontal axis of the mandible-(GPT8)
• It locates the true (exact) centre of condylar rotation or transverse
horizontal axis.
• Preferred in full mouth reconstruction.
• Requires fully adjustable articulator.
15. PARTS OF FACEBOW
• U-shaped frame
• Condylar rods
• Bite fork
• Locking device
• Orbital pointer with clamp
16.
17. U SHAPED FRAME
Main frame
All other components attached to the frame with clamps
Large – extend from TMJ region to 2 to 3 inches anterior to the face,
No contact with face
Records the plane of the cranium
18. CONDYLAR RODS
2 small metallic rods on either side of the free end of U-shaped
frame that are placed on determined centre of condyle.
The calibrations on either side are equalized and then locked.
19. BITE FORK
• U-shaped rod attached to occlusal rims while recording orientation
relation.
• Attached to frame with a rod called stem
• Inserted 3mm above the occlusal surface of occlusal rim with
impression compound.
20. LOCKING DEVICE
There are three locking devices
Locking clamp for bite fork : it attaches the bite fork to U shaped frame.
Locking clamp for orbital pointer pin :locks the orbital pin onto Shaped
rod
There is another locking screw for condylar rods
21.
22. ORBITAL POINTER PIN
• Designed to mark anterior reference point .
• It is adjusted after marking anterior reference point on the patient.
• This enables transfer of third reference point
23. FACEBOW TRANSFER
• The procedure of transferring the orientation of maxilla to the
articulator involves
1. face bow record
2. face bow mounting
24. CLINICAL PROCEDURES FOR RECORDING ORIENTATION JAW
RELATION
• Maxillary occlusal rim is inserted in to the patients mouth contoured
and all the required guidelines are marked.
• A point 13mm from tragus of the ear on the canthotragal line is marked
on both sides.
25. • The bite fork is flamed and attached anteriorly to the maxillary occlusal
rim, 3mm above the incisal plane and parallel to the occlusal plane .
The maxillary rim with attached bite fork is inserted in to the patients
mouth. The parallelism and centering of the attached bite fork is
verified.
26.
27. • The U frame is supported by two fingers and gently rotated and
inserted in to the stem of the bite fork in the patients mouth.
• The condylar rods are unlocked and the condylar heads are then placed
in the patients left and right condylar centers on the previously marked
points.
• The third points of reference (infra orbital notch) is palpated and the
orbital point is set.
28.
29. • The condylar rod readings are equalized on both sides and the locking
screws are tightened. Orbital point is also tightened.
30. • Once the entire apparatus in position the condylar rods ,orbital pin and
the bite fork are verified for any movements, alignment and parallelism
• The contoured mandibular occlusal rim may be used during the transfer
to stabilize the maxillary rim . The face bow record is removed from
patient by loosening only the condylar screw . The record is now ready
to be mounted on the articulator. This complete the face bow transfer
and then it is transferred to the articulator
31.
32. MOUNTING ON THE ARTICULATOR
• The articulator is programmed first : the incisal guide pin is set first .
the horizontal condylar inclination is setted 40 degree and the Bennet
angle at 20 degree
33. • The face bow record is now mounted on the articulator as follows . The
condylar rods are attached to the auditory pin the bite fork is stabilized
and the orbital pin is made to coincide with orbital axis plane indicator.
• The incisal pin is locked and the incisal table is set horizontally .
34.
35. • The upper member of the articulator is swung open, plaster is mixed
and placed on the cast and the upper member closed slowly , until the
incisal pin fully touches the incisal table.
• Excess plaster is trimmed once the plaster is set.facebow is now
removed by loosening all the locking device