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THE DENTAL
ARTICULATOR
Dr. James Buckman
TO EVALUATE OCCLUSAL RELATIONSHIPS
CASTS HAVE TO BE ARTICULATED
• Some casts can be hand held in maximum intercuspation
TO EVALUATE OCCLUSAL RELATIONSHIPS
CASTS HAVE TO BE ARTICULATED
• Some casts have to be held in position mechanically
• In some cases we want to simulate mandibular
positions and movements more accurately than hand
articulating can accomplish
MOUNTED CASTS ARE A SIGNIFICANT
DIAGNOSTIC AID IN EVALUATING AND
PLANNING OCCLUSAL RELATIONSHIPS
NOT ONLY ARE ARTICULATORS OF DIAGNOSTIC
IMPORTANCE, THEY ARE NECESSARY TO CARRY
OUT TREATMENT PROCEDURES AS WELL
• Supporting the working casts to fabricate restorations
and simulating mandibular movement
ARTICULATOR:
• A mechanical instrument that represents
the temporomandibular joints and jaws, to
which maxillary and mandibular casts may
be attached to simulate some or all
mandibular movements. – GPT - 8
TO UNDERSTAND THE ARTICULATOR,
WE NEED:
• An understanding of the specific
determinants of mandibular movements
* These factors will vary from patient to
patient which will result in different
patterns of movement
* Articulators are designed to have
these factors either fixed or
adjustable to simulate the mandibular
movement of each of our patients
• What the parts of the articulator simulate
anatomically and how they function
• Classification and capabilities
• How do we manipulate and adjust
DETERMINANTS OF MANDIBULAR
MOVEMENT
• Right TMJ
posterior determinants
• Left TMJ
• Incisal guidance or occlusion – anterior determinant -
programs the fourth determinant
• Neuromuscular response
Guichet
POSTERIOR DETERMINANTS OF
MANDIBULAR MOVEMENT
• Intercondylar distance
• Angle of articular eminence
• Immediate side shift
• Progressive side shift
• Bennett movement - forward/backward
• Bennett movement - up/down
ANTERIOR DETERMINANT OF
MANDIBLAR MOVEMENT
• Incisal guidance or occlusion – programs
the fourth determinant
INTERCONDYLAR DISTANCE
• The distance between the rotational centers
of two condyles or their analogues – GPT-8
• Distance between the vertical axes (in mm)
• ICD
ICD
ANGLE OF ARTICULAR EMINENCE
ANGLE OF ARTICULAR EMINENCE
• Measured in degrees from the horizontal
IMMEDIATE SIDE SHIFT (MLR)
• Measured in mm or tenths of mm from the
centric position of the condyle
ISS
PROGRESSIVE SIDE SHIFT (MLT)
• Measured in degrees from a sagittal plane
passing through the centric position of the
condyle or the termination of the immediate,
early, or distributed M.L.T. if present –
usually 6-8 degrees
BENNETT MOVEMENT ON WORKING
SIDE – BACKWARD OR FORWARD
• Measured in degrees from the frontal plane
BENNETT MOVEMENT ON WORKING
SIDE – UP OR DOWN
• Measured in degrees from the horizontal plane
INCISAL GUIDANCE
• Measured in degrees from the horizontal
plane
HOW DO THESE FACTORS EFFECT
THE OCCLUSAL SURFACES OF
RESTORATIONS
• Intercondylar distance
• Angle of articular eminence
• Immediate side shift
• Progressive side shift
• Bennett movement - forward/backward
• Bennett movement - up/down
• Incisal guidance
INTERCONDYLAR DISTANCE EFFECTS
 The path the lower teeth follow during lateral
11movement
 The direction of the grooves on the posterior
11teeth
INCISAL GUIDANCE OF 30˚; ANGLE OF ARTICULAR
EMINENCE OF 30˚ - MANDIBLE WILL FOLLOW A
30˚PATH IN A PROTRUSIVE MOVEMENT
 Cusp height has to be less than 30˚or will have an
interference
30˚
45˚
POSTERIOR INTERFERENCE
THE LAST PATIENT HAD AN INCISAL
GUIDANCE OF 30˚ AND AN ANGLE OF
ARTICULAR EMINENCE OF 30˚
ANOTHER PATIENT MAY HAVE AN INCISAL
GUIDANCE OF 30˚ AND AN ANGLE OF
ARTICULAR EMINENCE OF 60˚
 This patient can have longer cusps
because the mandible will separate more
posteriorly due to the steeper eminence
45˚
POSTERIOR DISCLUSION
(SEPARATION)
NOW LET’S LOOK AT ANOTHER PATIENT WHO
MAY HAVE AN INCISAL GUIDANCE OF 60˚ AND
AN ANGLE OF ARTICULAR EMINENCE OF 60˚
 Cusps of the posterior teeth may be as
steep as 59˚ and still disclude because the
mandible is following a 60˚ path
60˚
GREATER DISCLUSION (SEPARATION)
OF POSTERIOR TEETH
DETERMINANTS OF MANDIBULAR
MOVEMENT
• Intercondylar distance
• Angle of articular eminence
• Immediate side shift
• Progressive side shift
• Bennett movement - forward/backward
• Bennett movement - up/down
• Incisal guidance
The other determinants and more specific effect on
the occlusal surfaces will be discussed later in the
course
What is important about these
factors:
• These factors will vary from patient to
patient and effect occlusal surfaces of the
teeth
• Articulators are designed to have these
factors either fixed or adjustable to
simulate the mandibular movement of
each of our patients
TO UNDERSTAND THE ARTICULATORS,
NEED:
• An understanding of the specific
determinants of mandibular movements
* These factors will vary from patient to
patient which will result in different
patterns of movement
* Articulators are designed to have
these factors either fixed or
adjustable to simulate the mandibular
movement of each of our patients
• What are the parts of the articulator and
what do they simulate anatomically
• Classification and capabilities
• How do we manipulate and adjust
• Medio-lateral position of the maxillary arch
• Medio-lateral cant of the maxillary arch
Maxillary cast positioned to articulator by
means of the face bow which transfers
the
• Anterior – posterior position of the maxillary arch
• Medio-lateral position of the maxillary arch
• Cant of the maxillary arch in relation to the sagittal
plane
Maxillary cast positioned to articulator by
means of the face bow which transfers the
• Anterior – posterior position of the maxillary arch
• Anterior – posterior cant of the maxillary arch or the
fossa occlusal plane angle (FOP angle)
Maxillary cast positioned to articulator by
means of the face bow which transfers
the
or the Balkwill Angle
Balkwill Angle : the angle formed by the Bonwill
triangle and the Balkwill triangle or the plane of occlusion –
incisors 35 mm below condyles and angle of 26°
Bonwill triangle: a 4 inch equilateral triangle
bounded by lines connecting the contacts of the
mandibular central incisor’s incisal edge to each condyle
and from one condyle to the other
35mm
26°
CRANIUM – UPPER MEMBER
 Right and left fossae
FOSSA – FOSSA ELEMENT
• Condyles articulate with the fossa elements
on articulator similar to how the condyles
articulate with the fossae in the skull –
except on the articulator condyles touch all
three walls
TOP WALL
• On articulator simulates and functions as
the articular eminemce
• Referred to as the condylar guide
• Can be adjusted for different angles
Condyles move in a similar manner on
the articulator as they do in the skull
• Protrusive or balancing movement, the
condyle moves down and forward
BACK WALL
• Looks like the back wall of the fossa, but
retrodiscal tissue is between back wall
and condyle in patient
• On articulator functions as a mechanical
stop for the condyle
MEDIAL WALL
• Balancing side medial wall a factor in
determining the amount of M.L.T. or side
shift
CR Left Lateral
DETERMINANTS OF MANDIBULAR
MOVEMENT
• Intercondylar distance
• Angle of articular eminence
• Immediate side shift
• Progressive side shift
• Bennett movement - forward/backward
• Bennett movement - up/down
• Incisal guidance
INCISAL GUIDANCE AND CONDYLAR
GUIDANCE
INCISAL GUIDANCE AND CONDYLAR
GUIDANCE
INTERCONDYLAR DISTANCE
INTERCONDYLAR DISTANCE
INTERCONDYLAR DISTANCE
INTERCONDYLAR DISTANCE
INTERCONDYLAR DISTANCE
MANDIBULAR LATERAL TRANSLATION
Protrusive movement
PROTRUSIVE MOVEMENT
MANDIBULAR LATERAL TRANSLATION
Progressive Side Shift
Bennett Movement
PROGRESSIVE SIDE SHIFT
PROGRESSIVE SIDE SHIFT
Bennett Movement
PSS
IMMEDIATE SIDE SHIFT
• Differs from progressive side shift as there is no
forward movement of the balancing side condyle
IMMEDIATE SIDE SHIFT
ISS
Bennett Movement
IMMEDIATE SIDE SHIFT
PSS
ISS
Bennett Movement
IMMEDIATE SIDE SHIFT
IMMEDIATE SIDE SHIFT
BENNETT MOVEMENT ON WORKING SIDE – BACKWARD OR FORWARD – ON
ARTICULATOR DETEMINED BY ANGLE OF BACK WALL ON WORKING SIDE
BENNETT MOVEMENT ON WORKING SIDE – UP OR DOWN – ON
ARTICULATOR DETEMINED BY ANGLE OF TOP WALL ON WORKING SIDE
• Downward,
more separation
• Upward, less
separation
TO UNDERSTAND THE ARTICULATORS,
NEED:
• An understanding of the specific
determinants of mandibular movements
* These factors will vary from patient to
patient which will result in different
patterns of movement
* Articulators are designed to have
these factors either fixed or
adjustable to simulate the mandibular
movement of each of our patients
• What are the parts of the articulator and
what do they simulate anatomically
• Classification and capabilities
• How do we manipulate and adjust
CLASSIFICATION OF ARTICULATORS BY:
• Location of condylar guides
 Arcon – condylar guides are located on the
maxillary or upper member of the articulator
 Nonarcon (condylar articulator) – condylar guides
are located on the mandibular or lower member of
the articulator
• Capabilities
 Hinge
 Fixed determinant
 Semi-adjustable
 Fully adjustable
Nonarcon
Arcon
Condylar guide remains a
constant angle to upper
member of articulator as
lower member opens and
closes
Condylar guide changes
its angulation as lower
member of articulator
opens and closes
TWO ALWAYS RULES – RULE ONE
• Always check to see that the fossae elements are
tight against the upper member of the articulator.
• Always keep the balancing side condyle against it’s
medial and top walls and the working side condyle
against it’s back and top walls when executing a
lateral movement.
balancing side condyle
medial and top walls
working side condyle
back and top walls
RULE TWO
• There should be no “play” between the
upper and lower members of the
articulator
• The lower member should travel back so
the condyles meet their respective back,
top, and medial walls with no pressure
being applied
CLASSIFICATION BY CAPABILITIES
• Hinge – only capable of opening and closing movements,
not capable of lateral or protrusive movements (Class I)
• Fixed determinant – (average value) capable of opening
and closing, lateral, and protrusive movements. All
determinants are set to average or mean values and not
adjustable. (Class II)
• Semi-adjustable – capable of opening and closing, lateral,
and protrusive movements. Some of the determinants can
be adjusted. (Class III)
• Fully adjustable – capable of opening and closing, lateral,
and protrusive movements. All determinants are
adjustable. (Class IV)
CLASSIFICATION: GPT- 9
• Articulator: a mechanical instrument that represents the
temporomandibular joints and jaws, to which maxillary
and mandibular casts may be attached to simulate some or all
mandibular movements; Editorial note for usage: articulators are
divisible into four classes;
• Class I articulator: a simple holding instrument capable of
accepting a single static registration; vertical motion is possible;
syn, NONADJUSTABLE ARTICULATOR
• Class II articulator: an instrument that permits horizontal as well
as vertical motion but does not orient the motion to the
temporomandibular joints
• Class III articulator: an instrument that simulates condylar
pathways by using averages or mechanical equivalents for all or
part of the motion; these instruments allow for orientation of the
casts relative to the joints and may be arcon or nonarcon
instruments; syn, SEMIADJUSTABLE ARTICULATOR
• Class IV articulator: an instrument that will accept 3D dynamic
registrations; these instruments allow for orientation of the casts
to the temporomandibular joints and simulation of mandibular
movements; syn, FULLY ADJUSTABLE ARTICULATOR, FULLY
ADJUSTABLE GNATHOLOGIC ARTICULATOR
HISTORICAL ARTICULATORS
• Gysi 1910
• Arcon or nonarcon?
• Fixed determinant or semi-adjustable?
HISTORICAL ARTICULATORS
• Gysi 1910
• Arcon or nonarcon?
• Fixed determinant or semi-adjustable?
HISTORICAL ARTICULATORS
• Snow: 1910; first face bow
• Fixed determinant or semi-adjustable?
• What is adjustable?
HISTORICAL ARTICULATORS
• Snow: 1910; first face bow
• Fixed determinant or semi-adjustable?
• What is adjustable? Condylar guide
• Arcon or nonarcon?
HISTORICAL ARTICULATORS
• Snow: 1910; first face bow
• Fixed determinant or semi-adjustable?
• What is adjustable? Condylar guide
• Arcon or nonarcon?
YOU HAVE RECEIVED:
• Whip mix - 1964 – semi adjustable
• Adjustable condylar guide and progressive side
shift
• All other determinants are fixed
DIFFERENT FOSSAE ARE AVALABLE
WHICH HAVE:
• A fixed progressive side shift of 6-8˚
• An adjustable immediate side shift
RIGHT SIDE IMMEDIATE SIDE SHIFT
TWO ALWAYS RULES – RULE ONE
• Always check to see that the fossae elements are
tight against the upper member of the articulator.
• Always keep the balancing side condyle against it’s
medial and top walls and the working side condyle
against it’s back and top walls when executing a
lateral movement.
balancing side condyle
medial and top walls
working side condyle
back and top walls
RULE TWO
• There should be no “play” between the
upper and lower members of the
articulator
• The lower member should travel back so
the condyles meet their respective back,
top, and medial walls with no pressure
being applied
Thank You

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zTHE DENTAL ARTICULATOR.ppt

  • 2. TO EVALUATE OCCLUSAL RELATIONSHIPS CASTS HAVE TO BE ARTICULATED • Some casts can be hand held in maximum intercuspation
  • 3. TO EVALUATE OCCLUSAL RELATIONSHIPS CASTS HAVE TO BE ARTICULATED • Some casts have to be held in position mechanically • In some cases we want to simulate mandibular positions and movements more accurately than hand articulating can accomplish
  • 4. MOUNTED CASTS ARE A SIGNIFICANT DIAGNOSTIC AID IN EVALUATING AND PLANNING OCCLUSAL RELATIONSHIPS
  • 5. NOT ONLY ARE ARTICULATORS OF DIAGNOSTIC IMPORTANCE, THEY ARE NECESSARY TO CARRY OUT TREATMENT PROCEDURES AS WELL • Supporting the working casts to fabricate restorations and simulating mandibular movement
  • 6.
  • 7. ARTICULATOR: • A mechanical instrument that represents the temporomandibular joints and jaws, to which maxillary and mandibular casts may be attached to simulate some or all mandibular movements. – GPT - 8
  • 8. TO UNDERSTAND THE ARTICULATOR, WE NEED: • An understanding of the specific determinants of mandibular movements * These factors will vary from patient to patient which will result in different patterns of movement * Articulators are designed to have these factors either fixed or adjustable to simulate the mandibular movement of each of our patients • What the parts of the articulator simulate anatomically and how they function • Classification and capabilities • How do we manipulate and adjust
  • 9. DETERMINANTS OF MANDIBULAR MOVEMENT • Right TMJ posterior determinants • Left TMJ • Incisal guidance or occlusion – anterior determinant - programs the fourth determinant • Neuromuscular response Guichet
  • 10. POSTERIOR DETERMINANTS OF MANDIBULAR MOVEMENT • Intercondylar distance • Angle of articular eminence • Immediate side shift • Progressive side shift • Bennett movement - forward/backward • Bennett movement - up/down ANTERIOR DETERMINANT OF MANDIBLAR MOVEMENT • Incisal guidance or occlusion – programs the fourth determinant
  • 11. INTERCONDYLAR DISTANCE • The distance between the rotational centers of two condyles or their analogues – GPT-8 • Distance between the vertical axes (in mm) • ICD ICD
  • 12. ANGLE OF ARTICULAR EMINENCE
  • 13. ANGLE OF ARTICULAR EMINENCE • Measured in degrees from the horizontal
  • 14. IMMEDIATE SIDE SHIFT (MLR) • Measured in mm or tenths of mm from the centric position of the condyle ISS
  • 15. PROGRESSIVE SIDE SHIFT (MLT) • Measured in degrees from a sagittal plane passing through the centric position of the condyle or the termination of the immediate, early, or distributed M.L.T. if present – usually 6-8 degrees
  • 16. BENNETT MOVEMENT ON WORKING SIDE – BACKWARD OR FORWARD • Measured in degrees from the frontal plane
  • 17. BENNETT MOVEMENT ON WORKING SIDE – UP OR DOWN • Measured in degrees from the horizontal plane
  • 18. INCISAL GUIDANCE • Measured in degrees from the horizontal plane
  • 19. HOW DO THESE FACTORS EFFECT THE OCCLUSAL SURFACES OF RESTORATIONS • Intercondylar distance • Angle of articular eminence • Immediate side shift • Progressive side shift • Bennett movement - forward/backward • Bennett movement - up/down • Incisal guidance
  • 20. INTERCONDYLAR DISTANCE EFFECTS  The path the lower teeth follow during lateral 11movement  The direction of the grooves on the posterior 11teeth
  • 21. INCISAL GUIDANCE OF 30˚; ANGLE OF ARTICULAR EMINENCE OF 30˚ - MANDIBLE WILL FOLLOW A 30˚PATH IN A PROTRUSIVE MOVEMENT  Cusp height has to be less than 30˚or will have an interference 30˚ 45˚
  • 23. THE LAST PATIENT HAD AN INCISAL GUIDANCE OF 30˚ AND AN ANGLE OF ARTICULAR EMINENCE OF 30˚
  • 24. ANOTHER PATIENT MAY HAVE AN INCISAL GUIDANCE OF 30˚ AND AN ANGLE OF ARTICULAR EMINENCE OF 60˚  This patient can have longer cusps because the mandible will separate more posteriorly due to the steeper eminence 45˚
  • 26. NOW LET’S LOOK AT ANOTHER PATIENT WHO MAY HAVE AN INCISAL GUIDANCE OF 60˚ AND AN ANGLE OF ARTICULAR EMINENCE OF 60˚  Cusps of the posterior teeth may be as steep as 59˚ and still disclude because the mandible is following a 60˚ path 60˚
  • 28. DETERMINANTS OF MANDIBULAR MOVEMENT • Intercondylar distance • Angle of articular eminence • Immediate side shift • Progressive side shift • Bennett movement - forward/backward • Bennett movement - up/down • Incisal guidance The other determinants and more specific effect on the occlusal surfaces will be discussed later in the course
  • 29. What is important about these factors: • These factors will vary from patient to patient and effect occlusal surfaces of the teeth • Articulators are designed to have these factors either fixed or adjustable to simulate the mandibular movement of each of our patients
  • 30. TO UNDERSTAND THE ARTICULATORS, NEED: • An understanding of the specific determinants of mandibular movements * These factors will vary from patient to patient which will result in different patterns of movement * Articulators are designed to have these factors either fixed or adjustable to simulate the mandibular movement of each of our patients • What are the parts of the articulator and what do they simulate anatomically • Classification and capabilities • How do we manipulate and adjust
  • 31.
  • 32.
  • 33. • Medio-lateral position of the maxillary arch • Medio-lateral cant of the maxillary arch Maxillary cast positioned to articulator by means of the face bow which transfers the
  • 34. • Anterior – posterior position of the maxillary arch • Medio-lateral position of the maxillary arch • Cant of the maxillary arch in relation to the sagittal plane Maxillary cast positioned to articulator by means of the face bow which transfers the
  • 35. • Anterior – posterior position of the maxillary arch • Anterior – posterior cant of the maxillary arch or the fossa occlusal plane angle (FOP angle) Maxillary cast positioned to articulator by means of the face bow which transfers the or the Balkwill Angle
  • 36. Balkwill Angle : the angle formed by the Bonwill triangle and the Balkwill triangle or the plane of occlusion – incisors 35 mm below condyles and angle of 26° Bonwill triangle: a 4 inch equilateral triangle bounded by lines connecting the contacts of the mandibular central incisor’s incisal edge to each condyle and from one condyle to the other 35mm 26°
  • 37.
  • 38. CRANIUM – UPPER MEMBER  Right and left fossae
  • 39. FOSSA – FOSSA ELEMENT • Condyles articulate with the fossa elements on articulator similar to how the condyles articulate with the fossae in the skull – except on the articulator condyles touch all three walls
  • 40. TOP WALL • On articulator simulates and functions as the articular eminemce • Referred to as the condylar guide • Can be adjusted for different angles
  • 41. Condyles move in a similar manner on the articulator as they do in the skull • Protrusive or balancing movement, the condyle moves down and forward
  • 42. BACK WALL • Looks like the back wall of the fossa, but retrodiscal tissue is between back wall and condyle in patient • On articulator functions as a mechanical stop for the condyle
  • 43. MEDIAL WALL • Balancing side medial wall a factor in determining the amount of M.L.T. or side shift CR Left Lateral
  • 44.
  • 45. DETERMINANTS OF MANDIBULAR MOVEMENT • Intercondylar distance • Angle of articular eminence • Immediate side shift • Progressive side shift • Bennett movement - forward/backward • Bennett movement - up/down • Incisal guidance
  • 46. INCISAL GUIDANCE AND CONDYLAR GUIDANCE
  • 47. INCISAL GUIDANCE AND CONDYLAR GUIDANCE
  • 55. MANDIBULAR LATERAL TRANSLATION Progressive Side Shift Bennett Movement
  • 58. IMMEDIATE SIDE SHIFT • Differs from progressive side shift as there is no forward movement of the balancing side condyle
  • 63. BENNETT MOVEMENT ON WORKING SIDE – BACKWARD OR FORWARD – ON ARTICULATOR DETEMINED BY ANGLE OF BACK WALL ON WORKING SIDE
  • 64. BENNETT MOVEMENT ON WORKING SIDE – UP OR DOWN – ON ARTICULATOR DETEMINED BY ANGLE OF TOP WALL ON WORKING SIDE • Downward, more separation • Upward, less separation
  • 65. TO UNDERSTAND THE ARTICULATORS, NEED: • An understanding of the specific determinants of mandibular movements * These factors will vary from patient to patient which will result in different patterns of movement * Articulators are designed to have these factors either fixed or adjustable to simulate the mandibular movement of each of our patients • What are the parts of the articulator and what do they simulate anatomically • Classification and capabilities • How do we manipulate and adjust
  • 66. CLASSIFICATION OF ARTICULATORS BY: • Location of condylar guides  Arcon – condylar guides are located on the maxillary or upper member of the articulator  Nonarcon (condylar articulator) – condylar guides are located on the mandibular or lower member of the articulator • Capabilities  Hinge  Fixed determinant  Semi-adjustable  Fully adjustable
  • 67. Nonarcon Arcon Condylar guide remains a constant angle to upper member of articulator as lower member opens and closes Condylar guide changes its angulation as lower member of articulator opens and closes
  • 68. TWO ALWAYS RULES – RULE ONE • Always check to see that the fossae elements are tight against the upper member of the articulator. • Always keep the balancing side condyle against it’s medial and top walls and the working side condyle against it’s back and top walls when executing a lateral movement. balancing side condyle medial and top walls working side condyle back and top walls
  • 69. RULE TWO • There should be no “play” between the upper and lower members of the articulator • The lower member should travel back so the condyles meet their respective back, top, and medial walls with no pressure being applied
  • 70. CLASSIFICATION BY CAPABILITIES • Hinge – only capable of opening and closing movements, not capable of lateral or protrusive movements (Class I) • Fixed determinant – (average value) capable of opening and closing, lateral, and protrusive movements. All determinants are set to average or mean values and not adjustable. (Class II) • Semi-adjustable – capable of opening and closing, lateral, and protrusive movements. Some of the determinants can be adjusted. (Class III) • Fully adjustable – capable of opening and closing, lateral, and protrusive movements. All determinants are adjustable. (Class IV)
  • 71. CLASSIFICATION: GPT- 9 • Articulator: a mechanical instrument that represents the temporomandibular joints and jaws, to which maxillary and mandibular casts may be attached to simulate some or all mandibular movements; Editorial note for usage: articulators are divisible into four classes; • Class I articulator: a simple holding instrument capable of accepting a single static registration; vertical motion is possible; syn, NONADJUSTABLE ARTICULATOR • Class II articulator: an instrument that permits horizontal as well as vertical motion but does not orient the motion to the temporomandibular joints • Class III articulator: an instrument that simulates condylar pathways by using averages or mechanical equivalents for all or part of the motion; these instruments allow for orientation of the casts relative to the joints and may be arcon or nonarcon instruments; syn, SEMIADJUSTABLE ARTICULATOR • Class IV articulator: an instrument that will accept 3D dynamic registrations; these instruments allow for orientation of the casts to the temporomandibular joints and simulation of mandibular movements; syn, FULLY ADJUSTABLE ARTICULATOR, FULLY ADJUSTABLE GNATHOLOGIC ARTICULATOR
  • 72. HISTORICAL ARTICULATORS • Gysi 1910 • Arcon or nonarcon? • Fixed determinant or semi-adjustable?
  • 73. HISTORICAL ARTICULATORS • Gysi 1910 • Arcon or nonarcon? • Fixed determinant or semi-adjustable?
  • 74. HISTORICAL ARTICULATORS • Snow: 1910; first face bow • Fixed determinant or semi-adjustable? • What is adjustable?
  • 75. HISTORICAL ARTICULATORS • Snow: 1910; first face bow • Fixed determinant or semi-adjustable? • What is adjustable? Condylar guide • Arcon or nonarcon?
  • 76. HISTORICAL ARTICULATORS • Snow: 1910; first face bow • Fixed determinant or semi-adjustable? • What is adjustable? Condylar guide • Arcon or nonarcon?
  • 77. YOU HAVE RECEIVED: • Whip mix - 1964 – semi adjustable • Adjustable condylar guide and progressive side shift • All other determinants are fixed
  • 78. DIFFERENT FOSSAE ARE AVALABLE WHICH HAVE: • A fixed progressive side shift of 6-8˚ • An adjustable immediate side shift
  • 79. RIGHT SIDE IMMEDIATE SIDE SHIFT
  • 80. TWO ALWAYS RULES – RULE ONE • Always check to see that the fossae elements are tight against the upper member of the articulator. • Always keep the balancing side condyle against it’s medial and top walls and the working side condyle against it’s back and top walls when executing a lateral movement. balancing side condyle medial and top walls working side condyle back and top walls
  • 81. RULE TWO • There should be no “play” between the upper and lower members of the articulator • The lower member should travel back so the condyles meet their respective back, top, and medial walls with no pressure being applied

Editor's Notes

  1. Condyle inclination
  2. How to mount 30 degree into something different – you ask patient to move to edge to edge and take biere record in case of class 2, im not sure what you do. Dr Sandra expaliend. Missed. Protrusive records – condyle forward. Minimum of 5mm . Class II – not going to come to edge to edge. First move 5mm, open, bite reg, and close. Deprogrammers – CR, seated all the way back.
  3. First horizontal translation that occurs – condyle, begins laterotrusive movement. Few mm. why important? How wide central groove should be. Cusp will ride on central groove. Premature include. Groove 1mm is too narrow compare to ISS 4mm, encouture incline of cusp, going UP, not hortizontal. Prematuring contacting incline vs what condyle wants to do.
  4. Set at 15 degrees. Happens right after imeediate side shift. Side shift becase net net result horizontal dispolacement. Diagonal way. Proportional to protrusive movement of mandible when do you laterotrusive. PSS determinats bennett angel. Beneett angle tells you incline angle of cusp. More side ways more angle. Freedom of short cuspt, central grooves shaped mesially.
  5. Bennett angle – what shappening on working side. diffent from progressive side shit. Non working condyle leaving the fossa, working is rotating mostly. On left – rotation mostly. On right – rotation nd movement.
  6. Depends on how much room on the top wall of condyle.
  7. Pallatogram. – speech impression on palate.
  8. If it is wider- what happends to the condyle – red to red to blue, more horitonzal, more mesial,. Grove and oblique goes more mesial. Red is more perpendicular to vertical line. Perpendicular to groove is escape path. ! Red is steeptest beneet angle. ! Shorter the condyle distance intercondyle distance, the steeper it is. Bigger benett angel to blue.
  9. Maximum is 30 degree – or it will have an intereference. Set up to be balanced. In a denture patient. Condylr guidance was 20 degree in articulator in protrusive, can you tweak, a litte”? Flatter or steeper? Flatter, why? Set up on articulator, on flatter angle, pt has a steeper condyle guidance angle, if cups height is 20 and condyle is 30, disclusion.
  10. Hannaw fomular – condylar guiadance angel, divide 8, plus 12 is beneet angle.
  11. Setting maxillar cast , by facebow, hingle axis transfer of maxillar position.
  12. Balkwill angle – fossa and occlusal plane angle. – campers plain.
  13. Orange bonwill triangle, incisal edge to condylar points. 10cm meters, average articulators from condylar incisal. Balkwill angle -
  14. oc
  15. Sagitall plane created by protrusive.
  16. Back wall, nottop wall Working side – stopped by back wall and top wall, non working – stopped by mesial and top wall.