Articulators
Articulators
• Individual Articulators
• Programming an Articulator
Face bow
Horizontal Condylar guidance
Lateral Condylar guidance
Incisal guidance
Custom Anterior guidance
Bonwill’s
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Starr’s ARTICULATORS 136
Ante-Lewis
13
Richmond Hayes 1889
Walker 1896-Measure a human mandibular movement for the first time, and
recognize the need which gives an Articulator a Sagittal condylar path.
•Develop the first adjustment Articulator of the arcon type.
Thomas 1950-Release the Cusp fossa waxing (wax corn technique) and Tripodism
which aimed at giving it an Organic occlusion.
D amico 1958-Discover that a canine tooth is a "stress breaker" from the research of
the anthropology.
Posselt 1962-Publish the figure (Posselt's banana) which the limit movement way of
the lower incisal tooth was drawn in three-dimensionally.
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Swanson 1968-Develop a TMJ Articulator.
Lundeen 1973-Release that the angle of lateral condyle path it thinks that there are
many differences is almost fixed with 7.5, and it is the amount of
immediate side shift of the difference to appear.
BOUCHER (1934)
Two dimensional instrument
Three dimensional instrument
BECK’S (1962)
i. Suspension instrument
ii. Axis instrument
iii. Tripod instrument
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WEINBERG (1963)
i. Arbitrary
ii. Positional
iii. Semi adjustable
iv. Fully adjustable
POSSELT’S (1968)
1. Plain line
2. Mean value
3. Adjustable
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C.J. THOMAS (1973)
Arbitrary
Positional
Functional
HALPERIN et al
i. Simple or Hinge articulators
Class I
Class II
Type 1 (Hinge)
Type 2 (Arbitrary)
Types 3 (Average)
Type 4 (Special)
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Articulators based on Geometric theories
of Mandibular movements
Alligator
Hall articulator
Class I. Articulator
A Simple holding instrument capable of accepting a single
static registration.
Vertical motion is possible
Subdivision A: Eccentric
motion permitted is based
on average or arbitrary
values
Gysi Simplex
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Articulator 48
International prosthodontics workshop (university of michigan in 1972)
Subdivision B: Eccentric
motion permitted is based
on theories of arbitrary
motion.
Subdivision C:
Eccentric motion
permitted is
determined by the
patient using
engraving methods.
The Gnathic
Relator
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International prosthodontics workshop (university of michigan in 1972)
Subdivision A: Instruments
that accept static protrusive
registrations and use
equivalents for the rest of the
motion. Dentatus
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articulator
International prosthodontics workshop (university of michigan in 1972)
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Denar Combi articulator
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International prosthodontics workshop (university of michigan in 1972)
Subdivision B: Instruments
that have condylar paths that
can be angled and customized
either by selection from a
variety of curvatures, by
modification, or both.
Stuart
Denar D5A
Articulator
Articulator
Fully adjustable -Hanau Kinescope, 1923; McCollum Gnathoscope, 1935; Granger Gnatholator,
1950; Stuarticulator, 1955; Ney-Depietro, 1962; Hanau 130-27, 1953; Simulator, 1968; Denar
D4-A, 1968
Semi adjustable- Snow Acme, 1910; Gysi Adaptable, 1910; Hanau H, 1922; .Wadsworth, 1924;
Gysi Trubyte, 1926; House, 1927; Dentatus, 1944; Bergstrom Arcon, 1950; Hanau 130-28, 1963;
Whip-Mix, 1968
Non adjustable-Gariot, 1805; Evans, 1840; barn door hinge, 1858; Bonwill, 1858; Walker, 1896;
Gritman, 1899; Snow, 1906; Gysi Simplex, 1912; Monson, 1918; Stansbery, 1929; Phillips ; Kile
Dentograph,
03/06/25 1945; Transograph, 1952; Pankey-Mann,
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Rihani A: classification of articulators, J Prosthet Dent 1980;43:344-347
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SOME COMMONLY USED ARTICULATOR
• Mean-Value Articulator
• Hanau wide VUE articulator
• Whip – mix articulator
• Denar articulator
• Panadent articulator
• TMJ articulator
Triangular frame
Vertical Rod with
Thumb screw.
Two Condylar
elements
Disadvantage:
1) Most of these articulators do not accept face-bow record.
2) The condylar path moves to a fixed angle and it is successful only in patients
whose condylar angle approximates that of the articulator.
3) No lateral movements
Whipmix , 8500 ( DR. Charles Stuart, 1963) – Hanau Arcon – Dentatus, ARA – Ney
articulator - (De Pietro , 1960) – Tele Dyne articulator - (Richard Beu ,1975
In an arcon articulator, the condylar spheres are attached to the lower component of
the articulator, and the mechanical fossae are attached to the upper member of the
instrument. •
Thus, the arcon articulator is anatomically “correct,” which makes understanding of
mandibular movements easier, as opposed to the nonarcon articulator .
Advantages of Arcon :
Since the relationship of the condyles and condylar guidances is similar as that of
glenoid fossa in skull, visualization and understanding of condylar movement is easier.
• Adjust the Bennett Angles {LCG}of both Condylar Guidances at 30 degrees and
tighten their thumbnuts.
• Adjust the Incisal Pin to align the mid-line calibration to the top edge of the Upper
Member.
• Adjust the Incisal Guide to a “zero” degree and tighten the small Locknut.
• Slide the Platform to align the Incisal Pin contact over the “zero” indicating line
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on Guidance and tighten Platform Lockscrew.
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• Open and close in hinge movement and allow
for protrusive &lateral motion.
• Moving parts should move freely and be
accurately machined.
• Accept a face bow transfer.
• Positive anterior stop.
• Hold casts in correct horizontal and vertical
position.
• Non moving parts should be of rigid
construction.
movements.
• It has three models ARH , ARL , and ARD models have the condylar
elements as part of the upper frame and the condylar guidance on upper frame.
• Fixed incisal guide tables of 0 ,5, 10, and 15 degrees are available. Accept either an
ear- bow or regular face bow.
Model 8340 :
• Has been modified so that the casts are interchangeable through a
special fixture called as “accumount” (precise special mounting
plate)
Model 9000 :
• This provides a additional ½ inch space to mount the
mandibular cast.
Model 9800 :
• This provides ½ inch space for both maxillary and
mandibular casts
DENAR D5A
An adjustable metal incisal table and a custom incisal platform are available.
sterographic tracings.
• There is a curved incisal guide pin with both a plastic and adjustable
mechanical incisal table
• The progressive side shift varied from 5-7 degrees generally with an average of 6
degrees.
• Lateral interocclusal records or the Axi-path recorder are utilized to determine the
amount of side shift and the steepness of the horizontal condylar inclination.
•If restorations are made on semi adjustable articulators, the occlusal adjustment
needed in lateral excursion becomes progressively less acceptable.
Clamp Assembly
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Fixture
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Obtaining Protrusive Record for adjusting
HORIZONTAL CONDYLAR GUIDANCE
The degree of inclination is noted and recorded on the mounting plaster. The
condylar inclination lock nuts are then secured.
The radiographic outline of the articular fossa and articular eminence provided
an accurate representation of degree of inclinations. And also aid in setting the
condylar guidance in semi-adjustable articulators.
A new method for programming the articulator has been suggested in this
study that is more reliable, repeatable, ease of use with minimal drawbacks.
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Venkateshwaran,J Pharm Bioallied Sci. 2014 Jul; 6(Suppl 1): S135–S139.
ARTICULATORS 136 121
Custom Anterior guidance
The real geometry of the mouth and its relation location are
reconstructed in a CAD system using face bow.
129
CONTENTS
• Introduction
• Definitions
• Classification
• Types of facebow
• Conclusion
• Bibliography
130
INTRODUCTION
• It is essential to develop proper occlusion for maintaining health of supporting
structures, orofacial musculature, TMJ while replacing missing teeth.
• So there is a need for accurately locating the hinge axis & recording & transferring the
same on to the articulator.
• This is achieved by Face bow which records the position of jaws in relation to the
condylar mechanism.
131
FACEBOW
132
• The face bow is an instrument used to record the spatial relationship of the
133
• 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 condyles transverse horizontal axis and one
other selected anterior point; also called as hingebow.
134
• The face bow is a caliper like device that is used
to record the relationship of the jaws to the
temporomandibular joints or the opening axis of
the jaws and to orient the casts in this relationship
to the opening axis of the articulator. (Boucher. 10th ed)
135
• A face bow is used to record the three dimensional relation of the
maxillae to the cranium. The face bow record is used to orient the
maxillary cast to the articulator this procedure is called the face bow
transfer. Mandibular opening and closing movement are reproduced
when the transverse horizontal axis is coincident with the articulator
hinge axis. In order to create precise occlusion, the casts would be
oriented correctly which depends on an accurate face bow transfer.
(Lucia 1960)
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History of Facebow
• In 1860 Bonwill concluded that the distance from the center of the condyle to the
median incisal point of the lower teeth is 10 cm, but, he did not mention at what level
below the condylar mechanism the occlusal plane should be situated.
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• In 1890 Walker invented Clinometer used to obtain the relative position
of the lower cast in relation to the condylar mechanism.
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• Gysi constructed an instrument for registering the condylar path & used as face bow also.
140
• Snow in 1899 constructed simple
instrument which has become
prototype for all the face bows
constructed in present days.
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PARTS OF FACEBOW
- U shaped frame
- Condylar rods
- Ear pieces
- Bite fork
- Locking device
- Orbital pointer
144
• It consists of a “U” shaped frame or assembly that is large enough to extend
from the region of one temporomandibular joints around the front of the face
(5 to 7.5 cm in front of it) to the other TMJ and wide enough to avoid contact
with the sides of the face.
145
• The parts that contact the skin near the TMJs are the condyle
rods.
146
• The fork is attached to the face bow
by means of a locking device, which
also serves to support the face bow,
the occlusion rims and the cast while
they are being attached to the
articulator.
147
• The facia type of face bow has condyle rods that contact the skin over the
temporomandibular joints.
• Whereas in the ear piece type it is known as a condylar compensator since their
external auditory meatuses are posterior to the transverse opening axis of the
mandible.
148
• The articulator must have an orbital indicator
guide.
149
EARPIEC
E
ANTERIOR
THUMBN REFERENCE
BOW
UT MOUNTING
PLATFORM
THUMBSCRE
W
TRANSFER
CLAMP
ASSEMBLY
PLATFORM THUMB ELEVATOR
SCREW BODY
ELEVATOR
THUMBSCREW ROD
BITE PLANE BITEFORK
ASSEMBLY
150
TYPES OF FACEBOW
ARBITRARY KINEMATIC
B) Fascia type-
hanau132-25m and hanau 132-2c
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Kinematic Face bow
• The Kinematic face bow is initially used to accurately locate the hinge axis( within 1
mm).
152
• The points of rotation are marked on the skin and this determines the true hinge axis.
The mandibular clutch is removed and the face bow is attached to the maxillary arch.
The true rotation points are again used to orient the tips of the condylar styli .
• Kinematic location of the hinge axis works well when natural mandibular teeth
remain to stabilize the clutch mechanism.
153
• However, they are generally not used for complete denture prosthesis
fabrication because the resiliency of the soft tissues and the resultant
instability of the mandibular record base make precision location of
the rotational centers almost impossible.
154
ARBITRARY TYPE OF FACE BOW
•In this type the axis is located by using anatomical land marks. Condyle rods of the
face bow are placed over the arbitrarily marked centers of hinge axis. Arbitrary face
bows are most commonly used for complete denture patients.
•Facia type of face bow- The approximate points on the skin over the TMJ region are
used as posterior points of reference & the condyle rods of the face bow are placed over
it.
•Ear piece type of face bow- The ear pieces of the face bow are placed into external
auditory meatus.
155
Plane of Orientation
• The horizontal plane is established on the face of the patient by 1 anterior &
2 posterior points, from which measurements of the posterior anatomic
determinants of occlusion and mandibular motion are made”.
156
Various anterior reference points
157
Advantages of anterior reference points
• The selection of the anterior point of the triangular spatial plane determines which
plane in the head will become the plane of reference when the prosthesis is being
fabricated.
• Determines the level at which the casts are mounted and hence governs the esthetics.
• When three points are used the position is repeatable for this is the reason it is
important to identify the mark permanently or be able to repeatitively measure the
anterior and posterior reference points.
158
Orbitale
• Lowest Point on the infraorbital rim, palpated
through overlying tissue and skin.
159
• Orbitale and two posterior landmarks defining the plane are transferred
from the patient to the articulator with a facebow.
• The articulator must have an orbital indicator guide that is in the same
plane as the hinge of the articulator.
160
Orbitale minus 7mm
• The F-H plane passes through both porion and orbital point.
161
Posterior Reference points
• The position of the terminal hinge axis on either side of the face is generally taken
as the posterior reference points.
162
Role of Posterior Reference points
163
FACEBOW AND ITS
TYPES
164
Arbitrary face bow:
• The arbitrary type of face bow is so called because it uses arbitrarily located marks on
the skin at the condyle points as the hinge axis position.
• This type of face bows generally locate the true Hinge axis within a range of 5 mm.
ARBITRARY
165
FASCIA TYPE
166
• Facia type:
-The fascia type of face bow utilizes approximate points on the skin over
the temporomandibular region as the posterior reference points.
167
• In the facia type the condyle rods are positioned on a line extending
from the outer canthus of the eye to the supero-inferior center of the
tragus and approximately 13 mm anterior to the distal edge of the
tragus of the ear.
168
• The presence of an assistant is required to hold the bow while the
prosthodontist without clamping the condyle rods centers the device so
that equal readings are obtained on both sides.
169
EARPIECE TYPE OF FACEBOW
170
2. Ear piece type:
DALBEY in 1914 .
•This type of face bows uses the external auditory meatus as an arbitrary
reference point which is aligned with ear pieces.
•The ends of ear piece type of facebow are placed in the external auditory
meatus instead of condyles. To compensate for this, the transverse axis of
articulator is 5/8inches or 15mm anterior to position of the ends of facebow.
171
• Here also the fork is attached to the maxillary occlusion rim. The whip mix,
Hanau earpiece, Denar Slidematic face bow are equipped with plastic earpieces
at the condylar ends of the bow.
172
• When an earpiece face bow is removed, it is attached to the articulator by
orienting “centering holes” in the earpieces on the side of the condylar housings of
the articulator.
• With the Denar slidematic face bow, the anterior portion of the apparatus is
removed from the bow proper and supported in the articulator by a special jig,
which replaces the incisal guide table.
173
174
• All articulators require either an arbitrary or specific third point of reference for
articulating the maxillary cast. This is done with an orbitale pointer or a nasion
between the maxillae and the hinge axis, to raising or lowering the anterior part
175
• Varying the position of the anterior part of the face bow will create a change in
the absolute values for the condylar guidance settings. However, as long as
eccentric records are used to determine condylar guidance’s after the casts are
mounted the values for condylar guidance will be equivalent relative to the
mounting of the casts.
176
Spring bow (Hanau’s Facebow)
• It is an earpiece face bow made of spring steel and simply springs open and close
to various head widths.
177
• The one piece design of bow eliminates the moving parts and maintenance problems encountered
with other models.
• Sterilizable parts.
178
179
Transfer clamp assembly
180
ANTERIOR ELEVATOR
ACCESSORIES
HANAU CAST
MOUNTING
SUPPORT
PLATEFORM
181
PROCEDURE
1. BITE FORK PREPARATION
DENTULOUS PATIENT
182
EDENTULOUS PATIENT
183
2. BOW PREPARATION
184
3. PATIENT APPLICATION
185
186
MOUNTING ON TO THE ARTICULATOR
• Direct mounting
• Indirect mounting
187
DIRECT MOUNTING
188
189
INDIRECT MOUNTING
190
TWIRL FACEBOW
• It is an earpiece type of face bow
191
• A horizontal orbital pointer is attached to the right temple arm
• The twirl thumb wheel allows the operator to open and close the ear pieces
simultaneously and equidistantly
• The relationship is recorded by a transfer rod, which is attached to the bitefork
perpendicular to the FH plane.
• A mounting guide is utilized to mount the transfer rod and attache bitefork to the
articulator
• Advantages- ease of manipulation
mounting without facebow
192
193
SLIDEMATIC FACEBOW
DENTULOUS BITE
FORK
ARTICULATOR
EARPLUG
INDEX
VERTICAL
ANTERIOR SHAFT
REFERENCE QUICK LOCK
POINTER TOGGLE
SIGHT
FINGER
LOCKSCREW
CENTRE LOCK INTERCONDYLAR
WHEEL DISTANCE SCALE
194
SLIDEMATIC FACEBOW
195
196
ARBITRARY AXIS FOR DENAR SLIDEMATIC
FACEBOW
• The Slidematic face bow uses the external auditory meatus for determining the
arbitrary hinge axis location.
• A built in reference pointer aligns the face bow with the horizontal reference plane.
• The anterior reference point is marked on the patient’s right side using the Denar
reference plane locator.
197
• The point is 43 mm above the incisal edge of the right central or lateral incisor
for a dentulous patient.
• For an edentulous patient this distance is measured up from the lower border of
the upper lip when the lips are relaxed.
198
WHIP MIX FACEBOW
199
• In whip mix face bow locating an arbitrary axis is not necessary when using the Whip
Mix articulator, since it was designed and constructed after much research with a
built in locator.
• The inserting of plastic earpieces into the external auditory meatus automatically
locates the face bow in the proper position.
200
KINEMATIC FACEBOW
201
Kinematic hinge axis facebow
A, Mandibular clutch.
203
• Their position is adjusted until they exhibit pure rotation and not translation, when
mandible is opened and closed.
• Points of rotation are marked on skin & this determines true hinge axis.
• True rotation points are again used to orient the tips of condylar styli .
204
• Kinematic location of the hinge axis works well when natural mandibular teeth
remain to stabilize the clutch mechanism.
205
KINEMATIC HINGE AXIS FACEBOW
Hinge Axis Recording
206
• The kinematic facebow consists of three
components: a transverse component and two
adjustable side arms.
207
• The side arms are then attached to the
transverse member and adjusted so that the styli
are as close to the joint area as possible.
208
• Because the entire assembly is rigidly attached to the
mandible, a strictly rotational movement signifies that
stylus position coincides with the hinge axis.
209
210
•Computer technology designed to calculate the precise
computerized jaw tracking devices known as electronic
face bows, which can track the many aspects and
variations of mandibular movement.
211
CONCLUSION
• By using face bow the risk of occlusal errors are minimized thereby enhancing the
accuracy of occlusion of new restoration or oral appliances upon insertion which
facilitates patient comfort and acceptance of the prosthesis.
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THANK YOU
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