ARTICULATOR
Definition
Purpose
Uses
Requirement
Advantages
Limitations
Classification
component
Commonly used articulator
Selection of an articulator
Mounting of cast
conclusion
DEFINITION
An articulator may be defined as a
mechanical device that represent the
temporomandibular
members
to
joint
which
and
jaw
maxillary
and
mandibular casts may be attached to
simulate jaw movement.
PURPOSES
1.
To hold the maxillary and mandibular casts in a
determined fixed relationship
2.
Mounting of dental casts for diagnosis treatment
planning and patient presentation.
3.
To simulate the jaw movement like opening and closing.
4.
Fabrication
restoration.
5.
Arrangement of artificial teeth for complete and
removable partial denture.
of
occlusal
surfaces
for
dental
USES
1.
To diagnose the state of occlusion in both the
natural and artificial dentition.
2. To plan the dental procedures based on the
relationship
between
opposing
natural
and
artificial teeth.
Ex. Evaluation of the possibility of balance occlusion.
4.To aid in the fabrication of
restorations and
prosthodontics replacements.
5.To correct and modified
restorations.
6.To arrange artificial teeth.
complete
REQUIREMENTS
Two Types of Requirements
a. Minimal requirements
b. Additional requirements
Minimal requirements
They are necessory for the fabrication of
complete denture to the patients centric
position.
They are
1.
It must be accurately maintain the correct
horizontal and vertical relationship of the
patients casts.
2. The casts should be easily removable and
attachable to the articulator without loosing
their correct horizontal and vertical
relationship
3. The articulator should have an incisal guide
pin with a positive stop, that is adjustable
and caliberated.
4. The articulator should be able to open and
closed in a hinge like fashion.
5.
The articulator should accept a face-bow
transfer utilizing an anterior reference
point.
6. The construction should be accurate, rigid
and of non corrosive material.
7. The moving parts should move freely without
any friction.
8. The non moving parts should be of a rigid
construction.
9. The design should be such that there is
adequate distance between the upper and
lower members.
10. The articulator should be stable on the
laboratory bench and not too bulky and
heavy.
ADDITIONAL
REQUIREMENT
The condylar guides should allow right lateral,
left lateral and protrusive movement.
The condylar guides should be adjustable
horizontally.
The articulator should have provision for
adjustment of Bennett movement.
The
incisal
guide
table
should
be
mechanical table that can be adjusted in
the sagittal and frontal planes or a table
that
can
be
customised
with
autopolymerizing resin or by grinding.
ADVANTAGES
1. Properly mounted casts allow the operator
to better visualize the patients occlusion,
especially from lingual view.
2. Patient cooperation is not a factor when
using an articulator. once appropriate
interocclusal records are obtained from
the patient.
3.
A reduces the
appointment time.
chair
time,
patient
4. The refinement of complete denture
occlusion in the mouth is extremely
difficult because of shifting denture
bases and resiliency of the supporting
tissue.
Inter occlusal records can be
obtained and complete denture occlusion
can be refined outside the mouth on an
articulator.
5. More procedures can be delegated to
auxillary personnel when utilizing an
articulator for development of patients
occlusion.
6. The patients saliva, tongue, and cheeks are
not factors when using an articulator.
LIMITATIONS
Metal,plastic articulators show errors in
tooling, (manufacturer).
It not exactly simulate the intraborder and
functional movements of the mandible.
Errors in jaw relation procedure are
reproduced as errors in the denture
occlusion. Articulators do not have any
provision to indicate or correct these
errors.
CLASSIFICATION
OF
ARTICULATORS
CLASSIFICATION OF
ARTICULATORS
Several basis of classification of
articulator were proposed, some of
them are as follows.
A. Based on the instruments function.
B. Based on theories of occlusion.
C. Based on the type of inter occlusal
record used.
D. Based on the adjustabililty of the
articulator.
A. BASED ON
INSTRUMENT FUNCTION
At the international prosthodontic workshop on complete
denture occlusion at the university of Michigan in 1972,
the articulators classified based on instrument capability,
intent, recording procedure and record acceptance
type B
type C
Class I : Hing Type
Class II : Arbitrary type A
Class III : Average type A
type B
Class Iv : Special
type A
type B
CLASS I
These are simple articulator capable of accepting a
single registration.
Vertical motion may or may not be possible.
Use in cases where a tentative jaw relation is done.
Exp.- Slab articulator
Hinge joint articulator GARIOT (1805)
Barn door articulator
CLASS II
These articulator permits horizontal and
vertical movements but they do not
orient the movement to TMJ a facebow.
They are
TYPE A
TYPE B
TYPE C
TYPE A :Instruments in this class permit
eccentric motion based on averages and will
not permit face-bow transfer.
The condyles are on the lower member of
articulator.
Based on Bonwills triangle.
Ex. Mean-Value articulator - GYSI
TYPE B :Instruments in this class permit
eccentric
motion based on arbitrary theory of motion
and will not accept a face-bow transfer.
Based on spheric theory of occlusion.
Ex. Monsons articulator
Hall articulator
TYPE C :Instruments in this class permit
eccentric motion based on engraved
records obtained from the patient
and will not accept a face-bow
transfer.
Ex.:-
Houses articulator
CLASS III
These articulator permit horizontal and vertical
motion and they do accept face-bow transfer but
these facility is limited.
These instruments simulate condylar pathways by
using average or mechanical equivalents for the
whole or part of the condylar motion.
They are
Type A
Type B
TYPE A :a. They accept a face-bow transfer and a
protrusive interocclusal record.
Exp. Hanau H articulator- RUDOLPH
HANAU (1923)
Hanau H2 articulator
Bergstrom articulator (ARCON)
TYPE B :Instrument in this class accept a face-bow
transfer, protrusive interocclusal records, and
some lateral interocclusal records.
Exp.Trubyte articulator
Tripod articulator
Ney articulator
Hanau (130-21)
James Janik (1964)
Tele Dyne articulator Pandent articulator
-
GYSI
STANSBERRY
De Pietro (1960)
Richard Beu &
Richard Beu (1975)
Robert Lee
CLASS IV
These
articulator
accept
three
dimensional dynamic registration.
They
are
capable
of
accurately
reproducing the condylar pathway for
each patient.
They are
Type A
Type B
TYPE A :Instruments in this class will accept three
dimensional dynamic registration and utilise a
face-bow transfer.
The condylar pathways are formed by
registration engraved by the patient.
Exp. TMJ articulator Kenneth Swanson
(1965)
TYPE B :-
Similar to type a and condylar pathway
can be selectively angled and customized.
The procedure utilise the pantographic tracing.
EXP.
Pantronic acticulator Dener (1982)
Gnathoscope
- Charls Stuart
D 4A & D 5A
- Niles Guichet
Simulator
- Earnest Granger
BASED ON THEORIES OF
ARTICULATOR
A. Bonwill theory articulator WG A Bonwill.
Known as theory of
equilateral triangle.
Allow lateral
movement & permit
movement in
horizontal plane.
B. Conical theory articulator R. E. HALL
Lower teeth move
over the surface of
the upper teeth as
over the surface of
a cone generating an
angle of 45 degree.
C.Spherical theory articulatorG.S.MONSON
Lower teeth move
over the surface of
the upper teeth as
over a surface of
sphere
with
a
diameter of 8inches.
The center was
located in the region
of glabella.
BASED ON THE
ADJUSTABILITY
Three Types :a. Non Adjustable
b. Semi Adjustable
c. Fully Adjustable
NON ADJUSTABLE A.
Can open and close in a
fixed horizontal axis.
Have a fixed condylar
path.
The incisal pins ride on
an inclined plate in a
fixed inclination.
SEMI ADJUSTABLE A.
Have adjustable horizontal condylar paths,
adjustable lateral condylar path adjustable
incisal guide table and adjustable inter condylar
distance.
Two Type
Arcon Type
Non arcon Type
FULLY ADJUSTABLE A.
Capable
of
being
adjusted to follow the
mandibular movement in
all direction.
They donot have a
condylar guidance instead
they have receptacles.
Exp. Stuart Gnathoscope
Simulator
BASIC COMPONENT OF AN
ARTICULATOR
Upper member
Lower member
Represent maxilla
Represent mandible
CONDYLAR TRACK
CONDYLAR ELEMENT-
Vertical Rod (Incisal Pin)
Incisal guide table
SOME COMMONALY USED
ARTICULATOR
Mean-Value Articulator
Hanau wide VUE articulator
Whip mix articulator
Denar articulator
Panadent articulator
TMJ articulator
MEAN-VALUE ARTICULATOR
Upper member :Triangular frame
Vertical Rod with
thumb screw.
Two Condylar
elements
Lower Member :L Shaped frame with
horizontal and
vertical arm.
Horizontal arm is
triangular and its
apex contains incisal
guide table.
Vertical arm is
rectangular containing
condylar guidance slot
at upper portion.
Incisal guide table :Contain very short
cylinder whose upper
surface is concave.
Vertical Rod should
rest on the center
of the incisal guide
table
during
articulation.
Condylar guidance
Represent by a slot
( condylar track)
Condylar element of
upper member passes
through this track.
A spring is mounted
within this track to
established
the
condylar element.
Vertical Rod or Incisal Pin :Helps to keep a
fixed
distance
between the upper
& lower member at
anterior end.
The pointed tip of
vertical rod should
rest on the center
of incisal guide
during articulation.
Incisal guide pin :Present at the mid point
of vertical rod.
The incisal edge of the
maxillar incisors at the mid
line of the occlusal rim
should touch the tip of
incisal pin during
articulation.
It present the anterior
reference point.
HANAU ARTICULATORS
Hanau
Hanau
Hanau
Hanau
Hanau
wide VUE articulator.
wide VUE II articulator
H2 articulator
ARCON articulator
Redialshift
HANUA WIDE VUE A.
Semi adjustable
ARCON type
Accept a Face-bow
transfer
Capable of hinge &
lateral movements.
Upper member : T.Shaped with
vertical & horizontal
arm.
Condylar guidance
attached to this.
Mounting dowels
present the center of
under surface.
Orbital indicator
present near dowel.
Lower Member :L-Shaped with horizontal & vertical arm.
Horizontal arm is rectangular metal strap.
Dowel present center of the lower member
for mounting ring & also a stand of pivot.
Vertical arm slope outword.
Upper portion of vertical
arm contains a roll pin.
Which project on the outer
surface.
The
condylar
shaft
attached to inner surface
of the vertical arm 12-13
mm anterior to the roll pin.
The
condylar
element
(metal ball ) is attached to
the free end of the
condylar shaft.
Condylar guidance : It is circular structure
with a slot in the center
The condylar element of
lower member articulate
with this slot also called
condylar track.
The poterior end of this
track has a component
known as centric stop.
The condylar element should contact
the centric stop during articulation.
The condylar guidance can be rotated
around the vertical axis to set the
Bennett angle.
Bennett angle(L) = H/8+12
H = Horizontal condylar inclination
Incisal guide table : It has a customised incisal
guide table.
The slope of the incisal
guide table can be changed
in the antero posterior
direction & can lock in
position with a lock nut.
During articulation it should
be flat & the incisal pin
should be at in center.
A pair of lateral wings is
present around it.
Incisal Pin :It is a double sided pin.
One end is sharp but chisel
like
with flat edge. The other end tapers
to a pointed tip.
Usually the flat end is used.
The incisal pin has series of markings
closely placed in one end & two
widely spaced marking in other end.
The upper member of the articulator
should be at the level of the darkest
marking of the close markings.
The space out markings acts as the
anterior reference point in the
absence of face-bow transfer.
HANAU H2
Designed by Rudolph Hanau.
It is non arcon type articulator.
It has a fixed intercondylar distance of 110 mm. &
does not accept a face-bow transfer.
Four different face-bow can be utilised
1. Facia face-bow
2. Earpiece face-bow
3. Twirl face-bow
4. Adjustable axis face-bow
HANAU RADIAL SHIFT
Structure is almost same as Hanau series
articulator.
It has right & left Centric Latches & the
upper member is easily removed for waxing.
The radial shift adjustment has a 3mm radius
and allow upto 3 mm.of radial shift before
intercepting preadjusted prograssive Bennett
angle.
HANAU WIDE VUE II
only
difference
The
between Hanau wide vue &
vue II that the wide vue
has way closed condylar
track.
The closed condylar track
does not allow the upper
member to be removed,
Whereas the open condylar
track allow the upper
member to be removed for
waxing.
WHIP-MIX ARTICULATOR
Designed by Dr. Charles
Stuart 1963.
It is an arcon articulator.
The
upper
&
lower
member are mechanically
attached by means of a
spring latch assembly.
The original
8500.
model
is
The condylar elements on
the
lower
frame
&
adjustable
to
three
position
1. Small (S) 96 mm
2. Medium (M)110mm
3. Large (L) 124 mm.
Two Different face-bows can
utilised.
Quick mount or earpiece facebow for complete denture.
The adjustable axis
for fixed prosthodontics.
The intercondylar distance is
determined from the scale on
the face-bow S.M.L.
The articulator has pins on the outer
flanges
of
the
condylar
guides
corresponding holes on the medial
side of the earpieces of the face-bow
make for easy transfer of the facebow record to the articulator.
MODIFICATIONS
Articulator model 9600 is similar to
model 8500 except the lower frame is
inches taller to provide more space for
mounting the mandibular cast.
Mode 8800 provides an additional
inches space to mount the maxillary
cast.
Model 9800 is combines the upper frame
of model 8800 with the lower frame of
model 9000 to provide the greatest
distance between the upper & lower
frames.
Model 8340 assure that cast can be
interchanged between any model 8340
articulator without loss of accuracy.
DENAR ARTICULATORS
DENAR MARK II
Arcon type
The articulator is a two
piece
instrument
incorporating
a
possitive
locking
machanism that can
hold the two member
together by means of
centric latch.
The condylar elements are at a fixed 110
mm intercondylar distance however an
adjustable distance (110 to 122) mm option
is available.
Four types of face-bow can be used :-
- Facia face-bow
- Earpiece face-bow
- Sidematic face-bow
- Adjustable axis face-bow
The sidematic face-bow has a feature
of unique slide gear machinasm which
make it easy & quick to assemble.
The mark II can be programmed using
anatomic averages positional records
or with a mini recorder.
OMNI
It is a newest Denar
articulator.
The design allow one to
easily exchange closed
fossa for open fossa
with a positive locking
latch.
o The purpose of this model is an attempt to
better meet the requirments for complete
denture, removable & fixed partial denture
fabrication in one articulator.
o When the articulator is equipped with the
open fossae which is identical to mark II
fossa it is called omni mark.
o When it is utilised with closed track fossa
called omni track.
TMJ ARTICULATOR
Designed by (1965) Kenneth
Swanson.
The articulator has a spring
loaded latch to help return the
upper frame to the centric
relation position.
There is curved incisal guide
pin with both a plastic &
adjustable machanical incisal
table.
Small version of the articulator is
available & is called the mini
articulator.
Its intercondylar distance is
limited & has a straight incisal guide
pin.
DENTATUS
It is a shaft type instrument.
The condylar element attached to the
upper member & the condylar path is
straight.
The intercondylar distance is fixed.
The articulator received a hinge axis facebow.
The features are similar to Hanau model.
SELECTION
OF AN
ARTICULATOR
SELECTION OF AN
ARTICULATOR
One should not used too complex instruments
for a simple case or too simple articulator for
a complex case.
The following factors pertinent
understanding and selections.
to
the
1.
Articulator movements of the condylar
elements do not reproduced condylar
movement in the temporomandibular joint.
2. The goals of articulation is to duplicate
tooth movements along border path ways in
at least to planes of space.
3. The most important requirment of an
articulator are to maintain centric relation &
the vertical dimension of occlusion.
4. Fixed condylar elements at 110mm are all
that is neccesary. An adjustable inter
condylar capability may permit more
records to be accepted.
5. The articulator should be able to receive a
face-bow transfer record,.
6. The articulator should have the capability
of adjustment for precurrent or immediate
side shift upto atleast 2.5 mm.
7. An adjustable mechanical incisal guide table
can not reproduce the natural guidance of
the anterior teeth.
8. A sterograph ( pantograph) has limited value
for all but a few types of prosthodontics
situation.
9. The sophistication of articulators should not
exceed the level of training & ability of the
personnel that will be fabricating the
restorations.
MOUNTING PROCEDURE
Mounting of maxillary cast.
Mounting of mandibular cast.
Mounting of maxillary cast
Maxillary cast is attached
to the articulator using the
orientation jaw relation
record.
Procedure of transferring
the orientation jaw relation
to the articulator is called
face-bow transfer.
The ear piece of the face bow is attached to the
rollpin of the articulator.
This transfers the posterior reference point of
the face-bow to the articulator
The anterior reference point should be
positioned by making the orbital indicator contact
the orbital pointer of the face-bow.
A pivot stand attached to the lower member of
the articulator also helps to prevent vertical
displacement of the occlusal rim during
articulation.
Mounting of mandibularcast
Tighten the centric lock on each enclosed
condylar track mechanism to ensure that the
articulator is capable of nothing but a hing
opening.
Invert the articulator on the benchtop
resting it on the three thumnuts protruding
from the upper member of the articulator.
Scan0120.jpg
Place the centric relation interocclusal wax record on
the teeth of maxillary cast. Be sure that the teeth seat
completely into wax record.
Place the mandibular cast into interocclusal record.
There should be no contact between the maxillary and
mandibular cast.
Remove the mandibular cast and soak it for about 2
minute in slurry water.
Reseat the soaked mandibular cast into the record and
mount it by plaster/stone.
Inspect the articulated cast: The condyle is in the retruded position in
its condylar track mechanism.
Both casts are seated completely in the
interocclusal wax record.
Mounting stone is securely attached to
both casts and mounting plates.
CONCLUSION
An articulator is an important device that
mechanical analogues the temporomandibular
joint & upper and lower dental arches.
A device to which maxillary and mandibular
casts can be attached,with the intent of
simulating the functional & para functional
contact relationships of one arch to the other.
REFERENCES
Charles M. Heartwell the syllabus of complete
denture,fourth edition.
Sheldon Winkler- the essential of complete denture
prosthodontics,second edition.
Herbert T. Shillingburg- fundamentals of fixed
prosthodontics,third edition.
Deepak
Nallaswamy
the
Prosthodontics,first edition.
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