Upload
shon-cobb
View
224
Download
0
Tags:
Embed Size (px)
Citation preview
PRINCIPLES OF ARTICULATION
Department of Endodontics, Prosthodontics, and Operative Dentistry
University of Maryland, Baltimore
Dr. Gary Hack
Dr. Keith MaysDr. Pauline Hayes Garrett
PRINCIPLES OF ARTICULATION
• What is an articulator?• What is the purpose of an articulator.• Discuss the types of articulators and applicable uses?• Discuss the terminology of Articulators.• Define Arcon vs Non-Arcon.• Discuss patient cast orientation to the articulator.
ObjectivesObjectives
PRINCIPLES OF ARTICULATION
• 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
TYPES OF ARTICULATORS
Articulator Design
• Arcon - condylar element on lower– Just like the condyles are attached to
the mandible– Mechanical fossae located on the
upper member just like the glenoid fossae
• Non Arcon - condylar element on upper– Unlike natural anatomy– The condylar path (glenoid fossae) is
located on the lower member
Arcon Articulator: condylar element on lower element. Glenoid fossa on upper.
Arcon Articulator:Hanau Modular Semi Adjustable Articulator
DETERMINANTS OF OCCLUSION
Posterior
1) Right TMJ2) Left TMJ
Anterior1) Anterior Teeth
Posterior Determinants of Occlusion
The condylar guidance is a fixed factor, and the TMJs are the posterior controlling factor in mandibular movement.
Posterior Determinants1) Right TMJ2) Left TMJ
Anterior Determinants of Occlusion
The anterior teeth:
Determine the movement of the anterior portion of the mandible.
• Anterior guidance is variable since it can be altered by:
• restorations, • extractions, • orthodontics, • attrition, etc.
ARTICULATOR REVIEW:Hanau Modular Arcon Articulator
Posterior Determanants
Horizontal Condylar Guidance:Angle of Condylar Descent
POSTERIOR ARTICULATOR GUIDES
• Horizontal Condylar Guide– Angle of Condyle descent
• protrusive wax record• bite registration materials
• Bennett Angle (there may or may not be associated Bennett Movement or Side Shift with lat. Mandibular Movement)
– Associated with Mediotrusive side during Laterotrusive movement
• Lateral wax check bites• Pre-programmed in your
articulator
Bennet Angle• BENNET ANGLE The angle made by a line
drawn from the point of origin of the balancing condyle to the final positions in Protrusion and mediotrusion.– One leg of the angle
is formed by a line made in a protrusive movement
– The other is made from a line drawn from the point of origin and the final point of the ant. Teeth after the mediotrusive orbit.
Illustration modified and Reprinted from: Ramfjord & Ash (1971), Occlusion, W. B. Saunders Company., Philadelphia, Pa. with permission from Elsivier, Pg. 75
REVIEWHanau Modular Arcon Articulator
and the Anterior Determinant:Anterior Teeth
Mechanical Guide Table
ANTERIOR GUIDE TABLE
• Maintain the relationship between casts – Protecting the cast from wear
• Uses of articulated casts– Evaluation of occlusion– Evaluation of tooth position– Evaluation of tooth form– Evaluation of gingival tissues– Fabrication of indirect restorations
Purpose of Guide Table
CAST ORIENTATION
• Hinge Axis is a repeatable reference
• For the highest possible accuracy cast should be mounted as close to this axis of rotation as possible.
CAST ORIENTATION:Centric Relation vs. Maximum Intercuspation
If the patient is asymptomatic, and has a sufficient number of teeth to consistently close into maximum intercuspation, then maximum intercuspation should be used for cast orientation.
CAST ORIENTATION
• To Orient the Maxillary Cast – Facebow• To Orient the Mandibular Cast- Interocclusal record or
hand articulation depending on # teeth.
Patient Face Bow TransferCenter anterior teeth in wax on bite plane.Ear bow is carefully placed into the ears.
Transfer the Face Bow Transfer to the Articulator
Attaching Maxillary Cast to the Articulator via the Face Bow
Transfer
Attaching Maxillary Cast to the Articulator via the Face Bow
Transfer
***Cast Must Be Wet Before Articulating with Plaster
Mandibular Cast Orientation
• Hand articulation when patient has sufficient number of teeth to place casts into maximum intercuspation
• Interocclusal records• -Bimanual manipulation• -With insufficient
number of teeth to establish a reproducible relationship
Articulate Mandibular Cast
Clean Up as you go
Setting the Condylar Inclination
Setting the Anterior Guidance: Mechanical Guide Table
TYPES OF ARTICULATORS
Hinge Axis (facebow)
CR Record Protursive Lateral Excursion
Bennet
NONADJUSTABLE No No No No No
SEMI ADJUSTABLE Approximate Yes Yes
Straight line
Yes Straight line
Approximate
FULLY ADJUSTABLE Yes
(exact) Yes Yes
Curved Yes Curved
Yes Side Shift