Weinberg1963 Articulator
Weinberg1963 Articulator
T their associatedofconcepts.
HE OBJECTIVE this series of articles is to evaluate several articulators and
Each articulator will be appraised by comparing the
occlusion produced on the instrument to that of a hypothetical patient from whom
all measurements have been made as prescribed in the technique. Clinical implica-
tions will be drawn from the accuracy of the resultant occlusion produced on each
articulator.
This series of articles is divided into four parts. The first part deals with a
review of the basic information that is necessary for the evaluation of articulators.
The remaining sections are devoted to a description of the concept, method, and
evaluation of the instruments.
MOTION
This series of articles has been revised from the Dissertation in the Department of Graduate
Prosthetics submitted in partial fulfillment of the requirements for the Degree of Master of
Science (in Dentistry) at New York University, College of Dentistry.
*Instructor, Department of Graduate and Post Graduate Prosthodontics.
622
Volume 13 BASIC ARTICULATORS AND THEIR CONCEPTS, PART I
Xumber 4 623
INSTANTANEOUS
CENTERS OF
FIG. I
Fig. 1. (I), Line AB represents rectilinear motion. (21, Curvilinear motion is part of an arc
AI3 or ellipse AR, (3). (4), Perpendicular bisectors of chords of the arc intersect at the axis of
rotation. (.5), Instantaneous centers of rotation of elliptical motion AR control movement for a
specific segment of the curve.
Fig. Z.-Two of the required guidances of motion are the condylar paths A and B. The
third point is at the incisors, C.
624 WEINBERG J. Pros. Dew
July-August, 1963
PATH- E? ’
MUSCLE COMPLEX
MEASURED AT THE
4NClSORS AS THE
THIRD POINT OF
FIG.3
Fig. 3.-The three points of guidance are related to the muscle complex.
HUMAN MOTION
Fig. 4.-The mandible of an upright patient is oriented in i-elation to the three planes Of
space.
IMost untrained mandibular motion is elliptical in Nature. This means that the
axes of rotation in the 3 planes translate simultaneously as rotation occurs. It is
necessary to record simultaneously the curved paths of the 3 separate points to re-
produce this three-dimensional motion accurately. These records make possible the
transfer of the physiologic axes of rotation to an instrument as mechanical axes of
rotation.
PHYSIOLOGIC ‘VARIABLES
Fig. B.-The protrusive inclination of the hypothetical patient is 40 degrees to the hori-
zontal plane of the head with the patient in an upright position.
Fig. B.-The second molar of the hypothetical patient is located 50 mm. from the hinge axis
as measured along the horizontal plane and 32 mm. below it.
\‘olume 13 BASIC ARTICULATORS AND THEIR CONCEPTS, PART I 627
?;umber 4
to the horizontal plane of the head with the patient in an upright position (Fig. 5).
The second molar is located 50 mm. from the hinge axis as measured along the
horizontal plane and 32 mm. below it (Fig. 6). The incisal edge of the mandibular
central incisor is 100 mm. from the hinge axis as measured along the horizontal
plane and 32 mm. below it (Fig. 7).
The maxillary dental arch is a fixed base from which mandibular motion is
measured. The face-how mounting serves to transfer the definite three-dinlensional
Fig. 7.-The incisal edge of the mandibular central incisor of the hypothetical patient is
100 mm. from the hinge axis, as measured along the horizontal plane and 32 mm. below it.
Fig. 8.-A fixed base, from which mandibular motion is measured, can be established only
when the upper cast is correctly mounted with the face-bow. W, The working movement. P, The
protrusive movement. B, The balancing movement.
628 WEINBERG J. Pros. Den.
July-August, 1963
Fig. 9.-The incisal guide table regulates the incisal guidance on the articulator in the
horizontal and vertical planes. Changes in the condylar paths require different paths of the
incisal guidance pin.
relationship between the maxillary dental arch and the starting position of the paths
of mandibular movement (Fig. 8). The center of rotation of each condyle during
the opening movement and the incisal guidance serve as the three separate fixed
points for studying motion. The centric relation record orients the cast of the
mandible to the cast of the maxillae from which all measurements are made.
Fig. lO.-The balancing condykir path is usually steeper than the protrusive eondylar path.
This difference in angulation, when it is present, is caRed the Fischer angle.
Fig. Il.-The medial movement of the balancing condyle is measured from the sagittal
plane and is called the Bennett angle, which is not the same as the lateral “Bennett move-
ment” of the working condyle.
J. Pros. Den.
630 WEINBERG July-August, 1963
Fig. 12.-A 30 degree balancing condylar path and a 30 degree incisal guidance result in 30
degree balancing cusp inclines.
Fig. 13.-When the incisal guidance is changed to zero degrees and the balancing condylar
path remains 30 degrees, the balancing cusp inclination at the midpoint (near the second molar)
is approximately 15 degrees.
Different working condylar movements alter the working cusp inclines with
the same incisal guidance. The working condylar path, working cusp inclines, and
FIG. 14
WORK. COND,
-- flACK.
Ul?
LAT.
FIG. I5
BAL, CUND.
----~* rC
--
WORK. CDND.
DOWN.
FOR.
LAT.
tion due to missing teeth, or extensive restorative dentistry may change this rela-
tionship.
The cusp inclines are constructed to harmonize with the specific three-dimen-
sional working and balancing condylar motion and the incisal guidance of the
articulator. When these restorations are in contact in the mouth, they will tend
to force the mandible into the same pattern of motion as that which existed on the
articulator (Fig. 23) .l’J
Tooth Contact Dominates Mandibular Motion .-With fixed restorations, tooth
contact tends to dominate mandibular motion because of the mechanical leverage
that is obtained when the teeth are further away from the fulcrum than the main
muscular attachments (Fig. 24). I1 For this reason it is desirable to harmonize
tooth inclines with mandibular movement to prevent conflict between the tem-
poromandibular joints, the muscle complex, and the periodontal support. A patho-
logic condition develops when the physiologic tolerance of one or more of the com-
ponents of the system is exceeded.
Mandibular motion consists of curved, and more often, elliptical motion. The
related axes of rotation in the three planes of space are associated with this three-
dimensional motion. Although mandibular motion is controlled by the neuromuscu-
lar complex, physiologic axes of rotation exist as an integral part of motion itself.
It is vital to visualize the relationship of axes of rotation to three-demensional mo-
tion in order to understand the basic problems involved in imitating physiologic
motion. The movement of the three axes of rotation during function has been
described in a previous article.lO
Transverse Hinge A&.-The transverse hinge axis which passes through
both condyles is associated with rotation of the mandible in the verticle (sagittal)
plane (Fig. 25). Motion is always perpendicular to its axis of rotation by definition.
There is a controversy as to whether there are one or two transverse hinge axes.
The proponents of two hinge axes base their concept on the well-known asymmetry
of the mandibleal Research by Cohn* which supports the concept of two hinge
axes is in conflict with some of the original work of McCollum.13 The concept of
one transverse hinge axis is supported by Gnathologic clinical research.r4 I stated
previously, “Movement in one direction in a plane can have only one axis of
rotation. Two axial centers of rotation of the same plane and direction of motion
is a self-contradictory statement. If the mandible were rotating about one axis,
translation would have to occur in the other axis.“16
Verticcd A&.-The physiologic vertical axis of rotation is associated with
rotation in the horizontal (transverse) plane and is located in the working condyle
(Fig. 26).
*Cohn, L. A.: Personal communication. Presented to the Greater New York Academy of
Prosthodontics, 1960.
Volume
Number
13
4
BASIC ARTICULATORS AND THEIR CONCEPTS, PART I 633
FIG. 18
Fig. 17.-The working condyle may rotate and shift laterally at 0 degrees along the hinge
axis lme.
Fig. l&-The working condyle may rotate and shift downward, backward. and laterally.
cemented to the teeth and the patient is trained to produce hinge movements of
the mandible. The pins are adjusted until they rotate without any translation.17
Only the point of the pins at the skin can be assumed to be on the hinge axis.
The opposite end of the pins may have a slight translatory movement (Fig. 29))
because the apparatus can never be exactly cemented parallel with the hinge axis ;
second, the equipment cannot be expected to maintain perfect right angles.
Only the points of the pins of the face-bow are assumed to be on the hinge
axis. If the condylar rods of the articulator are extended out to meet the face-bow
pins, an accurate hinge axis transfer can be accomplished (Fig. 30). However, if
Fig. lQ.-The cusp inclines reflect the incisal guidance inclination when the working con-
dyle rotates with little lateral Bennett movement.
Fig. 20.-A working condyle with a 0 degree Bennett movement and a 30 degree incisal
guidance results in working cusp inclines of 15 degrees midway between the two extreme guid-
ing factors.
Fig. 21.-A relatively steep balancing condylar motion requires steep balancing cusp
inclines.
Fig. 22-A typical transverse curve of occlusion forms when steep-balancing condylar
motion occurs bilaterally.
\7olun1e 13 BASIC ARTICULATORS AND THEIR CONCEPTS, PART I
Numller 4 63.5
Fig. 23.-The cusp incfines are constructed to harmonize with the specific three-dimensional
n,orking and balancing condylar motfon and the imisal guide of the articulator.
Fig. 25 .-The transverse hinge axis passes through both condyles and is associated with
rotation of the mandible ih the vertical (sagittal) plane.
J. Pros. Den.
636 WEINBERG July-August, 1963
the pins of the face-bow are extended in to meet the articulator, the axis of the
instrument will not be on the true hinge axis (Fig. 31) .
Non-Right Angle System.--Much discussion about the importance of a so-
called “right angle system” in locating and reproducing the transverse hinge axis
has taken place. The arms of the face-bow are not at right angles to the bow nor
are the pins at right angles to the arms. The adjustability of the parts remains
the same. The pins of the bow can be adjusted to the true hinge axis on the face
(Fig. 32). All other parts of the system will translate as before, but perhaps will
be slightly more exaggerated. If the condylar rods of the articulator are extended
out to reach the pins of the face-bow, the true hinge axis will be duplicated on the
instrument (Fig. 33).
Fig. a&-The physiologic vertical axis of rotation is associated with rotation in the hori-
zontal (transverse) plane.
Fig. 2i’.-- The physiologic sagittal axis of rotation is associat.ed with rotation in the frontal
plane.
“,E’zE:
‘4” BASIC ARTICULATORS AND THEIR CONCEPTS, PART I 637
The transverse hinge axis does not translate when the patient is trained to
move his mandible in an arc. The kinematic face-bow must have arms that are
variable in length, as well as adjustable pins. only the poist of the pins can be
assumed to be on the hinge axis. \Vhen this record is transferred to the articulator,
the condylar rods of the articulator must be extended out to meet the face-bow
pins. The “right angle system” of pins, arm, and bow is immaterial, as the bow
can never be assumed to be cemented exactly parallel to the hinge axis. The vital
Fig. %.-The transverse hinge axis is found by attaching a special bow to the mandible.
Fig. 29.-Only the point of the pins of the kinematic face-bow at the skin can be assumed
to be on the hinge axis, AB. The opposite end of the pins, CD, may have a slight translatory
movement.
J. Pros. Den.
638 WEINBERG
July-August, 1963
requirement is to have the condylar rods of the articulator extend out to meet the
face-bow pins.
Fig. 30.- The condylar rods of the articulator are extended out to meet the face-bow pin6
to accomplish an accurate hinge axis transfer.
Fig. 31.- The pins of the face-bow are extended in to meet the articulator, and an error
in the true hinge axis is created.
Volume 13 BASIC ARTICLJL.~TORS AND THEIR CONCEPTS, PART I
Number 4 639
the posterior curvature of each tragus to the corner of the eye. Monson and Hanau
used ?,$ inch while the DAB articulator of Bradrup-Wognse+ utilizes balls that
fit into the aural orifices. The method described here for the anatomic average
hinge axis location will utilize the Snow type of face-bow with the measurement
of $4 inch from the center of the posterior curvature of the tragus (Fig. 34).
Fig. 32.-The pins of the (non-right angle system) bow can be adjusted to the true hinge
axis on the face. AB.
Fig. 33.-The condylar rods of the articulator are extended out to reach the pins of the
non-right angle system face-bow. The true hinge axis, AB, js duplicated on the machine.
WEINBERG J. Pros. Pen.
640 July-August, 1963
Fig. 34.-The transverse hinge axis can be located by measuring 11 to 13 mm. from the
tragus of the ear on a line from the tragus to the corner of the eye.
to the joints and the condylar axis2” Snowls was aware that the jaws have a
degree of asymmetry. His face-bow, developed in 1889, was intended to reproduce
the position of the upper jaw in relation to the condyles.
Campionz4 and Beyron2s used mandibular face-bows for investigation of con-
dylar movements. Gysi20 recorded condylar paths in 1929 with this type of instru-
ment. He also felt that, by means of a face-bow, the jaws should be correctly ori-
ented in relation to the condyle axis. In the early work on orientation, the emphasis
was centered on the location of the condyle and very little stress was placed on the
orientation of the occlusal plane.
Fig. 35.-The maxillary arch has a definite three-dimensional relationship to all condylar
motion.
Volume 13 BASIC ARTICULATORS AND THEIR CONCEPTS, PART I
Number 4 641
Two essential stepsare necessary to orient the maxillary cast on the articulator.
First, the transverse hinge axis of the patient must be located kinematically as
in Gnathology13 or by anatomic average measurements. Second, an anterior point
of orientation is selected to form a horizontal plane of reference through this point
and the transverse hinge axis.
Antcriov Point of O~&+~tation~.-I’ariation exists in the selection of the ante-
rior point of orientation which, with the transverse hinge axis, forms the horizontal
Fig. SG.--Some techniques use an orbital point A as the anterior point of orientation; others
place the plane of occlusion parallel to the ala-tragus line, B, while still others use a line from
the tragus of the ear to the anterior nasal spine, C. The incisal edges of the anterior teeth, D,
can be lined up with the notch on the incisa1 pin of the Hanau Model H articulator.
Fig. 37.-The various anterior points of orientation, A, B, C, or D, raise oi- lower the ante-
rior part of the face-bow.
642 WEINBERG
plane of reference. Some techniques call for the use of an orbital pointer. Others
place the plane of occlusion parallel to the ala-tragus line, while still others use a
line from the tragus of the ear to the anterior nasal spine (Fig. 36). Often, the
occlusal plane and/or the ridges are oriented so as to be roughly parallel to the
base of the articulator. The incisal edge of the teeth or occlusion rim can be made
level with the notch on the incisal guide pin of the Hanau Model H articulator.
These various anterior points of orientation raise or lower the anterior part of
the face-bow (Fig. 37).
Effect of Raising or Lowering the Plane of Occlusion.-Raising or lowering
the face-bow mounting does not effect centric occlusion. However, it does effect
eccentric interocclusal condylar readings which, in turn, influence cusp inclines.26
As the plane of occlusion is elevated, the condylar readings decrease. Conversely,
as the occlusal plane is lowered, the condylar readings increase. Because of the
compensatory change of the occlusal plane, these condylar variations do not affect
the mesiodistal (protrusive) CUSP inclines.
Fig. 38, Right and left border movements produce the typical needlepoint tracing similar
to a Gothic arch.
Fig. 39,Three tracings are made simultaneously and used to locate the vertical axis for
each lateral movement of the mandible, ff perpendicular lines are drawn from each arc of the
tracing.
Volun1e 13
Number 4
BASIC ARTICULATORS AND THEIR CONCEPTS, PART I 643
SLIM MARY
REFERENCES
1, Dent, J., and Harper, A. : Kinematics and Kinetics of Machinery, New York, 1921, John
Wiley & Sons, pp. 3, 30, 88.
2. Hinkle, R.: Kinematics of Machines, New York, 1953, Prentice Hall, Inc., p. 7.
3. Fischer, R.: Beziehungen Zwischen den Kieferbewegungen und der Kauflachenform der
Zahne, Schwiez. Monatschr. Zahnk. 36.
4. Landa, J. S.: Critical Analysis of the Bennett Movement, J. PROS. DEN. 8:709-726, 1958.
5. Isaacson, D.: A Clinical Study of the Bennett Movement, J. PROS. DEN. 8:641-649, 19.58.
6. Cohen, R.: The Relationship of Anterior Guidance to Condylar Guidance in Mandibular
Movements, J. PROS. DEN. 6:758-767, 1956.
7. Schuyler, C. H.: Factors of Occlusion Applicable to Restorative Dentistry, J. PROS. DEN.
3:772-782, 1953.
*Schweitzer, J.: Personal communication
J. Pros. Den.
644 WEINBERG July-August, 1963
8. Swenson, M. G.: Complete Dentures, ed. 4, St. Louis, 1959, The C. V. Mosby Company,
pp. 256-272 ; 295-306.
9. Weinberg, L. A.: Incisal and Condylar Guidance in Relation to Cuspal Inclination in
Lateral Excursions, 1. PROS. DEN. 9:851-862. 1959.
10. Weinberg, L. A.: Physibiogic Objectives of Redonstruction Techniques, J. PROS. DEN.
10:711-723, 1960.
11. Hausmann, E., and Slack, E.: Physics, ed. 2, New York, 1935, D. Van Nostrand Co.,
12. Page, k.‘“?L : Some Confusing Concepts in Articulation! D. Digest 64:71-76; 120-124, 1958.
13. McCollum, B. B.: Fundamentals Involved in Prescribing Restorative Dental Remedies,
D. Items Interest 61:522-535 ; 641-648 ; 724-736 ; 852-863 ; 942-950, 1939.
14. Granger, E. R., Lucia, V., Hudson, W., Celenza, F., and Pruden, W., Jr.: Hinge Axis
Committee, New York Academy of Prosthodontics, 1959.
15. Weinberg, L. A.: The Transverse Hinge Axis: Real or Imaginary, J. PROS. DEN.
9:775-787, 1959.
Brotman, D. N.: Hinge Axes, J. PROS. DEN. 10:436-440; 631-636, 873-877, 1960.
:76: Cohen, R.: Hinge Axis and Its Practical Application in the Determination of Centric
Relation, J. PROS. DEN. 10:248-257, 1960.
Snow, G. : The Philosophy of Mastication, D. Cosmos 42:531-535, 1900.
:;: Hanau, R. L.: Full Denture Prosthesis, ed. 4, Buffalo, 1930, Hanau Engineering Co.,
p. 39.
20. Gysi, A. : Practical Application of Research Results in Denture Construction (Mandibu-
lar Movements), George Wood Clapp, Collaborator, J.A.D.A. 16:199-223, 1929.
21. Brandrup-Wognson, T. : An Articulator Construction, Svensk. Tandlakare-Tidskrift. 29:
339, 1936.
22. Prothero, J.: Prosthetic Dentistry, ed. 3, Chicago, 1923, Medico-dental Publishing Com-
pany, pp. 1115-1116.
23. Bergstrom, G.: On the Reproduction of Dental Articulation by Means of Articulators, A
Kinematic Investigation, Orebro, Sweden, 1950, A. B. Littorin Ryden.
24. Campion, G.: Some Graphic Records of the Movements of the Mandible in the Living
Subject and Their Bearing on the Mechanism of the Joint and, the Construction
of Articulators, D. Cosmos 47:39-42, 1905.
25. Beyron, H. : Orienterings problem vid Protetiska Rekonstruktioner och Bettstudier med
Sarskild Hansyn till Anvandningen av Ansiktslage, Svensk. Tandlakare-Tidskrift.
35:1, 1942.
26. Weinberg, L. A. : An Evaluation of the Face-Bow Mounting, J. PROS. DEN. 11:32-42,
1961.
Jankelson, B.: Physiology of Human Dental Occlusion, J.A.D.A. 50:664-680, 1955.
Z: The Academy of Denture Prosthetics: Glossary of Prosthodontic Terms, J. PROS. DEN.
10:13, 14, 1960.
29. Lucia, V. 0.: Centric Relation-Theory and Practice, J. PROS. DEN. 10:849-856, 1960.
57 w. 57 ST.
NEW YORK 17, N. Y.
ARCON PRINCIPLE IN THE
CONDYLAR MECHANISM OF AD JUSTABLE ARTICULATORS
of the Arcon type has the condylar slot fixed to the upper mem-
A N ARTICULATOR
ber and the ball attached to the lower member. This positioning of the con-
dylar elements is the reverse of the usual arrangement. Many articulators, includ-
ing the Gnathologic type, use the Arcon principle. It is claimed that this principle
more truly represents the condition found physiologically where the temporoman-
dibular fossae are located in the skull and the condyles are a part of the mandib1e.l
In the usual articulator arrangement (such as the Hanau), as the upper
member moves, the angulation between it and the condylar slot keeps changing
(Fig. 1) . However, the condylar slot in the Arcon articulator is constant in angula-
tion to the maxillary dental arch. The Arcon principle (Fig. 2) seemsto reflect
physiologic conditions more truly than the Hanau type articulator. The purpose
of this article is to examine and evaluate this principle.
METHOD OF EVALUATION
This article is a revised segment from the Master’s thesis, “An Evaluation of Basic Articu-
lators and Their Concepts,” which was accepted as partial fulfillment of the requirements leading
to the Degree of Master of Science, New York University, College of Dentistry.
*Instructor, Department of Graduate and Postgraduate Prosthodontics.
263
WEINBERG J. Pros. Den.
March-April, 1963
CONDYLAR ARTICULATOR
tHANAil Hf
Fig. 1. Fig. 2.
Fig. 3.
Fig. 1,In a condylar articulator (Hanaul, the condylar slot is part of the lower member,
while the ball ls attached to the upper member.
Fig. 2.-In an Arcon articulator (Bergstrom), the condylar slot is Axed to the upper
member and the ball to the lower member.
Fig. 3.-The hypothetic patient with a 7 mm. protrusive excursion and a 40 degree con-
dylar inclination produces a protrusive record of speciilc dimensions. The 40 degree geometric
triangle created by the protrusive condylar position is recreated in both articulators when they
are in a protrusive position.
ARCON PRINCIPLE 265
CHANGtNG A~LATt~
A. B
K = 4- 3.5021
K= 0.4979
0.4979
tan V= 50
B. v= 00 34’ 14”
Fig. 5.-A and B, The angulation between the upper member and the condylar slot in both
condylar and Arcon articulators is determined mathematically.
J, Pros. Den.
266 WEINBERG March-April, 1963
Fig. 6 .-The protrusive condylar inclinations are measured in relation to the horizontal
plane of the instrument. A, When the condylar instrument (Hanau) returns to centric positlon,
the condylar slot will remain at 40 degrees to that plane. B, On the other hand, as the Arcon
articulator returns to centric position, there is a changing angulation of the condylar slot to
the horizontal plane of the instrument. At centric position, the angulation of the condylar slot is
reduced to approximately 39 degrees.
GEOMETRY OF BOTH
ARTICULATORS WITH
UPPER MEMBER MOVING
Fig. 8.
Fig. 7.
Fig. ‘I.-The hypothetic patient has a 15 degree Bennett angle on the balancing side. The
working condylar movement is upward, backward, and lateral. The geometric configuration
is superimposed on a top view of the mandible.
Fig. 8.-&r both articulators, the balancing condyle positions in space are identical as
determined by the same lateral record. The geometric representation for both articulators with
the upper member moving is identified.
Volume
Number
13
2
ARCON PRINCIPLE 267
The medial movement of the’ balancing condyle is measured from the sagittal
plane and is called the Bennett angle. This angle is not to be confused with the
direct lateral Bennett movement of the working condyle. The hypothetic patient
had a 15 degree Bennett angle on the balancing side. The working condylar move-
ment is upward, backward, and lateral. The geometric representation is superim-
posed on a top view of the mandible in Fig. 7.
On both types of articulators, the balancing condylar positions in space were
identical as determined by the same lateral record. The geometric configuration
for both articulators with the upper member moving is given in Fig. 8, the mathe-
matical representation in Fig. 9.
X= 86O 3’ 6”
x t 15-J= Y
Y= 101°3’ 6”
z= IBCP-Y
2 = 78” 57’ 54 ”
Fig. 9.--A, The geometric scheme for the balancing condylar position with a 15 degree
Bennett angle. B, The geometric conilguration of the balancing condyle position on both ar-
ticulators with the upper member moving backward. Approximate values are indicated
(exact figures found above).
When both articulators were in the balancing condylar position, the angle
between the upper member and the condylar slot was 75 degrees. The angle between
the condylar slot and the sagittal plane of the instrument was 11 degrees (Fig. 8).
With a condylar articulator, the angulation between the upper member and
the condylar slot changes during lateral motion while the angulation between the
condylar slot and the sagittal plane of the instrument remains fixed. The reverse
situation is true for an Arcon articulator (Fig. 10).
J. Pros. Den.
268 WEINBERG March-April, 1963
BAL. SIDE
WANGING
FtXED
ANGU-
LilTION
A. B.
Fig. 10.-A, With a condylar articulator, the angulation between the upper member and
the condylar slot changes during lateral motion, while the angulation between the condylar slot
and the sagittal plane of the instrument remains fixed. B, The reverse is true for the Arcon
articulator. When both articulators were in the balancing condylar position, the geometric
configuration was identical.
A. B.
Fig. Il.-A, When the condylar instrument returns to centric position, the condylar slot
remains at the original Bennett angle. B, As the Arcon instrument returns to centric position,
the angulation of the condylar slot to the sagittal plane of the instrument changes.
When the condylar instrument returned to centric position, the condylar slot
remained at the original 11 degree Bennett angle (Fig. 11, A). As the Arcon
instrument returned to centric position, the angulation of the condylar slot to the
sagittal plane changed from 11 to approximately 15 degrees (Fig. 11, B) .
The difference in the Bennett angle readings on the two instruments results
from the mechanical method of producing motion. The three dimensional bal-
ancing condylar position and motion on each instrument are identical.
CONCLUSIONS
Both the Arcon and condylar instruments produce the same motion because
condylar guidance is the result of the interaction of a condylar ball on an inclined
plane. One without the other is ineffective. Reversing the relationship does not
change the guidance produced. The only change is in the numbers used to record the
inclination. Mathematical evidence supports the view that neither instrument has
any specific advantages over the other.
REFERENCE
Monsonl felt that the condylar path and the occlusal plane form a curve.
Bonwill” said that the two condyles and the incisors formed an equilateral triangle
with sides of 4 inches. Monson associatedBonwill’s triangle with his own observa-
tions and formulated his “spherical theory.” The condylar path and occlusal plane
form a curve which is part of an 8 inch sphere (Figs. 1 and Z), the center of
which is the common center of mandibular motion. This sphere touches the apices
of the Bonwill triangle.
The Monson theory states that the lower teeth move over the surfaces of
,the upper teeth as over the surface of a sphere with a diameter of 8 inches, with the
(center of the sphere located in the region of the glabella and the surface of the
sphere passing through the condyles or centric with the condyle paths.
Monson Articulator.-Monson believed that all jaw movements take place
around two axes. One axis runs through the “common center” and the other is
located around the condylar axis. His articulator has shafts that correspond to
the respective axes (Fig. 2).
Hagm?z Balanccr.-The Hagman balancer differs from the Monson articulator
in that it has a universal joint mechanism that allows movement from Monson’s
“common center.”
This series of articles has been revised from the Dissertation in the Department of Graduate
Prosthetics which was submitted in partial fulfillment of the requirements for the Degree of
Master of Science (in dentistry) at New York University, College of Dentistry.
*Part I, J. PROS. DEN. 13:622-644, 1963.
**Instructor, Department of Graduate and Postgraduate Prosthodontics.
645
WEINBERG J. Pros. Den.
646 July-August, 1963
Fig. l.-Mormon believed that the condylar path and occlusal plane formed a curve which
was part of an 8 inch sphere.
Fig. 2.-The two axes of Monson’s articulator correspond with his theory of jaw movements.
Fig. 3.-An equilateral (Bonwill) triangle is formed by lines joining the condyles and the
incisor point. The angle between the occlusal plane and the Bonwill triangle is the Balkwill angle.
Volume 13 BASIC ARTICULATORS AND THEIR CONCEPTS, I’ART II 647
Number 4
The lack. of adjustability in the Mouson theory can be seen in Fig. 4. As the
dental arch widens posteriorly, the position of the teeth must be elevated so that
the occlusal surfaces can remain on the curve of the S inch sphere. The level of
t’he occlusal plane and the resulting l3alk~ill angle cannot deviate and, at the
Fig. 4.-The Monson theory is a nonadjustable system. As the arch widens from A-B to
AI-B, the position of the teeth must be elevated to remain on the curve of the 8 inch sphere. The
level of the occlusal plane and the resulting Balkwill angle cannot deviate and at the same time
remain on the curvature of the sphere.
Fig. 5.-The slot is adjusted to the interocclusal record so that the static or “pssitional”
relationship of the mandible in centric relation, protrusive, and each lateral position is obtained.
(The devices for mounting the casts to the instrument have been omitted to show the posi-
tional controls more clearly.)
648 WEINBERG J.Pros. Den.
July-August. 1963
same time, remain on the curvature of the sphere. The three-dimensional interrela-
tionship of these factors dictates only one set of conditions that will fit the theory.
A spherical theory does not take into consideration individual variations which
always exist. This theory does have some value in establishing a general curve of
the occlusal plane. When opposing teeth are together, mandibular guidance is
related to tooth inclines on a specific occlusal plane. The cuspal inclines allow for
the individual variation from the average. The Monson theory should be limited
to its use to a general guide rather than a complete technique,
USEOFTHEPOSITIONALARTICULATOR
The Stansbery Dental Orient preceded the Stansbery tripod and did not have
a face-bow mounting attachment. The tripod has an optional device for attaching
a face-bow. The upper member of both instruments has provision for a hinged
vertical raising or lowering of the maxillary cast. The technique devised by Stans-
bery applied to both instruments.
The casts are mounted in an arbitrary position in the instrument without the
use of a face-bow. The centric relation record is obtained in plaster at the vertical
dimension of occlusion maintained by a central bearing point and plate attached to
the occlusion rims. Eccentric relation records are made in plaster at a greater verti-
cal dimension than that of centric relation, and are increased in accordance with
the height of the cusps of the posterior teeth to be used. The condylar slots are
adjusted to the position of the balls at the ends of the tripod of the upper member
of the articulator (while it is supported by the eccentric interocclusal record), and
fixed in position by struts on the turrets of the lower member of the tripod (Fig.
5). Thus, the instrument records the position of centric relation at the vertical
dimension of occlusion and each eccentric position at the vertical dimension of
cusp-to-cusp contact. The slots are adjusted to join the position of centric relation
with one eccentric position by a straight (rectilinear) path. The plaster inter-
occlusal record procedure is repeated for the other two eccentric positions, and
the turrets and slots are adjusted accordingly.
The upper cast is raised 0.5 to 1.0 mm. within the instrument, before the
teeth are set up, to allow for occlusal modification of the teeth after they are
processed. After the dentures are processed, they are replaced on the instrument
before being removed from their original casts. A metal mounting plate is set in the
base of each cast to key it to the mounting plaster. A built-in lathe attachment is
used to mill in the occlusion with abrasive paste, to restore the original vertical
Volume
Number
13
4
BASIC ARTICULATORS AND THEIR CONCEPTS, PART II 649
dimension of occlusion, and to develop the final form of the occlusal surfaces of the
teeth. Stanshery did not intend that dentures would be remounted by means of
new interocclusal records made after the insertion of completed dentures in the
mouth.
The Hnnau model II is one of the most commonly used semiadjustable articu-
lators. It was primarily designed for complete denture construction. The objective of
the technique is to closely produce mechanical equivalents of mandibular movements
on the instrument. According to Hanau,12 the less “realeff” (“resiliency and like ef-
fect” of the soft tissue) present in the mouth, the closer the instrument will simulate
mandibular movement. A face-bow transfer and a centric relation record orient
the casts on the articulator. Lateral movements are simulated by first obtaining
an individual protrusive interocclusal record for adjusting the vertical condylar
guidance inclination. The Bennett angle (medial inclination) of the balancing con-
dylar mechanism is calculated by formula and then transferred to the instrument
by rotating the condylar posts. The working condylar movement is built into the
machine and varies only in amount, depending upon the angulation of the balancing
condylar movement and the amount of rotation of the balancing condylar posts.
Fig. 6-A protrusive interocclusal record is used to adjust the vertical condylar guidance in-
clination of the Hanau Model H articulator.
Elzr ‘4” BASIC ARTICULATORS AND THEIR CONCEPTS, PART II 651
ARTICULATOR
CONRYLAR A~~ULATtO~,
FIG. 8
CHECK BITE
Fig. 7.-Thl? condylar inclination of the patient is recorded by a protrusive record. The
relative thickner:s of the record at the incisor and molar areas, A-B, is influenced by the degree
of downward drop of the condyle, C.
Fig. &-The maxillary cast is placed into the protrusive record and the condylar slot C
is then rotated until the maxillary cast fits the record exactly, BI-AI.
slot mechanism is then rotated until the maxillary casts fits the record exactly
(Fig. 8).
The condylar angulation on the instrument is said to be a mechanical equiva-
lent of that of the patient. Since it is a positional record, a marked occlusal curve
will not alter the record.
Balancin!g Condylar Motion.-The balancing condylar motion of the patient
is downward, forward, and medially, and is measured by its vertical and medial
angulations. The protrusive condylar inclination is considered accurate enough to
be used for the downward component of the balancing movement. The medial or
Bennett angle, is obtained by the Hanau formula F plus 12, where H is the pro-
trusive angulation of the condylar guidance mechanism. (Fig. 9).
Working Condylar Motion.-The Hanau Model H articulator has no indi-
vidual accommodation, as such, for the working condylar motion (Fig. 10). To
facilitate description, the articulator movement will be described in the same divec-
t&z as that of the patient. (The upper member of the articulator is held firmly
while the lower member is moved.)
The working condylar motion of the Hanau H is mechanically simulated by
combining the balancing condylar motion with the placement of a nonadjustable
fulcrum on the opposite working side. The working condylar ball remains in the
original position (acting as a fulcrum) but the intercondylar pin is free to move
laterally through the ball.
The balancing condylar movement is downward, forward, and medial, which
causesthe intercondylar rod to pass laterally through the working condylar ball.
This produces upward, backward, and lateral working condylar motion. The work-
WEINBERG J. Pros. Den.
July-August, 1963
Fig. 9 .-The balancing condylar motion is measured by its vertical and medial angulations.
The medial, or Bennett angle, is obtained by the Hanau formula, T plus 12, where H is the
protrusive angulation.
ing condylar (Bennett) movement is built into the machine ; however, the Bennett
movement varies only in amount rather than in direction. The degree of variation,
with normal operation, depends on the balancing condylar movement.
Border Movenzents of the Instruunent.-The degree of lateral shift depends on
the “Bennett angle,” the greater the “Bennett angle,” the more the lateral shift.
The “Bennett angle” is calculated by formula from the protrusive (vertical) con-
dylar guidance inclinations. However, the angle does not vary a great deal. When
the protrusive reading is 0 degrees the Bennett angle is 12 degrees (+ plus 12).
Increasing the protrusive angulation to 50 degrees only increases the Bennett angle
from 12 to 18 degrees.
Fig. 10-The instrument has no individual accommodation, as such, for the working con-
dylar motion.
BASIC ARTICULATORS AND THEIR CONCEPTS, PART II 653
Fig. Il.-The angle that is formed in the needlepoint tracing by the lateral border move-
ments of the incisal guidance pin is approximately 135 degrees.
The “Gothic arch tracing” that is formed at the incisal pin is a measure of the
border movement of the articulator. According to Bergstrom4 the angle between
the lateral border movements of the incisal guidance pin is approximately 13.5
degrees (Fig. 11).
Fig. 12.-The average anatomic location of the hinge axis introduces an error of -C 5 mm.
in its location.
Fig. 13.-A small occlusal error is produced when the interocclusal record of centric rela-
tion is removed, because of the average anatomic location of the hinge axis.
Fig. Il.-The anterior point of orientation of the face-bow and the hinge axis establishes
the horizontal plane of reference.
Volume 13 BASIC ARTICULATORS AND THEIR CONCEPTS, PART II 65.5
Nur her ‘I
but we should be prepared to deal with this maximum amount and its resultant
effect on the occlusion. If the relation of the jaws to the hinge axis of the patient
differs from the relation of the casts to the hinge axis of the instrument, when a
3 mm. wax centric record is removed and the articulator is closed, an anteroposte-
rior error of approximately 0.2 mm. wouId be produced (Fig. 13) .14,1’
Arbitrary Location of the Anterior Point of Orientation.-The anterior point
of orientation of the face-bow and the hinge axis establishes the horizontal plane
of reference. However, there is a definite three-dimensional relationship between
the maxillary dental arch and the axes of rotation of the mandible (Fig. 14). The
relationship of the maxillary arch to the vertical and sagittal axes of the patient
will not be the same as that on the instrument with arbitrary location of the hori-
zontal plane of reference (Fig. 15).
The incisa.1 edges of the teeth, or occlusion rim, can be made level with the
notch on the incisal pin. In later models, the Hanau articulator is supplied with
an axis orbital pointer. An elevation of the anterior part of the face-bow decreases
the protrusive condylar reading and, conversely, a lowering of the face-bow in-
creases the condylar reading.16 Any of the co1nmonly used arbitrary anterior points
of orientation can change the verkcal height of the face-bow mounting not more
than plus or minus 16 mm.
The hypothetical patient has a 40 degree condylar inclination to the horizontal
plane of the head when the patient is in the upright position (Fig. 16). When the
face-bow mounting is oriented too high, there is a reduction in the condylar reading
(Fig. 17) .16 This inclination is measured from the horizontal plane of the instru-
ment which is parallel to its base.
Fig. 15.-The relationship of the maxillary arch to the vertical and sagittal axes of the
patient will not be the same on the instrument with an arbitrary location of the horizontal
plane of reference.
656 WEINBERG
Fig. 16.-The hypothetical patient has a 40 degree condylar inclination to the horizontal
plane of the head when the patient is in the upright position.
Fig. 17.-When the face-bow mounting is oriented 16 mm. too high, there is a reduction
of Q degrees in the condylar reading to 31 degrees, as measured from the base of the instrument.
Fig. lg.-The second molar balancing cusp inclination is reduced to 35.5 degrees by the
reduction in the protrusive reading.
tion to 35.5 degrees (Fig. 19). This error is in the magnitude of 0.2 mm. for a
3 mm. cusp.16
Straight Condylar Path.-The average condylar path follows a curvature of
apl3roximately a $$ inch radius .* The smallest curvature found in a Gnathologic
study of 72 condylar readings was a 0.5 inch radius.17 However, the Hanau articu-
latsor uses a straight condylar slot rather than a curved path (Fig. 20). When
dynamic extraoral tracings are used, the starting point (centric relation), indi-
vidual curved path, and eccentric position are recorded (Fig. 21).
With static records, only the centric relation and eccentric positions are re-
Fig. 20.-The Hanau articulator has a straight condylar slot rather than a curved path.
corded, The midpoint of the excursion produces the maximum error with a straight
condylar slot (Fig. 21) . The maximum difference between a straight condylar path
and one that has a vz inch radius is 0.4 mm. A maximum condylar error of 0.4 mm.
produces a 0.2 mm. error at the second molar (Fig. 22). This calculation is based
on a 3 mm. cusp height and a constant incisal guidance.
Fischer Angle.-The vertical inclination of the protrusive and balancing con-
dylar paths are usually not identical. The balancing condylar path is often up to 5
degrees steeper. This difference, when it exists, is called the Fischer angle (Fig.
23).18 The Hanau Model H makes no allowance for the Fischer angle. The vertical
angulation of the protrusive and balancing paths are considered identical. If the hy-
pothetical patient has a 5 degree steeper balancing condylar path, it will not be re-
corded as such on the Hanau articulator. Therefore, the balancing condylar error
on the articulator would be 5 degrees. With the same incisal guidance, the balanc-
ing cusp incline error at the second molar (midpoint) is 2.5 degrees. The error
produced at the cusp height with a 3 mm. cusp is approximately 0.1 mm. (Fig. 24).
Working Condylar Movement.-The effective working condylar movement
as it is built into the Hanau Model H articulator is upward, backward, and lateral.
The working condylar movement on this articulator varies only slightly in degree,
depending on the Bennett angle and vertical inclination of the balancing condylar
motion. The patient may have a different working condylar motion as compared
to the articulator.
The working condylar path, working cusp inclines, and the incisal guidance
may be considered to be approximately in a straight line. If the hypothetical patient
has a rotating working condyie with no lateral Bennett movement, the working
cusp inclines will generally reflect the incisal guidance. For example, when the
incisal guidance is 30 degrees, the working cusp inclines will be approximately 30
degrees (Fig. 25).
The working condylar motion on the articulator contains a lateral Bennett
shift of approximately 0 degrees. The working cusp inclines at the second molar
(midpoint) would be the average between the extreme guidances, namely, 15
Volume 13 BASIC ARTICULATORS AND THEIR CONCEPTS, PART II 659
Number 4
de,grees (Fig. 26). Therefore, the articulator would produce working cusp inclines
at the second molar of 15 degrees while the patient would require 30 degrees (Fig.
27). When these restorations are placed in the mouth, a 1.5 degree differences pro-
duces an opening (negative error) of approximately 0.8 mm. at the working cusp
height.
A composite of the amounts of the errors possible on the Hanau Model I-I
articulator is seen in Table I.
Fig. 21.-The starting point (centric relation), individual curved path, and eccentric posi-
tions are recorded with dynamic extraoral tracings. Only the centric relation and eccentric
positions are recorded with static records. A protrusive excursion of 6 mm. results in a maxi-
mum difference between a straight condylar path and one with a % inch radius of 0.4 mm.
J. Pros. Den.
660 WEINBERG July-August, 1963
The Hanau Model H articulator was primarily designed for complete denture
construction. Therefore, it should be evaluated on that basis. The total maximum
error calculated for the working and balancing second molar cusp heights needs
interpretation. These are relative numbers that will be calculated in the same
manner for each articulator examined. On this basis, a quantitative comparison
between articulators can be made. The total error calculated need not necessarily
be expected with the clinical use of the instrument. The errors were purposely
made maximum and additive. However, in a practical situation, many of the errors
produced may tend to cancel out each other.
However, the most significant error is that produced by the lack of individual
working condylar motion. When the working condylar motion of the patient is
Fig. 22.-The maximum error produced by a straight condylar path is 0.4 mm. which de-
velops a 0.2 mm. error at the second molar (midpoint).
Fig. 23.-The difference, when it exists, between the balancing and protrusive condylar
paths is called the Fischer angle.
y&ol;lle; ‘d
II BASIC ARTICULATORS AND THEIR CONCEPTS, PART II 661
similar to the articular movement, the occlusion produced may harmonize closely
with his biologic movements.
CLINICAL EVALUATION
Fig. 24.-A balancing condylar path that is 5 degrees steeper on the patient than the
artjculator creates an error on a 3 mm. second molar cusp of approximately 0.1 mm.
Fig. Z5.-With an incisal guidance of 30 degrees and no lateral Bennett movement, the
working cusp inclines will be approximately 30 degrees.
Fig. a&--The working condylar motion on the Hanau Model H articulator contains a lateral
Bennett shift of approximately 0 degrees. The working cusp inclines at the second molar
(midpoint) are the average between the extreme guidances, i.e., 15 degrees.
662 WEINBERG J. Pros. Den.
July-August, 1963
Fig. 27.-The Hanau articulator produces second molar working cusp inclines of 15 degrees.
The hypothetical patient requires 30 degrees of cusp angulation. With a 3 mm. cusp, the error
produced at the cusp height is 0.8 mm.
ing condylar guidance. The error produced is often negative and causes flatter poste-
rior cusp inclines on the articulator than are necessary in the mouth. This error
cannot be corrected by occlusal grinding. Corrective grinding on the bicuspid and
canine cusp inclines can result in deflective contacts on the arterior teeth and the
opposite balancing side. The anterior working cusp inclines (canines and bicuspids)
are more influenced by the incisal guidance than the condylar guidance. Therefore,
errors in the working condylar guidance of the machine are more critical poste-
riorly in the dental arch than they are anteriorly. The instrument was not designed
to accept lateral records. The character of the patient’s working condylar move-
ment cannot be accurately determined.
If the Hanau Model H articulator is used for fixed restorations, it is possible
to compensate for this negative posterior error. The posterior working cusp inclines
can be increased in two ways. First, the incisal guidance for lateral excursions may
be increased. However, this increases the working cusp inclinations proportionately
where the correction is least needed. The second method, which seems more advan-
tageous, is to decrease arbitrarily the Bennett angle of the opposite balancing con-
dylar guidance. This decrease produces more rotation and less lateral shift of the
working condyle in question and, therefore, increases the posterior working cusp
inclines (Figs. 25 and 26).
Use of the Hanau For%&.-The question is, when do we use the instrument
as designed (with the Hanau formula for the Bennett angle), and when do we
arbitrarily decrease the lateral Bennett shift? An accentuated transverse curve of
occlusion is associated with lateral Bennett shift of the working condyles. In this
case the articulator is used, as designed, with the lateral Bennett shift. When the
pattern of occlusion shows very little transverse curve or is mutilated, it is ad-
visable arbitrarily to eliminate the Bennett angle of the balancing condylar motion
to produce a rotating working condyle with little lateral Bennett shift. The pos-
terior working cusp inclinations will be increased as a result. In any case, occlusal
corrections will be necessary.
Vdume 13
Number 4 BASIC ARTICULATORS AND THEIR CONCEPTS, PART II 663
SlJMMARY
Suggestings have been made for adapting the Hanau Model H articulator
for fixed restorative prosthesis. However, the shortcomings of the instrument
must be understood. A more adjustable instrument would seem to be indicated
in order to reduce the degree of occlusal correction necessary to harmonize biologic
movement with the occlusion produced on the articulator. On the basis of the
mathematical study, the instrument is of practical value and within the accuracy
of the records used for complete denture prosthesis.
REFERENCES
M ETIIOD
This series of articles has been revised from the Dissertation in the Department of Graduate
Prosthetics submitted in partial fulfillment of the requirements for the Degree of Master of
Science (in denl.istry) at New York University, College of Dentistry. This is the third in a series
of articles on this subject.
*Part I, J. Pros. Den. 13:6X2-644, 1963; Part II, J. Pros. Den. 13:645-663, 1963.
**Instructor, Department of Graduate and Postgraduate Prosthodontics.
873
WEINBERG J. Pros. Den.
874 Sept:Oct., 1963
Fig. l.-The objective of the Hanau Kinescope is to simulate mandibular movements in all
dimensions. The instrument is adjusted by means of interocclusal records.
BASIC ARTICULATORS AND TIIEIR CONCEPTS, PART III 87.5
Fig. 2.-The condylar elements of the Hanau Kinescope are adjusted with protrusive an(l
left and right lateral interocclusal records. The inner posts provide an adjustable “intercondylar
distance” and the condylar inclination for protrusive movement. The outer posts have an nd-
jllstahle slope for the specific Bennett angle.
Kinematic Location of the Hinge A.ris.-The hinge axis of the Hanau Kin-
ojcope can be made to coincide with that of the patient. Therefore, removing a cen-
tric reIation record and closing the articulator produces no error in the occlusion.
Clinically, the thickness of the centric relation record should be minimal.
Arbitrar:\r Locatios of tlze Anterior P&t 01 Ovi~rztatio~~.--The hypothetical
patient by definition has a 40 degree condylar inclination to the horizontal plane of
the head when the patient is in the upright position. Arbitrary selection of the infra-
orbital notch, or any other landmark, raises or lowers the level of the face-bow as
discussed in relation to the Hanau Model H articulator. The maximum decrease or
WEINBERG J. Pros. Den.
876 Sept.-Oct., 1963
Fig. 3.-Working condylar motion is determined by lateral interocclusal records. The ad-
justable fulcrum on the working side is moved back and forth (sideways) until the cast has a
Arm seat in the record. When this adjustment is repeated for the opposite lateral record, the
individual intercondylar distance will be established. The lateral shift of the working condyle
is obtained by the combination of the placement of the adjustable fulcrum and the opposite
balancing condylar motion.
Fig. 4.-A rotating working condyle is simulated by the combination of the adjustable ful-
crum with little Bennett angle on the opposite balancing side.
;;;lmlgr ;3 BASIC ARTICULATORS AND THEIR CONCEPTS, PART III 877
duces a 0.2 mm. error at the second molar (midpoint) with the assumption that a
.3 mm. cusp and a constant incisal guidance were used.
Balancing Condylar Moveuttent.-The individual Bennett angle of the patient
is recorded effectively with the lateral interocclusal record. However, the vertical
angulation of the balancing condyle is assumed to be the same as the protrusive
inclination.
Fischer Angle.-The Kinescope makes no allowance for the Fischer angle when
it occurs. The maximum balancing condylar error on the articulator is 5 degrees.
With the same incisal guidance, the balancing cusp incline error at the second
molar (midpoint) is 2.5 degrees. For a 3 mm. cusp, the error produced at the cusp
height is approximately 0.1 mm.
Workin,g Condylar Movemepzf.-Only certain types of working condylar
movement can be simulated on the instrument without error. When the working
condylar movement of the patient differs from these, the instrument will not accept
the record. The summary of the mathematical study of the Hanau Kinescope is
seen in Table I.
Fig. B.-The Bennett angle is small when the working condyle rotates with little lateral
shift.
Fig. 6.-The outer post of the Hanau Kinescope is adjusted to conform to lateral inter-
occlusal records to reproduce the Bennett angle on the balancing side. The working condylar
motion is determined by adjusting the fulcrum to simulate the intercondylar distance of the
patient.
Fig. 7.-The Bennett angle is increased when the working condyle moves backward, upward,
and outward.
Fig. S.-The increase in the Bennett angle is recorded by the slope of the outer post of the
instrument. The adjustable fulcrum is placed more medially on the Hanau Kinescope by the
lateral interocclusal record than it is on the patient.
BASIC ARTICULATORS AND THEIR CONCEPTS, P.4RT III 879
ism causes the intercondylar rod to go laterally through the opposite condylar ball
(fulcrum). The medial location of the fulcrum simulates backward, upward, and
lateral working condylar movement (Fig. 8). It is for this reason that the “inter-
condylar” distance on the machine is not the same as the actual intercondylar dis-
tance of the patient. The descriptive terms, “interfulcrum distance” or “vertical
axes separation,” have been suggested.
Working Condylr: Forward, Downward, and Lateral.-The Bennett angle
formed by the pathway of the balancing condyle accommodates for the lateral
component of the working condyle as it moves forward, downward, and laterally
Fig. 9.-The balancing condyle accommodates to the lateral movement of the working con-
d,yle as it moves forward, downward, and laterally.
Fig. lO.-The adjustable fulcrum is placed further laterally on the Hanau Kinescope by the
lateral interocclusal record than it is on the patient.
Fig. Il.-The working condyle has moved laterally along the hinge axis line. This type of
motion cannot be imitated with the adjustable fulcrum principle of the Hanau Kinescope.
Fig. Z-The working condyle has moved downward, backward, and laterally. The adjust-
able fulcrum cannot simulate this movement.
J. Pros. Den.
880 WEINBFXG Sept.-Oct., 1963
(Fig. 9). The individual Bennett angle is recorded by the slope of the outer condylar
post. However, the lateral interocclusal record places the adjustable fulcrum more
laterally than the actual location of the working condyle of the patient (Fig. 10).
The downward, forward, and medial movement of the balancing condylar mechan-
ism causes the intercondylar rod to go laterally through the opposite condylar ball
(fulcrum) as before. However, the lateral placement of this fulcrum simulates for-
ward, downward, and lateral movements of the working side condyle (Fig. 10).
Working Condyle: Lateral Shift Along Hinge Axis Line.-The working con-
dyle of the patient may shift laterally along the original hinge axis line (Fig. 11) .
This type of motion with the adjustable fulcrum principle cannot be imitated. The
fulcrum can only be placed in three possible positions, medial, on, or lateral to
the actual condylar position. In each instance, the type of working condylar move-
ment is specifically relative to the adjustable fulcrum position (Figs. 6, 8, and 10).
Working Condyle: Downward, Backward, and Lateral.-The adjustable ful-
crum cannot simulate the downward, backward, and lateral movement of the work-
ing condyle (Fig. 12).
Limitations.-Only three basic types of working condylar motion can be simu-
lated with the use of an adjustable fulcrum and the opposite balancing condylar
motion (Figs. 5 to 10). When the working condylar motion of the patient differs
from these three types of motion, the instrument will not accept the record (Figs.
11 and 12). The working condylar motion on the instrument is not really an indi-
vidual condylar guidance but an artificial contrivance to simulate certain movements.
Reproduction, of three-dimensional motion can be obtained by recording the
starting position, the path, and the end position of three separate fixed points. The
Kinescope has only the two individual guidances of the balancing condylar guidance
and the incisal guidance. The third guidance, namely, the working condylar guid-
ance, is not an individual guidance but is mechanically devised. The Kinescope is
Fig. 13.-The Gysi Trubyte articulator has an individual adjustment for the Bennett Angle
in the midline of the instrument. The control of the Fischer Angle is omitted.
Volume 13 BASIC ARTICULATORS AND THEIR CONCEPTS, PART III 881
Number 5
Fig. 14.-Rumple’s incisal guiding edges permit the simulation of the patient’s vertical axis
to be located nutside the confines of the instrument.
classified as “fully” adjustable, but in the strict sense of the word it is not “three
dimensional.”
:SUM MARY
Many dentists eliminate tooth contacts on the balancing side in fixed restorative
,work. In view of this, a true perspective of the value of the instrument can be seen.
‘The maximum total error at the second molar cusp height on the working side is
Ionly 0.2 mm. Therefore, the instrument has real practical value for fixed restorative
dentistry on the condition that it accepts the lateral interocclusal records. The per-
centage of records that the instrument will accept has not been determined.
Gysi recorded the condyle paths in relation to the occlusal plane with a lower
-iaw face-bow that was equipped with two pins fixed near the condyles. These paths
were recorded in protrusive excursion. Three separate intraoral Gothic arch (needle-
point) tracings allowed him to locate the vertical axis. The basis of his theory was
the assumption that all movements were rotational around stationary axes.
J. Pros. Den.
882 WEINBERG Sept.-Oct., 1963
Gysi showed that variations from the average 15 degree Bennett angle did not
appreciably change the paths of motion of the teeth. Although there is an individual
adjustment for the Bennett angle on the articulator (Fig. 13), he felt that it was
not necessary to determine the angle clinically. A mean value of 15 degrees was
appropriate. Gysi believed that the Fischer angle was present but that its effect on
the occlusal surfaces of the teeth was negligible. Therefore, it could be omitted from
the articulator.
Variation in the symphyseal angle (Gothic arch) has a slightly greater influ-
ence in the paths of movement of the teeth than changes in the Bennett or Fischer
angles. Here, too, Gysi felt that the mean value of 120 degrees was sufficient, be-
cause, in ordinary movements of the mandible, Bennett and symphyseal angIes
greater than the mean values are not used.
All of Gysi’s articulators have an incisal guide table that he originated. In later
designs he followed Rumple’s suggestion and provided an adjustable guidance for
the incisal pin (Fig. 13) which provided a method of adjusting the articulator to
the individual symphyseal angle of the patient. Rumple’s incisal guiding edges per-
mitted simulation of the vertical axis of the patient outside the confines of the in-
strument when necessary (Fig. 14). Special pivots for the articulator shaft were
installed to allow for retrusive movement of the working condyle.
METHODS
of the posterior curvature of the tragus on a line toward the lateral corner of the
eye. The occlusion rim is made parallel to the “Gysi horizontal plane” that touches
the lower margins of the external auditory meatus and the ala of the nose. This
plane is used to orient the cast on the instrument.
Centric Relation Record.-An extraoral Gothic arch (needlepoint) tracing is
used with an intraoral central bearing point. The centric relation record is made,
usually with plaster, when the stylus is at the apex of the needlepoint tracing.
Protrusi’ve Tracing.-The condylar writing styli of the mandibular face-bow
are adjusted to the anatomic location of the mandibular hinge axis. A card is held
a.gainst the face so that the lower border of the card is parallel to the “Gysi hori-
zontal plane.” The protrusive path is then traced on the card. The condylar inclina-
tion is transferred to the articulator by drawing a tangent to the curve obtained on
the card and lining up the edge of the card with the same horizontal landmark. The
condylar mechanism of the articulator is then adjusted to the inclination of the lines.
Setting the Rumple Incisal Guiding Edges.-The Rumple incisal guiding
edges are adjusted to correspond to the Gothic arch (needlepoint) tracing. This pro-
cedure effectively transfers the lateral border movements of the patient’s mandible
to the articulator.
Balancirbg Condylar Motion.-When the instrument is to be individually ad-
justed, lateral interocclusal plaster records are made in conjunction with the lateral
border positions of the needlepoint tracing. Both Gysi and Hanau felt that the pro-
trusive condylar inclination is accurate enough to be used for the downward com-
ponent of the balancing condylar movement. The individual medial, or Bennett,
angle is obtained by adjusting the Bennett guide in the midline of the instrument to
the lateral records (Figs. 13 and 14).
Working Condylar Motion.-The simulated working condylar motion is ob-
tained by the combination of the vertical axis with the opposite balancing condylar
motion.
lation of the balancing condyle is assumed to be the same as the protrusive in-
clination.
Fischer Angle.-Gysi felt, as did Hanau, that the Fischer angle produced such
insignificant occlusal change that it could be ignored on the articulator. As discussed
under both Hanau articulators, the error is produced only at the balancing cusp
inclines. With a 3 mm. cusp, the maximum error is approximately 0.1 mm. at the
second molar balancing cusp height.
Fig. 15.-The working condyle has rotated with practically no lateral shift; the Bennett angle
of the opposite balancing condylar motion is very slight.
Fig. 16.-The Bennett guide is located at the midline of the Gysl Trubyte articulator. The
Rumple in&al guiding edges reproduce the Gothic arch (needlepoint) tracing made by the
patient on the articulator. Rotating working condylar motion is simulated on the instrument.
‘,‘olume 13 BASIC ARTICULATORS AND THEIR CONCEPTS, PART III 885
I\lumlKT 5
Fig. 17.-The Bennett angle of the balancing condyle increases to accommodate for the
lateral shift of the working condyle when it moves backward, upward, and laterally.
Fig. lg.-The Bennett angle is recorded by the Bennett guide at the midline of the instru-
ment. The vertical axis is located medially on the Gpsi Trubyte articulator in comparison to
its position on the patient.
Fig. lg.-The direction of the working condylar motion is downward, forward, and lateral.
Fig. PO.-The vertical axis is located laterally on the Gysi Trubyte articulator in relation
to its position on the patient, simulating the downward, forward, and lateral movement of the
working condyle.
condyle when the working condyle moves backward, upward, and laterally (Fig.
17). This increase in the Bennett angle is recorded by the Bennett guide in the
midline of the instrument (Fig. 18). The Rumple incisal guiding edge places the
vertical axis more medial than the relative position of the working condyle of the
patient. The backward, upward, and lateral working condylar movement is simu-
lated on the articulator by the combination of the medial location of the vertical
axis with the opposite balancing condylar motion (Fig. 18).
Working Condyle: Forward, Downward, and Lateral.-The working condylar
motion may be forward, downward, and lateral (Fig. 19). The individual Bennett
angle of the balancing condyle is recorded by adjusting the Bennett guide which is
located at the midline of the instrument. The Rumple incisal guiding edge places the
vertical axis lateral to the relative position of the working condyle of the patient. The
downward, forward, and lateral movement of the working condyle is simulated by
the combination of the lateral placement of the vertical axis with the opposite bal-
ancing condylar motion (Fig. 20).
Working Condyle: Lateral Shift Along the Original Hinge Axis Line.-The
working condyle of the patient may shift laterally along the original hinge axis line
(Fig. 11) . Gysi’s concept is based on the principle of nonmoving (nontranslating)
axes of rotation. Therefore, this type of motion cannot be simulated. The placement
of the vertical axis of rotation that is medial to, on, or lateral to the actual working
condylar position of the patient only permits three specific working condylar move-
ments (Figs. 16, 18, and 20).
S’olume 13
3Iumlter 5
BASIC ARTICULATORS AND THEIR CONCEPTS, PART III 887
The Gysi Trubyte articulator can be utilized for fixed as well as complete den-
ture prosthesis. The Gysi Trubyte articulator differs in concept from the Hanau
Kinescope, although the results produced by both instruments are similar. The
total maximum error produced at the second molar balancing cusp height is the
same in both instruments. There is only a 0.2 mm. increase in error found at the
second molar working cusp height (from 0.2 mm. to 0.4 mm.) on the Gysi Trubyte
articulator. Improvement in the accuracy of the instrument could be obtained by
locating the hinge axis kinetically, although it is not specified in the usual use of
the instrument.
The Gysi Trubyte articulator has one advantage over the Kinescope in that
t’he Rumple incisal guiding edges allow a duplication on the instrument of the
border mandibular movements of the patient. At the same time, the incisal table
ieself cannot be adjusted for lateral incisal inclinations. Furthermore, once the
Rumple incisal guiding edges are set, new records must be made if there is a change
in the vertical dimension of occlusion. The incisal table of the Hanau Kinescope is
adjustable for both protrusive and lateral inclinations and can be changed during
treattnent without the necessity for making new records.
The incisal table is not necessary for imitating the working condylar motion
with the Kinescope. An adjustable fulcrum is located on the working side by the
lateral interocclusal record. However, the incisal table is necessary to locate the
vertical axis with the Gysi Trubyte articulator.
CONCLUSION
Although the Kinescope and the Gysi Trubyte articulator are comparable in
accuracy, the Kinescope seems to be the instrument of choice between the two.
WEINBERG J. Pros. Den.
888 Sept.-Oct., 1963
REFERENCES
CONCEPT
McColluml showed that the hinge axis of mandibular movement could be found.
He felt that as the mandible moved the hinge axis moved with it. An opening takes
place about the hinge axis during protrusive or lateral movements. The basic jaw
motions to be recorded are at the most retruded hinge axis position and the most
retruded lateral positions (border movements). The contention of gnathology is that
when these border relationships are reproduced all chewing motions can be re-
produced.
Investigation of the Bennett movement indicated that some patients have no
Bennett movement while others have it only on one side. The character of the
Bennett movement also varies as to degree and curvature.3 McCollum stated that
the direction of the Bennett movement has as much and probably more influence
upon the articulating surfaces of the teeth than any other component of jaw move-
1nent.l Mathematical investigation supports this view.4
Gnathologic procedures record the posterior hinge axis position of the mandible,
the protrusive, right, and left lateral border positions, and the intermediate three-
dimensional border paths of motion. Gnathology accomplishes its objectives by first
locating the hinge axis kinematically. The axis-orbital plane of reference is used for
orientation. Six extraoral writing plates and styli are fixed to the maxillae and
mandible by upper and lower face-bows and clutches that are cemented to the teeth.
Two writing plates are positioned in each condylar area and two are located in the
symphyseal area. As the mandible moves, pantographs are traced on the writing
This series of articles has been revised from the Dissertation in the Department of Graduate
Prosthetics which was submitted in partial fulfillment of the requirements for the Degree of
Master of Science (in dentistry) at New York University, College of Dentistry.
*Part I, J. PROS. DEN. 13:6X2-644; Part II, J. PROS. DEN. 13:645,G63; Part III, J. PROS. DEN.
13:8’73-888, 1963.
**Instructor, Department of Graduate and Postgraduate Prosthodontics. Address: 515 Ocean
Ave., Brooklyn 26, N.Y.
1038
Volume 13
iYuml1er 6 BASIC ARTICELATORS AND THEIR CONCEPTS, PART IV 1039
Fig. l.-The character of the pantograph depends on its location and the type of mandibular
movement. A rotating working condyle with no Bennett lateral shift produces a gentle curve on
the pantograph.
Fig. 2.-Three-dimensional movement progresses on a pathway from 1 to 2. At each point
along this path a line is projected in the three planes of space until it meets the writing tables
A, B, and C. Lines joining all of these points on the writing tables produce a pantograph on each
table.
PANTOGRAPH
location and the type of mandibular movement. A rotating working condyle with no
lateral Bennett shift is shown in Fig. 1. Since the writing plate is located lateral to
the rotating condyle, the tracing itself is a gentle curve. At first glance, the panto-
graph might be erroneously interpreted to indicate that the working condyle had
translated. This point must be recognized when interpreting the pantographs associ-
ated with gnathologic recordings.
THREE-DIMENSIONAL PANTOGRAPHS
Fig. 3.-Six tracings with the mandible in the retruded hinge axis position. (Both face-bows
have been omitted for illustrative clarity). Each writing table contains the tracings of the three
border movements starting from the terminal hinge position. One writing table on each side (A
and D) is slanted in relation to the horizontal plane and is in a position roughly similar to that of the
condylar inclination. Two other writing tables (B and C) in the sagittal plane are against the
skin near each condyle; the symphyseal tables (E and F) are located in the horizontal plane.
The arcs or writings, P, P,, are made in protrusive movement; W, WI are made when the condyle
on that side is the working side condyle; B,B, are made when the movement is to the opposite
side.
GNATHOLOGIC TRACINGS
Typical gnathologic tracings and their basic use in relation to the instrument
are seen in Figs. 3 and 4. Only the six tracings and the mandible in the retruded
hinge axis position have been shown in Fig. 3.
Contents of Each Tracing.-Each writing table contains the tracings of the
three border movements starting from the terminal hinge position. These move-
ments are represented characteristically on all six pantographs.
Symphyseal Pantograph.-The typical Gothic arch (needlepoint) tracing is
produced. The use of each pantograph will be described in relation to the instrument.
Sag&al Pantograph.-The saggital pantograph (Fig.’ 3) records the vertical
components of condylar motion. During eccentric condylar movements it traces the
protrusive path P, the balancing path B, and forms the Fischer angle in between
the two paths. The short curved line W, resembling a “backlash,” is the tracing of
the vertical component of the working condylar movement.
Fig. 4.-The gnathologic instrument is an Arcon type of articulator with an adjustable inter-
condylar distance. The Bennett guides consist of variable planes that can be individually ground
if necessary to At against a ball bearing. The rod supporting the condylar sphere is completely
ad justable. H.A., the hinge axis line.
INSTRUMENT I’EATURES
These guides act by contacting a ball bearing. This arrangement is sowewhat simi-
lar in principle to the Gysi Trubyte articulator. Some gnathologic instruments have
the ball bearing on the upper member of the articulator and others have it on the’
lower member.
The outstanding feature of the instrument is the complete adjustability of the
rod supporting the condylar ball. It can be adjusted for a vertical and/or a horizontal
angulation to the hinge axis. This provides complete three-dimensional adjustability
(Fig. 4).
METHOD
INSTRUMENT SETTINGS
inclination is adjusted so that the styli trace the same protrusive path on the instru-
ment as has been recorded on the patient (Fig. 6).
lntercondy!ar Distance.-The symphyseal pantographs capture the vertical
axis of each working condyle as first described by Gysi (Fig. 7).‘j The condylar
mechanism is adjusted sideways until the styli trace the lateral border movement
along both symphyseal pantographs (Fig. 8). When this procedure has been re-
peated for the opposite side, the intercondylar distance has been established on the
instrument.
Balancing condylar motim: The balancing condylar motion is adjusted by com-
‘bining the individual condylar path curvature, vertical angulation, and Bennett angle
obtained from the pantographs. The condylar ball is mounted on a completely ad-
justable rod which allows for movement of the ball along any desired angulation and
plane. These adjustments allow for the complete duplication of the pantographs.
Once obtained, the articulator adjustments are recorded and can be reset.
Fig. ‘I.-The vertical axis of the working condyle is located by means of the symphyseal
pantographs.
Fig. 8.- The adjustable intercondylar mechanism is positioned so that the styli follow the
tracing along both symphyseal pantographs.
and consistently used for orientation. In the articulators discussed previously, the
condylar mechanisms are adjusted with the use of eccentric interocclusal records.
The arbitrary orientation of the occlusal plane affects the readings and the resultant
occlusion.7
With three dimensional pantographs, the condylar readings are not obtained
fro~l~ the instrument but are recorded in the tracings and brought to the instrument.
If a different plane of occlusion is selected and kept constant, the three-dimensional
motion produced will be identical in relation to that plane of occlusion, In other
words, three-dimensional motion, as recorded in the pantographs, is fixed in relation
to the two jaws and transferred in tofal to the instrument. No error is produced by
the arbitrary orientation of the plane of occlusion.
CURVED CONDYLAR
02+
b2
=
PATH
c2
x2= + (312
X = 12,341mm.
(12.7)2
z= Y-X
SIN I” 15’ = +
X = 0.065444 mm.
3
2X= 0.130888 mm.
(A~PROX. 0. I mm.)
Fig. 9.-Mathematical solution for the maximum difference between a straight condylar path
and a $ inch radius curve.
Fig. IO.-Mathematical solution for the error produced at the cusp height due to a 2%
degree change in cuspal inclination produced by not recording the Fischer angle.
Curved Condylar Path.-The curved condylar path and inclination are recorded
and transferred to the instrument. The 0.4 mm. condylar error associated with a
straight condylar mechanism is eliminated (Fig. 9).
Balancing Condylar Movement.-The Bennett angle and curvature of the bal-
ancing condylar motion on each side of the mouth of the patient are reproduced
effectively. The Fischer angle is recorded in the pantographs and used for the ad-
justment of the instrument. This eliminates the 0.1 mm. error produced at the
second molar cusp height when the protrusive inclination is used for the balancing
inclination (Fig. 10).
1046 WEINBERG J. Pros. Den.
Nov.-Dec.. 1963
Fig. Il.-The Bennett angle of the balancing condyle is reduced when the working condyle
rotates without any lateral movement. A, the horizontal pantograph on- the balancing side; B,
the sagittal pantograph on the balancing side; C, the sagittal pantograph on the working side; D,
the horizontal pantograph on the working side; and E and F, the symphyseal pantographs.
Fig. Il.-The movement of the balancing condyle is controlled primarily by the adjustment
of the condylar slot. The Bennett guide must be positioned at approximately 90 degrees to the
hinge axis line H.A. in order to reproduce rotation with no lateral movement on the working side.
volun~e
Number
13
6
BASIC ARTICULATORS AIGD THEIR CONCEPTS, PART IV 1047
Fig. 13.-When the working condyle moves upward, backward, and laterally, the Bennett
angle of the balancing condyle is increased. A, the horizontal pantograph and B, the sagittal panto-
graph of the balancing condyle; C, the sagittal pantograph and D, the horizontal pantograph of
the working condyle; and E and F, the symphyseal pantographs.
Fig. 14.-The instrument is adjusted for backward, upward, and lateral condyle motion. The
adjustable intercondylar distance is positioned to locate the vertical axis. To reproduce back-
ward, upward, and lateral working condylar movement, the Bennett guide inclination is in-
creased to produce the lateral shift. The upward and backward components of the working con-
dyle are influenced directly by the inclination of the condylar rod on which the condylar sphere
slides. The balancing condylar path also has some influence but to a lesser degree. H.A, the
hinge axis shifts to a new position.
Volume 13 BASIC ARTICULATORS AND THEIR CONCEPTS, PART IV 1049
h’umber 6
Fig. l&-The working condyle has moved downward, forward, and laterally. A, the hori-
zontal pantograph and B, the sagittal pantographs on the balancing side; D, the horizontal panto-
graph and C, the sagittal pantograph on the working side: and E and F, the symphyseal
pantographs.
in Fig. 15. Changes in the character of the tracings are observed mostly on the
working side. The upward “back-lash” tracing on the sagittal working side panto-
graph (C, Fig. 15) is influenced by the opposite balancing condylar motion. Even
though the working condyle may move slightly downward, the relatively greater
Fig. l&-The instrument is adjusted for downward, forward, and lateral condyle motion.
The adjustable intercondylar distance and the balancing condylar settings are first adjusted. The
lateral component of the movement is controlled mainly by the Bennett guide. The downward
and forward components of the movements of the working condyle are influenced directly by the
downward and forward inclination of the condylar rod. The balancing condylar path influences
this motion to a lesser degree. H.A., the hinge axis.
J. Pros. Den.
1050 WEINBERG Nov..Dec., 1963
Fig. 17.-The working condyle has moved laterally along the original hinge axis line. A, the
horizontal pantograph and B, the sagittal pantograph on the, balancing side; C, the sagittal panto-
graph and D, the horizontal pantograph on the working side; E and F are symphyseal tracings.
Fig. 18.-The instrument is adjusted for a lateral shift of the working condyle along the
original hinge axis line. The adjustable intercondylar distance and the balancing condylar set-
tings are adjusted as usual. The increased lateral component of the working condyle is repro-
duced by adjusting the Bennett guide. The working condylar rod is slightly inclined and rotated
so that the working condylar sphere can remain on the original hinge axis line (H.A.) during
lateral movements. By the coordinated control of the Bennett guide, the working condyle pin
inclination, and, to a lesser degree, the balancing condylar movement, the three dimensional
working condylar movement is reproduced.
BASIC ARTICULATORS AND THEIR CONCEPTS, PART IV 1051
Fig. lg.-The working condyle has moved downward, backward, and laterally. A, the hori-
zonl.al pantograph and B, the sagittal pantograph for the balancing condyle; C, the sagittal panto-
graph and D, the horizontal pantograph for the working condyle; and E and F, the symphyseal
pantographs.
Working Condyle: Lateral Shift Along the Original Hinge Axis Line.-Work-
ing condylar motion containing a lateral shift along the hinge axis line is illustrated
in Fig. 15. An increase in the Bennett angle is seen on the horizontal pantograph of
the balancing side (A, Fig. 17). A corresponding increase in the lateral component
is seen on the horizontal pantograph of the working side (D, Fig. 17).
Although the working condyle does not change its vertical level, the relatively
steep downward drop of the balancing condyle results in an upward component on
the sagittal tracing on the working side (C, Fig. 17).
. Instruwzent Motion.-The adjustable intercondylar distance and the balancing
condylar settings are adjusted as usual. The increased lateral component of the
working condyle is reproduced by adjusting the Bennett guide. The working con-
dylar rod is slightly inclined and rotated so that the working condylar sphere can
remain on the original hinge axis line during lateral movements (Fig. 18). The
three-dimensional working condylar movement is reproduced by the coordinated
control of the Bennett guide, the working condylar rod inclination, and to a lesser
degree the balancing condylar movement.
Worlzing Condylar Movement: Downwa.rd, Backward, and Laterally.-The
working side pantographs are more directly affected when the working condyle
moves downward, backward, and laterally. Even though the working condyle is
moving downward, the relatively steep downward drop of the balancing condyle
produces a slightly upward component on the sagittal tracing on the working side
(C, Fig. 19). The lateral component of the working condylar movement is traced
on the horizontal pantograph on that side (D, Fig. 19).
Instrument Motion.-The adjustable intercondylar distance and balancing con-
dylar settings are adjusted as usual. The working condylar rod is rotated and in-
clined to allow the condylar sphere to move downward and backward, while the
Bennett guide controls the degree of lateral shift (Fig. 20).
common to all articulators as are the inaccuracies associated with the materials used
for record making, fabrication, and cementation.
I do not accept the principle that, if the border movements are recorded, all
of the possible movements in between them are automatically reproducible. The
patient would tend to choose the most harmonious path of motion by neuromuscular
reflex, provided it was within his physiologic tolerance.
SUMMARY
CONCLUSIONS
Arbitrary concepts and their associated articulators are not adaptable for in-
dividual variation. The semiadjustable articulators, typified by the Hanau Model H,
are clinically adequate for complete denture construction. This type of instrument
is based on clinical averages. Therefore, when it is used for extensive fixed restora-
tion.; the way it was designed, the most serious error than can develop is a space
between the posterior teeth during lateral working side excursions. This is pro-
duced by the difference in the lateral mandibular movements of the patient when
compared with the articulator. The instrument settings can be modified to prevent
this negative error, effectively transforming the articulator into a practical laboratory
aid.
In order to reduce the amount of intraoral correction, the use of a fully ad-
just.able instrument that will accept lateral records may be desired. The Hanau
Kinjoscope and the Gysi Trubyte articulators are comparable in accuracy for this
purpose. Although they have different concepts for the reproduction of working
condylar motion, they both have a common fallacy. The working condylar motion is
not a three-dimensional guidance on the articulator. It is a mechanical contrivance
based on the ba.lancing condylar motion. For this reason they will not accept all
records.
Of the instruments examined, only the gnathologic type reproduces three-
dimensional guidance of the working condyle. Therefore, the gnathologic instrument
will accept all (nonpathologic) records and is the instrument of choice among the
fully adjustable articulators. This articulator can be adjusted to the accurate three-
dimensional pantographs or to eccentric interocclusal records.
I wish to express my sincere gratitude to Dr. Sidney I. Silverman and Dr. Edward Kauf-
man, and to the fa.culty of New York University for their thoughtful suggestions in the prep-
aration of this study.
J. Pros. Den.
1054 WEINBERG
Nov..Dec.. 1963
REFERENCES
57 WEST 57 ST.
NEW YORK 17, N.Y.