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Articulators

The document discusses the use and programming of dental articulators. Articulators hold dental casts and simulate jaw movements to plan dental treatments. They come in various classes based on their ability to accept records and reproduce jaw movements. The basic parts of an articulator include the upper and lower arms to hold casts, condylar elements, condylar and incisal guidance. Programming involves adjusting the guidance elements based on records to simulate an individual patient's jaw movements. This allows for setting up teeth in harmony with their jaw function.

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Maham Imtiaz
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0% found this document useful (0 votes)
18 views67 pages

Articulators

The document discusses the use and programming of dental articulators. Articulators hold dental casts and simulate jaw movements to plan dental treatments. They come in various classes based on their ability to accept records and reproduce jaw movements. The basic parts of an articulator include the upper and lower arms to hold casts, condylar elements, condylar and incisal guidance. Programming involves adjusting the guidance elements based on records to simulate an individual patient's jaw movements. This allows for setting up teeth in harmony with their jaw function.

Uploaded by

Maham Imtiaz
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PDF, TXT or read online on Scribd
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 To hold maxillary & mandibular casts in

determined fixed relationship

 To simulate the jaw movements

 To produce border movements


 To diagnose the state of occlusion in both the
natural & artificial dentitions

 To plan dental procedures based on the


relationship between opposing natural & artificial
teeth

 To aid in the fabrication of temporary


restorations and prosthodontic replacements
 To correct and modify completed restorations

 To arrange artificial teeth

 For patient education

 Better visualization of the casts and restorations


in occlusion specially from lingual side
 Occlusion can be viewed from facial and lingual
sides

 Patient appointment time is reduced

 Patient cooperation is not required

 Tongue and cheek hindrances are eliminated

 More procedures can be completed in lab


 Most accurate and widely accepted classification

 Class I :
 Simple holding instrument capable of
accepting a single static record
 Permits horizontal as well as vertical
mo t i o n b u t d o e s n o t r e c o r d t h e
orientation relation
 (A) Permits eccentric movements
based on average or arbitrary values
 E.g. Grittman articulator, Alfred Gysi
simplex articulator
 Class II (B)
 Permits eccentric movements
based on arbitrary theories of
motion
 E.g. monson articulator based
upon spherical theory of occlusion
 Class II (c) :
 Permits eccentric motion based
u po n t h e e n g r a v e d r e c o r d s
obtained from the patient
e.g. House articulator
 Instrument that accepts horizontal and
vertical relations and also accepts the
face-bow transfer

 (A) Accepts face-bow transfer and


protrusive inter-occlusal record
 E.g. Hanau model H, Dentatus,
Bergstorm’s arcon articulator
 Class III (b)

 Accepts protrusive inter-occlusal


records

 E.g. Gysi’s trubyte articulator,


Hanau kinoscope, stansberry
tripod type, Ney articulator
 Instrument accepts 3 dimensional dynamic
registration and also uses facebow
transfer

 (A) The condylar pathways are formed by


the registrations engraved by the patient
 TMJ instrument by Kenneth Swanson
 Class IV (B)
 The condylar paths can be angled
and customized

 Denar D4A and D5A fully


adjustable
 The basic minimum requirement for
prosthodontic work
 Has adjustable condylar and incisal guides
 Also capable of accepting face-bow
transfer
 Upper arm represents the maxilla
The lower arm represents the
mandible

 Casts are attached on the both arms


 Connect the cast to the articulator
 Cast can be attached by plaster,
screws or magnets
 Represent the condyles
 Spherical in shape
 Represents the slope of the articular
eminence in skull which guides the
movement of condyle
 The condylar element moves along the
inclines of the condylar guidance and
together determines the protrusive and
lateral movements of the articulator
 A protrusive record is used to adjust the
inclination of the condylar guidance

 Horizontal guidance

 Lateral guidance
 Represents the vertical dimension of
occlusion
 Rests on the incisal table and can be
moved along its surface
 Can be raised or lowered to increase
or decrease the vertical dimension
 Represents the lingual slopes of the maxillary
anterior teeth along which the lower incisors
move, thus it serves as the the anterior guidance
for mandibular movement

 2 components :
 Horizontal guidance… represents
the lingual slopes of anterior
teeth

 Lateral guidance… represents the


lingual slope of maxillary canine
or lingual slopes of buccal cusps
 Before tooth setup, the articulator must be
programmed or customized to the individual
patient

 A programmed articulator simulates the


mandibular movements of the individual patient

 So teeth can be arranged in harmony with the


mandibular movements of the individuals
 The programmable parts of the articulator are ;
 The condylar guidance
 Horizontal guidance
 Lateral guidance
 The incisal guidance
 HORIZONTAL CONDYLAR GUIDANCE
 Programming done by using inter occlusal
check records

 Patient is asked to protrude the mandible


(6mm) and the relation is recorded using a
suitable bite registration material
 Condylar locknuts are loosened and are free to
move
 The occlusal rims in protrusive record are
placed on articulator, and the condylar
inclinations are adjusted
 The degree of inclination is noted and recorded
 LATERAL CONDYLAR GUIDANCE
 By using lateral inter-occlusal check records

 The lateral guidance is programmed by lateral inter-


occlusal check records
 Lateral records are made separate for right and left
side
 L = H/8 + 12

 Only protrusive record is taken


 Lateral record is calculated by this
formula
 Incisal guidance represents the lingual slopes of
the upper anterior teeth

 Influences the horizontal and vertical overlaps of


teeth thus has significant effect on the esthetics
of the anterior teeth

 The incisal guidance should be as shallow as


possible in order to minimize the interferences

 Shallow incisal guide improves the stability of


denture
 Incisal guidance table has two components;
 Horizontal ……controls the antero-
posterior movement of lower jaw
(Central and lateral incisors)
 Lateral … Controls the lateral
movement of the lower jaw (canine
teeth)
 Boucher’s Complete Denture Prosthodontics 13th
edition

 Management of TMJ disorders by Okason 8 th


edition

 Manapallil Complete Denture Prosthodontics

 Winkler’s Management of edentulous patients

 Google images

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