Opening

Opening

Opening

Opening

Posselts Figure

Posselts Investigations

Posselts Investigations

Posselts Figure

Posselts Figure
MP ICP RCP

HA

MP = Maximal protrusion ICP = Intercuspal position RCP= Retruded Contact position HA = Hinge axis MO = Maximum opening

MO

Posselts Figure top edge

MP ICP IG RCP EE

Definitions
Articulators
A mechanical representation of the jaws and temporo-mandibular joints

Use of articulators

Diagnosis
slides and occlusal relationships

Treatment planning
Diagnostic wax - up Occlusal adjustment

Fabrication of Splint / Prostheses

Articulators
Types
Simple Hinge Average Value Semi-adjustable Fully adjustable

Articulators

Cast Holder

Cast Holder

Average Value

Articulators
BONWILL 1854 4

Articulators
Average Value
4

Articulators
Average Value

Articulators

Denar II - Arcon

Dentatus
Non Arcon

Denar II
Adjustable Condylar Angle, ISS & PSS

Articulators
Semi-adjustable

Can alter; TMJ to Incisor distance

Bennett Angle
Condylor Guidance Angle Incisal guidance plate

Articulators

Needs Facebow recording Ideally should be used for complete denture cases

Facebow recording

For semi adjustable articulator

Fully adustable: Denar 5

Posterior wall Superior wall Medial wall Inclination of superior wall Condylar angle Intercondylar (& glenoid fossa) distance ISS

Denar 5a

Pantographic recording

For fully adjustable articulator

lots

Difficulty of use

none

Hand Av Held Value

S-A

Fully Adjustable

lots

Amount of adjustment

none

Hand Av Held Value

S-A

Fully Adjustable

lots

Cost

none

Hand Av Held Value

S-A

Fully Adjustable

Articulator use vs time vs cost

lots
lots

Amount of adjustment

Difficulty of use

Cost

none

none

Hand Av Held Value

S-A

Fully Adjustable

What if patient doesnt match articulator?

Articulator

Patient

Articulators

Articulators
Therefore the distance from the condyle to the teeth is crucial

We obtain a measurement of this distance with a facebow

Facebow

Interocclusal record
Used to locate the lower model to the upper

If lots of good stable occlusal contacts then no IOR needed

If need an RCP record, then we need an IOR that is thick and strong enough to obtain a record with the teeth separated and in terminal hinge axis e.g. Moyco Extra Hard Beauty wax

For routine ICP records when carrying out multiple crowns / bridgework, Blu-mousse just over the tooth preps is usually sufficient

Aids to obtaining THA

Bimanual manipulation Cotton wool rolls Anterior jig Splint therapy Chin-point guidance

Anterior jig
Cold-cure acrylic (Duralay/Trim) Greenstick

Anterior jig (trimmed)

Provides inclined plane

Separation of posterior teeth Allows the use of easy flowing occlusal recording media such as Blu-Mousse

Anterior Jig

From Howatt, Capp & Barrett

Clinically useful settings for articulator

Condylar angle 25 Immediate side shift 0.3mm Progressive side shift 6

Incisal guidance table

Allows shape of palatal to be reproduced Allows length of incisors to be maintained

Tooth to be prepped

Shape created is the inverse of Posselts figure

Following tooth prep

Tooth form reconstructed

Summary
The choice of articulator depends upon such factors as;
Intended use Availability of equipment Patient's occlusion - Skill of the technician - Expense - Skill of the operator

The more closely the articulator matches the patients anatomy, usually the better the outcome and the less adjustment is required at chairside on fitting prostheses.