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Articulators Dr Balendra pratap singh
BDS, MDS, MAMS, FISDR, FPFA, FAAMP, ICMR-IF Assistant Professor Department of Prosthodontics King George’s Medical University, Lucknow
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Jaw Movements
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Posselt’s Figure
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Posselt’s Figure MP ICP RCP HA MP = Maximal protrusion
ICP = Intercuspal position RCP= Retruded Contact position HA = Hinge axis MO = Maximum opening MO
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Posselt’s Figure – top edge
MP ICP IG RCP EE
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Articulators
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Definitions Articulators
A mechanical representation of the jaws and temporo-mandibular joints
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Use of articulators Diagnosis Treatment planning
slides and occlusal relationships Treatment planning Diagnostic wax - up Occlusal adjustment Fabrication of Splint / Prostheses
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Articulators Types Simple Hinge Average Value Semi-adjustable
Fully adjustable
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Articulators
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Cast Holder
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Cast Holder
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Average Value
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Articulators BONWILL 1854 4” 4”
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Articulators Average Value 4”
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Articulators Average Value
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Articulators
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Denar II - Arcon
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Dentatus Non Arcon
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Denar II Adjustable Condylar Angle, ISS & PSS
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Articulators Semi-adjustable Can alter; TMJ to Incisor distance
Bennett Angle Condylor Guidance Angle Incisal guidance plate
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Articulators Needs Facebow recording
Ideally should be used for complete denture cases
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Facebow recording For semi adjustable articulator
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Fully adustable: Denar 5
Posterior wall Superior wall Medial wall Inclination of superior wall Condylar angle Intercondylar (& glenoid fossa) distance ISS
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What if patient doesn’t match articulator?
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Articulators
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Articulators Therefore the distance from the condyle to the teeth is crucial We obtain a measurement of this distance with a facebow
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Facebow
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Aids to obtaining THA Bimanual manipulation Cotton wool rolls Anterior “jig” Splint therapy Chin-point guidance
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Anterior jig Cold-cure acrylic (Duralay/Trim) Greenstick
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Anterior Jig From Howatt, Capp & Barrett
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Clinically useful settings for articulator
Condylar angle at saggittal plan30 and lateral guidance 15 ° Immediate side shift 0.3mm Progressive side shift 6°
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Incisal guidance table
Allows shape of palatal to be reproduced Allows length of incisors to be maintained
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Tooth to be prepped Shape created is the inverse of Posselt’s figure
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Following tooth prep
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Tooth form reconstructed
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Summary The choice of articulator depends upon such factors as;
Intended use - Skill of the technician Availability of equipment - Expense Patient's occlusion - 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.
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Key note messages No articulator is best and no one can record all jaw movements Articulator can try to record only jaw movements not reproduced anatomy of joint.
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Thank You
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