Dental Articulators Overview

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Questions and Answers

What is the primary function of an articulator in dentistry?

  • To evaluate the size of dental implants
  • To whiten teeth using UV light
  • To teach patients about oral hygiene
  • To simulate mandibular movements (correct)

Which of the following is NOT a use of an articulator?

  • To fabricate dental restorations
  • To correct and modify completed restorations
  • To teach patients dental anatomy (correct)
  • To diagnose the state of occlusion

What is included in the minimal requirements for an articulator?

  • Heavy construction for stability
  • Automated adjustment for occlusal changes
  • Ability to perform digital imaging
  • Incisal guide pin with a positive stop (correct)

Which advantage of using an articulator helps reduce patient factors during dental procedures?

<p>Removes the influence of saliva, tongue, and cheeks (D)</p> Signup and view all the answers

Which of the following is a requirement for the condylar guides in an articulator?

<p>Should allow adjustable right and left lateral movement (A)</p> Signup and view all the answers

What does the process of mounting involve in relation to an articulator?

<p>Attaching the maxillary and/or mandibular casts (B)</p> Signup and view all the answers

Which statement is true regarding the advantages of properly mounted casts?

<p>They help visualize occlusion from different angles. (B)</p> Signup and view all the answers

The static and dynamic contact relationship between the occlusal surfaces of teeth during function is defined as what?

<p>Articulation (D)</p> Signup and view all the answers

An articulator facilitates a reduction in chair time for dental procedures primarily by which means?

<p>Simulating occlusion outside the patient's mouth (D)</p> Signup and view all the answers

What is one of the basic components required in an articulator?

<p>Non-corrosive metal construction (B)</p> Signup and view all the answers

What distinguishes arcon articulators from non-arcon articulators?

<p>The position of the condylar components (D)</p> Signup and view all the answers

Which of the following articulators can accept protrusive eccentric records?

<p>Semi-adjustable articulator (B)</p> Signup and view all the answers

What is the average distance that defines Bonewill's triangle?

<p>10 cm (D)</p> Signup and view all the answers

Which articulator allows for both hinge and lateral movements?

<p>Mean value articulator (C)</p> Signup and view all the answers

What angle is known as Balkwill angle in relation to Bonewill's triangle?

<p>15°-20° (C)</p> Signup and view all the answers

What is a characteristic of CLASS II articulators?

<p>They allow fixed intercondylar distance. (B)</p> Signup and view all the answers

In semi-adjustable articulators, lateral condylar path angles are calculated using which formula?

<p>L=H/8+12 (A)</p> Signup and view all the answers

Which of the following best describes CLASS I articulators?

<p>They have minimal articulator requirements. (D)</p> Signup and view all the answers

What type of articulator is characterized as a simple holding instrument?

<p>Non-adjustable articulator (A)</p> Signup and view all the answers

Fully adjustable articulators are capable of which function?

<p>Hinge, protrusive, and lateral movements (A)</p> Signup and view all the answers

What does the lateral condylar angle in Hanau's formula represent?

<p>The lateral condylar path (D)</p> Signup and view all the answers

What is the primary purpose of a fully adjustable articulator?

<p>To replicate dynamic mandibular movements accurately (C)</p> Signup and view all the answers

Which statement about the facebow is true?

<p>It records the spatial relationship of the mandible to the maxilla. (A)</p> Signup and view all the answers

What is the significance of using a facebow during restoration procedures?

<p>It simulates the actual movements of the mandible. (B)</p> Signup and view all the answers

Which type of facebow yields an error within 2 mm of the true hinge axis location?

<p>An arbitrary facebow (C)</p> Signup and view all the answers

What is typically an indication for using a facebow?

<p>For extensive restorations or full arch cases (A)</p> Signup and view all the answers

How is the condylar rod positioned when using an arbitrary facebow like the fascia type?

<p>On the line between the outer canthus of the eye and the tragus of the ear (C)</p> Signup and view all the answers

Which of the following best describes a kinematic facebow?

<p>It exactly locates the terminal hinge axis. (D)</p> Signup and view all the answers

In what scenario is a facebow used with interocclusal records?

<p>In cases where occlusal interferences exist (B)</p> Signup and view all the answers

What is a notable characteristic of semi-adjustable articulators?

<p>They cannot adjust the intercondylar distance. (B)</p> Signup and view all the answers

Flashcards

Articulation (Skeleton)

The place where two or more bones meet in the skeleton.

Articulation (Dentistry)

The static and dynamic contact between the chewing surfaces of teeth during function.

Articulator

A mechanical device that mimics the temporomandibular joints (TMJs) and jaws, allowing dentists to attach models of teeth and simulate jaw movements.

Mounting

The process of attaching models of the upper and/or lower teeth to an articulator.

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Use 1: Diagnose Occlusion

Used to diagnose the state of bite in both natural and artificial teeth.

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Use 2: Plan Procedures

Helps plan dental procedures based on the relationship of teeth.

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Use 3: Fabrication

Assists in the fabrication of dental restorations and replacements.

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Use 4: Correction and Modification

Allows for correction and modification of completed dental work.

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Use 5: Arranging Teeth

Arranging artificial teeth on models for restorations or dentures.

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Advantage 1: Visualizing Occlusion

Allows the dentist to visualize the patient's bite from different angles, especially the tongue side.

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Adjustable Condylar Path Articulator

An articulator that utilizes a condyle path that is not fixed, allowing for adjustable settings to mimic the patient's specific condylar movements.

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Fixed Condylar Path Articulator

An articulator that employs a fixed condylar path with a preset inclination, providing a standardized representation of condylar movement.

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Arcon vs. Non-Arcon Articulators

A classification of articulators based on the position of the condylar elements relative to the mandibular movement.

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Simple Hinge Articulator

Articulators that resemble a simple hinge, allowing only opening and closing movements of the mandible, with limited lateral and protrusive capabilities.

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Class I, II, and III Articulators

A classification of articulators based on their ability to accept and adapt to inter-occlusal records, reflecting the patient's individual occlusion.

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Bonewill Triangle

An equilateral triangle formed by connecting the mandibular central incisor tip to both condyles, with each side measuring approximately 10 centimeters.

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Semi-adjustable Articulator

A semi-adjustable articulator with a fixed intercondylar distance, allowing for protrusive movements to a specific recorded angle and lateral movements calculated using Hanau's formula.

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Hanau's Formula

A formula used to calculate the lateral condylar path angle based on the horizontal condylar path angle recorded from the patient. The formula is: 'L = H/8 + 12'

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Intercondylar Distance

The distance between the two condyles in an articulator, representing the width of the mandible.

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Balkwill Angle

The angle between the occlusal plane and Bonewill's triangle, averaging approximately 15-20 degrees.

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What is a facebow?

A caliper-like instrument used to record the spatial relationship of the maxillary arch to anatomical reference points and transfer this relationship to an articulator.

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What is the function of the condylar path angle in a fully adjustable articulator?

The condylar path angle determines the inclination of the condylar guidance in an articulator, simulating it to the patient's own mandibular movement.

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What is the advantage of using a fully adjustable articulator?

A fully adjustable articulator allows for customization of the condylar path angle, intercondylar distance, and can accept lateral eccentric records, thus providing a more accurate representation of the patient's TMJ.

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What is an Arbitrary facebow and how does it work?

This facebow type approximates the location of the terminal hinge axis with a maximum error of 2mm. It uses a fixed frame placed on specific facial landmarks.

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How is the Condylar Rod positioned in the Fascia type of Arbitrary facebow?

The condylar rod is placed on a line drawn from the outer canthus (eye corner) to the top of the tragus (ear flap), about 11-13mm in front of the ear canal.

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How does the Earbow type of Arbitrary facebow differ from the Fascia type?

The earbow positions the rod inside the ear, which can be more comfortable for some patients.

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What are Kinematic facebows and how do they differ from Arbitrary facebows?

These facebows utilize special instruments to pinpoint the exact location of the terminal hinge axis, offering greater accuracy in transferring the patient's jaw movements.

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When are facebows indicated for use in dental procedures?

Extensive restorations, full arch restorations, complete dentures with bilateral balanced occlusion, and when utilizing fully anatomic teeth for restorations.

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Why is it important for the articulator to simulate mandibular movements as closely as possible to the patient's own movements?

It is essential to achieve a close approximation of the patient's actual jaw movements in the articulator to guide the restoration process accurately and predictably.

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How does the facebow contribute to the positioning of the occlusal plane?

The facebow determines the accurate location of the occlusal plane in relation to the terminal hinge axis, ensuring the bite is aligned correctly for optimal function and aesthetics.

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Study Notes

Articulators

  • Dental articulators are mechanical devices that simulate the temporomandibular joints (TMJ) and jaw movements.
  • They're used to represent the relationship between the maxillary and mandibular teeth during function.
  • Articulators allow for the precise mounting of dental casts.

Functions of Articulators

  • Aid in diagnosing the state of occlusion (bite) in both natural and artificial teeth.
  • Guide the planning of dental procedures based on the relationship of opposing teeth.
  • Facilitate the creation and refinement of dental and prosthodontic restorations.
  • Correct and adjust existing restorations.
  • Arrange artificial teeth.

Articulator Advantages

  • Allow visualization of occlusion, especially from the lingual view.
  • Patient cooperation isn't crucial.
  • Factors like saliva, tongue, and cheeks are eliminated.
  • Reduced chair time.
  • Provide a stable base for denture bases.

Articulator Disadvantages

  • Articulators can be time-consuming.

Basic Articulator Components

  • Condylar guidance
  • Lower member
  • Incisal table (anterior guide)
  • Upper member
  • Mounting ring
  • Incisal post (anterior guide pin)
  • Anterior guidance

Articulator Requirements (Minimal)

  • Maintain correct vertical and horizontal relationships.
  • Easy removal and attachment of casts.
  • Incisal guide pin with a positive stop.
  • Rigid, accurate, non-corrosive metal construction.
  • Smooth operation (opening and closing).
  • Moving parts resist wear and move freely.
  • Avoid excessive bulk or heaviness.

Articulator Requirements (Additional)

  • Ability to accept a facebow transfer.
  • Condylar guides that accommodate right/left lateral and protrusive movements.
  • Adjustable sagittal and horizontal condylar guides.

Articulator Classification

  • Based on condylar position: Arcon (condyle attached to lower member) and non-arcon (condyle attached to upper member).
  • Based on condylar path adjustment: Class I (non-adjustable), Class II (mean value/fixed condylar path), and Class III (adjustable condylar path).

Condylar Path

  • Lateral condylar path: Right and left lateral movement.
  • Protrusive condylar path: Forward movement.

Class I Articulators

  • Non-adjustable.
  • Includes plaster slab and simple hinge articulators.
  • Limited capabilities regarding interocclusal record.
  • Minimal articulator requirements are often not met.

Class II Articulators

  • Mean value/fixed condylar path.
  • Provides a basic set of articulator features.
  • Average sagittal condylar angle 30-35 degrees.
  • Average incisal guidance angle 10-15 degrees.
  • Includes the Bonewill equilateral triangle measurement.

Class III Articulators

  • Adjustable condylar path.
  • Semi-adjustable and fully adjustable articulators.
  • Semi-adjustable articulators are designed for single and protrusive eccentric records, and accept facebow transfers.
  • Fully adjustable articulators provide all the capabilities of semi-adjustable units and accommodate lateral eccentric records from the patient.

Facebows

  • Devices used to record and transfer the spatial relationship of the maxillary arch to an articulator.
  • Used to record the hinge axis.
  • Indicated for extensive restorations, complete dentures, when using fully anatomic teeth or when adjustments to the vertical dimension are needed.
  • They can also be used when occlusal interferences exist in natural or artificial teeth.

Facebow Types

  • Arbitrary (e.g., fascia, earbow): These roughly approximate the hinge axis.
  • Kinematic: These measure the location of the terminal hinge axis precisely.

Cadiax Compact 2

  • A computerized axiography device.
  • Records the transverse hinge axis and horizontal condylar inclination.

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