Beruflich Dokumente
Kultur Dokumente
OF BASIC
ARTICULATORS
AND THEIR
CONCEPTS
A. WEINBERG, D.D.S.,MS."
College
of Dentistry,
New York, N. Y.
OBJECTIVE
Motion itself must be studied to evaluate effectively the reproduction of mandibular movement on an instrument. Motion may be rectilinear or curvilinear in nature. Rectilinear motion is in a straight line, while curvilinear motion can be either
part of an arc or an ellipse (Fig. 1). Any curved motion has an axis of rotation by
definition. When the motion is part of a circle, the axis of rotation is stati0nary.l
Perpendicular bisectors of chords of the arc intersect at the axis of rotation (Fig. 1) .
On the other hand, the axis of rotation itself translates when the motion is part of
an ellipse.2 It is axiomatic that curved motion is always perpendicular to its axis.l
INSTANTANEOUS
CENTERS
OF ROTATION
of Graduate
of Master
of
Volume 13
Xumber 4
BASIC
ARTICULATORS
AND
THEIR
CONCEPTS,
PART
623
INSTANTANEOUS
CENTERS OF
FIG. I
Fig. 1. (I), Line AB represents
rectilinear
motion.
(21, Curvilinear
motion
is part of an arc
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.
AI3
third
Fig. Z.-Two
of the required
point is at the incisors,
C.
guidances
of motion
are
the
condylar
paths
and
B.
The
624
J. Pros. Dew
July-August,
1963
WEINBERG
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.
Three-dimensional
curved motion has an axis of rotation in each of the 3
planes of space .* These 3 axes are always perpendicular to each other.*
The first requirement of reproducing any motion is the establishment of 3
fixed points on or attached to the object. * Reproduction of three-dimensional
motion
can be obtained by recording the starting position, the path, and the end position
of these 3 fixed points. Clinically, for convenience, 2 of the required guidances of
motion of the mandible are the condylar paths; the third point is measured at the
incisors which will be referred to during movement as the incisal guidance (Fig. 2).
The objective of all articulators
is to serve as a laboratory aid in imitating physiologic motion by substituting mechanical equivalents for anatomic parts.
The starting position of the 3 selected points necessitates some method of
orientation to act as a fixed base from which to refer. Once this fixed base is
oriented in space, the problem is reduced to recording and transferring
the paths
and end positions of the 3 fixed points.
HUMAN
MOTION
R. A.: (B.M.E.)
Personal
Communication.
Volume
Numhrr
13
4
Fig.
BASIC
4.-The
mandible
ARTICULATORS
of
an
upright
AND
THEIR
patient
is
CONCEPTS,
oriented
in
PART
i-elation
625
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 reproduce 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
axes
rigid,
This
effect
tient
*Silverman,
S.: Personal
communication.
626
THE
J. Pros. Den.
July-August,
1963
WEINBERG
HYPOTHETICAL
AVERAGE
PATIENT
Fig.
zontal
B.-The
protrusive
plane of the head
with
Fig. B.-The
second molar
as measured
along the horizontal
inclination
of the hypothetical
the patient
in an upright
of the hypothetical
patient
plane and 32 mm. below
patient
position.
is located
it.
is 40 degrees
50 mm.
from
to the
the hinge
hori-
axis
\olume
13
?;umber 4
BASIC
ARTICULATORS
AND
THEIR
CONCEPTS,
PART
627
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).
ESTABLISHMEZNT
OF A FIXED
BASE
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
100 mm. from the hinge axis, as measured
along the horizontal
of the
plane
hypothetical
patient
and 32 mm. below
is
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
Fig. 9.-The
horizontal
and
incisal guidance
incisal
guide
vertical
planes.
pin.
J. Pros. Den.
July-August,
1963
table regulates
the incisal
guidance
on the articulator
Changes
in the condylar
paths require
different
paths
in the
of the
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.
BASIC
ELEMENTS
OF MANDIBULAR
MOTION
Volume 13
Sumher
BASIC
ARTICULATORS
AND
THEIR
CONCEPTS,
PART
620
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
movement of the working
condyle.
630
J. Pros. Den.
July-August,
1963
WEINBERG
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.
OF THE
WORKING
CONDYLAR
MOVEMENT
Different working
condylar movements alter the working
the same incisal guidance. The working condylar path, working
*Granger,
E.: Personal
communication.
BASIC
ARTICULATORS
AND
BAL. COM3;
THEIR
CONCEPTS,
PART
631
ROTATING
WORKING
CONDYLE
c+
--_
FIG. 14
--
WORK. COND,
flACK.
Ul?
LAT.
FIG. I5
BAL, CUND.
----~*
Fig.
Fig.
Fig.
14.-The
15.-The
l&-The
working
working
working
rC
-WORK. CDND.
DOWN.
FOR.
LAT.
upward,
and/or
forward,
and
laterally.
laterally.
J. Pros. Den.
July-August,
1963
WEINBERG
teeth, or extensive
OF CUSPAL-CONDYLAR
restorative
dentistry
HARMONY
The cusp inclines are constructed to harmonize with the specific three-dimensional 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) .lJ
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 temporomandibular joints, the muscle complex, and the periodontal support. A pathologic condition develops when the physiologic tolerance of one or more of the components of the system is exceeded.
THE
THREE
AXES
OF ROTATION
OF MANDIBULAR
MOTION
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 threedimensional motion. Although mandibular motion is controlled by the neuromuscular 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
motion 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
Prosthodontics,
1960.
communication.
Presented
to the
Greater
New
York
Academy
of
Volume
Number
13
4
BASIC
ARTICULATORS
AND
THEIR
CONCEPTS,
PART
633
FIG. 18
axis
Fig.
lme.
Fig.
17.-The
working
l&-The
working
condyle
condyle
may
may
rotate
rotate
and
shift
and
shift
laterally
downward,
at
0 degrees
backward.
along
and
the
hinge
laterally.
Sagittal A&.-The
physiologic sagittal axis of rotation is associated with
rotation in the frontal plane. The balancing condyle rotates about the sagittal axis
which is located through the working condyle (Fig. 27).
CLINICAL
IMPORTANCE
OF THE
TRANVERSE
HINGE
AXIS
HINGE
AXIS
DETERMINATION
J. Pros.
July-August,
WEINBERG
Den.
1963
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.
TRANSFER
TO THE
ARTICULATOR
BALANCING
CONDYLE
ROTATIMG
WORKING
CONDY LE
6
BALANCING
CONDYLE
Fig.
lQ.-The
cusp
inclines
reflect
the incisal
guidance
inclination
rotates
with
little
lateral
Bennett
movement.
Fig.
20.-A
working
condyle
with
a 0 degree
Bennett
movement
guidance
results
in working
cusp inclines
of 15 degrees
midway
between
ing factors.
Fig.
21.-A
relatively
steep
balancing
condylar
motion
requires
inclines.
Fig.
22-A
typical
transverse
curve
of occlusion
forms
when
motion
occurs
bilaterally.
COfdDYLE WITH
0 LATERAL
INCLINATIO
t!?
when
the
working
con-
a 30
two
degree
extreme
incisal
guid-
dyle
and
the
steep
steep-balancing
balancing
cusp
condylar
\7olun1e
Numller
13
4
BASIC
ARTICULATORS
Fig. 23.-The
cusp incfines
n,orking
and balancing
condylar
Fig.
leverage.
24.--Tooth
contact
AND
THEIR
CONCEPTS,
are constructed
to harmonize
motfon
and the imisal guide
tends
to
dominate
Fig. 25 .-The
transverse
hinge axis passes
rotation
of the mandible
ih the vertical
(sagittal)
mandibular
through
plane.
both
PART
63.5
motion
condyles
three-dimensional
because
and
of
mechanical
is associated
with
636
J. Pros. Den.
July-August,
1963
WEINBERG
Fig.
zontal
a&-The
(transverse)
Fig.
plane.
2i.-- The
physiologic
plane.
vertical
physiologic
sagittal
axis
of rotation
axis of rotation
is associated
is associat.ed
with
with
rotation
rotation
in
in the
the
hori-
frontal
,EzE:
4
SUMMARY
BASIC
OF THE
KINEMATIC
HINGE
ARTICULATORS
PRINCIPLES
AND
OF LOCATING
THEIR
CONCEPTS,
AND
TRANSFERING
PART
637
THE
AXIS
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
F&I@9
Fig. 29.-Only
to be on the hinge
movement.
transverse
hinge
axis
is found
by
attaching
a special
bow
to the mandible.
RIGHT
ANGLE
SYSTEM
CEMEMED
ASYMMETRICALLY
the point of the pins of the kinematic
face-bow
at the skin can be assumed
axis, AB. The opposite
end of the pins, CD, may have a slight
translatory
J. Pros. Den.
July-August,
1963
638
WEINBERG
ANATOMIC
AVERAGE
LOCATION
OF THE
TRANSVERSE
HINGE
AXIS
face-bow
and
pin6
an error
Volume
13
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).
ORIENTATION
CAST)
Giln~er2 in 1862 proposed individual orientation on an articulator by measuring the individual distances between the joints and the incisors. Sloping joint
paths in an articulator were introduced by Hayes in 1887. Judging from his
instrument, he considered that the dental arcs were invariably placed in relation
FIG32
NON-RIGHT
AWGLE
SYSTEM
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.
J. Pros.
July-August,
WEINBERG
640
Fig.
tragus
34.-The
transverse
of the ear on a line
11 to 13 mm.
from
Pen.
1963
the
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 condylar movements. Gysi20 recorded condylar paths in 1929 with this type of instrument. He also felt that, by means of a face-bow, the jaws should be correctly oriented 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.
THE
RELATIONSHIP
OF A FIXED
BASE
TO MOVEMENT
Fig.
motion.
35.-The
maxillary
arch
has a definite
three-dimensional
relationship
to all
condylar
Volume
Number
13
BASIC
ARTICULATORS
AND
THEIR
CONCEPTS,
PART
641
STEPS
IN THE
FACE-BOW
MOUNTING
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~.-Iariation exists in the selection of the anterior 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 anterior 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
CUSP inclines.
the mesiodistal (protrusive)
tracing
similar
vertical
axis for
each arc of the
Volun1e
Number
13
4
BASIC
ARTICULATORS
AND
THEIR
CONCEPTS,
PART
643
There is no compensatory change in the transverse plane of occlusion. Therefore, any change in the condylar readings affects lateral cusp inclines.
INTRAORAL
AND
EXTRAORAL
TRACINGS
Border Movements.--A
border movement of the mandible can be defined as
the limit of physiologic motion in any one direction. A border movement does not
necessarily coincide with the functional pattern. Indeed, most functional movements
take place m.ell within the border limits. * The exception is centric relation which
usually occurs during deglutitiorP and certain phasesof mastication. Centric relation, as defined in the Glossary of Prostlzodohc
Tertfzs, is The most retruded
relation of the mandible to the maxillae when the condyles are in the most posterior unstrained position in the glenoid fossae from which lateral jaw movements
can be made at any given degree of jaw separation.28 Centric relation is, by definition, a border position. The path of movement from centric relation to the extreme
lateral position is an example of a border movement.
Extraoral
Tracing.-One of GysiszO outstanding contributions was the extraoral tracing used in relation to articulators. A stylus, or writing device, is attached
to the maxillary dental arch and a tracing plate is attached to the mandibular dental
a.rch in the horizontal plane (Fig. 38). Right and left posterior border movements
form a needlepoint tracing which is similar to a Gothic arch in shape.
Location! of the Vertical
Axis.-(;ysi
felt that needlepoint tracings could be
used to locate the vertical axes. Three simultaneous tracings locate the vertical axis
for each lateral movement if perpendicular lines are drawn from the midpoint of
each arm of the arrow point tracing (Fig. 39). This principle is used in many techniques, such as for the Gysi Trubyte articulator and Gnathologic instruments.1.29
SLIM
MARY
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
644
WEINBERG
J. Pros.
July-August,
Den.
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 (Mandibular 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 Company, pp. 1115-1116.
by Means of Articulators,
A
23. Bergstrom, G.: On the Reproduction of Dental Articulation
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.