Beruflich Dokumente
Kultur Dokumente
METHODS OF RECORDING
CONDYLAR GUIDANCE
Dr. Paras k Rawat
Prosthodontics
CONTENTS
Introduction
Definitions
Hanaus laws of articulation
HANAUS quint
Concepts of other authors
Methods to record condylar guidance
INTRODUCTION
The laws of articulation are purely physical laws which
must be observed in formation of masticatory surfaces of
artificial & natural dentures, whenever establishlishing
BALANCED ARTICULATION
Articulation with all its implications is the essence of
dentistry,& an understanding of it is basic to every phase of
dentistry.
BALANCED OCCLUSION
It is defined as the bilateral, simultaneous, anterior &
posterior occlusal contact of teeth in centric & eccentric
positions
HEARTWELL
Contd
Narrower
lingually
the
Unilateral
lever
balance
Protrusive
occlusal
balance
Balance
Bilateral
occlusal
balance
Unilateral
occlusal
balance
1. Condylar guidance
2. Compensating curve
3. Relative cusp height ( inclination of cusp )
4. Incisal guidance
5. Plane of orientation ( orientation of the plane)
HANAUS QUINT
LAWS OF ARTICULATION
Laws of
protrusive
movement
Laws of lateral
movement
Cusp
angulation
Incisal
inclination
Plane of
orientation
CONDYLAR GUIDANCE
Mandibular guidance generated by the condyle & articular
disc travelling the contour of glenoid fossae
The mechanical form located in the upper posterior region of
an articulator that controls movement of its mobile member
(GPT 8th ed)
The angle at which the condyle moves away from a
horizontal reference plane (Okeson)
TRAPOZZANO
The degree of condylar inclination required results from
1.Shape of bony contour of TMJ
2.Action of the muscles attaching to the mandible
3.Limitations of movement effected by the attaching
ligaments
INCISAL GUIDANCE
The influence of the contacting surfaces of the mandibular &
maxillary anterior teeth on mandibular movements
The influence of the contacting surfaces of the guide pin &
guide table on articular movements (GPT- 8 )
HANAU :-The inclination of the IG is given by the angle of
the lingual surfaces of the incisors with the horizontal plane
of reference
surface
of
the
upper
effect an balanced
occlusion balance
Because of steep inclines plan occlusion is detrimental to the
stability and equilibrium of denture base
When
arrangement
of
anterior
teeth
Plane of orientation
The term plane of orientation (by hanau) refers to the
vertical location of the anteroposterior alignment of the
occlusal plane in the space between the upper & lower ridges
Boucher defines it as, The line running from the inferior
border of the ala of the nose to the superior border of the
tragus of the ear
OCCLUSAL PLANE
It is defined as, an imaginary
surface which is related
automatically to the cranium &
which theoretically touches the
incisal edges of the incisors & the
tips of the occluding surface of the
posterior teeth
OCCLUSAL PLANE
COMPENSATING CURVES
It is defined as, The anteroposterior & lateral curvatures in
the alignment of occluding surfaces & incisal edges of
artificial teeth which are used to develop balanced occlusion
Thus the cusps can be made longer or shorter (steeper or
flatter) simply by inclining long axis of a tooth to conform to
the end guidelines.
The higher the cusp, the longer the effective tooth incline, &
therefore, the greater the range of tooth contact during
eccentric movement
the length of the cusp inclines & therefore the range of
contact should be sufficient to permit the teeth to maintain
contact within eccentric functional movement of the patient
Condylar
guidance on the
balancing side
Inclines of the
teeth on the
working side
Clinical implication
The incisal guidance has more influence on the posterior
teeth than the condylar guidance
This is because the action of incisal inclination is closer to
the teeth than the action of the condylar guidance
on
B1 ,B2, and B3 are concentric circle from the center B and all incline
involved in left lateral position must be on curve of arc drawn from
rotation center
inclination
region
in
and
increase
towards 30 degrees as
incisal area is approached
Resultant forces of
inclines
A study of goemetric
influences of inclines
shows that reducing cusp
inclination is a great
stabilizer of dentures
A:Tooth and cusp incline
cause buccal surface to shift
B: less shifting influence
C: still less
D: no shifting
Condylar
guidance
Incisal
guidance
Cusp
angle
Boucher concept
I.
present
Boucher also emphasized the need for compensating curves
LEVINS CONCEPT
INCISAL
GUIDANCE
CONDYLAR
GUIDANCE
CUSPAL
ANGULATI
ON
PLANE OF
OCCLUSION
COMPENSATING
CURVE
METHODS TO RECORD
THE
CONDYLAR GUIDANCE
METHODS OF RECORDING
CONDYLAR GUIDANCE
The condylar path inclinations of patients are used in the
establishment of occlusal plane of complete dentures
Condylar guidance inclinations on articulating instruments
are adjusted by means of inter occlusal records taken from
the patients
Horizontal
condylar
guidance
Lateral
condylar
guidance
IMPORTANCE:
It can register the influence of condylar path over movements
of mandible enabling to set the CG (horizontal) on the
articulator to an apprx. the path of the condylar movement in pts
Guide the pt mandible until rhe tracer pin enter the hole
Make rt and lt indices
Return bases with attached plaster to the articulator and
noted that rt condylar ball is in protrusion
The side sift
L=(H/8)+12
When wax are harden the bases are removed placed in cold
water for few minutes
The recording bases are returned to the articulator and
maxillary rim is aligned t so it coinsides with the imprints on
mandibular rims
The lock nuts are moved back and forth ,one side at a time
,while maintaining the gentle pressure on upper member of
articulator, until the maxillary rim is firmely securely seated
against the lower index
REFERENCES
Zarb AG, bolender LC, karlson GE. Prosthodontic treatment
for edentulous patients. 11th ed. Missouri (CN). Mosby-1997.
P.197-219
Winkler S. Essentials of complete denture prosthodontics. 2 nd
ed. Ishiyaku euro america inc. U.S.A.-2004. P.88-106
Swenson MG. Complete dentures. 4th ed. Mosby 1959. P.
233-273
Levin B. A revaluation of hanaus laws of articulation and
hanau quint. J prosthet dent 1978; 39 (3) : p-254-8.