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OCCLUSION,
ARTICULATORS, FACEBOW
ARTICULATORS, FACEBOW
Dr Zuryati Ab
Dr Zuryati Ab
-
-
Ghani
Ghani
BDS, Grad Dip
BDS, Grad Dip
Clin
Clin
Dent, FRACDS,
Dent, FRACDS,
D
D
Clin
Clin
Dent (
Dent (
Prosthodontics
Prosthodontics
)
)
11.02.08
11.02.08
CONTENT
CONTENT
INTRODUCTION
INTRODUCTION
-
-
OCCLUSION
OCCLUSION
OCCLUSION
OCCLUSION
-
-
DEFINITIONS
DEFINITIONS
POSSELT
POSSELT
S BORDER MOVEMENTS
S BORDER MOVEMENTS
Dynamic biological
Dynamic biological
relaitonship
relaitonship
of
of
components of the
components of the
masticatory
masticatory
system
system
that control tooth contacts during
that control tooth contacts during
function and dysfunction
function and dysfunction
S BORDER
S BORDER
MOVEMENT
MOVEMENT
Posselt
Posselt
(1952) described the full range
(1952) described the full range
of jaw movement in 3 planes by
of jaw movement in 3 planes by
tracing the path of lower incisor teeth
tracing the path of lower incisor teeth
as the jaw is guided through the
as the jaw is guided through the
border paths
border paths
POSSELT
POSSELT
S BORDER MOVEMENTS
S BORDER MOVEMENTS
Sagittal view
Frontal view
Horizontal view
Iven Iven Klineberg Klineberg, Rob , Rob J agger J agger, 2004 , 2004
ARTICULATORS
ARTICULATORS
A hinged mechanical device to which
A hinged mechanical device to which
maxillary and mandible casts are
maxillary and mandible casts are
attached,
attached,
to reproduce relationship of
to reproduce relationship of
patient
patient
s maxilla to mandible
s maxilla to mandible
in ICP
in ICP
and for lateral and protrusive jaw
and for lateral and protrusive jaw
movements
movements
Uses of articulators
Uses of articulators
Allow formation of
Allow formation of
occlusal
occlusal
surfaces
surfaces
during lab preparation and adjustment
during lab preparation and adjustment
of fixed and removable prostheses and
of fixed and removable prostheses and
indirect dental restorations
indirect dental restorations
TYPES OF ARTICULATORS
TYPES OF ARTICULATORS
SIMPLE HINGE
SIMPLE HINGE
No lateral movement
No lateral movement
s jaws
s jaws
No provision of adjustment for lateral
No provision of adjustment for lateral
mandibular
mandibular
shift
shift
Adjustable
Adjustable
incisal
incisal
guidance
guidance
Considered sufficient for reproducing ICP on
Considered sufficient for reproducing ICP on
study casts
study casts
Produce an approximation of
Produce an approximation of
condylar
condylar
movements and used to design and prepare
movements and used to design and prepare
complete dentures and simple restorations
complete dentures and simple restorations
AVERAGE VALUE (PLANE
AVERAGE VALUE (PLANE
-
-
LINE)
LINE)
Allow adjustment of
Allow adjustment of
condylar
condylar
inclination and
inclination and
Bennet
Bennet
angle
angle
Intercondylar
Intercondylar
width fixed at 110mm
width fixed at 110mm
Condylar
Condylar
and
and
Bennet
Bennet
angle are obtained
angle are obtained
from protrusive and lateral
from protrusive and lateral
occlusal
occlusal
records
records
or are set an average values
or are set an average values
Incisal
Incisal
guidance are made by reference to
guidance are made by reference to
the O/B and O/J of anterior teeth, or if the
the O/B and O/J of anterior teeth, or if the
teeth are lost, an average value can be set.
teeth are lost, an average value can be set.
SEMI ADJ USTABLE
SEMI ADJ USTABLE
Arcon/non
Arcon/non
-
-
arcon
arcon
: the choice is
: the choice is
operator preference
operator preference
SEMI ADJ USTABLE
SEMI ADJ USTABLE
Arcon
Arcon
Fossa
Fossa
box in the upper
box in the upper
member
member
Condylar
Condylar
sphere in the
sphere in the
Lower member
Lower member
Duplicates arrangement
Duplicates arrangement
of TMJ
of TMJ
Non
Non
arcon
arcon
Condylar
Condylar
ball is attached
ball is attached
to upper member
to upper member
Slot mechanism attached
Slot mechanism attached
to lower member
to lower member
SEMI ADJ USTABLE
SEMI ADJ USTABLE
SEMI ADJ USTABLE
SEMI ADJ USTABLE
-
-
ARCON
ARCON
Stratos
SEMI ADJ USTABLE
SEMI ADJ USTABLE
-
-
NON
NON
ARCON
ARCON
Dentatus
Condylar guidance
Iven Iven Klineberg Klineberg, Rob , Rob J agger J agger, 2004 , 2004
FULLY ADJ USTABLE
FULLY ADJ USTABLE
Complex
Complex
Condylar
Condylar
settings may be determined
settings may be determined
by
by
pantograohic
pantograohic
and stereographic
and stereographic
records
records
FULLY ADJ USTABLE
FULLY ADJ USTABLE
Iven Iven Klineberg Klineberg, Rob , Rob J agger J agger, 2004 , 2004
ARCON TYPE
FACEBOW
FACEBOW
An instrument that
An instrument that
records the
records the
relationship of the maxilla to the hinge
relationship of the maxilla to the hinge
axis of rotation
axis of rotation
of the mandible
of the mandible
Iven
Iven
Klineberg
Klineberg
, Rob
, Rob
J agger
J agger
.
.
Iven Iven Klineberg Klineberg, Rob , Rob J agger J agger, 2004 , 2004
Maxillary cast mounted using facebowrecord
-Slidematic facebowwith Denar articulator-
Iven Iven Klineberg Klineberg, Rob , Rob J agger J agger, 2004 , 2004
Summary
Summary
Function of a
Function of a
facebow
facebow
References
References
Occlusal
Occlusal
and clinical practice. An Evidence
and clinical practice. An Evidence
-
-
based
based
approach.
approach.
Iven
Iven
Klineberg
Klineberg
, Rob
, Rob
J agger
J agger
. Elsevier
. Elsevier
Limited, London, 2004
Limited, London, 2004
Textbook of
Textbook of
Prosthodontics
Prosthodontics
. Deepak
. Deepak
Nallaswamy
Nallaswamy
.
.
J aypee
J aypee
brothers medical publishers (p) LTD. 2003
brothers medical publishers (p) LTD. 2003
Management of
Management of
Temporomandibular
Temporomandibular
Disorders and
Disorders and
Occlusion. J effrey P
Occlusion. J effrey P
Okeson
Okeson
. 5
. 5
th th
Edition, Mosby
Edition, Mosby
Inc., St Louis, 2003
Inc., St Louis, 2003
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