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Articulators Dr Balendra pratap singh

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Presentation on theme: "Articulators Dr Balendra pratap singh"— Presentation transcript:

1 Articulators Dr Balendra pratap singh
BDS, MDS, MAMS, FISDR, FPFA, FAAMP, ICMR-IF Assistant Professor Department of Prosthodontics King George’s Medical University, Lucknow

2 Jaw Movements

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7 Posselt’s Figure

8 Posselt’s Figure MP ICP RCP HA MP = Maximal protrusion
ICP = Intercuspal position RCP= Retruded Contact position HA = Hinge axis MO = Maximum opening MO

9 Posselt’s Figure – top edge
MP ICP IG RCP EE

10 Articulators

11 Definitions Articulators
A mechanical representation of the jaws and temporo-mandibular joints

12 Use of articulators Diagnosis Treatment planning
slides and occlusal relationships Treatment planning Diagnostic wax - up Occlusal adjustment Fabrication of Splint / Prostheses

13 Articulators Types Simple Hinge Average Value Semi-adjustable
Fully adjustable

14 Articulators

15 Cast Holder

16 Cast Holder

17 Average Value

18 Articulators BONWILL 1854 4” 4”

19 Articulators Average Value 4”

20 Articulators Average Value

21 Articulators

22 Denar II - Arcon

23 Dentatus Non Arcon

24 Denar II Adjustable Condylar Angle, ISS & PSS

25 Articulators Semi-adjustable Can alter; TMJ to Incisor distance
Bennett Angle Condylor Guidance Angle Incisal guidance plate

26 Articulators Needs Facebow recording
Ideally should be used for complete denture cases

27 Facebow recording For semi adjustable articulator

28 Fully adustable: Denar 5
Posterior wall Superior wall Medial wall Inclination of superior wall Condylar angle Intercondylar (& glenoid fossa) distance ISS

29 What if patient doesn’t match articulator?

30 Articulators

31 Articulators Therefore the distance from the condyle to the teeth is crucial We obtain a measurement of this distance with a facebow

32 Facebow

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36 Aids to obtaining THA Bimanual manipulation Cotton wool rolls Anterior “jig” Splint therapy Chin-point guidance

37 Anterior jig Cold-cure acrylic (Duralay/Trim) Greenstick

38 Anterior Jig From Howatt, Capp & Barrett

39 Clinically useful settings for articulator
Condylar angle at saggittal plan30 and lateral guidance 15 ° Immediate side shift 0.3mm Progressive side shift 6°

40 Incisal guidance table
Allows shape of palatal to be reproduced Allows length of incisors to be maintained

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44 Tooth to be prepped Shape created is the inverse of Posselt’s figure

45 Following tooth prep

46 Tooth form reconstructed

47 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.

48 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.

49 Thank You


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