Articuladores
Articuladores
Success or failure of prosthodontic clinical procedures often relies on the proper application of the principles of occlusion. This article
reviews in vitro and in vivo studies on strategies that attempt to explain the capabilities of semi-adjustable instruments in the
development of occlusion. This critical review enables the clinician to choose the most suitable instrument to improve clinical
outcomes. Scientific studies have been reviewed in relation to the following components of semi-adjustable instruments: (1)
condylar-fossa mechanism, (2) intercondylar distance, and (3) anterior incisal guidance and type of incisal guide pins. Positive and
negative restorative occlusal errors using semi-adjustable articulators are explained and documented. Recommendations are
provided for the selection of articulators that meet clinical requirements.
the condylar fossa mechansisms of the upper articulator, a constant relationship always exists
member are seated on the condylar sphere between the maxillary occlusal plane and the
attached to the lower members on which they are condylar guides in any eccentric positions of the
free to move. Articulators of this type are Whip-Mix, upper member. Therefore the distance between
Denar Mark II, and Hanau Radial Shift (Figs. 2, 3). the hinge axis and mandibular teeth in the
articulator remains the same as found in the
patient's mouth. Also, the reproduction of
mandibular movements is more accurate than
with a non-arcon instrument and a harmonious
occlusion is more easily achieved. Contrarily,
Weinberg13 and Beck14 concluded that arcon and
non-arcon articulators produce the equivalent
movements, and they further stated that clinically
the arcon concept has no advantage.
Intercondylar distance
intercondylar mechanism in which the condylar the superior wall of the protrusive condylar
posts can be moved mediolaterally to increase or guidance may be straight or curved with average
decrease the intercondylar distance in order to anatomical values. The average condylar path
reproduce the patient's intercondylar width. follows a curvature with a radius of approximately
Instruments with semi-adjustable intercondylar 0.75 inch (19 mm).13 The difference between a
mechanisms such as the Modulular Hanau 166-1 straight condylar path and the apogee of a curved
may be adjusted to four different positions; 100 condylar path is 0.4 mm, (Fig. 6). A difference of
mm, 110 mm, 125 mm and 140 mm. According to 0.4 mm in the protrusive condylar path will
Keshvad et al. 17 one additional use of produce 0.1 mm negative error in molar cusp
intercondylar distance measurement is that the height at the second molar.13 Hanau Modular
distance between right and left canines and first System articulators 190 through 195 are available
molars of both the arches can be determined and with a wide range of curve protrusive condylar
used in the arrangement of teeth in complete paths of 13 mm, 19 mm, and 25 mm radii, thus, the
operator can select a radius according to the
to as the orbiting condyle. As the orbiting condyle with a wide range of intercondylar width
moves downward, forward and medially, its path is adjustments and adjustable posterior, medial and
essentially divided into two components, superior fossa walls, have been introduced to
immediate side shift and progressive side shift. In simulate the immediate side shift with acceptable
the immediate mandibular side shift, the orbiting accuracy. The semi-adjustable instruments have
condyle moves essentially straight medially as it two main types of condylar guidance
leaves centric relation at the beginning of the
lateral jaw movement20 (Fig. 7). Since the teeth
are not separated or only slightly separated when
this movement occurs, the presence and degree
of immediate side shift influences the occlusal
morphology of natural teeth as well as artificial
teeth. Following the immediate side shift, the
orbiting condyle changes direction more or less
abruptly to follow a more anteriorly directed path. Fig. 8. A, if the rotating condylar path is outward and upward,
The rotating condyle moves laterally and is the height of the cusp incline on the working side will be flatter.
guided by the rear and superior fossa walls. The B, if the rotating condylar path is outward and downward, the
height of the cusp incline on the working side will be steeper.
rotating condyle path of movement has a principal
effect on the working inclines of the cusp on the mechanisms.23 One consists of moving condylar
working side15,18 (Fig. 8). The lateral rotating elements (two spheres set in an adjustable
condylar path may be inclined upward or straight condylar track as found in the Hanau H2
downward, backward or forward. The upward or series of articulators (Fig. 1). The other type has a
downward inclination of the rotating condylar path condylar fossa mechanism that seats on the fixed
in the coronal plane influences height of the condylar sphere on which it is free to move (Fig. 2).
The latter type of condylar fossa mechanism is
employed in Whip Mix, Denar Mark II and the
Hanau modular instruments (Figs. 2,3). The
capability to simulate the Bennett movement (side
shift) by these two different types of condylar
mechanisms is reported to vary.15,22,23 In the shaft
type instruments such as Hanau H2 models, the
upper member has a rigid condylar axis and its two
ends move medially and laterally within their
respective condylar spheres. On carrying out
lateral movements, the working condylar sphere
must be held against the centric stop while the
Fig. 7. During lateral movement of the mandible, the non-working side of the axis shoulder must
nonworking condyle (right side) moves downward, forward continuously maintain contact with the moving
and medially and its path is divided into immediate side shift non-working condylar sphere (Fig. 9).23 The
(ISS) and progressive side shift.
resulting gap between the working condylar axis
working cusp inclines.15,18 shoulder and the working condylar sphere
If the rotating condylar path is outward and represents the amount of bodily shifts of the upper
upward, the height of the cusp inclines on the member of the articulator which is an approximate
working side must be flatter. Whereas, when the simulation of the immediate and progressive
rotating condylar path is outward and downward, mandibular side shift.23 Since the working
the cusp height on the working side may be condylar element remains firmly in contact with
steeper (Fig. 8). The condylar mechanisms of the the centric stop acting as a fulcrum, the condylar
Hanau H2, Whip-Mix and Denar Mark II articulators axis moves backward and in a lateral
cannot be adjusted to upward and downward direction, 15,23-25 whereas, during Bennett
movements of the rotating condyle.15,18,21,22 movement, the working condyle moves in any one
Thus, it is reasonable to assume a negative or of the nine directions.15,22,31
positive occlusal error in the patient's mouth if In the non-shaft instruments such as Whip Mix
restorations are developed on semi-adjustable and Denar Mark II, the condylar fossa mechanisms
articulators. of the upper members are seated on the condylar
Several types of semi-adjustable articulators spheres which are attached to the lower member
on which they are free to move (Fig. 2). The records with accuracy. Aull18 explained that the
angulation of the medial fossa wall to the sagittal condylar element of the Whip Mix articulator is
plane is adjustable and is set for the progressive bounded posteriorly and superiorly by fossa walls
and only four directions of movement for the
working condyle are possible. These are straight
lateral, lateral and downward, lateral and forward
and lateral forward and downward Therefore, he
concluded that the simulation of the Bennett
movement by this instrument is limited. To
overcome this limitation, the Hanau Modular 194
and Denar Mark II instruments have an immediate
side shift path set to the average anatomical
inclination which is out and backward 25 degrees
in relation to the frontal plane (Figs. 11, 11A).
Fig. 9. Schematic representation of Bennett movement (SS) Abdullah3 reported 87% acceptability of lateral
recorded by Hanau H2 articulator. A.S.S. anterior screw stop interocclusal records for the Hanau Modular 194
(centric stop); C.A.S. condylar axis shoulder; S.S. side shift.
side shift (Fig. 10). articulator and 80% for whip Mix articulator.
Hickey et al.26 stated that the design of the Anterior or incisal guidance
condylar housing in the Whip Mix allows the
working condyle to move in a lateral direction only Several designs of anterior guidance tables are
during Bennett movement. Heartwell,12 Knap and available. The anterior guidance consists of two
Zeibert,16 Belle et al.5 concluded that the Whip components, the incisal pin and the table. The
Mix articulator will not accept all lateral check table may be classified as a mechanical or a
Discussion
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dentistry. Technique and Theory. Edinborough, rehabilitation: Part I. Mechanism of anterior
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24. Hobo S. A kinematic investigation of mandibular 29. Schulte JKS, Wang SHJ, Erdman AG, Anderson GC.
border movement by means of an electronic Working condylar movement and its effect on
measuring system Part II: A study of Bennett posterior occlusal morphology. J Prosthet Dent
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25. Hobo S. A kinematic investigation of mandibular 30. Schulte JKS, Wang SH, Erdman AG, Anderson GC.
border movement by means of an electronic Three dimensional analysis of the cusp travel during
measuring system Part III. Rotational center of lateral non-working mandibular movement. J Prosthet Dent
movement. J Prosthet Dent 1984;52:66-71. 1984;53:839-844.
26. Marklund S, Wanman A. A century of controversy 31. Proschel PA, Maul T, Moreneburg M. Predicting
regarding the benefit or detriment of occlusal incidence of excursive occlusal errors in common
contacts on the mediotrusive side. J Oral Rehab modes of articulator adjustment. Int J Prosthodont
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