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Articulator selection for restorative dentistry

S Hobo, H T Shillingburg, L D Whitsett

    The Journal of Prosthetic Dentistry
    |July 1, 1976
    PubMed
    Summary
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    Choosing the right dental articulator is key for fixed restorations. While fully adjustable articulators offer accuracy, simpler instruments may suffice, but small, non-adjustable hinge types are not advised.

    Area of Science:

    • Dental prosthetics and occlusion.
    • Biomechanical principles in dentistry.

    Background:

    • Various dental articulators exist for fabricating fixed restorations.
    • The choice of articulator impacts treatment outcomes.
    • Fully adjustable articulators provide high accuracy but may be impractical for simpler cases.

    Purpose of the Study:

    • To discuss the influence of specific articulator parameters on occlusal morphology.
    • To propose guidelines for selecting appropriate articulators based on treatment complexity.
    • To evaluate the suitability of different articulator types for dental procedures.

    Main Methods:

    • Discussion of the effects of tooth-hinge axis radius, intercondylar distance, and condylar inclination.
    • Review of existing literature and clinical considerations.

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  • Development of a framework for matching articulator complexity to treatment needs.
  • Main Results:

    • Articulator settings like intercondylar distance and condylar inclination significantly affect occlusal morphology.
    • Guidelines suggest a correlation between treatment scope and the required level of articulator adjustability.
    • Small, non-adjustable hinge articulators were found to be inadequate for many applications.

    Conclusions:

    • The selection of a dental articulator should be tailored to the specific requirements of the fixed restoration and occlusal treatment.
    • Non-adjustable hinge articulators are generally not recommended due to limitations in simulating complex occlusal dynamics.
    • Understanding the impact of articulator parameters is crucial for achieving predictable prosthetic outcomes.