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Lassmann Ł, Nowak Z, Żółtowska A. Sagittal condylar guidance angle measurement methods: A systematic review. J Prosthet Dent 2024; 132:81-92. [PMID: 38123416 DOI: 10.1016/j.prosdent.2023.11.017] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/13/2023] [Revised: 11/13/2023] [Accepted: 11/14/2023] [Indexed: 12/23/2023]
Abstract
STATEMENT OF PROBLEM Precise assessment of the condylar guidance angle can aid successful prosthodontic treatment. However, the reliability and accuracy of current methods remain unclear. PURPOSE The purpose of this systematic review was to evaluate the reliability and accuracy of current methods of determining the sagittal condylar guidance angle, including protrusive interocclusal records, axiography, cone beam computed tomography (CBCT), and panoramic and cephalometric radiographs. MATERIAL AND METHODS A literature search was conducted using BASE, Embase, PubMed, and Web of Science databases up to June 2022. Inclusion criteria involved studies that compared protrusive interocclusal records against other methods of sagittal condylar guidance angle assessment in adult dentate and edentulous patients. Studies that did not provide the values for the right and left joint separately were excluded. The methodological quality of the included studies was assessed by using the Quality Assessment of Diagnostic Accuracy Studies 2 (QUADAS-2) tool. Data were tabulated and analyzed for correlations and their significance. RESULTS A total of 24 articles qualified for the analysis. The differences between protrusive interocclusal records and panoramic radiograph sagittal condylar guidance angle values were up to 9 degrees. Lateral cephalometric radiographs revealed greater condylar guidance values than facebow transfers or the Bonwill methods. Correlations between average sagittal condylar guidance angle values obtained from CBCT and protrusive interocclusal records differed depending on the method of registration. For protrusive interocclusal records, axiographic or pantographic measurement variance analysis showed that the condylar inclination values recorded with wax were statistically lower than those recorded with a pantograph (P<.05). CONCLUSIONS Although CBCT appears to be the most suitable method of evaluating the sagittal condylar guidance angle, the limitations and discrepancies among methods, including protrusive interocclusal records and panoramic and cephalometric radiographs, should be acknowledged. Digital axiography, with its potential to capture comprehensive functional data, may surpass other techniques. The use of mean values for articulators may be a practical solution for some patients. Further research is needed to refine sagittal condylar guidance angle assessment methods and to develop more reproducible and reliable approaches for the future.
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Affiliation(s)
- Łukasz Lassmann
- Researcher, Department of Conservative Dentistry, Faculty of Medicine, Medical University of Gdańsk, Gdańsk, Poland.
| | - Zuzanna Nowak
- Didactic Assistant, Department of Temporomandibular Disorders, Medical University of Silesia in Katowice, Zabrze, Poland
| | - Agata Żółtowska
- Professor, Department of Conservative Dentistry, Faculty of Medicine, Medical University of Gdańsk, Poland
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Kim DS, Park SH, Ahn JJ, Jeong CM, Yun MJ, Huh JB, Lee SH. In vitro comparison of the accuracy of an occlusal plane transfer method between facebow and POP bow systems in asymmetric ear position. J Adv Prosthodont 2023; 15:271-280. [PMID: 37936837 PMCID: PMC10625888 DOI: 10.4047/jap.2023.15.5.271] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/25/2023] [Revised: 09/25/2023] [Accepted: 10/06/2023] [Indexed: 11/09/2023] Open
Abstract
PURPOSE This in vitro study aimed to compare the accuracy of the conventional facebow system and the newly developed POP (PNUD (Pusan National University Dental School) Occlusal Plane) bow system for occlusal plane transfer in asymmetric ear position. MATERIALS AND METHODS Two dentists participated in this study, one was categorized as Experimenter 1 and the other as Experimenter 2 based on their clinical experience with the facebow (1F, 2F) and POP bow (1P, 2P) systems. The vertical height difference between the two ears of the phantom model was set to 3 mm. Experimenter 1 and Experimenter 2 performed the facebow and POP bow systems on the phantom model 10 times each, and the transfer accuracy was analyzed. The accuracy was evaluated by measuring the angle between the reference virtual plane (RVP) of the phantom model and the experimental virtual plane (EVP) of the upper mounting plate through digital superimposition. All data were statistically analyzed using a paired t-test (P < .05). RESULTS Regardless of clinical experience, the POP bow system (0.53° ± 0.30 (1P) and 0.19° ± 0.18 (2P) for Experimenter 1 and 2, respectively) was significantly more accurate than the facebow system (1.88° ± 0.50 (1F) and 1.34° ± 0.25 (2F), respectively) in the frontal view (P < .05). In the sagittal view, no significant differences were found between the POP bow system (0.92° ± 0.50 (1P) and 0.73° ± 0.42 (2P) for Experimenter 1 and 2, respectively) and the facebow system (0.82° ± 0.49 (1F) and 0.60° ± 0.39 (2F), respectively), regardless of clinical experience (P > .05). CONCLUSION In cases of asymmetric ear position, the POP bow system may transfer occlusal plane information more accurately than the facebow system in the frontal view, regardless of clinical experience.
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Affiliation(s)
- Dae-Sung Kim
- Department of Prosthodontics, Dental Research Institute, Pusan National University Dental Hospital, Yangsan, Republic of Korea
| | - So-Hyung Park
- Department of Prosthodontics, Dental and Life Sciences Institute, Education and Research Team for Life Science on Dentistry, School of Dentistry, Pusan National University, Yangsan, Republic of Korea
| | - Jong-Ju Ahn
- Department of Prosthodontics, Dental and Life Sciences Institute, Education and Research Team for Life Science on Dentistry, School of Dentistry, Pusan National University, Yangsan, Republic of Korea
| | - Chang-Mo Jeong
- Department of Prosthodontics, Dental Research Institute, Pusan National University Dental Hospital, Yangsan, Republic of Korea
- Department of Prosthodontics, Dental and Life Sciences Institute, Education and Research Team for Life Science on Dentistry, School of Dentistry, Pusan National University, Yangsan, Republic of Korea
| | - Mi-Jung Yun
- Department of Prosthodontics, Dental Research Institute, Pusan National University Dental Hospital, Yangsan, Republic of Korea
- Department of Prosthodontics, Dental and Life Sciences Institute, Education and Research Team for Life Science on Dentistry, School of Dentistry, Pusan National University, Yangsan, Republic of Korea
| | - Jung-Bo Huh
- Department of Prosthodontics, Dental Research Institute, Pusan National University Dental Hospital, Yangsan, Republic of Korea
- Department of Prosthodontics, Dental and Life Sciences Institute, Education and Research Team for Life Science on Dentistry, School of Dentistry, Pusan National University, Yangsan, Republic of Korea
| | - So-Hyoun Lee
- Department of Prosthodontics, Dental Research Institute, Pusan National University Dental Hospital, Yangsan, Republic of Korea
- Department of Prosthodontics, Dental and Life Sciences Institute, Education and Research Team for Life Science on Dentistry, School of Dentistry, Pusan National University, Yangsan, Republic of Korea
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Karasan D, Sailer I, Lee H, Demir F, Zarauz C, Akca K. Occlusal adjustment of 3-unit tooth-supported fixed dental prostheses fabricated with complete-digital and -analog workflows: A crossover clinical trial. J Dent 2023; 128:104365. [PMID: 36403691 DOI: 10.1016/j.jdent.2022.104365] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/10/2021] [Revised: 10/31/2022] [Accepted: 11/11/2022] [Indexed: 11/19/2022] Open
Abstract
AIM This prospective crossover clinical trial aimed to compare the complete-digital and -analog workflows in terms of occlusal adjustment of 3-unit tooth-supported fixed dental prostheses, operator, and patient preferences. MATERIALS AND METHOD This study included twelve patients receiving fourteen 3-unit posterior FDPs. 2 FDPs were made for each restoration site: one fabricated in complete-digital workflow comprising intraoral scan with static bite registration (Trios 3) and a monolithic zirconia FDP (test); the other fabricated in complete-analog workflow comprising conventional impression/face-bow transfer and a porcelain-fused-to-metal FDP (control). The FDPs (n=28) were intraorally/provisionally fixed, and quadrant-like intraoral scans were taken for every FDP before & after their occlusal adjustments. Pre- and post-adjustment scans of each FDP were then superimposed using best-fit alignment (GOM Inspect) to measure the volumetric occlusal adjustment amount (mm3) (3Matic) (Mann Whitney U, α=0.05). The patient and operator experience for digital and analog workflows were evaluated using visual analog scales (Wilcoxon test, α=0.05). RESULTS Mean occlusal adjustments were 7.63 mm3 [±7.02] and 25.95 mm3 [±39.61] for test and control groups, respectively. The volumetric adjustment difference was clinically noticeable but not significant (P=0.12). The impression and digital workflow adjustment were perceived more favorably by both operator (P=0.003, P=0.046, respectively) and the patients (P=0.003, P=0.002, respectively). CONCLUSIONS Within the limitations of this clinical study, the complete digital workflow with digital static bite-registration provided high occlusal accuracy for short-span tooth-supported FDPs. In addition, the patient and operator preferences significantly favored the digital workflow. CLINICAL SIGNIFICANCE Complete-digital workflow employing intraoral scanning and model-free fabrication of monolithic-Zr short-span tooth-supported FDPs offers an effective treatment modality with sufficient occlusal accuracy. Therefore complete-digital workflow is a valid alternative for complete-analog workflow comprising conventional impression, face-bow transfer, and use of a semi-adjustable articulator.
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Affiliation(s)
- Duygu Karasan
- Division of Fixed Prosthodontics and Biomaterials, University Clinics for Dental Medicine, University of Geneva, Geneva, Switzerland.
| | - Irena Sailer
- Division of Fixed Prosthodontics and Biomaterials, University Clinics for Dental Medicine, University of Geneva, Geneva, Switzerland
| | - Hyeonjong Lee
- Department of Prosthodontics, College of Dentistry, Yonsei University, Seoul, South Korea
| | - Fatmanur Demir
- Department of Prosthodontics, Faculty of Dentistry, Hacettepe University, Ankara, Turkey
| | - Cristina Zarauz
- Division of Fixed Prosthodontics and Biomaterials, University Clinics for Dental Medicine, University of Geneva, Geneva, Switzerland
| | - Kivanc Akca
- Department of Prosthodontics, Faculty of Dentistry, Hacettepe University, Ankara, Turkey
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Casazza E, Orthlieb JD, Giraudeau A, Ré JP. Balkwill's angle, occlusal plane, mandibular shape, and curve of Spee. Cranio 2022:1-9. [PMID: 35019827 DOI: 10.1080/08869634.2021.2024992] [Citation(s) in RCA: 2] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/19/2022]
Abstract
OBJECTIVE This study proposes a cephalometric method to determine an individual radius of the curve of Spee in cases of occlusal prosthetic rehabilitation. METHODS A retrospective study was conducted on 469 lateral cephalograms. Statistical analysis was performed. Correlations were computed using simple regression, Z tests, paired t-tests, and one-way repeated measures ANOVA. RESULTS Regression calculations supported a link between the radius of the curve of Spee and occlusal plane inclination, Balkwill's angle, mandibular parameters (MP), with MP = corpus - ramus + Bonwill height. Based on MP, data that are accessible even in the absence of teeth, a regression formula can be proposed to provide an individualized estimation of the radius of the Spee curve (RCS): RCS = 0.624 * MP + 26.583. CONCLUSION This study proposes an individualized estimation of the RCS from only skeletal mandibular parameters: the length of the ramus, length of the corpus, and the Bonwill height.
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Affiliation(s)
- Estelle Casazza
- Aix-Marseille University, School of Dentistry, Marseille, France
- APHM, Timone Hospital, Marseille, France
- ADES, CNRS, EFS, Aix-Marseille University, Marseille, France
| | - Jean-Daniel Orthlieb
- Aix-Marseille University, School of Dentistry, Marseille, France
- APHM, Timone Hospital, Marseille, France
| | - Anne Giraudeau
- Aix-Marseille University, School of Dentistry, Marseille, France
- APHM, Timone Hospital, Marseille, France
| | - Jean-Philippe Ré
- Aix-Marseille University, School of Dentistry, Marseille, France
- APHM, Timone Hospital, Marseille, France
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Li J, Galli M, Chen Z, Venezia P, Mangano F, Lepidi L. A novel digital technique for maintaining maxillomandibular relations in fixed prosthetic rehabilitations. J Dent 2021; 114:103798. [PMID: 34517071 DOI: 10.1016/j.jdent.2021.103798] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/02/2021] [Revised: 08/15/2021] [Accepted: 08/20/2021] [Indexed: 10/20/2022] Open
Abstract
INTRODUCTION In fixed prosthetic rehabilitations, the restorations must be designed and fabricated in a proper maxillomandibular relationship, with correct vertical dimensions of occlusion (VDO) and centric relation (CR). This short communication introduces a novel digital technique that allows to obtain the maxillomandibular record and transfer it throughout the treatment procedure. METHODS The protocol consisted of the following steps: 1. scan-jig planning and production; 2. maxillomandibular record prior to tooth preparation; 3. sequential tooth preparation and post-operative data recording through a cut-out and re-scan protocol; 4. control of the pre- and post-operative alignment of the scans in the correct VDO and CR, design and delivery of the definitive restorations. RESULTS There was no clinical difference in the spatial positions of the virtual models and the relationships between the arches throughout every step of the treatment. CONCLUSION The main advantages of this technique are that it allows to maintain the therapeutic maxillomandibular relationship after its clinical evaluation, to reduce chair time and to avoid inaccuracies determined by multiple bite registrations.
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Affiliation(s)
- Junying Li
- Department of Periodontics and Oral Medicine, University of Michigan School of Dentistry, Ann Arbor, MI, United States.
| | - Matthew Galli
- Department of Periodontics and Oral Medicine, University of Michigan School of Dentistry, Ann Arbor, MI, United States.
| | - Zhaozhao Chen
- Department of Periodontics and Oral Medicine, University of Michigan School of Dentistry, Ann Arbor, MI, United States.
| | - Pietro Venezia
- Department of Prosthodontics, school of dentistry, University of Catania, 95131 Catania, Italy
| | - Francesco Mangano
- Department of Pediatrics, Preventive Dentistry and Orthodontics, Sechenov First State Medical University, Moscow, Riussian Federation
| | - Luca Lepidi
- Department of Clinical and Experimental Medicine, University of Foggia School of Dentistry, Foggia, Italy.
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Stamm T, Böttcher D, Kleinheinz J. The University Münster model surgery system for orthognathic surgery - The digital update. Head Face Med 2021; 17:31. [PMID: 34301272 PMCID: PMC8299672 DOI: 10.1186/s13005-021-00278-y] [Citation(s) in RCA: 4] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/25/2021] [Accepted: 06/29/2021] [Indexed: 11/10/2022] Open
Abstract
Aim The aim of this work is to present a digital methodology of a conventional articulator based planning protocol. Methods The digital counterpart consists of intra-oral scans (3Shape) and a free available 3D mesh software (Meshmixer, Autodesk). The maxillary position in relation to the reference plane used and the arbitrary hinge axis were determined mathematically from landmarks on cephalometric x-rays and frontal photographs. Distances and angles were calculated to virtually mount the digital jaws in Meshmixer’s wold frame. Virtual planning is done by cloning and moving the jaws according to the preliminary surgery plan. The spatial movements of the jaws are measured by attached reference points. Results This digital approach eliminate the need for articulator hardware and laboratory plaster work. It enables all planning scenarios as they are also possible with conventional plaster-based procedures. The method is time-saving, practical and cost-effective. Standard dimensions of articulators and face-bows have been incorporated in the implementation. This reduction of individual patient values puts the accuracy of the presented method within the range of conventional model surgery. Conclusion Arbitrary planning will continue to have its place in orthognathic surgery, especially when digital methods can improve the overall process. The method presented can be seen as a cost-effective alternative for patients who do not require technically complex planning.
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Affiliation(s)
- Thomas Stamm
- Senior Lecturer, Department Orthodontics, University of Münster, Albert-Schweitzer-Campus 1, Gebäude W 30, Münster, D-48149, Germany.
| | - Dennis Böttcher
- Orthodontist, Department Orthodontics, University of Münster, Albert-Schweitzer-Campus 1, Gebäude W 30, Münster, D-48149, Germany
| | - Johannes Kleinheinz
- Head of Department, Department of Cranio-Maxillofacial Surgery, University Hospital Münster, Albert-Schweitzer-Campus 1, Gebäude W 30, Münster, D-48149, Germany
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Mehl A. Is it possible to detect a true rotation axis of the temporomandibular joint with common pantographic methods? A fundamental kinematic analysis. Comput Methods Biomech Biomed Engin 2020; 23:445-455. [DOI: 10.1080/10255842.2020.1724975] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/24/2022]
Affiliation(s)
- Albert Mehl
- Division of Computerized Dentistry, Center for Dental Medicine, University of Zurich, Zurich, Switzerland
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Petre A, Drafta S, Stefanescu C, Oancea L. Virtual facebow technique using standardized background images. J Prosthet Dent 2018; 121:724-728. [PMID: 30580985 DOI: 10.1016/j.prosdent.2018.07.008] [Citation(s) in RCA: 22] [Impact Index Per Article: 3.7] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/06/2018] [Revised: 07/18/2018] [Accepted: 07/19/2018] [Indexed: 10/27/2022]
Abstract
The procedure described provides a novel and accessible virtual facebow transfer based on standardized photographs loaded in the virtual articulator module of a computer-assisted design and computer-assisted manufacturing (CAD-CAM) software program for dental applications. The practical application of the technique in a digital workflow is the correct alignment of the digital maxillary cast to the virtual articulator with respect to the patient's planes and the skin markings of the condylar axis.
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Affiliation(s)
- Alexandru Petre
- Professor, Occlusion and Fixed Prosthodontic Department, "Carol Davila" University of Medicine and Pharmacy, Bucharest, Romania
| | - Sergiu Drafta
- Senior Lecturer, Occlusion and Fixed Prosthodontic Department, "Carol Davila" University of Medicine and Pharmacy, Bucharest, Romania
| | - Cosmin Stefanescu
- Resident in Prosthodontics, Occlusion and Fixed Prosthodontic Department, "Carol Davila" University of Medicine and Pharmacy, Bucharest, Romania
| | - Luminita Oancea
- Lecturer, Occlusion and Fixed Prosthodontic Department, "Carol Davila" University of Medicine and Pharmacy, Bucharest, Romania.
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Zimmermann M, Ender A, Attin T, Mehl A. Accuracy of Buccal Scan Procedures for the Registration of Habitual Intercuspation. Oper Dent 2018; 43:573-580. [DOI: 10.2341/17-272-c] [Citation(s) in RCA: 10] [Impact Index Per Article: 1.7] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/23/2022]
Abstract
SUMMARY
Clinical Relevance:
Accurate reproduction of the jaw relationship is important in many fields of dentistry. Maximum intercuspation can be registered with digital buccal scan procedures implemented in the workflow of many intraoral scanning systems.
Objective:
The aim of this study was to investigate the accuracy of buccal scan procedures with intraoral scanning devices for the registration of habitual intercuspation in vivo. The hypothesis was that there is no statistically significant difference for buccal scan procedures compared to registration methods with poured model casts.
Methods and Materials:
Ten individuals (full dentition, no dental rehabilitations) were subjects for five different habitual intercuspation registration methods: (CI) poured model casts, manual hand registration, buccal scan with inEOS X5; (BC) intraoral scan, buccal scan with CEREC Bluecam; (OC4.2) intraoral scan, buccal scan with CEREC Omnicam software version 4.2; (OC4.5β) intraoral scan, buccal scan with CEREC Omnicam version 4.5β; and (TR) intraoral scan, buccal scan with Trios 3. Buccal scan was repeated three times. Analysis of rotation (Rot) and translation (Trans) parameters was performed with difference analysis software (OraCheck). Statistical analysis was performed with one-way analysis of variance and the post hoc Scheffé test (p<0.05).
Results:
Statistical analysis showed no significant (p>0.05) differences in terms of translation between groups CI_Trans (98.74±112.01 μm), BC_Trans (84.12±64.95 μm), OC4.2_Trans (60.70±35.08 μm), OC4.5β_Trans (68.36±36.67 μm), and TR_Trans (66.60±64.39 μm). For rotation, there were no significant differences (p>0.05) for groups CI_Rot (0.23±0.25°), BC_Rot (0.73±0.52°), OC4.2_Rot (0.45±0.31°), OC4.5β_Rot (0.50±0.36°), and TR_Rot (0.47±0.65°).
Conclusions:
Intraoral scanning devices allow the reproduction of the static relationship of the maxillary and mandibular teeth with the same accuracy as registration methods with poured model casts.
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Affiliation(s)
- M Zimmermann
- Moritz Zimmermann, Dr. med. dent., Center of Dental Medicine, Department of Computerized Restorative Dentistry, University of Zurich, Zurich, Switzerland
| | - A Ender
- Andreas Ender, Dr. med. dent., Center of Dental Medicine, Department of Computerized Restorative Dentistry, University of Zurich, Zurich, Switzerland
| | - T Attin
- Thomas Attin, Prof. Dr. med. dent., Center of Dental Medicine, Clinic of Preventive Dentistry, Periodontology and Cariology, University of Zurich, Zurich, Switzerland
| | - A Mehl
- Albert Mehl, Prof. Dr. rer. nat. Dr. med. dent., Center of Dental Medicine, Department of Computerized Restorative Dentistry, University of Zurich, Zurich, Switzerland
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Nagy WW, Goldstein GR. Facebow Use in Clinical Prosthodontic Practice. J Prosthodont 2018; 28:772-774. [DOI: 10.1111/jopr.12944] [Citation(s) in RCA: 10] [Impact Index Per Article: 1.7] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 05/12/2018] [Indexed: 11/30/2022] Open
Affiliation(s)
- William W. Nagy
- Department of Restorative SciencesTexas A&M University College of Dentistry Dallas TX
| | - Gary R. Goldstein
- Department of ProsthodonticsNew York University College of Dentistry New York NY
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Reproduction accuracy of articulator mounting with an arbitrary face-bow vs. average values-a controlled, randomized, blinded patient simulator study. Clin Oral Investig 2018; 23:1007-1014. [PMID: 29926254 DOI: 10.1007/s00784-018-2499-6] [Citation(s) in RCA: 9] [Impact Index Per Article: 1.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/19/2017] [Accepted: 05/29/2018] [Indexed: 10/28/2022]
Abstract
OBJECTIVES The benefit from positioning the maxillary casts with the aid of face-bows has been questioned in the past. Therefore, the aim of this study was to investigate the reliability and validity of arbitrary face-bow transfers compared to a process solely based on the orientation by means of average values. For optimized validity, the study was conducted using a controlled, randomized, anonymized, and blinded patient simulator study design. MATERIAL AND METHODS Thirty-eight undergraduate dental students were randomly divided into two groups; both groups were applied to both methods, in opposite sequences. Investigated methods were the transfer of casts using an arbitrary face-bow in comparison to the transfer using average values based on Bonwill's triangle and the Balkwill angle. The "patient" used in this study was a patient simulator. All casts were transferred to the same individual articulator, and all the transferred casts were made using type IV special hard stone plaster; for the attachment into the articulator, type II plaster was used. A blinded evaluation was performed based on three-dimensional measurements of three reference points. RESULTS The results are presented three-dimensionally in scatterplots. Statistical analysis indicated a significantly smaller variance (Student's t test, p < 0.05) for the transfer using a face-bow, applicable for all three reference points. CONCLUSIONS The use of an arbitrary face-bow significantly improves the transfer reliability and hence the validity. CLINICAL RELEVANCE To simulate the patient situation in an individual articulator correctly, casts should be transferred at least by means of an arbitrary face-bow.
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von Stein-Lausnitz M, Sterzenbach G, Helm I, Zorn A, Blankenstein FH, Ruge S, Kordaß B, Beuer F, Peroz I. Does a face-bow lead to better occlusion in complete dentures? A randomized controlled trial: part I. Clin Oral Investig 2017; 22:773-782. [PMID: 28674819 DOI: 10.1007/s00784-017-2152-9] [Citation(s) in RCA: 5] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/15/2015] [Accepted: 06/08/2017] [Indexed: 11/28/2022]
Abstract
OBJECTIVES In a double-blinded randomized controlled clinical trial, the impact of face-bow registration for remounting complete dentures (CDs) on the occlusal parameters (part I) was evaluated. MATERIALS AND METHODS New CDs of 32 patients were duplicated and mounted after intraoral pin registration according to mean settings (group 1) and (group 2) using a face-bow (arbitrary hinge axis). The vertical dimension was reduced to the first occlusal contact point, and a bite record was fabricated in the articulator. The number of contacts and the number of teeth in contact were evaluated by a computer program (laboratory result). After randomization, half of the CDs were adjusted according to protocol of group 1 and group 2 and delivered to the patients. After 3 days (T1) and 84 days (T2), clinical static contact points and teeth in contact were counted. Contact points and teeth in contact of both groups (laboratory results) and at different moments (clinical results) were analyzed statistically with the F test and bootstrapping. RESULTS Laboratory: No. 2 (face-bow) showed more occlusal contact points than no. 1 (mean setting), p > 0.05. The number of teeth with at least one occlusal contact was significantly higher in no. 2 (p = 0.027). Clinic: The mean number of teeth with at least one clinical contact point was significantly higher in no. 1 (no. 1 = 7.13, no. 2 = 5.31; p = 0.042). Extent of the vertical shift poorly correlated with number of laboratory occlusal contact points (R 2 = 0.017). CONCLUSIONS Considering the complex multistep study design, a limited number of participants, and referring to one specific arbitrary face-bow, the following conclusion could be drawn: no substantial difference by the use of the arbitrary face-bow compared to a mean setting could be determined, when changing the vertical dimension in the articulator within a remounting procedure of complete dentures. CLINICAL RELEVANCE Further research is necessary to determine the effects of different arbitrary face-bows on the fabrication and adaptation of removable dentures.
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Affiliation(s)
- Manja von Stein-Lausnitz
- Department of Prosthodontics, Geriatric Dentistry and Craniomandibular Disorders, Charité - Universitätsmedizin Berlin, corporate member of Freie Universität Berlin, Humboldt-Universität zu Berlin, and Berlin Institute of Health, Aßmannshauser Str 4-6, 14197, Berlin, Germany.
| | - Guido Sterzenbach
- Department of Prosthodontics, Geriatric Dentistry and Craniomandibular Disorders, Charité - Universitätsmedizin Berlin, corporate member of Freie Universität Berlin, Humboldt-Universität zu Berlin, and Berlin Institute of Health, Aßmannshauser Str 4-6, 14197, Berlin, Germany
| | - Iven Helm
- Department of Prosthodontics, Geriatric Dentistry and Craniomandibular Disorders, Charité - Universitätsmedizin Berlin, corporate member of Freie Universität Berlin, Humboldt-Universität zu Berlin, and Berlin Institute of Health, Aßmannshauser Str 4-6, 14197, Berlin, Germany
| | - Antje Zorn
- Department of Prosthodontics, Geriatric Dentistry and Craniomandibular Disorders, Charité - Universitätsmedizin Berlin, corporate member of Freie Universität Berlin, Humboldt-Universität zu Berlin, and Berlin Institute of Health, Aßmannshauser Str 4-6, 14197, Berlin, Germany
| | - Felix H Blankenstein
- Department of Prosthodontics, Geriatric Dentistry and Craniomandibular Disorders, Charité - Universitätsmedizin Berlin, corporate member of Freie Universität Berlin, Humboldt-Universität zu Berlin, and Berlin Institute of Health, Aßmannshauser Str 4-6, 14197, Berlin, Germany
| | - Sebastian Ruge
- Department of Digital Dentistry - Occlusion and Function Therapy, Centre of Dentistry and Oral Health, Ernst Moritz Arndt University of Greifswald, 17475, Greifswald, Germany
| | - Bernd Kordaß
- Department of Digital Dentistry - Occlusion and Function Therapy, Centre of Dentistry and Oral Health, Ernst Moritz Arndt University of Greifswald, 17475, Greifswald, Germany
| | - Florian Beuer
- Department of Prosthodontics, Geriatric Dentistry and Craniomandibular Disorders, Charité - Universitätsmedizin Berlin, corporate member of Freie Universität Berlin, Humboldt-Universität zu Berlin, and Berlin Institute of Health, Aßmannshauser Str 4-6, 14197, Berlin, Germany
| | - Ingrid Peroz
- Department of Prosthodontics, Geriatric Dentistry and Craniomandibular Disorders, Charité - Universitätsmedizin Berlin, corporate member of Freie Universität Berlin, Humboldt-Universität zu Berlin, and Berlin Institute of Health, Aßmannshauser Str 4-6, 14197, Berlin, Germany
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13
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Influence of a face-bow on oral health-related quality of life after changing the vertical dimension in the articulator: a randomized controlled trial. Part II. Clin Oral Investig 2017; 22:433-442. [PMID: 28567529 DOI: 10.1007/s00784-017-2130-2] [Citation(s) in RCA: 5] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/28/2016] [Accepted: 05/15/2017] [Indexed: 10/19/2022]
Abstract
OBJECTIVES In a double-blind randomized controlled clinical trial, the impact of face-bow registration for remounting complete dentures (CDs) on oral health-related quality of life (OHRQoL) was evaluated. MATERIALS AND METHODS New CDs of 32 subjects were clinically remounted using intraoral pin registration. CDs were transferred into a semi-adjustable articulator corresponding to group #1: mean settings with Bonwill triangle and Balkwill angle, and group #2: arbitrary hinge axis with a face-bow registration. After occlusal adjustment, subjects were followed up after 3 (T1) and 84 (T2) days. The primary outcome was the change of OHRQoL by OHIP-G49, while as secondary outcome, mucosal alterations were evaluated over time. Mean values of OHIP-G49 total sum scores and OHIP-dimensions were calculated for baseline (T0) and days 3 (T1) and 84 (T2) after intervention. Based on bootstrapping methods (changes of total OHIP sum score) and the Wilcoxon test (changes of sum scores of OHIP dimensions), analyses of between-group differences were performed. RESULTS Mean values (MV) of OHIP-G49 sum scores decreased in both groups from T0 (#1 48.56; #2 45.46) to T1 (#1 31.43 (p = 0.012); #2 43.20) and to T2 (#1 29.06; #2 29.40), which represents an improvement in OHRQoL. MV of OHIP-dimension sum scores decreased from T0 to T1 in both groups (#1 seven dimensions; #2 four dimensions); the decrease of sum scores was tested as not statistically significant (p > 0.05). CONCLUSIONS From the patient's perspective, mean-value-based remounting methods are of value. The use of a face-bow was not perceived as superior. CLINICAL RELEVANCE From the patient's perspective, remounting of CDs will be positively perceived, irrespective of the use of a face-bow.
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Galeković NH, Fugošić V, Braut V, Ćelić R. Influence of the Hinge Axis Transfer Modality on the Three-Dimensional Condylar Shift Between the Centric Relation and the Maximum Intercuspation Positions. Acta Stomatol Croat 2016; 49:36-44. [PMID: 27688384 DOI: 10.15644/asc49/1/5] [Citation(s) in RCA: 7] [Impact Index Per Article: 0.9] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/31/2022] Open
Abstract
PURPOSE The purpose of the study was to determine whether the hinge axis registration and the transfer modality (facebow transfer vs. average mounting) from the subject to the articulator affect the three-dimensional condylar shift between the centric relation (CR) and the maximum intercuspation (MI) position. MATERIAL AND METHODS The study was comprised of 32 fully dentate subjects (16 male and 16 female). Only the asymptomatic participants with normal occlusal relations (Angle class I) aged 20 - 33 (mean age 22.6 ± 4.7) met the inclusion criteria. Three-dimensional condylar shift (anteroposterior, superoinferior and mediolateral shift) between the centric relation position (CR) and the maximum intercuspation (MI) position was analyzed by means of Mandibular Position Indicator (SAM Prazisionstechnik GmbH, Muenchen, Germany). RESULTS The average three-dimensional condylar shift was 0.13 ± 0.12 mm for facebow transfer and 0.22 ± 0.23 mm for average mounting. There were no statistically significant differences noted between genders. The results of the Mann-Whitney test showed statistically significant differences for anteroposterior and superoinferior condylar shift (P < 0.001). However, the difference in the mediolateral shift was not statistically significant. CONCLUSIONS In order to find discrepancies within the three-dimensional condylar shift, facebow transfer proved to be more accurate than the average mounting in the semi-adjustable articulator. However, the average value of three-dimensional shifts of the condyle did not differ from normal values and they did not have clinical significance. Thus, both ways of transfer modalities (facebow transfer and average mounting) in asymptomatic subjects with normal occlusion can be considered reliable.
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Affiliation(s)
| | - Vesna Fugošić
- - Department of Prosthodontics, Medical Faculty, University of Rijeka, Kresimirova 40, 51 000 Rijeka, Croatia
| | - Vedrana Braut
- - Department of Prosthodontics, Medical Faculty, University of Rijeka, Kresimirova 40, 51 000 Rijeka, Croatia
| | - Robert Ćelić
- - Robert Ćelić, Department of Removable Prosthodontics, School of Dental Medicine, University of Zagreb, Croatia
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15
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An in vitro study into the accuracy of a novel method for recording the mandibular transverse horizontal axis. J Dent 2014; 42:122-8. [PMID: 24315880 DOI: 10.1016/j.jdent.2013.11.019] [Citation(s) in RCA: 10] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/24/2013] [Revised: 11/26/2013] [Accepted: 11/28/2013] [Indexed: 11/22/2022] Open
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