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~..Demiadjustable articulators are used for routine working condylar movement for better acceptability of lat-
restorative procedures. Before the occlusion is established, eral records. 4 The Hanau modular articulator system 194
the condylar mechanism of semiadjustable instruments is (Teledyne Hanau) was recently introduced with modifica-
adjusted with the use of the patient's lateral interocclusal tions of the condylar mechanism to simulate human work-
records. 1-4 The lateral interocclusal records are used to ing condyle movements (Fig. 1). The modular articulator
program the instrument for working condylar movement. incorporates the curved component of movement to the
Several investigators have reported that semiadjustable immediate side shift. This incorporation permits the work-
articulators do not accept lateral interocclusal records ing condylar element to follow a curved path as it shifts
made for all patients. 5 7 A clinical study by Bell and Mat- laterally (Fig. 2). The manufacturer claims that the curved
ich s evaluated the acceptability of lateral records used to path compares favorably to the movement of the working
set the condylar elements of the Whip-Mix articulator condyle that is found in patients and recommends that the
(Whip-Mix Corp., Louisville, Ky.) and reported that of 50 instrument may be set by the use of lateral interocclusal
lateral interocclusal records, 40 (80%) were accepted. Gas- records for the construction of complete dentures. 1~
ton et al. 9 reported that the Hanau Model H-2 articulator This clinical study was undertaken to determine the ac-
(Teledyne Hanau, Buffalo, N. Y.) accepted 39 (70%) of 56 ceptability of lateral interocclusal records made for eden-
lateral interocclusal records made for edentulous patients. tulous patients with the Hanau modular articulator sys-
Because semiadjustable instruments do not accept lat- tem 194.
eral records with fidelity, the use of such instruments in
fixed partial denture treatment may result in restorations MATERIAL AND METHODS
with occlusal errors in patients with immediate side shifts Thirty edentulous patients of both sexes ranging in age
and absence of an immediate anterior disclusion that re- from 35 to 55 years of age who were free of tempor0man-
quires posterior group function occlusion.47 For the same dibular joint dysfunction and local and systemic pathologic
reason semiadjustable instruments produce errors in bal- conditions were selected. Maxillary and mandibular final
ance occlusion when used for complete dentures. 5 The con- impressions were made with custom acrylic resin trays.
temporary semiadjustable instruments are provided with The custom trays were border-molded with low-fusing
modifications of condylar mechanism to simulate the compound, and impressions were made in permelastic
regular body rubber base material (Sybron/Kerr, Romulus,
Mich.). Final maxillary and mandibular edentulous casts
Supported by a grant from College of Dentistry Research Center were made in dental stone (Densite Stone, Vel-Mix, Sybron/
(CDRC) no. 1055. Kerr) for each patient. Permanent record bases were made
aAssistant Professor, Departmemt of Prosthetic Dental Sciences.
Copyright 9 1995 by The Editorial Council of THE JOURNALOF with heat-curing denture base acrylic resin. Before the pa-
PROSTHETIC DENTISTRY. tient's mouth was examined for proper extension, stability,
0022-3913/95/$5.00 + 0. 1011165832 and retention, each record base was finished and polished.
OCTOBER 1 9 ~ 409
THE JOURNAL OF PROSTHETIC DENTISTRY ABDULLAH
:~i:!?:i!iJi!i~i!~:ili!
B D
RESULTS
A total of 60 l a t e r a l interocclusal records were m a d e for
30 edentulous patients. The distribution of right and left
lateral interocclusal records either accepted or not ac-
F i g . 3. H a n a u - m o u n t , split-cast mounting plate.
cepted by the H a n a u m o d u l a r articulator are presented in
Table I. Out of the 60 l a t e r a l interocclusal records, 52 (87%)
records were accepted by the articulator. With the Z test
Table I. Distribution of right a n d left lateral used for one sample proportion, this value was found to be
interocclusal records of 30 edentulous subjects highly statistically significant (p < 0.00001).
It was also found t h a t 28 (93%) of 30 right lateral records
Accepted Not accepted
Side (%) (%) Total and 24 (80%) of 30 left l a t e r a l records were accepted by the
articulator. Application of a Z t e s t for two sample propor-
Right side 28 (93) 2 (7) 30 tions d e m o n s t r a t e d t h a t no difference existed between the
Left side 24 (80) 6 (20) 30
percentage values of acceptance of right and left l a t e r a l
Total 52 8 60
records (p 0.087).
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