Jaw movements and articulator Flashcards

1
Q

What is the Terminal Hinge Axis (THA)?

A

The fixed axis around which the mandible rotates during the initial 20 mm of mouth opening. No translation occurs here.

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2
Q

What happens after 20 mm of jaw opening?

A

The condyles begin translating β€” moving forward and downward along the articular eminence.

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3
Q

Which muscle helps open the jaw?

A

Digastric muscle πŸͺ’ – assists in depressing the mandible (mouth opening).

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4
Q

Which muscle is responsible for protrusion and lateral movement?

A

Lateral Pterygoid muscle πŸ”§ – assists in protrusion and moving the jaw side-to-side.

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5
Q

Name the primary muscles of mastication and their functions.

A
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6
Q

What are the β€˜working’ and β€˜non-working’ sides?

A

Working side 🟑 = side jaw moves towards
Non-working side ⚫ = opposite condyle, moves down, forward, medially

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7
Q

What is Immediate Side Shift (ISS)?

A

A quick medial movement of the non-working condyle at the beginning of lateral movement β€” now considered possibly inaccurate ❌.

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8
Q

What is Progressive Side Shift (PSS)?

A

A gradual medial movement of the non-working condyle as the jaw continues its lateral movement βœ….

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9
Q

What is Canine Guidance?

A

Only the canines contact during lateral movements 🐢, protecting posterior teeth from horizontal forces.

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10
Q

What is Group Function?

A

Multiple posterior teeth contact during lateral excursions πŸ‘₯ β€” can be natural but risky in restored dentitions ⚠️.

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11
Q

When does canine guidance change to group function?

A

Often occurs if the canine is lost, worn down, or heavily restored 😬.

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12
Q

What is the purpose of an articulator?

A

Simulates jaw movement
Allows accurate crown/denture/splint fabrication
Assesses occlusion
πŸ› οΈ Helps ensure restorations conform to patient’s real jaw movements.

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13
Q

What can a Simple Hinge articulator replicate?

A

Only opening/closing and ICP
No lateral or protrusive movement ❌
πŸ“Œ Use: Basic restorations like MCC UL4.

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14
Q

What are the key features of an Average Value articulator?

A

Pre-set values:
Condylar guidance = 30Β°
Condyle distance = 110 mm
Condyle to incisal edge = 110 mm
Can replicate:
ICP
Opening/closing
Limited lateral movement
❌ Cannot be customised to patient
πŸ§ͺ Use: Dentures, basic partials

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15
Q

What can a Semi-Adjustable articulator simulate?
πŸ’¬

A

βœ…

ICP, RCP
Protrusive movements
Lateral excursions (ISS & PSS)
πŸ§ͺ Use:
FVC with group function
Canine guidance MCC LR3

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16
Q

What records are needed for a semi-adjustable articulator?

A

πŸ“ Facebow + interocclusal records (e.g., wax bite)

17
Q

What makes a Fully Adjustable articulator unique?

A

βœ… Can replicate:

Hinge axis
Intercondylar width
All condylar angles
ISS & PSS
ICP, RCP, lateral & protrusive movements
⚠️ Requires axiographic tracing
Rarely used due to complexity + patient record limitations.

18
Q

What does a facebow record do?

A

Records the spatial relationship between the maxilla and hinge axis of the TMJ πŸ“.

19
Q

What is an interocclusal record?

A

A wax/silicone record of how upper and lower teeth contact, used for accurate mounting on an articulator πŸ•―οΈ.

20
Q

You’re making an MCC for UL4 with no occlusal changes. Which articulator?

A

Simple Hinge β€” only ICP matters.

21
Q

Making an upper partial denture for a patient with group function. Which articulator?

A

πŸ’¬ βš–οΈ Average Value β€” sufficient for general movement simulation.

22
Q

FVC with group function, patient has complex lateral movements. Which articulator?

A

Semi-Adjustable β€” allows accurate simulation of excursions.

23
Q

MCC on LR3, patient has canine guidance. Which articulator?

A

Semi-Adjustable β€” to preserve occlusal scheme and avoid interferences.

24
Q

Name 4 Types of articulators