Face-bow

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Skull model fitted with a face bow Facebow.jpg
Skull model fitted with a face bow

A face-bow is a dental instrument used in the field of prosthodontics. Its purpose is to transfer functional and aesthetic components from patient's mouth to the dental articulator. Specifically, it transfers the relationship of maxillary arch and temporomandibular joint to the casts. It records the upper model's (maxilla) relationship to the External Acoustic Meatus, in the hinge axis. It aids in mounting maxillary cast on the articulator.

Contents

Parts of Face-bow

U-shaped frame - forms the main part of the frame with remaining components attached to it by clamps. Frame extends from the region of TMJ or external acoustic meatus to a distance of 2-3 inches in front of the face. [1]

Condylar rods – are positioned 13 mm anterior to the auditory meatus on the Canto-Tragal line. This placement generally locates the rods within 5 mm of the true centre of the opening hinge axis of the jaw. [1]

Bite fork – consist of stem and prongs. Wax material is usually attached to the bite fork, and the bite fork is held in contact with maxillary jaw or mandibular jaw in kinematic face-bow. [1]

Locking device – helps to attach the bite fork to the U-shaped frame. [1]

Orbital pointer with clamp – used as a third reference point. The pointer tip is placed in the contact with infraorbital notch which is 43 mm above the incisal edge of the right incisors. [1]

Types

History

George B. Snow is credited as the inventor of face-bow. [2] In his version of face-bow, he positioned the plaster cast in the articulator in respect to distance of median incisal point from the condyles and all the other points on the occlusal plane. Snow attempted to give the occlusal plane an individual position also in this third dimension : and in order to achieve this he set about as follows. He fixed his bite-fork in the upper occlusion rim in such away that the handle, when the rim was placed in the patient's mouth. was parallel with a plane extending from the bottom of the glenoid fossa and passing through the anterior nasal spine. This plane cannot be determined directly on a living person; but it approximately corresponds with a line drawn from the upper part of the tragus to the lower edge of the nostril. In American literature, this plane is known as the Bromell plane, in Europe as the Camper plane. Snow then placed the bite-fork horizontally when the casts were mounted in the articulator.[ citation needed ]

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Maxilla

The maxilla in vertebrates is the upper fixed bone of the jaw formed from the fusion of two maxillary bones. In humans, the upper jaw includes the hard palate in the front of the mouth. The two maxillary bones are fused at the intermaxillary suture, forming the anterior nasal spine. This is similar to the mandible, which is also a fusion of two mandibular bones at the mandibular symphysis. The mandible is the movable part of the jaw.

Lacrimal bone

The lacrimal bone is a small and fragile bone of the facial skeleton; it is roughly the size of the little fingernail. It is situated at the front part of the medial wall of the orbit. It has two surfaces and four borders. Several bony landmarks of the lacrimal bone function in the process of lacrimation or crying. Specifically, the lacrimal bone helps form the nasolacrimal canal necessary for tear translocation. A depression on the anterior inferior portion of the bone, the lacrimal fossa, houses the membranous lacrimal sac. Tears or lacrimal fluid, from the lacrimal glands, collect in this sac during excessive lacrimation. The fluid then flows through the nasolacrimal duct and into the nasopharynx. This drainage results in what is commonly referred to a runny nose during excessive crying or tear production. Injury or fracture of the lacrimal bone can result in posttraumatic obstruction of the lacrimal pathways.

Snake skeleton

A snake skeleton consists primarily of the skull, vertebrae, and ribs, with only vestigial remnants of the limbs.

Maxillary central incisor

The maxillary central incisor is a human tooth in the front upper jaw, or maxilla, and is usually the most visible of all teeth in the mouth. It is located mesial to the maxillary lateral incisor. As with all incisors, their function is for shearing or cutting food during mastication (chewing). There is typically a single cusp on each tooth, called an incisal ridge or incisal edge. Formation of these teeth begins at 14 weeks in utero for the deciduous (baby) set and 3–4 months of age for the permanent set.

Articulator

An articulator is a mechanical hinged device used in dentistry to which plaster casts of the maxillary (upper) and mandibular (lower) jaw are fixed, reproducing some or all the movements of the mandible in relation to the maxilla. The human maxilla is fixed and the scope of movement of the mandible is dictated by the position and movements of the bilateral temperomandibular joints, which sit in the glenoid fossae in the base of the skull. The temperomandibular joints are not a simple hinge but rotate and translate forward when the mouth is opened.

Zygomatic process

The zygomatic processes are three processes (protrusions) from other bones of the skull which each articulate with the zygomatic bone. The three processes are:

Dental anatomy is a field of anatomy dedicated to the study of human tooth structures. The development, appearance, and classification of teeth fall within its purview. Tooth formation begins before birth, and the teeth's eventual morphology is dictated during this time. Dental anatomy is also a taxonomical science: it is concerned with the naming of teeth and the structures of which they are made, this information serving a practical purpose in dental treatment.

Occlusion, in a dental context, means simply the contact between teeth. More technically, it is the relationship between the maxillary (upper) and mandibular (lower) teeth when they approach each other, as occurs during chewing or at rest.

In dentistry, centric relation is the mandibular jaw position in which the head of the condyle is situated as far anterior and superior as it possibly can within the mandibular fossa/glenoid fossa.

This is a list of definitions of commonly used terms of location and direction in dentistry. This set of terms provides orientation within the oral cavity, much as anatomical terms of location provide orientation throughout the body.

In dentistry, a mutually protected occlusion is an occlusal scheme in which the anterior teeth protect the posterior teeth, and vice versa.

Cephalometric analysis is the clinical application of cephalometry. It is analysis of the dental and skeletal relationships of a human skull. It is frequently used by dentists, orthodontists, and oral and maxillofacial surgeons as a treatment planning tool. Two of the more popular methods of analysis used in orthodontology are the Steiner analysis and the Downs analysis. There are other methods as well which are listed below.

A jaw abnormality is a disorder in the formation, shape and/or size of the jaw. In general abnormalities arise within the jaw when there is a disturbance or fault in the fusion of the mandibular processes. The mandible in particular has the most differential typical growth anomalies than any other bone in the human skeleton. This is due to variants in the complex symmetrical growth pattern which formulates the mandible.

Overbite

Overbite medically refers to the extent of vertical (superior-inferior) overlap of the maxillary central incisors over the mandibular central incisors, measured relative to the incisal ridges.

Activator Appliance is an Orthodontics appliance that was developed by Viggo Andresen in 1908. This was one of the first functional appliances that was developed to correct functional jaw in the early 1900s. Activator appliance became the universal appliance that was used widely throughout Europe in the earlier part of the 20th century.

Open bite is a type of orthodontic malocclusion which has been estimated to occur in 0.6% of the people in the United States. This type of malocclusion has no vertical overlap or contact between the anterior incisors. The prevalence varies between different populations, for instance, occurring with 16% in Black people and 4% in white people. The term "open bite" was coined by Carevelli in 1842.

A complete denture is a removable appliance used when all teeth within a jaw have been lost and need to be prosthetically replaced. In contrast to a partial denture, a complete denture is constructed when there are no more teeth left in an arch, hence it is an exclusively tissue-supported prosthesis. A complete denture can be opposed by natural dentition, a partial or complete denture, fixed appliances or, sometimes, soft tissues.

Posselts envelope of motion The range of movement of the mandible

Posselt's envelope of motion or Posselt's envelope of movement refers to the range of motion of the lower jaw bone, or mandible.

Occlusion according to The Glossary of Prosthodontic Terms Ninth Edition is defined as 'the static relationship between the incising or masticating surfaces of the maxillary or mandibular teeth or tooth analogues'.

References

  1. 1 2 3 4 5 Vijay, Prakash (2017-04-22). Concise Prosthodontics- E Book : Prep Manual for Undergraduates. Gupta, Ruchi (2nd ed.). ISBN   9788131249338. OCLC   987028410.
  2. Wongsen, Thure (Sep 1953). "The face-bow, its significance and application". The Journal of Prosthetic Dentistry. 3 (5): 618–630. doi:10.1016/0022-3913(53)90057-2.