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Published in: Clinical Oral Investigations 3/2019

01-03-2019 | Original Article

Reproduction accuracy of articulator mounting with an arbitrary face-bow vs. average values—a controlled, randomized, blinded patient simulator study

Authors: M. Oliver Ahlers, Daniel Edelhoff, Holger A. Jakstat

Published in: Clinical Oral Investigations | Issue 3/2019

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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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Metadata
Title
Reproduction accuracy of articulator mounting with an arbitrary face-bow vs. average values—a controlled, randomized, blinded patient simulator study
Authors
M. Oliver Ahlers
Daniel Edelhoff
Holger A. Jakstat
Publication date
01-03-2019
Publisher
Springer Berlin Heidelberg
Published in
Clinical Oral Investigations / Issue 3/2019
Print ISSN: 1432-6981
Electronic ISSN: 1436-3771
DOI
https://doi.org/10.1007/s00784-018-2499-6

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