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DENTAL INSTRUMENTATION

The History of Articulators: From Facebows


to the Gnathograph, a Brief History of
Early Devices Developed for Recording
Condylar Movement: Part II
Edgar N. Starcke, DDS

T HIS ARTICLE continues an historical review,


begun in the last issue, of landmark clinical
investigations that advanced the profession’s un-
Although Campion did not produce an articula-
tor of his own, he was concerned about misconcep-
tions relating to the opening axis of the mandible
derstanding of the nature of condylar movement. and the design of that feature in articulators. He
The investigators’ unique recording devices, devel- stated that although it had been suggested that
oped for registering and studying the movements of during the opening movement, the mandible ro-
the condyles in human subjects, are described. tated about an axis located behind and below the
condyles, he believed this description to be errone-
ous. His data showed that there could be no one
Contributions of George Campion axis about which the mandible travels in opening
and Norman Bennett movement. He interpreted this movement to be
complex, occurring about 2 axes: 1 approximately
George G. Campion, of Manchester, England,
through the centers of the condyles (rotation) and
generally supported the findings of Charles E.
the other through the centers of the curves of the 2
Luce and William E. Walker on mandibular
articulating eminences (translation). He concluded
movement. When speaking of the S or ogee form
“. . . the only part of the opening movement which
of the condylar paths, however, Campion stated
an articulator is concerned to reproduce is the
that the form and variations of the condyle paths
initial stage which is seen in the tracings to be a
show how futile the efforts must be to construct
simple rotation about an axis passing through the
an anatomical articulator. He contended that no
condyles.”1
articulator could be truly anatomical unless it
On April 27, 1908, Norman G. Bennett of Lon-
could imitate the exact condylar paths of each
don, England presented a paper on mandibular
individual patient.1 He believed that J. B. Parfitt
movement to the Royal Society of Medicine Odon-
deserved the credit for being the first to construct
tology Section. The article, originally published in
an articulator that embodied this essential prin-
the proceedings of the society that year, was re-
ciple. Campion designed an adjustable facebow
printed in its entirety in the Journal of Prosthetic
fixed to the mandibular teeth with modeling plas-
Dentistry in 1958.2
tic to graphically record the various positions of
By 1908, Bennett had been studying mandib-
the condyles on the face with a succession of dots
ular movement for several years and on this
(Fig 1). Using white blotting paper, the dots
occasion wanted to clarify “one or two aspects of
(made with a thick oil-based dye) were related to
this thorny problem” that he believed other in-
the ala-tragus line with one edge of the paper,
vestigators had not dealt with adequately. Specif-
lifted off, and transferred directly to either a
ically, he intended to show that no single fixed
paper record or a glass lantern slide.
rotation center of the condyles exists, but that
the center is constantly moving. That is, for any
Correspondence to: Edgar N. Starcke, DDS, Clinical Professor, De- normal opening movement of the mandible, a
partment of Prosthodontics, The University of Texas Health Science Center succession of instantaneous centers of rotation
at Houston Dental Branch, 6516 M.D. Anderson Boulevard, P.O. Box occurs in a curved path. The paths vary among
20068, Houston, TX 77225. E-mail: estarcke@mail.db.uth.tmc.edu
Copyright © 2002 by The American College of Prosthodontists individuals.
1059-941X/02/1101-0011$35.00/0 Other observations relating to vertical move-
doi:10.1053/jpro.2002.31438 ments of the mandible reported by Bennett in-

Journal of Prosthodontics, Vol 11, No 1 (March), 2002: pp 53-62 53


54

cluded the existence of a “definite rest position of


the mandible. . .as judged by subjective sensation” and
that the initial center of rotation of the mandible
was located behind and below the condyle. He
concluded, therefore, that altering the vertical di-
mension of occlusion on a hinge articulator would
introduce errors.2
Bennett’s description of the lateral paths of the
condyles was actually of minor consideration. Es-
sentially, the only data from this article that showed
the condylar movements that now bear his name is
illustrated in Fig 2 (movements of Bennett’s right
condyle). Line A is extreme vertical opening with
no lateral movement. Line B is extreme opening
with extreme lateral movement to the left. Line B⬘
is that of extreme opening combined with extreme
movement to the right. Lines C, C⬘ represent ex-
treme lateral movement to the left and right with
the teeth in continuous contact. Bennett’s com-
ments were, “[it] is interesting as showing that, in
Figure 1. George C. Campion’s graphic facebow device. my case at least, in movement towards the side on
Campion’s method of recording the condylar paths in- which the condyle might be expected to remain
volved placing a succession of dots on the face and trans- stationary there is quite considerable movement of
ferring the dots with blotting paper to either paper or the condyle outwards away from its articular sur-
glass. (Reprinted from Campion, p 40.1) face.”2
Although Norman Bennett was a well-respected
clinical investigator, it is remarkable nevertheless
that this single case study received so much atten-
tion and has been seen as such an important mile-

Figure 2. An illustration of
extreme opening and lateral
movements of Norman Ben-
nett’s right condyle dem-
onstrating the phenomenon
now known as the “Bennett
movement.” (Reprinted with
permission.2)
55

Figure 3. (A) Professor Alfred Gysi demonstrating man-


dibular movement. This is one of the earliest models of
Gysi’s mandibular recorders. It was designed to record
the movements of mandible at the condyles and chin in
straight opening and closing. The pencils are pointed to
record in the sagittal plane. The horizontal plates paral-
lel the occlusal plane. (Reprinted from Clapp, p 143.9)
(B) These recordings showed a downward and forward
path of the condyle. (The arm and pencil have been
removed to permit a better view of the condylar path.)
Note that the chin path scribed a loop or “teardrop”
effect. (Reprinted from Clapp, p 143.9) (C) Professor Gysi
demonstrating the lateral movements of the condyles and
chin. The pencils are turned to record on the horizontal
plane. Gysi showed that “the condyle on the ‘working
side’ moved out of the fossa away from the median line
while the advancing condyle moved strongly inward” (p
148).9 He also showed the components of the “gothic
arch” or movements of the incisor point. (Reprinted from
Clapp, p 149.9)
56

Figure 4. (A) The Gysi Con-


dyle Path Register and Acces-
sories. This was Gysi’s first
commercially available model.
It was adjustable and had 2
reversible styli ( J and K) for
tracing the condylar paths
in both the vertical and hor-
izontal planes. Horseshoe
plate A and incisor point
marker E were attached to
wax occlusion rims for
making the tracings of the
“gothic arch.” (Reprinted
from Clapp et al, p 127.10)
(B) The incisor point marker
mounted on a wax occlusion
rim and a mandibular horse-
shoe plate with a registered
incisor path. (Reprinted from
Hillyer, p 999.11)

stone in the quest for understanding mandibular biconvex lens was placed between the light bulbs
movement. It is true that his conclusions have been and the wall to control the magnification and to
found to be largely accurate; however, his method- focus the images. When the 2 light bulbs were
ology was hardly scientific. On the other hand, he turned on in a dark room, the images were pro-
did introduce basic new information and he proba- jected on the wall. The paths of the mandibular
bly never meant for his paper to be accepted for movements (appearing as dots of light) were then
more than it was: a case study. traced by his assistant on a sheet of white paper
As far as his research methodology was con- placed on the wall. Bennett stated that when the
cerned, Bennett prefaced his article by reporting lateral movements were made, he was facing the
that the information he presented was “fragmen- wall. This is interesting because the “Bennett
tary and it consists mainly of an account of some movement” is described on the horizontal plane.
experiments that I undertook some time ago, but However, to project the movement of the light
have not had the time to carry out to a full extent.”2 bulbs during a lateral condylar movement on a wall
There was only one test subject, Bennett himself, toward which he was facing would have displayed
who was assisted in the experiment by his brother. the movement on the frontal (coronal) plane. For
Bennett described his apparatus as a facebow to the image to be on the horizontal plane, it should
which were attached 2 very small light bulbs, 1 have been projected on the ceiling with the head
opposite the center of the right condyle, and 1 erect.
opposite the center of the sulcus of the lower lip. Bennett’s report did bring to the attention of the
With the facebow in place, his head was stabilized profession a concept that Balkwill had discovered
with the right side of his face parallel to a wall. A but that had been buried for over 40 years. Norman
57

Figure 5. (A) The Gysi “Con-


dyle Register,” 1910. This view
shows the technique for trac-
ing the right vertical condylar
path on a patient. Note that
the horizontal point of the re-
versible stylus is used for trac-
ing on a card held in position
by an assistant. (Reprinted
from Clapp et al, p 135.10) (B)
The Gysi “Condyle Register,”
1910. This frontal view of the
patient shows the technique
for recording the lateral (Ben-
nett) paths of the condyles.
The vertical points of the re-
versible styli are used for trac-
ing on the underside of the
horizontal frosted glass plates
that the assistant holds in po-
sition. (Reprinted from Clapp
et al, p 146.10)
58

Figure 6. (A) The Gysi Trubyte


Facebow, 1928. This com-
plete assembly consists of
the Incisor Path Marker, at-
tached to the maxillary oc-
clusion rim; the gothic arch
registering table, also at-
tached to the mandibular
occlusion rim; and the Sag-
ittal Condyle Register, fas-
tened to the gothic arch reg-
istering table by 2 anterior
horizontal rods. The tracing
flags are still held in posi-
tion by an assistant. (Re-
printed with permission.12)
(B) The Gysi Trubyte Face-
bow and Articulator, 1928.
This shows the Gysi Trubyte
articulator with the facebow
assembly in position with
mounted casts. The right
sagittal condyle path has
been set and verified at 30
degrees. By this time, Gysi
had abandoned the lateral
condyle path registration
for the controlling gothic
arch feature of the incisal
guide. (Reprinted with per-
mission.12)

Bennett may not have explored mandibular move- veloped during the course of his investigations.
ment thoroughly, but he certainly shed some light Gysi was inventive, clever, and tenacious and,
on the subject. through his painstaking analysis of the work of
his predecessors, was able to develop new instru-
ments and establish concepts of mandibular
Gysi: The “Gothic Arch” and
movements. Although his instruments have since
“Bennett Movement”
been superceded, many of his concepts remain
Alfred Gysi’s contributions to the understanding valid today.
of mandibular movement are considerable. How- In 1910, Gysi reported on his research of the
ever, this article will focus on only the early and previous 20 years in a series of articles for the Dental
more notable recording instruments that he de- Cosmos.3-6 He stated that, in 1901, he had “con-
59

Figure 7. The Snow facebow, 1924, the first instrument


used by B. B. McCollum to locate the “hinge axis.”
(Reprinted from McCollum, p 529.13)

Figure 9. (A and B) Two views of the first instrument


“to record the paths of motion of the mandible in
all three dimensions at one and the same time” (1934).13
The instrument had styli to record both the vertical and
lateral condylar paths. It also featured 2 anterior styli
located in the midline: 1 vertical to record the incisor
point and 1 horizontal to record the opening and closing
motion. (Reprinted with permission.14)

4
Figure 8. (A) Early in 1927, a 3-piece adjustable face-
bow had been developed. Cast metal clutches had
replaced the unreliable modeling plastic devices. A
maxillary facebow was added to “cover up the movable
skin to make the determination of the hinge axis more
precise.” (B) This double exposure photography shows
the “mouth dropped open” technique with only rota-
tion of the caliper pin. (Reprinted from McCollum, p
534.13)
60

structed a simple apparatus for measuring the slant A Brief Look at the Origins
of the condyle paths to the occlusal plane [condylar of Gnathology
inclination].”
In the 3 photographs shown in Fig 3, Professor Meanwhile, in Los Angeles, CA, Beverly B. McCol-
Gysi demonstrates mandibular movement with an lum, Charles E. Stuart, and Harvey Stallard were
early experimental tracing device. Figure 3A and B making history in a newly developing field of den-
shows tracings of the condylar path on the sagittal tistry. In 1924, the field was given a name: gnathol-
plane and those at the symphysis that occur with a ogy. Harvey Stallard, who coined the term, is gen-
straight opening and closing movement. erally regarded as the author of the language of
Gysi was not the first to determine the individual gnathology.
That same year, McCollum developed the first
condylar paths for articulator use, but he began to
method to locate the mandibular “hinge axis.” His
improve and refine the process for clinical purposes.
first attempt was with the use of an ordinary Snow
He was the first, however, to register the paths of
facebow. The facebow fork was modified and fas-
the incisor point in the horizontal plane. He re-
tened to the mandibular teeth with modeling plas-
ferred to the combined anterior lateral tracings as tic (Fig 7). He subsequently developed a practical
the “Gothic Arch.” He was also the first to measure adjustable mandibular hinge axis facebow with a
the lateral condylar paths (“Balkwill-Bennett” companion facebow-like device that was attached to
movements) and to incorporate this feature into an the maxillary teeth for securing the recording flags
articulator (Fig 3C). Gysi remarked that recording in position under the styli (Fig 8A and B). The
the movement of these points on the mandible was devices used for fastening the components of the
“the easiest part of the whole problem, but it took hinge axis facebow to the maxillary and mandibular
seven years to make an articulator with which to teeth evolved from facebow forks to cast aluminum
imitate these movements.”3 Gysi, of course, was custom clutches.
referring to the 2 adjustable articulators that pre- Also in 1924, Charles E. Stuart, a young grad-
ceded his “Adaptable,” introduced to US dentists in uate of the University of Southern California
1910 and patented in 1912. The “Adaptable” was School of Dentistry, joined McCollum’s research
the first articulator to include the “Balkwill-Ben- efforts. And with Harvey Stallard, Stuart was
nett” movement feature.7 These 3 Gysi articulators the guiding force who brought to a successful
appeared in the Journal of Prosthodontics March 2001 completion the work that McCollum had be-
article in this series.8 gun but was unable to complete because of a
Figure 4A shows the various components of Gy- lengthy illness resulting from a stroke he had
si’s first practical clinical version of his condylar suffered in 1949.14 He died in 1968. In 1926,
graphic-tracing device (Gysi called it the “condyle McCollum organized the Gnathological Society of
register”). In combination with his incisor point Southern California. The members and associates
marker (Fig 4B), these instruments were capable of were dedicated to McCollum’s quest to accu-
tracing the gothic arch as well as the condyle paths rately record and replicate mandibular move-
on both the vertical and horizontal planes. The ment, and most of these men became passion-
major drawbacks in the design of the condyle reg- ately involved in this new concept of gnathology.
ister were that it was necessary for an assistant to Without the generous contributions of their time,
hold the tracing surfaces (cardboard or glass) in personal efforts and, of course, financial support,
position and, that the vertical and horizontal con- this ambitious project would probably not have
dylar tracings could not be accomplished at the been feasible.
same time (Fig 5A and B). From 1924 to 1928, 9 different models of exper-
When Gysi introduced the Trubyte articulator imental articulators were made before McCollum
in about 1928, the notable change in the accom- placed into production an articulator that met his
panying condyle register was that the lateral standards, the “Gnathoscope.”14 It would take an-
condylar path feature was no longer included (Fig other 5 years, largely because of the efforts of
6A and B). By this time, Gysi had developed the Stuart, to produce an instrument capable of mea-
concept of setting the controls of the articulator suring mandibular movement in 3 planes. In 1934,
by following the guiding edges of the gothic arch the prototype of the “Gnathograph” was demon-
incisal table. strated at the annual meeting of the University of
61

Figure 10. The second de-


vice to record the movements
of the mandible in all 3
dimensions, 1935. It was
described as a simpler and
more universal apparatus.
Note that 2 anterior horizon-
tal tables have been added
and the vertical table has
been eliminated. (Reprinted
with permission.14)

Southern California Alumni Association (Fig 9A sagittal plane. In 1937, the first “satisfactory re-
and B). In 1935, the second instrument to record cording device,” the “Gnathograph,” was intro-
movements in 3 planes was developed (Fig 10). duced (Fig 11).
Besides styli to trace both the horizontal and verti- From the Gnathoscope and Gnathograph,
cal condylar paths, it featured 1 anterior vertical Charles Stuart would eventually develop his own
stylus for the gothic arch and 1 horizontal stylus for gnathological system, including an articulator and
tracing the opening and closing movements on the pantograph for which he received a patent in 1955.

Figure 11. The “Gnatho-


graph,” “a satisfactory re-
cording device,” with the
“axis orbital plane indicator”
in position, c.1937. It fea-
tured horizontal and vertical
styli for tracing the condy-
lar inclination and Bennett
paths, as well as 2 anterior
vertical styli for tracing the
gothic arch lateral move-
ments. The custom-made
metal clutches had metal
plates attached, the lower
with a central-bearing screw,
the round end of which
rested on the upper plate
during all mandibular move-
ments. (Reprinted with per-
mission.14)
62

References 7. Gysi A: Dental Articulator. US Patent No. 1,041,270. Octo-


ber 15, 1912
1. Campion GG: Some graphic records of movements of the 8. Starcke EN: The history of articulators: The appearance and
early use of the incisal pin and guide. J Prosthodont 2001;
mandible in the living subject and their bearing on the
10:52-60
mechanism of the joint and the construction of articulators.
9. Clapp GW (ed): Prosthetic Articulation. New York, NY, The
Dent Cosmos 1905;47:39-42
Dentists’ Supply Company, 1914
2. Bennett NG: A contribution to the study of movements of
10. Clapp GW, Tench RW (eds): Professional Denture Service.
the mandible. J Prosthet Dent 1958;8:41-54 New York, NY, The Dentists’ Supply Company, 1918
3. Gysi A: The problem of articulation (Part I). Dent Cosmos 11. Hillyer E: Development of the anatomical articulator. Dent
1910;3:1-19 Cosmos 1913;55:989-1005
4. Gysi A: The problem of articulation (Part II). Dent Cosmos 12. Swenson MG (ed): Complete Dentures (ed 1). St. Louis,
1910;3:148-169 MO, Mosby, 1940
5. Gysi A: The problem of articulation (Part III). Dent Cosmos 13. McCollum BB: Fundamentals involved in prescribing restor-
1910;3:268-283 ative dental remedies. Dent Items Interest 1939;61:522-535
6. Gysi A: The problem of articulation (Part IV). Dent Cosmos 14. McCollum BB, Stuart CE (eds): A Research Report (ed 1).
1910;3:403-418 South Pasadena, CA, Scientific Press, 1955

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