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The History of Articulators From Facebows To The Gnathograph, A Brief History of Early Devices Developed For Recording Condylar Movement Part II
The History of Articulators From Facebows To The Gnathograph, A Brief History of Early Devices Developed For Recording Condylar Movement Part II
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
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
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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
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
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.