Fundamentals of

Recording & Mounting

Workshop Instructions
April 21, 2016

Michael J Melkers, DDS, FAGD

&
Jeanine M McDonald, DDS, FAGD
NAME OF EXERCISE:
Leaf gauge screen

OBJECTIVES:
Use of a Leaf Gauge to determine 1st tooth contact in a seated position

CLINICAL APPLICATIONS:
-screening for anterior open bite (AOB) prior to orthotic/splint therapy (i.e.
Informed Consent)
-screening for potential loss of restorative space prior to preparing terminal
teeth
-identification of the 1st tooth contact to confirm the accuracy of mounted
models

MATERIALS:
-Leaf gauge (Great Lakes Orthodontics)
-Articulating Film (Ardent Exacta-Film, 19 microns; red/red & black/black;
WhipMix)
-camera/retractors/photographic mirror (PhotoMed)
 1
Leaf Gauge Screen

ERCIS
E:
&

OF EX position
NAME ge screen

1st Contact
a seated
Leaf gau tact in
st tooth con
: ine 1 (i.e.
TIVES to determ therapy
OBJEC Leaf Gauge /splint
a orthotic
Use of NS: prior to inal
PLI CATIO n bite (AOB) par ing term
AL AP r ope r to pre
CLINIC g for anterio ce prio
tive spa mounted
-screenin Consent) loss of
restora uracy of
d the acc
Informe g for potential con firm
-screenin tact to
st tooth con
tee th of the 1
ication
-identif lack;
models & black/b
ontics) microns; red/red
IALS: es Orthod 19
MATER ge (Great Lak t Exacta-Film,
-Leaf gau g Film (Arden (Photo
Med)
-Articu
latin
aph ic mirror
ix) ogr
WhipM etractors/phot
-camera/r

2
LEAF GAUGE SCREEN AND 1ST CONTACT
During this process, we will use a leaf gauge, ‘bump up’ and red &
black occlusal marking film.

LEAF GAUGE SCREEN AND 1ST CONTACT 3

Beginning with 7 leafs, have the patient try to close on their back
teeth. If they feel a tooth hit, add a leaf....repeat. Once they cannot
feel a contact, verify with RED film. If they are still hitting, continue
to add a leaf at a time and repeat the process.
 4
LEAF GAUGE SCREEN AND 1ST CONTACT
At some point, you will have added enough leafs that you will lose all posterior contacts.
At this point, ADD one leaf to verify loss...then begin to remove a leaf at a time checking
with a small piece of BLACK film each time to see if you have regained a posterior
contact.

5
LEAF GAUGE SCREEN AND 1ST CONTACT
With the black mark overlaying the previous red marks, you have
now recorded the first tooth that contacts when the condyle is in
a seated position.

6
LEAF GAUGE SCREEN AND 1ST CONTACT
Please stop here and count the number of leaves that were used
to determine that first contact.

√– Count the number of leaves

at 1st contact

√– Note the 1st contact tooth number

√–Record these on the lab pan slip

with the PATIENT’S name
NAME OF EXERCISE:
Facebow Recording and Mounting of Maxillary Model

OBJECTIVE:
To record the relationship of the maxillary arch to the TMJ hinge axis so
that it can be transferred to the articulator

CLINICAL APPLICATION:
-1 of 3 occlusal records needed to provide conditions on the articulator that
reproduce the actual clinical presentation of vertical and excursive
movements

MATERIALS:
-Denar Slidematic Facebow, bitefork, transfer jig assembly, ruler & red
marker (WhipMix)
-cotton rolls
-Accuflow registration material (Great Lakes Orthodontics)
-Denar articulator, articulator index and mounting plate
-maxillary model, groomed; with retention divots
-Snap Stone & Mounting Stone (WhipMix)
-water, spatula, mixing bowl/cup
 7
Facebow Recording

OF EX
ERCIS
E:
ing and
Mounting
of Maxilla
ry Model

ge axis
so
&

NAME TMJ hin
w Record

Mounting of Maxillary

Facebo h to the
xillary arc
TIV E: of the ma tor
ship cula
OBJEC the relation to the arti tor that
To record be transferred on the
articula
that it can ditions ursive
CA TION: to pro vide con tical and exc
PLI ver
AL AP records needed sentation of
CLINIC l pre
occlusa ual clinical

Cast
-1 of 3 act
uce the r & red
reprod embly,
rule
ents
movem r jig ass
, transfe
IALS: bitefork
ebow,
MATER atic Fac
Slidem ontics)
-Denar ix) Orthod
(WhipM Lakes plate
marker al (Great unting
-cotton
rolls n materi index and mo
low registratio cula tor ntio n divots
-Accuf tor, arti rete
articula , groomed; with (WhipMix)
-Denar del ne
ry mo ing Sto
-maxilla ne & Mount bowl/cup
Sto
-Snap , mixing
spatula
-water,

I=M3C 8

Know your
instrumentation &
how to use it before
you start. You patient
will sense your
confidence…or your
uncertainty.

8

Transfer Jig

Bitefork

9
 10

This is the top of the bite fork.

The arm of the fork is oriented

on the patients right side

10

The superior screw locks and unlocks the ear bow 11

The anterior screw secures the transfer jig assembly

11

12

The pointer is used to align

the face bow arms vertically

BEFORE tightening the #1 & 2

screws on the transfer assembly
12
 13

BEFORE moving to the patient, the transfer assembly

is attached to the face bow. Make sure that the
assembly is full seated into the face bow.

14

The transfer jig must be secured by tightening the

anterior screw on the face bow

14

15
The Denar Ruler & red
felt pen are used to
mark 43mm from the
incisal edge of the
lateral. This helps ensure
that the model will be
mounted in the center of
the articulator.
 16
Accuflow is placed in a tripod

fashion onto the top of the bite fork

16

It is ESSENTIAL that the 17

Accuflow engage through the
holes in the bite fork

17

18
The bitefork is seated onto
the maxillary occlusal
surface with the midline
of the fork oriented to
the patients FACIAL
midline, not their dental
midline.

**Note that the arm is
oriented to the patient
right.
 19

Once the Accuflow has

set, the patient can rest
on a cotton roll on each
side to support the bite
fork. This frees up the
doctor and assistants
hands.

20

BEFORE moving to the patient, loosen the ear bow

slide with the superior screw
20

21

With the #1 & 2 screws

loosened, engage the bite fork
arm with the #2 slide. Numbers
must be upright and facing away
from the patient.

 22
The patient should help guide
the ear bow into their ears. You
will notice the ear bow move
medially and anteriorly as it
enters the ear canal. It should
be snug. This can be
uncomfortable and the procedure
should be carried out quickly but
accurately.

23

Once the ear bow is in place,

the superior screw should be
tightened.

23

24
Using the pointer & red dot as a
reference, the face bow is
oriented vertically. The #1 screw
can then be tightened.
 25

Tighten #1 first, then #2. Righty, tighty.

**This can impart significant torque to the patients ears.
They should lightly hold onto ear of the bow’s arms & you
should stabilize the anterior portion for patient comfort.

26

The pointer should then

be safely returned and
secured to the face bow
arm by tightening the
screw.

27

The superior screw is

then loosened….

lefty loosey.

27
 28
The face bow can then be
disengaged from the ears and
the entire assembly removed
from the patient. 



**The assistant should hold the
cotton rolls to ensure that they
do not fall back into the patients
mouth and/or throat.

29

The facebow, fork and

transfer assembly
removed.
29

30

The anterior screw is

then loosened…

lefty loosey

…to remove the transfer
assembly & bite fork
from the face bow.

30
 31
The intact transfer
assembly & bite fork
removed

31

Denar 320/330 32

Semi-Adjustable Articulator 32

33
Loosen

to adjust
Locks &

condylar angle
unlocks

when
condyles

programming
for lateral

articulator movements
 34

For face bow mounting,

pin should be set at zero

34

35

**CRITICAL STEP**

Make sure the
condylar lock is
engaged!

Mounting plates should be added

36
to both the upper and lower members

of the articulator.

36
 37

37

38

The white table

should be removed

and placed in the patients

lab pan. 38

39
The white table

should be replaced

with the black

mounting table.

39
 40

Ensure that it is

fully seated with the

white washer next to
the knurl & tighten.

40

41

The transfer assembly is

then inserted into the
mounting table, taking
care to note that it is
fully seated.

42

The anterior screw

on the mounting
table is then
tightened to
secure the
transfer assembly
Snap Stone is used to initially secure the model 43

Mounting Stone

be used for the entire mounting process

or to finish over the Snap Stone
43

44
The maxillary cast is placed on the bite fork
with your hand supporting the fork to
prevent displacing it

44

I prefer to mix Snap Stone a bit runny as it 45

sets quite quickly. This allows for different
handling characteristics as it moves towards
a gel state.

45
 46

1st & while still thin is the best time to

engage the mounting plate & retention grooves
46

47

As the stone slightly thickens, it can be stacked

up taking care to not displace the model. 47

48

The goal is to have enough stone

to secure the cast but not so much
as to exceed the finished form.

**For course purposes, more can

be better as may not be able to
fully groom the casts.

Do NOT attempt to add more stone

once the articulator is closed. I
will demonstrate how to do this.
NAME OF EXERCISE:
“CR” Bite Recording with Leaf Gauge~Accuflow and Mounting of
Mandibular Model

OBJECTIVE:
To record the relationship of the maxillary arch to the mandibular arch while
the joint is in a seated position so the mandibular cast can be mounted to
the maxillary cast on the articulator

CLINICAL APPLICATION:
-1 of 3 occlusal records needed to provide conditions on the articulator that
reproduce the actual clinical presentation of vertical and excursive
movements
-confirmation of stability & repeatability of joint-based bite recording prior to
proceeding with definitive diagnoses or restorative procedures

MATERIALS:
-leaf gauge (Great Lakes Orthodontics)
-Articulating Film (Ardent Exacta-Film, 19 microns; red/red & black/black;
WhipMix)
-Accuflow (Great Lakes Orthodontics)
-Lab scalpel handle & #25 blade
-Black Sharpie marker
-Denar articulator with white table and mounting plate (WhipMix)
-previously mounted maxillary cast
-mandibular model, groomed; with retention divots
-Snap Stone & Mounting Stone (WhipMix)
-water, spatula, mixing bowl/cup
 49
Leaf Gauge Assisted

OF EX
ERCIS
E:
ing with
Leaf Ga
uge~Ac
cuflow
and Mo
unting
of
Recording of

NAME Record while
ar arch to

Centric Relation
“CR” Bite ar Model mandibul ed
Mandibul ry arc h to the can be mount
xilla t
TIVE: the ma mandibular cas
ship of so the
OBJEC the relation
position tor
To recordis in a seated articula tor that
join t t on the arti cula
the
xillary cas ns on the ursive
the ma conditio exc
TION: to provide vertical and
PLICA prior to
AL AP records needed sentation of
CLINIC l pre recording
occlusa ual clinical sed bite
-1 of 3 the act of joint-ba procedures
uce eatabi lity
reprod tive
ents y & rep or restora
movem tion of stabilit ve diagnoses
-confirma g with definiti
cee din
pro lack;
black/b
/red &
ontics) microns; red
IALS: es Orthod 19
MATER ge (Great Lak t Exacta-Film,
-leaf gau g Film (Arden
latin ontics)
-Articu
WhipM
ix) es Orthod
(Gr eat Lak #25 blade (Wh ipMix)
te
-Accuflowlpel handle & mounting
pla
r
-Lab sca rpie marke le and
Sha white tab
-Black tor with xillary cast ntion divo
ts
articula
-Denar sly mounted maomed; with rete ix)
ipM
-previou ar model, gro Stone (Wh
bul ing
-mandi & Mount bowl/cup
Stone ing
-Snap , mix
spatula
-water,

50
CONFIRM 1ST CONTACT &
LEAF GAUGE “CR BITE”
During this process, we will use a leaf gauge, ‘bump up’ and red &
black occlusal marking film.

51
CONFIRM 1ST CONTACT
Beginning with the number of leafs from Day One, add 3 leafs and confirm no contact. If
you have contact with the additional 3 leaves, call Mike or Jeanine for assistance.
Begin taking leafs off one at a time, checking each time for contact.
 52

CONFIRM 1ST CONTACT

Once you have regained that first contact, switch to black and mark the first contact.

53
CONFIRM 1ST CONTACT
With the black mark overlaying the previous red marks, you have
now recorded/confirmed the first tooth that contacts when the
condyle is in a seated position

LEAF GAUGE 1ST CONTACT RECORDING 54

Prior to recording this condylar position, please add 20 leafs to
your existing number of leafs that you determined the 1st contact
with. The ‘bump up’ approach helps you remember which set of
leafs to use. Let’s discuss this.
 55
LEAF GAUGE 1ST CONTACT RECORDING
DRY THE MAXILLARY OCCLUSAL TEETH AND EXTRUDE ACCUFLOW FROM MOST DISTAL MAXILLARY TOOTH TO
THE LATERAL INCISOR. WITH THE LEAF GAUGE IN PLACE, HAVE THE PATIENT TRY TO CLOSE ON THEIR BACK
TEETH...THEN BRACE THEM WITH BIMANUAL MANIPULATION. LET SET FOR 1 MINUTE WHILE MAINTAINING HAND
POSITION.

56
LEAF GAUGE 1ST CONTACT RECORDING
Before proceeding, please verify that you have sufficient occlusal registration and
capture from the most distal tooth to the lateral incisor.

57
As this is an ‘open bite’, the mandibular
anterior teeth will be more lingual than
you might realize. The Accuflow needs to
be placed lingually canine to canine.
 PLACE THE REGISTRATIONS IN A CUP 58
MARKED WITH THE
PATIENT’S NAME

STOP now, rotate partners and allow the next participant to

complete the above step. Once EVERYONE has completed the
above steps, you may proceed to trimming.

LEAF GAUGE 1ST CONTACT RECORDING 59

TAKE YOUR DOMINANT HAND REGISTRATION (RIGHT SIDE FOR RIGHT HANDERS, LEFT FOR LEFT HANDERS).
TRIM ONLY THE DOMINANT MANDIBULAR SIDE BACK TO CUSP TIP INDENTATIONS, REMOVING ALL TERTIARY,
SECONDARY AND PROXIMAL EMRASURE REGISTRATIONS AS WELL AS ANY HEIGHT OF CONTOUR
INTERFERENCES. SEAT REGISTRATION ON MAXILLARY. HANDS OFF AND HANDS ON (MANIPULATE) VERIFY FOR
REPEATABILITY. IF IT IS NOT REPEATABLE, CALL MIKE OR JEANINE AND PREARE TO REPEAT STEP 2. MARK THE
MANDIBULAR SIDE THAT YOU TRIMMED WITH AN ‘R’ AND AN ‘L’ WITH A SHARPIE.

LEAF GAUGE 1ST CONTACT RECORDING 60

TAKE YOUR DOMINANT HAND REGISTRATION (RIGHT SIDE FOR RIGHT HANDERS, LEFT FOR LEFT HANDERS).
TRIM ONLY THE DOMINANT MANDIBULAR SIDE BACK TO CUSP TIP INDENTATIONS, REMOVING ALL TERTIARY,
SECONDARY AND PROXIMAL EMRASURE REGISTRATIONS AS WELL AS ANY HEIGHT OF CONTOUR
INTERFERENCES. SEAT REGISTRATION ON MAXILLARY. HANDS OFF AND HANDS ON (MANIPULATE) VERIFY FOR
REPEATABILITY. IF IT IS NOT REPEATABLE, CALL MIKE OR ANDREW AND PREARE TO REPEAT STEP 2. MARK THE
MANDIBULAR SIDE THAT YOU TRIMMED WITH AN ‘R’ AND AN ‘L’ WITH A SHARPIE.
NAME OF EXERCISE:
“CR” Bite Recording with Pankey Deprogrammer~Accuflow and Mounting
of Mandibular Model

OBJECTIVE:
To record the relationship of the maxillary arch to the mandibular arch while
the joint is in a seated position so the mandibular cast can be mounted to
the maxillary cast on the articulator

CLINICAL APPLICATION:
-1 of 3 occlusal records needed to provide conditions on the articulator that
reproduce the actual clinical presentation of vertical and excursive
movements
-confirmation of stability & repeatability of joint-based bite recording prior to
proceeding with definitive diagnoses or restorative procedures

MATERIALS:
-Pankey Deprogrammer (The Pankey Institute Bookstore)
-PVS Adhesive
-Articulating Film (Ardent Exacta-Film, 19 microns; red/red & black/black;
WhipMix)
-Accuflow (Great Lakes Orthodontics)
-Lab scalpel handle & #25 blade
-Black Sharpie marker
-Denar articulator with white table and mounting plate (WhipMix)
-previously mounted maxillary cast
-mandibular model, groomed; with retention divots
-Snap Stone & Mounting Stone (WhipMix)
-water, spatula, mixing bowl/cup
AFTER ALL HAVE VERIFIED THEIR REGISTRATIONS, PLEASE TRIM MAX 61
AND MAND REGISTRATIONS ON BOTH SIDES BACK TO CUSP TIP
INDENTATIONS AND VERIFY SEATING ON CASTS~MODELS. MARK THE
MANDIBULAR SIDES THAT YOU TRIMMED WITH AN ‘R’ AND AN ‘L’ WITH A
SHARPIE. SEAT REGISTRATIONS ON MODELS

AND HAVE MIKE OR JEANINE VERIFY PASSIVE SEATING OF THE

REGISTRATIONS. THEN TAKE THE MODELS TO THE BACK OF THE LAB TO
GLUE GUN LUTE AND MOUNT THE MANDIBULAR MODEL.

62
Pankey Deprogrammer
NAME
OF EX
ERCIS
E:
ing with
Pankey
Deprog
ramme
r~Accu
flow and
Mounting
Assisted

Record while
“CR” Bitebular Model ar arch

Recording of

ndi to the mandibulmounted to
of Ma h
xillary arc t can be
TIVE: the ma mandibular cas
ship of so the
OBJEC the relation
position tor
To recordis in a seated arti cula tor that
t t on the articula
the join
xillary cas ns on the ursive
the ma conditio exc
TION: to provide vertical and

Centric Relation
PLICA prior to
AL AP records needed sentation of
CLINIC l pre recording
occlusa ual clinical sed bite ures
-1 of 3 act of join t-ba
uce the eatability restorative pro
ced
reprod
ents y & rep or
movem tion of stabilit ve diagnoses
-confirma g with definiti
din
procee re)
Booksto
Institute lack;
r (The
Pankey & black/b
IALS: s; red/red
MATER Deprogramme micron
-Panke esive
y -Film, 19
t Exacta
-PVS Adh g Film (Arden
ticu latin ont ics)
-Ar
WhipM
ix) es Orthod
(Gr eat Lak #25 blade (Wh ipMix)
te
-Accuflowlpel handle & mounting
pla
r
-Lab sca rpie marke le and
Sha white tab
-Black tor with xillary cast ntion divo
ts
articula
-Denar sly mounted maomed; with rete ix)
ipM
-previou ar model, gro Stone (Wh
bul ing
-mandi & Mount bowl/cup
Stone ing
-Snap , mix
spatula
-water,

63

63
 64

The Pankey Deprogrammer is coated

internally with adhesive, air dried and
then filled with Accuflow.
64

65

The Pankey Deprogrammer is seated on

the upper centrals and the patient is
instructed to ‘tap tap’ on it. This will seat
and level the deprogrammer. Allow the
material to set.

66
It is critical that
the patient cannot
occlude on the
Accuflow in any
position or
excursions as this
can interfere with
the use of the
deprogrammer.
 67

Accuflow is applied to the occlusal

surfaces and the bite registration is
accomplished. 67

68
The Pankey Deprogrammer
can be used for a variety of
“CR” registration methods.

-Bimanual Guidance

-Passive Closure

-Powerslide Technique

PLEASE refer to the DVD as

a resource for all of the
various techniques.
68

69
POWERSLIDE TECHNIQUE

Have the patient rest on the
Pankey Deprogrammer

69
 70
POWERSLIDE TECHNIQUE

Have the patient slide forward
into protrusive

70

71
POWERSLIDE TECHNIQUE

Have the patient slide back into
their most retruded position

& clench hold in that position

71

POWERSLIDE TECHNIQUE
72
With the tip angled slightly
towards the maxillary occlusal
surfaces, inject Accuflow on both
the right and left side of the
arch.

72
NAME OF EXERCISE:
“CR” Bite Recording with Master’s & Delar Wax and Mounting of
Mandibular Model

OBJECTIVE:
To record the relationship of the maxillary arch to the mandibular arch while
the joint is in a seated position so the mandibular cast can be mounted to
the maxillary cast on the articulator

CLINICAL APPLICATION:
-1 of 3 occlusal records needed to provide conditions on the articulator that
reproduce the actual clinical presentation of vertical and excursive
movements
-confirmation of stability & repeatability of joint-based bite recording prior to
proceeding with definitive diagnoses or restorative procedures
-an essential recording methodology when the leaf gauge or Pankey
Deprogrammer/Lucia Jig cannot be utilized (e.g. missing anterior teeth,
fully edentulous, Class III relationships which are past edge to edge)

MATERIALS:
-Master’s Wax (Great Lakes Orthodontics)
-Delar Wax Pencils (Great Lakes Orthodontics)
-butane torch
-periodontal probe
-Lab scalpel handle & #25 blade
-Denar articulator with white table and mounting plate (WhipMix)
-previously mounted maxillary cast
-mandibular model, groomed; with retention divots
-ruler, pencil
-Snap Stone & Mounting Stone (WhipMix)
-water, spatula, mixing bowl/cup
 POWERSLIDE TECHNIQUE
73
Keep the patient braced in that
position for one minute using
bimanual bracing.

73

74
Wax Platform

E: & Delar
Wax and
Mounting
of (Masters Wax & Delar)
Assisted

ERCIS Master’s
OF EX ing with
NAME Record while
“CR” Bite ar Model ar arch
mandibulmounted to
Mandibul h to the be
ma xillary arcbular cast can
TIVE: the mandi
ship of so the
OBJEC the relation
position tor
To recordis in a seated articula tor that
t t on the articula

Recording of

the join ry cas on the
xilla ns ive
the ma conditio excurs
TION: to provide vertical and
PLICA prior to
AL AP records needed sentation of
CLINIC l pre recording
occlusa ual clinical sed bite ures
-1 of 3 act of joint-ba
uce the ced
eatability restorative pro ge or Pankey th,
reprod s & rep
ent y or leaf gau erior tee
movem tion of stabilit ve diagnoses
ma when the . missing ant to edge)

Centric Relation
-co nfir def initi dol ogy (e.g
ding with ording metho utilized t edge
procee not be s which are pas
ential rec cia Jig can
-an ess r/Lu III relation
ship
ramme
Deprog ntulous, Class
fully ede
ontics)
IALS: Orthod ics)
Lakes hodont
MATER Wax (Great eat Lakes Ort
r’s cils (Gr
-Maste
Wax Pen
-Delar torch ipMix)
te (Wh
-butane al probe de ing pla
ont #25 bla le and mount
-period lpel handle & te tab
whi
-Lab sca culator with xillary cast ntion divo
ts
arti
-Denar sly mounted maomed; with rete
-previou ar model, gro ix)
bul ipM
-mandi ne (Wh
cil ing Sto
-ruler, pen ne & Mount bowl/cup
Sto
-Snap , mixing
spatula
-water,

75
Delar Wax Pencil

Masters/Schuyler Wax

75
 76

The Masters Wax is heated and folded

over onto itself enough to fit beyond

an average arch form.
76

77

The excess is then folded over onto the

double thickness portion. Press them
firmly together.

**Heat the was in between these steps
so that it adheres. 77

78

Cut the lateral excess

and also the back corner ‘heels.’
78
 79
The Masters Wax
is then heated
around the
periphery & then
allowed to
slightly cool just
until the shine is
gone from the
wax and starts to
opaque over.

80

The Masters Wax

is then pressed
firmly onto the
occlusal surface
of the maxillary
arch.

80

81

It is not necessary or desirable for their

to be full capture of the occlusal anatomy
but cuspal and incisal edge indentation is
necessary. Cool under water.
 82
Cut through the
buccal cusp tips
of the premolars
and molars

82

83
From the cusp tip of the
first premolar, make an
angled cut toward the
lateral edge.

83

84

84
 85

85

86
From the anterior cut out a
small wedge….

86

87

So your platform
now looks like
this.

87
 88

Reheat the wax,

reseat the wax
and fold the
wings over the
canines for
retention.

88

89

Have the patient lightly close &

using a perio probe mark the
approximate area of the lower
canine cusp tip. 89

90

Carfully add a Delar Wax button

to each of the scribed areas. The
button should be stacked up to
receive the canine cusp tip.
 91

The assistant can use a perio

robe or a blue spatula to hold the
wax platform in place on the
maxillary occlusal surface. 91

Using bimanual guidance, the 92

patient closes into the delar wax
button for a slight indent.

92

93
It is a common occurrence for
one side to miss the canine.

93
 After cooling the delar buttons,
94
remove the wax platform from
the mouth and add Delar to the
desired area that was missed.

94

95

It can then be reseated and the

missing area registered.

95

96

The Delar should be air

cooled and then the
platform removed from the
mouth. 96
 97

Delar can then be added to the 2nd molar area. The

platform is then re-introduced into the mouth and the
patient guided into the canine indents. The molar Delar
buttons should then be chilled and the platform
removed from the mouth. 97

98

The completed platform is then water chilled

and ready to be used to mount the case.
98

99

While more labor intensive in the

registration process, the wax
platform method typically requires no
trimming of the registration. 99
 100

Mounting
flow and
of r~Accu
unting ramme
and Mo ERCIS
E: Deprog of
cuflow OF EX Pankey Mounting
ERCIS
E: uge~Ac NAME ing with Wax and
OF EX Leaf Ga Record while & Delar

Mounting of
NAME ing with “CR” Bitebular Model ar arch toERCISE:
Record arc h while mandibulmo OFedEX
unt Master’s
” Bite ar Ma ndi h to the ME ing with
“CR ar Model mandibul ed to of
xillary arc t can NAbe Record ar arch
while
Mandibul h to the can be mount the ma mandibular cas “CR” Bite ar Model mandibulmounted to
xillary arc t TIVE: ship of
Mandibul
the ma mandibular cas OBJEC the relation ition so
the h to the be
TIVE:
OBJEC the relation
ship of so the To rec ord sea ted pos culator t ma xillary arcbular cast can
position tor a torE: tha the mandi
t is in t on the
arti TIV ship of
To recordis in a seated articula tor that the join OB JEC
arti cula relation so the
xillary cas ns on the urs ord the seated position tor

Mandibular Cast with

t t on the articula ive
the join the ma conditio To rec cula tor that
xillary cas ns on the TION: exc
to provide of vertical and the joint is rcas
in a the arti articula
the ma N: vide conditio l and excursive AL AP PLICA
s nee ded on xilla ry
prio to t on on the
TIO to pro vertica l record tati ma ing ns ive
PLICA prior to CLINIC presen theord
rec conditio excurs
AL AP records needed sentation of occlusa ual clinical sed bite ures TION: to provide vertical and
CLINIC l pre recording -1 of 3 act of joint-ba PLICA
AL AP records needed sentation of prior to
occlusa ual clinical sed bite ures uce the eatability restorative pro
ced
-1 of 3 act of joint-ba reprod
y & rep
CLINIC l pre recording
uce the eatability restorative pro
ced ents or occlusa ual clinical sed bite ures
reprod movem tion of stabilit ve diagnoses -1 of 3 act of joint-ba
ents y & rep uce the ced

Centric Relation
or
movem tion of stabilit ve diagnoses -confirma g with definiti reprod s & rep eatability restorative pro ge or Pankey th,
din ent y or leaf gau erior tee
-confirma g with definiti procee movem tion of stabilit ve diagnoses
cee din Boo kstore) nfir ma def initi ogy when the . missing ant to edge)
pro lack; Institu te -co g with ; metho dol (e.g e
black/b dinlack
ck/b utilized are past edg
/red & IALS: r (The
Pankey & bla
pro cee recording not be ch
ontics) microns; red MATER Deprogramme s; red/red -an essential r/Lucia Jig can tionships whi
IALS: es Orthod 19 micron ramme III rela
MATER ge (Great Lak t Exacta-Film, -Panke esive
y -Film, 19 Deprog ntulous, Class
t Exacta

Record
-leaf gau g Film (Arden -PVS Adh g Film (Arden fully ede
latin ontics) latin ontics)
-Articu -Articu
WhipM
ix) es Orthod WhipM
ix) es Orthod ontics)
(Gr eat Lak #25 blade (Wh ipMix) (Gr eat Lak #25 blade (Wh ipMix) IALS: es Orthod ont ics)
te te Lak hod
-Accuflowlpel handle & mounting
pla -Accuflowlpel handle & mounting
pla MATER Wax (Great eat Lakes Ort
r r r’s
-Lab sca rpie marke le and -Lab sca rpie marke le and -Maste cils (Gr
Sha white tab Sha white tab Wax Pen
-Black tor with xillary cast ntion divo
ts -Black tor with xillary cast ntion divo
ts -Delar torch ipMix)
articula articula te (Wh
-Denar sly mounted maomed; with rete ix) -Denar sly mounted maomed; with rete ix) -butane al probe de ing pla
ipM ipM ont #25 bla le and mount
-previou ar model, gro Stone (Wh -previou ar model, gro Stone (Wh -period lpel handle &
bul ing bul unting white tab
-mandi & Mount bowl/cup -mandi ne & Mo ing bowl/cup -Lab sca culator with xillary cast ntion divo
ts
Stone ap Sto nar arti
-Snap , mix ing -Sn , mix -De unted maomed; with rete
spatula spatula sly mo
-water, -water, -previou ar model, gro ix)
bul ipM
-mandi ne (Wh
cil ing Sto
-ruler, pen ne & Mount bowl/cup
Sto
-Snap , mixing
spatula
-water,

AFTER ALL HAVE VERIFIED THEIR REGISTRATIONS, PLEASE TRIM MAX 101
AND MAND REGISTRATIONS ON BOTH SIDES BACK TO CUSP TIP
INDENTATIONS AND VERIFY SEATING ON CASTS~MODELS. MARK THE
MANDIBULAR SIDES THAT YOU TRIMMED WITH AN ‘R’ AND AN ‘L’ WITH A
SHARPIE. SEAT REGISTRATIONS ON MODELS

AND HAVE MIKE OR JEANINE VERIFY PASSIVE SEATING OF THE

REGISTRATIONS. THEN TAKE THE MODELS TO THE BACK OF THE LAB TO
GLUE GUN LUTE AND MOUNT THE MANDIBULAR MODEL.

Invert the articulator, 102

remove the ENTIRE
transfer assembly and
table & place it in your
lab pan

102
 103

Replace the white table.

Ensure that it is fully seated with the

white washer next to the knurl & tighten.

104

For leaf gauge

bite records,
raise the pin
2.5mm

104

105

**CRITICAL STEP**

Make sure the
condylar lock is
engaged!
 106

106

107

Place the trimmed & approved on the

maxillary model then set the

mandibular model into the registration.

It is CRITICAL that 108

there is no gap between
the registration and the
model

108
 Before mounting, 109
ensuree that there
is no spring by
pressing the model
into the
registration.

**Note though
that because of
the angle of the
model tipping due
to back weight
may mimic spring.

110

**ALTERNATE METHOD**

For the wax platform & Pankey deprogrammer bite method,
the vertical dimension of the bite varies and must be
measured to adjust the pin prior to mounting
110

111
**Alternate method**

With the models in MIP,
place a dot on the upper
& lower model on the
midline.

111
 112
**Alternate method**

Measure the distance
between the dots.

112

**Alternate method**
113
With the wax platform in
place, measure the
distance between the dots.

113

114
**Alternate method**

Raise the pin the
difference between the
two measurements

114
 115
I prefer to mix Snap Stone a bit runny as it
sets quite quickly. This allows for different
handling characteristics as it moves towards
a gel state.

**Due to the amount of stone needed for

this step and the procedure being new for
you, we would recommend using Mounting
Stone rather than Snap Stone for this step.
115

1st & while still thin is the best time to 116

engage the mounting plate & retention grooves

116

117

As the stone slightly thickens, it can be stacked

up taking care to not displace the model.
117
 118

While holding the model in place, close the

articulator until the pin touches the white table.

**Keep holding the model

until the stone is set!!!
118

119

The goal is to have enough stone

to secure the cast but not so much
as to exceed the finished form.

**For course purposes, more can

be better as may not be able to
fully groom the casts.

Do NOT attempt to add more stone

once the articulator is closed. I
will demonstrate how to do this.

120

After the stone has FULLY set, the bite records are removed and the pin can be fully
raised from the table. With Accufilm in place at your patient’s first contact, lightly
close the articulator. If you do not see a mark, double the film and check again.



**Do NOT BANG BANG BANG the models together. There is no purpose to this and it
will only lead to broken models. Do not destroy all of the hard work that you have
120
done up to this point!
NAME OF EXERCISE:
Protrusive Record and Programming Articulator

OBJECTIVE:
To record the relationship of the maxilla to the mandible while the mandible
is in a protruded position and utilize this record to program the condylar
inclination on the articulator

CLINICAL APPLICATION:
-1 of 3 occlusal records needed to provide conditions on the articulator that
reproduce the actual clinical presentation of vertical and excursive
movements
-allows programming of the condylar inclination on the articulator which is
essential for accurate replication of the clinical excursive movements for
use in diagnostic and restorative procedures

MATERIALS:
-Baseplate wax, extra hard
-butane torch
-lab scalpel & #25 blade
-Denar articulator (320 or 330) with “CR” mounted models
 121

Protrusive Recording

tor

&

E: Articula
ERCIS Programming
OF EX mandible
NAME ord and while the dylar
ive Rec ndible con
Protrus the ma gram the
xilla to
TIVE: the ma ord to pro
ship of utilize this rec
OBJEC the relation and
To record truded position tor tor that

Programming of the
pro articula articula
is in a on the ns on the ursive
inclination conditio exc
TION: to provide vertical and
PLICA
AL AP records needed sentation of tor whi
ch is
CLINIC l pre articula
occlusa ual clinical on the movements
for
-1 of 3 act tion

Articulator
uce the ina ive
reprod dylar incl excurs
ents of the con of the clinical
movem mming tion s
progra replica cedure
-allows for accurate tora tive pro
ial res
essent stic and
in diagno
use
IALS: extra hard
MATER , s
late wax ed model
-Basep torch ” mount
-butane blade ) with “CR
lpel & #25 0 or 330
-lab sca culator (32
arti
-Denar

122

The protrusive bite record is intended as a “point A to point B”

record to transfer the angle of the path that the condyle
travels down the slope of the eminence to the articulator.

123

The protrusive bite record is intended as a “point A to point B”

record to transfer the angle of the path that the condyle
travels down the slope of the eminence to the articulator.
 124

124

125

The baseplate wax is heated and folded

over onto itself enough to fit beyond

an average arch form.
125

126

The excess is then folded over onto the

double thickness portion. Press them
firmly together.

**Heat the was in between these steps
so that it adheres.

126
 127

The baseplate wax is trimmed in similar

fashion as the Masters Wax to extend
slightly beyond the arch form. 127

128

i
The protrusive record should be taken at the maximum protrusive but not
to exceed 13mm, which is the maximum range that the Denar can accept.
The average protrusive range is said to be ~7mm.

**This record is frequently incorrectly referred to as an

“edge to edge bite” which would be useless with an edge to edge patient
and impossible for a past edge to edge class 3 patient. 128

129

The protrusive record should be taken at the maximum protrusive but not
to exceed 13mm, which is the maximum range that the Denar can accept.
The average protrusive range is said to be ~7mm.

**This record is frequently incorrectly referred to as an

“edge to edge bite” which would be useless with an edge to edge patient
and impossible for a past edge to edge class 3 patient. 129
 130
The wax is then
heated around
the periphery &
then allowed to
slightly cool just
until the shine is
gone from the
wax and starts to
opaque over.
130

131

The wax is then

pressed firmly
onto the occlusal
surface of the
maxillary arch.

131

132

The wax platform can then be removed from the mouth and the mandibular side
softened. The platform is then re-inserted into the mouth

and indexed onto the maxillary arch.

The patient is then instructed to move into a protruded position and bite into the wax.

**It is critical that they close enough for posterior indentations to occur.**

132
Air cool the platform thoroughly before removing from the mouth

 133

Carefully remove the protrusive record from the mouth

and inspect for sufficient registration. Cusp tips and incisal
edges only are required. If you need to re-register, you do
not need new wax. It can simply be reheated. 133

134

Unlock the condylar lock by flipping it forward to a

vertical position.

135

Fully remove the upper

member of the articulator,
loosen the screw and set the
condylar angle to zero on both
the left and right side.

Re-tighten the screw

135
 136

Place the protrusive record onto the mandibular model.

136

137

The maxillary cast, still attached

to the upper member of the
articulator is indexed into the
registration.

*Note-the incisal pin has been
fully raised off of the table 137

138

The condylar ball,

viewed from the side,
should not be
touching any aspect
of the articulator…
unless the patient has
a zero angle
eminence.
 139

Loosen the screw & rotate the eminence until it contacts the
condylar ball. Do the right side, then the left then the right again.

Re-tighten the screw.
139

140

You have now mounted and programmed your patient’s records

Congratulations!

Let’s pair up into our groups and see how the excursions look on the
models vs the mouth.