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DENTAL INSTRUMENTATION

The History of Articulators: A Critical


History of Articulators Based on Geometric
Theories of Mandibular Movement: Part I
Edgar N. Starcke, DDS

S INCE AS early as the 1860s, dental scientists


and inventors investigated the nature of man-
dibular movement for the purpose of reproducing
intense competition in the marketplace and den-
tists’ demands for simplicity, generated a trend
toward “average value” instruments.1 The most
these movements in an articulator. Simple hinge noteworthy example is the Gysi Simplex articula-
articulators became commonplace, but by the turn tor,2 which, incidentally, caused quite a reaction
of the 20th century, the natural variability of the from Gysi’s critics when introduced in 1912
condylar paths, both between individuals and (Fig 1).3*
from side to side in the same individual, had be-
gun to be recognized and appreciated as impor- The Geometric (or Nonanatomic)
tant determinants of mandibular movement. Un- School of Articulator Design
doubtedly, the investigators’ interpretations of
By about 1900, a second major school of articulator
what they observed varied greatly. This is demon-
design, the “geometric,” or “nonanatomic,” school,
strable in the features of their articulators. From
was emerging. This approach embodied principles
the inspired to the near-genius and from the “ridic-
contrary to the condylar school and proved to be
ulous to the sublime,” these articulators simply
both trend-setting and a source of controversy.†
reflected what was perceived to be the anatomic
The geometric school denied the existence of con-
and kinesthetic characteristics of mandibular
dylar axes and disregarded the condylar paths as
movement. Despite differences in investigators’
influences on occlusion, instead contending that the
perception and application of mandibular move-
articulation of the teeth guides the mandible dur-
ment, the complexity of articulators began to evolve
ing mastication. The condylar paths need only be in
as a result of the important work of such scientists
accord with the plane of occlusion. Critics of the
as W.E. Walker, Alfred Gysi, and George Snow. By
geometric school believed that this view was invalid
1910, most inventors had become more systematic
for 2 primary reasons: (1) It did not take into
in their attempts to reproduce the individual natu-
ral movements of the mandible.1

The Condylar (or Anatomic) School *Gysi was tireless in his resolve to promote his Sim-
of Articulator Design plex articulator, of course, “with a little help from his
friends.” A booklet titled “The Happy Average Way” was
In a broad sense, the school of articulator design published for practitioners of general dentistry in about
that emphasizes condylar guidance and rotation 1912. It was endorsed by George Wood Clapp, the editor
of Dental Digest, and promoted Gysi’s “average” complete
centers can be called the “condylar,” or “anatomic,” denture technique, which included his Simplex articula-
school. During the early 20th century, articulators tor.
with adjustable condylar guides were becoming †
By 1918, several theories of occlusion existed along
more popular; or at least so it seemed on the with articulators designed to promote them. According to
surface. However, undercurrents brought about by James E. House, since the principles of these theories
varied so widely, it was decided that in the best interest
of the profession, a study club would be created, limited
to 50 men dedicated to testing their ideas on each other
Correspondence to: Edgar N. Starcke, DDS, Clinical Professor, De-
in a workshop setting. Their goal was to narrow the field
partment of Prosthodontics, The University of Texas Health Science Center
of articulator design to one acceptable articulator for the
at Houston Dental Branch, 6516 M.D. Anderson Boulevard, P.O. Box
improvement of prosthodontics. This was one of the
20068, Houston, TX 77225. E-mail: estarcke@mail.db.uth.tmc.edu
primary reasons that, in August 1919, the National Soci-
Copyright © 2002 by The American College of Prosthodontists
ety of Denture Prosthetics was organized.4
1059-941X/02/1102-0012$35.00/0
doi:10.1053/jpro.2002.124356

134 Journal of Prosthodontics, Vol 11, No 2 ( June), 2002: pp 134-146


135

Figure 1. The first and fac-


ing pages of “The Happy Aver-
age Way.” Probably published
by the Dental Digest in about
1912, this booklet was in-
tended to enable the general
practitioner to provide “effi-
cient” denture service with-
out the need for “scientific
equipment.” The Gysi Adapt-
able articulator (left) would
be the ideal instrument, but
the Simplex would suffice in
80% of the cases. The booklet
advertised the services of the
I.J. Dresch Laboratories of
Toledo, OH, and the illustra-
tions were provided by the
Dental Digest, G.W. Clapp, ed-
itor. It was not copyrighted.

consideration individual variations (i.e., there was movement, and the design of articulators. In 1864,
the notion that “one size fits all”), and (2) no Bonwill introduced his “equilateral triangle” the-
provision was made for the Balkwill–Bennett move- ory, establishing the size of the mandible as 10 cm
ment. from condyle to condyle and from each condyle to
Articulators designed to reflect geometric theo- the incisor point. Bonwill believed that articulation
ries feature some type of mechanism that allows of the teeth guides the mandible during function,
the “mandible” to move around a single central but that the centers of the condyles are also the
radial axis generally located above and/or posterior centers of lateral rotation for the mandible’s open-
to the occlusal plane. Traditionally, these devices ing and closing movements.5
have been called “arbitrary” and “single rotation Balkwill presented his observations on mandib-
center” articulators. These terms are not ade-
ular movement in 1866. When describing the open-
quately descriptive, however, because they are sim-
ing motion, he theorized that
ply too vague and ambiguous. For example, to
stretch a point, the simple hinge articulators might the articulating posterior outline of the condyle of the lower
also be considered “single rotation center” articu- jaw appears formed of parts of two circles, the inner and
lators,4 and they certainly can be considered “arbi- larger forming part of an independent smaller circle. The
trary.” (Incidentally, it appears that over the years, condyle articulates with the glenoid cavity so as to allow a
the popularity of simple hinge devices has never single hinge-like motion and a forward and backward
waned.) motion. While there is only a slight lateral motion, both
The inventors most frequently associated with sides move on the radii of the same circle. The combined
the geometric school of mandibular movement and motion of both circles will give the [rotating] side nearly a
simple lateral action, while the [orbiting] side will move
articulator design are George S. Monson (for his
forward and downward.6
“spherical” theory) and Rupert E. Hall (for his
“conical” theory). It was earlier investigators, how- In 1890, anatomist Ferdinand Graf von Spee of
ever, who laid the basic foundations on which the Kiel, Germany (Fig 2) called attention to “the
principles of the various geometric theories were relationship between the curved arrangements of
built. the occlusal planes of natural teeth and the corre-
William G.A. Bonwill and Francis H. Balkwill, sponding curves of the condylar paths.”7 As re-
who were contemporaries although oceans apart, ported by Gysi, von Spee described the forward
were perhaps the earliest investigators to apply movement of the mandible (as viewed in the sagit-
geometric principles to articulation, mandibular tal plane) in this manner:
136

along the upper part of the skull are lying on the same
cylindrical surface. The location of the axis of that cylin-
der’s curvature is at the level of the horizontal mid-orbital
plane. The steeper the path of the condyles, the more
pronounced the tooth curve would be, because both have the
same radius.8

This was later to be known as the curve of Spee.

The Spherical Theory: Should the


Credit Go to Christensen or
Monson?
There was never a raging controversy over who
originated the “spherical” theory. On the contrary,
most authors have traditionally awarded that dis-
tinction to George Monson. However, there were
some early discussions on this issue, and even into
the late 1940s, there was some question as to who
actually originated the spherical theory of mandib-
ular movement.9
Rupert Hall’s historical review of the work of
various investigators on mandibular movement led
him to believe that Carl Christensen had developed

Figure 2. Ferdinand Graf von Spee (1855–1937). (Re-


printed by permission of ADA Publishing, a division of
ADA Business Enterprises, Inc. Copyright © 1980, Amer-
ican Dental Association.)

The total visible contact of the molar masticatory surfaces


lies on the same arc of a circle. The posterior continuation
of this arc touches the most anterior point of the condyle.
Accordingly, the points of the mandible that glide in contact

Figure 3. Sagittal view of the mandible. The concentric Figure 4. A lateral view of the skull with a schematic
arcs demonstrate the nature of the protrusive movement drawing of dentures in centric occlusion and in protru-
of the mandible. The short black line represents the sion. This illustrates the intraoral method for recording
“joint path.” Christensen believed that the path of the the condylar inclination, or Christensen’s phenomenon.
condyle “never differs much from a straight line.” (Re- Christensen’s “Rational articulator” is based on this prin-
printed from Christensen.11) ciple. (Reprinted from Christensen.11)
137

Figure 5. Christensen’s Rational articulator with plaster


casts and wax occlusion rims mounted in the centric
position. The plaster blocks, mounted for the simulated Figure 6. (A) Christensen’s Rational articulator with
functional generated path procedure, would look similar the condylar guides set at a high inclination. The maxil-
to this. (Reprinted from Christensen.11) lary and mandibular plaster blocks have been manually
ground in and the surfaces have obtained spherical
shapes. (Reprinted from Christensen.12) (B) Vulcanite
the spherical theory.10 Christensen’s claim to fame, rubber stints with wax occlusion rims on casts of badly
worn natural teeth. The spherical contours of the rims
of course, was his practical technique for register- were formed as a result of the subject moving his man-
ing positional relations of the mandible. He was the dible freely and as far as capable while maintaining
first to describe an intraoral method for recording a contact of the rims with moderate pressure. (Reprinted
static protrusive record to determine the condylar from Christensen.12)
inclination, and he produced an adjustable condylar
guide articulator, the “Rational” articulator, to pro- that Spee himself admitted that there seemed to
mote this technique.11,12 From his description of the be a discrepancy between his hypothesis and the
technique came what Ulf Posselt coined “Chris- accepted conception of anatomic conditions. But
tensen’s phenomenon,” or the posterior separation Christensen proposed that during movement of
of the occlusion rims that occurs when the mandi- the mandible in individuals with natural teeth,
ble moves from a centric to a protrusive position.13 while the teeth remain in “sliding contact,” the
In the late 1890s, Christensen discovered what was, condyles can only move downward and forward 4
until then, the largely unknown work of von Spee to 5 mm, with a maximum distance of 12 mm.
“on the displacement path of the jaw.”7 He believed Therefore, he believed that the small distance
that Spee should be “credited with pointing out the and direction that the condyles traveled while the
important—and simple—truth that the path of the teeth remained in contact was of utmost impor-
condyle during the ‘bite movement’ must be in tance for dentures to function properly. Chris-
conformity with the ‘bite-path’.”12 Christensen de- tensen believed that, as von Spee indicated, if the
veloped his method of recording the condylar incli- “articulation-path” and the “joint-path” were
nations for his “Rational” articulator as an exten- similar, then whether the “articulation-path” is
sion of Spee’s principle, that is, harmonizing the straight or curved, the “joint-path” must be par-
articulation of the teeth with the movements of the allel to it (Fig 3).11 In this figure, both paths are
condyles.14 shown to conform to concentric arcs with a com-
Christensen was well aware that in Spee’s mon center. Christensen considered the “condy-
view, the nature of the temporomandibular joint lar path curves” to have “infinite” radii and, for
during movement was of more a mechanical than all practical purposes for setting denture teeth,
an anatomic character and that his observations to be a straight line. His articulator was based on
may not hold true in all cases. He pointed out this principle (Fig 4).11
138

Christensen’s Spherical Theory a laboratory demonstration, used his “Rational”


articulator to manually simulate “functionally gen-
Carl Christensen pursued Spee’s ideas further but erated path” occluding surfaces on maxillary and
adopted different concepts of the nature of man- mandibular rims. To simulate occlusion rims,
dibular movement. By the early 1900s, he had stud- Christensen mounted plaster blocks in his articula-
ied the work of other investigators and had made tor (Fig 5). He then set the condylar guides at an
his own observations on mandibular movement and “especially high oblique position.” Maintaining firm
occlusal wear patterns of natural teeth. hand pressure on both bows of the articulator and
Christensen’s new spherical hypothesis was based using the guiding mechanism of the instrument, he
on the conclusions that he had reached regarding the functionally articulated the blocks to “grind them
factors that determine the nature of the occlusal in” to balancing surfaces “in all directions of the
plane and the relationship between the occlusal plane, moving bite.” The worn surfaces now showed “per-
tooth articulation, and condylar paths. Preferring to fect contact through all movements” and obtained
use the root word “bite” rather than the terms “artic- the shape of spherical surfaces, the mandibular
ulation” and “occlusion,” Christensen claimed that surface concave upward and the maxillary surface
the only way to prove that his theories were correct convex downward (Fig 6A).12
was to observe the “bite-movement” (articulation) Christensen claimed to confirm this “indirect
phenomenon itself.‡ But, he explained, it “must be proof ” by another experiment that he carried out
remembered that the minute details of [these move- with a living subject, a man whose natural teeth
ments]. . .in the living individual. . .are still a closed were severely abraded. The subject’s plane of occlu-
book to us, and. . .are hardly suitable as the real basis sion was slightly curved but was not smooth. Chris-
for [debate].”12 Christensen held that it is the ideal tensen constructed vulcanite rubber stints to cover
“jaw-path” during “bite movement” of the edentulous the teeth, and over the stints he placed wax occlu-
mouth (related to the construction of complete den- sion rims of a few millimeters thickness. After
tures) that should be determined, not the “accidental, lubricating the rims with soap, the subject was
more or less normal ‘bite-path’ of the mouth with asked to move his mandible in all possible direc-
natural teeth.”12 tions, holding the rims together with moderate
Christensen did not fully understand the nature pressure. Although not as dramatic, the outcome
of the lateral movements of the mandible, but he was the same—the occlusal surfaces of the wax
concluded that the mandible must make lateral rims obtained a spherical shape (Fig 6B and C).12
movements similar to the forward movements and
that only a spherical surface arrangement of the
occlusal plane would allow continuous tooth contact A Frank-ly Discouraging Word
during all excursions of the mandible. These spher- In 1908, Bernard Frank of Amsterdam, took aim at
ical surfaces differ for each individual, ranging from von Spee and Christensen, harshly criticizing their
an almost-plane surface with an infinite radius to a work on mandibular movement and admonishing
highly curved surface with a radius of 4 to 5 inches. any inventors who had claimed that their so-called
Christensen offered 2 of his several “practical” “anatomic” articulators could imitate the joint
experiments to confirm that the principles of his mechanism.15 Frank conducted experiments that
spherical theory were correct. The first experiment, he believed produced conclusive evidence that
Spee’s findings were inaccurate. He said that von
Spee had stated emphatically that the sagittal oc-

In his 1905 paper, Christensen chose to avoid the use clusion curve of man has a radius of 6 to 7 cm, and
of the terms “articulation” and “occlusion,” but instead, claimed that his own experiments showed that this
chose the word “bite” as a general term meaning “all the was the case in only 27% of the measurements.15
forms of contact in which both rows of teeth may meet.” Frank also contended that Christensen did not
He went into detail defining his “bite”-related terms and
prove the validity of his “Rational” articulator. Us-
his arguments for preferring their use; but his basic
reason was “simply because experience has taught me ing cross-sections of dentulous mandibular casts,
that neither ”articulation“ nor ”occlusion“ [are under- Frank demonstrated that there were vast differ-
stood by] the great majority of dentists when a thorough ences among individuals in the curvatures of the
explanation of the subject is attempted.”11 occlusal planes. Moreover, by cutting cross-sections
of each cast at the positions of the premolars and
139

Figure 7. Cross-sections of mandibular dentulous casts of different individuals demonstrating how Frank calculated the
differences between the lateral occlusal plane curvature variations (as viewed in the frontal plane.) Lines were drawn touching
the highest points of the respective pairs of teeth. Points a and b identify the midpoint of the occlusal surfaces. The lines
intersect at point c. Frank identified points a, b,and c as the “inter-occlusal surface angle.” At points a and b, perpendicular lines
were drawn that intersected at point d, representing the common center of rotation of each pair of teeth. Frank noted that
each tooth had a “circle of occlusal contact,” 1 with radius r and 1 with radius r⬘. None of the radii constructed for the “occlusal
circles” of each tooth pair ever appeared to be equal. (Reprinted from Turner.14)

molars, he showed that the radius of each of the 5 periment entirely fails to prove the correctness of the
pairs of teeth would be different (Fig 7). [Christensen] articulator.”15
Using Christensen’s “Rational” articulator, Frank Bernard Frank’s rhetoric was that of a man with
repeated his simulated “functionally generated path” a mission: to let the world know that it is “utterly
experiment using blocks made of a pumice–stone impossible to solve the problems of articulation by
mixture (Fig 8). The curved occlusal surfaces gener- means of articulators.” In the milieu of this early-
ated on Frank’s blocks were remarkably more compli- 20th century dentist, it is doubtful that he found
cated than the spherical surface reported by Chris- many colleagues to argue with that statement. In-
tensen. Furthermore, Frank suggested that it was deed, there are those today who would wholeheart-
“evident that the directions of the natural masticating edly agree with him.
surfaces differ so greatly from those obtained by re- Clearly, Frank expressed some legitimate con-
peating the experiment of Christensen that this ex- cerns. He understood the concepts of the facebow,

Figure 8. Cross-sections of
the mandibular casts of oc-
clusal rims that Frank gener-
ated by repeating Christen-
sen’s simulated “functionally
generated path” experiment.
Frank made 5 transverse sec-
tions at the “proper posi-
tions” of the posterior teeth.
He noted 10 different slop-
ing surfaces, 5 for each side,
and pointed out numerous
discrepancies between Chris-
tensen’s findings and his. (Re-
printed with permission.15)
140

Figure 11. Dr. Monson making measurements on a


human mandible to demonstrate that from the 4-inch
common center, the divider touches the incisal edges and
the condyles. (Reprinted from Washburn.17)

Figure 9. George S. Monson, DDS (1869 –1933). (Re-


printed by permission of ADA Publishing, a division of tensen’s theories could be described as “comparing
ADA Business Enterprises, Inc.16 Copyright © 1933, apples and oranges.” Even though the spherical
American Dental Association.) theory implies multidirectional movement, Chris-
tensen primarily studied the movement of the man-
the third point of reference, and the variability of dible in the anteroposterior direction (as observed
the intercondylar distance. Christensen had not in the sagittal plane) after the work of Spee,
addressed these issues in his work. On the other whereas Frank’s observations were in the frontal
hand, Frank’s choice of analysis to challenge Chris- plane. Christensen also made it quite clear that the

Figure 10. George Monson


demonstrated his “spherical”
theory for the first time on
this Bonwill articulator.
The casts were mounted in
the articulator according
to Bonwill’s equilateral tri-
angle and with the spheri-
cal occlusion guide. (Re-
printed from Washburn.17)
141

Figure 12. L.A. Weinberg’s schematic illustration of the 3-dimensional relationships of the components of Monson’s theory.
Lines projected from the apices (A, B, and C) of Bonwill’s triangle intersect at point D, forming a spherical pyramid. Monson’s
8-inch diameter sphere touches the apices of the triangle, and point D is the center of rotation or radius of the sphere.
Weinberg pointed out that a relationship between Bonwill’s triangle and Balkwill’s angle. Monson’s theory requires a condylar
inclination of close to 35 degrees and a Balkwill angle of 15.5 degrees. These angles do not correspond to those average angles
found by Gysi (30-degree condylar inclination) and by Balkwill (26-degree Balkwill angle) (Reprinted with permission.22)

“ideal occlusal curve” would be considered only for it significant that Christensen and Monson, so close in
the edentulous mouth in the context of construct- ideas, knew nothing of each other’s work.17
ing complete dentures.12 Washburn reported that in 1898, speaking to a
So what did Frank conclude from his own exper- group at Mankato, MN, Monson presented for the
iments with curves of occlusion and from his obser- first time a method for setting denture teeth, using
vations of the known articulators of his day? What Bonwill’s equilateral triangle conforming to the
he said was this: “An anatomical articulator is good surface of a sphere. Monson had been a student and
for nothing. Life cannot be imitated. It would seem close friend of Bonwill for many years, but the time
then, that we must give up forever any idea of being came when he could no longer strictly follow all of
able to construct a mechanical joint articulator that Bonwill’s teachings. Nevertheless, this first demon-
will enable us to construct a physiologically articu- stration of his spherical theory was performed with
lating denture for each individual case.”15 Clearly, a Bonwill articulator, and the casts were mounted
he was ahead of his time. according to Bonwill’s instructions. However, the
teeth were set to conform to a wire “spherical”
occlusal guide constructed by Monson (Fig 10).17
Monson’s Spherical Theory
Through further studies, Monson concluded that
and Articulator
prenatally, mandibles ideally tend to develop as equi-
Conducting experiments on mandibular movement lateral triangles and, if the various interfering factors
during the same period as Carl Christensen was can be controlled during development, that the teeth
George Monson, of St. Paul, MN (Fig 9).16 H.B. Wash- also would conform to a sphere.18 To verify this hy-
burn (also of St. Paul, MN), writing on the history of pothesis, Monson conducted experiments with both a
occlusal concepts, reported that Monson had con- human mandible and with casts of the mandibular
ceived the spherical theory. Washburn also considered dentition of “highly developed” individuals. By “highly
142

Figure 13. A frontal view of


the mandible illustrating the
relationship of the 8-inch-
diameter sphere with the
transverse plane of occlusion
that Monson claimed must
be the same as the antero-
posterior plane for balanced
occlusion to be achieved. The
radial lines of force of 4-inch
length converge forming the
radial point at the apex from
which the radius of occlusion
of each tooth is determined.
(Reprinted from Monson.20)

developed,” he meant a person with an ideal mandible occlusal surface of each posterior tooth, projecting the
and dentition that had not been disturbed at some rod upward and parallel to the long axis of the tooth.
point by disease, trauma, or developmental anomaly. These rods represented the radial lines of force of the
Monson affixed a metal rod to the center of the teeth. When all of the rods were in place, Monson

Figure 14. A posterior view


of the mandible, illustrating
the application of the radial
lines to the condyles. The
center of the condyles are
shown conforming to the sur-
face of the sphere, giving the
same radial dimensions from
the centers of the condyles to
the apex as from the occlusal
surfaces of the teeth. This
also illustrates Monson’s
concept that this radial
center is the center for the
entire muscular action be-
cause the angles of the
mandible conform to lines
centering at apex A. (Re-
printed from Monson.20)
143

Figure 15. Monson’s Man-


dibulo-Maxillary instrument.
Point A is the radial center of
the instrument from which
the occlusal surfaces of the
teeth are determined. Point
B is the position of the con-
dylar hinge mechanism for
the instrument. The teeth
are arranged to conform to
the 8-inch sphere at C. Slot
D controls anteroposterior
movement. The slot is con-
centric with the outer surface
of the sphere. Jackscrews E
are used to adjust the posi-
tion of the lower cast to the
center if required. This in-
strument was manufactured
by M.F. Patterson Supply
Co., St Paul, MN. (Reprinted
from Campbell.21)

found that they intersected at a common point or maxillary teeth, as over the external surface of a
center. On the human mandible (Fig 11), he discov- segment of an 8-inch sphere, and that the radius (or
ered that when measuring from this common center, common center) of the sphere is located in the
a dividing caliper not only touched the incisal edges of region of the crista galli. Because of the way in
the anterior teeth and the buccal and lingual cusps of which the mandible develops, Monson further be-
the posterior teeth, but also bisected both of the lieved that it would be logical to adapt Bonwill’s
condyles. 4-inch equilateral triangle to the surface of the
This, then, was the origin of Monson’s spherical 8-inch sphere, because geometrically, such a spher-
theory. It was based on the concept that the man- ical-based triangle would also be a segment of the
dibular teeth move over the occlusal surfaces of the 8-inch sphere, and the apex of a pyramid erected on

Figure 16. A sagittal view


demonstrating the relation-
ships of the 8-inch diameter
sphere to Monson’s articula-
tor and to the anteroposte-
rior plane of occlusion. (Re-
printed from Monson.20)
144

Figure 17. A schematic


drawing illustrating the theo-
retical mechanics of transfer-
ring wax rims from the patient
to the instrument. (Reprinted
from Washburn.17)

the triangular base would be coincident with the his spherical theory (Figs 15 and 16). The
common center of rotation, that is, the 4-inch ra- instrument had 2 rotational axes, spherical and
dius of the sphere (Figs 12, 13, and 14). Initially, the condylar. The condylar axis feature was, of
spherical theory involved the articulation of natural course, one of convenience but was also de-
teeth in the “highly developed” individual and the signed for a facebow transfer method used for
conviction that these principles apply to the eden- the “unbalanced [oral] conditions” encoun-
tulous mandible with highly developed ridges.18 tered in most patients. Both Washburn17
Monson soon realized, however (and was quick to and R.G. Keyworth23 described their methods
point out), that most patients encountered are for using Monson’s articulator in complete
not “highly developed,” because at some point in denture construction; both versions included
life an unbalanced condition replaced an earlier a similar facebow transfer technique (Figs 17
balance as a result of some disturbing influence. and 18).
In these individuals, the radius of the sphere may In summarizing the principles of Monson’s in-
be greater or smaller than 4 inches and may not strument, Washburn stated that it incorporated
always be in the same location. Thus Monson Monson’s spherical principle and combined the
provided a mechanism in his instrument and in Bonwill triangle with Walker and Gysi’s condyle
the method for mounting casts whereby the re- movements. In addition, the instrument included
lationship of the patient’s occlusal plane and Gysi’s idea that the forward and lateral movements
condyles to the patient’s center is the same on must be combined and that the plane of occlusion
the articulator as in the patient.17 conforms to the curve of Spee.17
In 1923,§ Monson was issued a patent for his
articulator.19 The “Mandibulo-Maxillary In- Returning to the Original Question
strument,” as Monson named it, was based on
So, who should receive credit for the spherical the-
ory, Carl Christensen or George Monson? The an-
swer may never be definitely known, because the
§
James House states that Monson had applied for the exact date when and by whom the spherical idea
articulator patent in 1918 and had presented and defended was conceived may be “too close to call.” Is this
his “spherical” principles and his Mandibulo-Maxillary In- answer important? Probably not. Because they were
strument “surprisingly well” before his peers at the annual
working independently at about the same time,
session of the National Society of Denture Prosthetists
about 2 years later. Monson “was very much in the center of either one of these men could have actually been
the ‘spirited dental controversy’ [over the various theories of the first. In any event, it is George Monson who
mandibular movement and articulator design] because his should and probably will be remembered for pro-
idea of a single rotation center was an easy target.”4 mulgating the spherical theory and for his convic-
tion that its principles were sound.
145

Figure 18. (A) After a centric rela-


tion record is made, the rims are
fastened together and transferred
to the instrument with a facebow.
(B) After the occlusion rims are re-
lated to the condylar axis with the
facebow, the lower cast is adjusted
by placing one end of the open cal-
ipers in the radial center of the ar-
ticulator and touching the free end
of the calipers to the incisor point
on the lower wax rim. (C) A caliper
is used to project the spherical
curve to the occlusal surface of the
mandibular wax rim as a guide for
setting the teeth. (Reprinted by
permission of ADA Publishing, a di-
vision of ADA Business Enterprises,
Inc.23 Copyright © 1929, American
Dental Association.)
146

Carl Christensen was a practical clinician United States from 1840–1970. Masters thesis, Indiana
who devised a useful intraoral procedure to School of Dentistry, Indianapolis, IN, 1970, pp 119-127
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record the individual condylar paths for the Assoc 1864; July 26:76-79
purpose of setting the adjustable condyle con- 6. Balkwill FH: The best form and arrangement of artificial
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about the nature of mandibular movement and, 5:133-158
through his experiments, recognized the spher- 7. von Spee FG: Die Verschiebrangsbahn des unterkiefers am
schadell. Arch Anat Physiol 1890;16:285-294. English trans-
ical curvature of the occlusal plane and its lation, Niedenbach MA, Holtz M, Hitchcock HP: The gliding
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practical purposes, the condyle paths would be 1910;52:148-169
9. Lufkin AW (ed): A History of Dentistry (ed 2). Philadelphia.
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