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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
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
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 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 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
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
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
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
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
5. Bonwill WGA: Articulation and articulators. Trans Am Dent
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
trols of his articulator. Christensen was curious teeth for mastication. Trans Odont Soc Great Britain 1866;
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
relationship with the curvature of the condylar path of the mandible along the skull. J Am Dent Assoc
paths. However, Christensen believed that be- 1980;100:670-675
cause of the infinite radius of the sphere, for all 8. Gysi A: The problem of articulation (Part II). Dent Cosmos
practical purposes, the condyle paths would be 1910;52:148-169
9. Lufkin AW (ed): A History of Dentistry (ed 2). Philadelphia.
a straight line. He did not promote his spheri- PA, Lea and Febiger, 1948, p 292
cal theory, but he will always be associated with 10. Hall RE: An analysis of the work and ideas of investigators
his method for making a protrusive intraoral and authors of relations and movements of the mandible.
record and for “Christensen’s phenomenon.” J Amer Dent Assoc 1929;16:1642-1693
George Monson, on the other hand, believed 11. Christensen C: A rational articulator. Ash’s Q Circular
1901;18:409-420
that his spherical principles produced the ideal 12. Christensen C: The problem of the bite. Dent Cosmos
occlusion in the “highest-developed” type of indi- 1905;47:1184-1195
vidual and accordingly, the “best-balanced artificial 13. Posselt U (ed): Physiology of Occlusion and Rehabilitation.
dentures” must conform to a spherical base.20 Mon- Philadelphia, PA, Davis, 1962, pp 42-43
son’s articulator and technique based on his spher- 14. Turner CR (ed): The American Textbook of Prosthetic
Dentistry (ed 3). Philadelphia, PA, Lea Brothers, 1907,
ical theory attracted a number of devoted followers. p 414
Even today, many of his principles persist as a part 15. Frank B: An investigation on articulation and experiments
of the dental landscape. with C. Christensen’s articulator. Brit Dent J 1908;29:289-
More on the history of articulators based on 295
geometric theories of occlusion will appear in the 16. Cruttenden LM: Obituary of George S. Monson. J Am Dent
Assoc 1933;20:1285-1287
next issue of The Journal of Prosthodontics. 17. Washburn HB: History and evolution of the study of occlu-
sion. Dent Cosmos 1925;67:331-342
18. Washburn HB: The application of the Monson spherical
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