Prosthodontics & Occlusion · single question

The facebow record is used for all of the following EXCEPT:

  1. Recording the relationship of the maxillary arch to a horizontal reference plane
  2. Relating the maxillary arch to the transverse horizontal (hinge) axis
  3. Transferring the maxillary cast to the articulator in its correct spatial orientation
  4. Determining the dental midline
Show answer and explanation

Correct answer: D. Determining the dental midline

  • A. IS a function. The facebow relates the maxillary arch to a chosen horizontal reference plane, usually Frankfort or Camper's plane.
  • B. IS a function. The facebow records the relationship of the maxilla to the transverse horizontal axis of the condyles, which is precisely what allows accurate simulation of the opening arc.
  • C. IS a function. This is the whole point of the instrument: transferring the maxillary cast to the articulator so that its position mirrors the patient's.
  • D. CORRECT — this is the EXCEPTION. The facebow has nothing to do with the DENTAL MIDLINE. Midline is determined clinically from facial landmarks — the philtrum, nasion, and interpupillary line — and is recorded during try-in and tooth arrangement, not by an instrument that records arch-to-skull orientation.

Note: Without a facebow, the maxillary cast is mounted on an arbitrary axis, and errors in the arc of closure translate into occlusal errors that grow with the amount of vertical opening — most consequential in full-mouth rehabilitation.

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