Journals / Selcuk Dental Journal / 2025 / Volume: 12 Issue: 3

The Clinical Use of Virtual Articulators in the Digital Era

Dijital Çağda Sanal Artikülatörlerin Klinik Kullanımı

Nuran Yanıkoglu(ATATÜRK ÜNİVERSİTESİ)0000-0001-7677-1248
Betül Ayhan(KIRIKKALE ÜNİVERSİTESİ)0000-0003-3388-8037
Merve Köseoğlu(SAKARYA ÜNİVERSİTESİ)0000-0001-9110-9586
Pages
—
Publication Date
2025-12-29
🏛️Bibliographic metadata and full text access for this article are provided via DergiPark.
DergiPark Record ↗
✨

AI Summary & Key Takeaways

AI Insight
⚡ TL;DR(Too Long; Didn't Read)

In conclusion, it is understood that virtual reality has changed the practice of dentistry and will continue to improve dental procedures in the near future.

📌 3 Key Takeaways

🎯
Objective & Hypothesis:Virtual articulators simulate inter-jaw relationships in a computerized environment.
📊
Key Findings & Data:Within the scope of the study, 41 articles published in different databases were included.
💡
Conclusion & Impact:In conclusion, it is understood that virtual reality has changed the practice of dentistry and will continue to improve dental procedures in the near future.
🔬Design:Review
📍Scope:Comprehensive Sample
⚙️Variables:articulators · dental · virtual reality

Abstract

Virtual articulators simulate inter-jaw relationships in a computerized environment. Virtual and augmented reality are used as digital tools to support dental clinical practice and education. Many authors have published studies investigating the digital techniques available for the use of a virtual articulator. The aim of the present study was to analyze the existing literature on virtual articulators. Within the scope of the study, 41 articles published in different databases were included. In current technology, there are 2 different types of virtual articulators: fully adjustable and mathematically simulated. The workflow of virtual articulators consists of 4 main steps: digitizing the dental arch by scanning it with an intraoral scanner or 3D laser scanner, occlusal registration, virtual facebow, and virtual mounting. The advantages of virtual articulators are that they provide three-dimensional visualization, improve communication between dentist, dental technician, and patient, increase efficiency, facilitate patient education, integrate with computer-aided design and manufacturing systems, evaluate both static and dynamic occlusion, and analyze occlusal interferences. The disadvantages of virtual articulators are that mounting the casts to the articulator and scanning these takes time, increases the cost as it requires special software, scanners, and technical knowledge and skills. In conclusion, it is understood that virtual reality has changed the practice of dentistry and will continue to improve dental procedures in the near future. Virtual articulators simulate occlusion in a virtual environment with the potential to be translated into clinical practice. In the future, these systems need to be augmented by 4-dimensional technology in dynamic simulations.

Özet

Sanal artikülatörler, çeneler arası ilişkileri bilgisayar ortamında taklit etmektedir. Sanal ve artırılmış gerçeklik, diş hekimliği klinik pratiğini ve eğitimini destekleyen dijital araçlar olarak kullanılmaktadır. Birçok yazar, sanal bir artikülatörün kullanımı için mevcut dijital tekniklerin araştırıldığı çalışmalar yayınlamıştır. Mevcut çalışmanın amacı, sanal artikülatörlerle ilgili mevcut literatürleri analiz etmektir. Çalışmada kapsamında, farklı veri tabanlarında, sanal artikülatörle ile ilgili yayınlanmış 41 adet makale çalışmaya dahil edilmiştir. Mevcut teknolojide, tamamen ayarlanabilir ve matematiksel olarak simüle edilmiş olmak üzere 2 farklı sanal artikülatör çeşidi vardır. Sanal artikülatörlerde iş akışı, diş arkının ağız içi tarayıcı yada 3 boyutlu lazer tarayıcı ile taranarak dijitalleştirilmesi, okluzal kayıtların alınması, yüz arkı kullanımı ve bu bilgilerin dijital ortama aktarılmasını içeren 4 ana adımdan oluşmaktadır. Sanal artikülatörlerin avantajları; üç boyutlu görsel sağlayarak, diş hekimi, diş teknisyeni ve hasta arasında iletişimi geliştirmesi, verimliği arttırması, hasta eğitimini kolaylaştırması, bilgisayar destekli tasarım ve üretim sistemleriyle entegre çalışması, hem statik hem de dinamik oklüzyonu değerlendirmesi, oklüzal düzensizlikleri analiz etmesidir. Sanal artikülatörlerin dezavantajları, modellerin alçı ile mekanik artikülatöre bağlanması ve taranmasının zaman gerektirmesi, özel yazılım, dijital tarayıcılar gerektirdiğinden maliyeti arttırması, teknik bilgi ve beceri gerektirmesidir. Sonuç olarak, sanal gerçekliğin diş hekimliği pratiğini değiştirdiği ve yakın gelecekte de diş hekimliği prosedürlerini iyileştirmeye devam edeceği anlaşılmaktadır. Sanal artikülatörler, klinik pratiğe dönüştürülme potansiyeli ile oklüzyonun sanal bir ortamda simülasyonuna olanak tanımaktadır. Gelecekte ise, bu sistemlerin dinamik simülasyonlarda 4. boyut teknolojisiyle desteklenmesi gerekmektedir.

🔖

Cite This Article

Yanıkoglu, N., Ayhan, B., Köseoğlu, M. (2025). The Clinical Use of Virtual Articulators in the Digital Era. Selcuk Dental Journal, Volume: 12 Issue: 3. https://doi.org/10.15311/selcukdentj.1609630

📄 Full Text PDF Viewer

📄

PDF görüntüleyici hazırlanıyor...

References (55)

  1. Abduo J. Safety of increasing vertical dimension of occlusion: a systematic review. Quintessence Int. 2012;43(5):369-380.
  2. The Glossary of Prosthodontic Terms: Ninth Edition. J Prosthet Dent. 2017;117:1-105.
  3. Türkay T, Güven MF, Demir N, Yöndem İ. Eksentrik Kayıtlar ile Artikülatör Programlama: Olgu Sunumu. Selcuk Dent J. 2024;11(1):69-74.
  4. Starcke EN. The history of articulators: a perspective on the early years, Part I. J Prosthodont. 1999;8(3):209-211.
  5. Goldstein G, Goodacre C. Selecting a virtual articulator: An analysis of the factors available with mechanical articulators and their potential need for inclusion with virtual articulators. J Prosthodont. 2023;32(1):10-17.
  6. https://agentgallery.com/objects/1916-rare-dental-articulator-signed-and-dated-with-makers-mark. Accessed December 12, 2024.
  7. Starcke EN, Engelmeier RL. The history of articulators: the wonderful world of “grinders.” Part I. J Prosthodont. 2006;15(2):129-140.
  8. Starcke EN, Engelmeier RL. The history of articulators: the wonderful world of “grinders”. Part II. J Prosthodont. 2012;21(3):232-252.
  9. Starcke EN, Engelmeier RL. The history of articulators: the wonderful world of “grinders” Part III. J Prosthodont. 2016;25(2):156-169.
  10. Türkay T, Güven MF, Demir N, Yöndem İ. İmplant Destekli Overdenture Protezlerde Sağlanamayan Bilateral Balanslı Artikülasyon ve Klinik Çözümü: İki Olgu Sunumu. Selcuk Dent J. 2023;10(3):595-599.
  11. Lee JD, Luu D, Yoon TW, Lee SJ. Accuracy comparison of bilateral versus complete arch interocclusal registration scans for virtual articulation. J Prosthet Dent. 2024;132(5):1038-1043.
  12. Gärtner C, Kordass B. The virtual articulator: development and evaluation. Int J Comput Dent. 2003;6(1):11-24.
  13. Bisler A BU, Kordass B, Suchan M, Voss G. The virtual articulator. Int J Comput Dent. 2002;5:101-106.
  14. Geiger B, Mehl A. A novel algorithmic approach for automatic virtual articulation to avoid dynamic interferences in dental restoration designs. Int J Comput Dent. 2024;27(2):179-189.
  15. Lepidi L, Galli M, Mastrangelo F, et al. Virtual articulators and virtual mounting procedures: where do we stand? J Prosthodont. 2021;30(1):24-35.
  16. Morsy N, El Kateb M. Accuracy of intraoral scanners for static virtual articulation: A systematic review and meta-analysis of multiple outcomes. J Prosthet Dent. 2024;132(3):546-552.
  17. https://exocad.com/our-products/exocad-dentalcad/virtual-articulator. Accessed September 18, 2024.
  18. Koralakunte PR, Aljanakh M. The role of virtual articulator in prosthetic and restorative dentistry. J Clin Diagn Res. 2014;8(7):25-28.
  19. Úry E, Fornai C, Weber GW. Accuracy of transferring analog dental casts to a virtual articulator. J Prosthet Dent. 2020;123(2):305-313.
  20. Lee KC, Park JH, Kim JC, Lee S, Moon D, Lee GH. Digital application of three‐dimensional diagnosis and treatment with a virtual articulator. J Esthet Restor Dent. 2024;36(5):710-722.
  21. Patzelt SB, Emmanouilidi A, Stampf S, Strub JR, Att W. Accuracy of full-arch scans using intraoral scanners. Clin Oral Investig. 2014;18:1687-1694.
  22. Ender A, Mehl A. Accuracy of complete-arch dental impressions: a new method of measuring trueness and precision. J Prosthet Dent. 2013;109(2):121-128.
  23. Abduo J, Elseyoufi M. Accuracy of Intraoral Scanners: A Systematic Review of Influencing Factors. Eur J Prosthodont Restor Dent. 2018;26(3):101-121.
  24. Giachetti L, Sarti C, Cinelli F, Russo DS. Accuracy of digital impressions in fixed prosthodontics: a systematic review of clinical studies. Int J Prosthodont. 2020;33(2):192-201.
  25. Keul C, Güth J-F. Accuracy of full-arch digital impressions: an in vitro and in vivo comparison. Clin Oral Investig. 2020;24:735-745.
  26. Solaberrieta E, Garmendia A, Brizuela A, Otegi JR, Pradies G, Szentpétery A. Intraoral digital impressions for virtual occlusal records: section quantity and dimensions. Biomed Res Int. 2016;2016(1):7173824.
  27. Ender A, Attin T, Mehl A. In vivo precision of conventional and digital methods of obtaining complete-arch dental impressions. J Prosthet Dent. 2016;115(3):313-320.
  28. https://www.medit.com/tr/medit-i700-intraoral-scanner/. Accessed September 18, 2024.
  29. Kattadiyil MT, Alzaid AA, Campbell SD. What materials and reproducible techniques may be used in recording centric relation? Best evidence consensus statement. J Prosthodont. 2021;30(S1):34-42.
  30. Yee SHX, Esguerra RJ, Chew AAQA, Wong KM, Tan KBC. Three‐dimensional static articulation accuracy of virtual models–part i: system trueness and precision. J Prosthodont. 2018;27(2):129-136.
  31. Yee SHX, Esguerra RJ, Chew AAQA, Wong KM, Tan KBC. Three‐Dimensional Static Articulation Accuracy of Virtual Models—Part II: Effect of Model Scanner‐CAD Systems and Articulation Method. J Prosthodont. 2018;27(2):137-144.
  32. Ren S, Morton D, Lin W-S. Accuracy of virtual interocclusal records for partially edentulous patients. Journal Prosthet Dent. 2020;123(6):860-865.
  33. Marinis A, Papaspyridakos P, Sicilia E, et al. Digital workflow for double complete arch zirconia prostheses utilizing a novel scan body. J Prosthodont. 2022;31(1):4-8.
  34. Hsu MR, Driscoll CF, Romberg E, Masri R. Accuracy of dynamic virtual articulation: trueness and precision. J Prosthodont. 2019;28(4):436-443.
  35. Bernhardt O, Küppers N, Rosin M, Meyer G. Comparative tests of arbitrary and kinematic transverse horizontal axis recordings of mandibular movements. J Prosthet Dent. 2003;89(2):175-179.
  36. Petre A, Drafta S, Stefanescu C, Oancea L. Virtual facebow technique using standardized background images. J Prosthet Dent. 2019;121(5):724-728.
  37. Solaberrieta E, Otegi JR, Mínguez R, Etxaniz O. Improved digital transfer of the maxillary cast to a virtual articulator. J Prosthet Dent. 2014;112(4):921-924.
  38. Ghanai S, Marmulla R, Wiechnik J, Muehling J, Kotrikova B. Computer-assisted three-dimensional surgical planning: 3D virtual articulator. Int J Oral Maxillofac Surg. 2010;39(1):75-82.
  39. Solaberrieta E, Mínguez R, Barrenetxea L, Otegi JR, Szentpétery A. Comparison of the accuracy of a 3-dimensional virtual method and the conventional method for transferring the maxillary cast to a virtual articulator. J Prosthet Dent. 2015;113(3):191-197.
  40. Lam WY, Hsung RT, Choi WW, Luk HW, Pow EH. A 2-part facebow for CAD-CAM dentistry. J Prosthet Dent. 2016;116(6):843-847.
  41. Joda T, Gallucci GO. The virtual patient in dental medicine. Clin Oral Implants Res. 2015;26(6):725-726.
  42. https://www.amanngirrbach.com/en-gb/equipment/jaw-registration/artex-facebow/. Accessed September 18, 2024.
  43. Revilla‐León M, Zeitler JM, Kois JC. An overview of the different digital facebow methods for transferring the maxillary cast into the virtual articulator. J Esthet Restor Dent. 2024;36(1):1675–1686.
  44. Lam WY, Hsung RT, Choi WW, Luk HW, Cheng LY, Pow EH. A clinical technique for virtual articulator mounting with natural head position by using calibrated stereophotogrammetry. J Prosthet Dent. 2018;119(6):902-908.
  45. Kim J-E, Kim S-J, Kwon D-H, Shim J-S, Kim J-H. Mounting casts on a mechanical articulator by using digital multisource data: A dental technique. J Prosthet Dent. 2021;125(1):41-45.
  46. Lepidi L, Chen Z, Ravida A, Lan T, Wang HL, Li J. A full‐digital technique to mount a maxillary arch scan on a virtual articulator. J Prosthodont. 2019;28(3):335-338.
  47. Solaberrieta E, Mínguez R, Barrenetxea L, Etxaniz O. Direct transfer of the position of digitized casts to a virtual articulator. J Prosthet Dent. 2013;109(6):411-414.
  48. Maestre-Ferrin L, Romero-Millán J, Peñarrocha-Oltra D, Peñarrocha-Diago M. Virtual articulator for the analysis of dental occlusion: an update. Med Oral Patol Oral Cir Bucal. 2011;17(1):160-163.
  49. Abad-Coronel C, Valdiviezo O, Naranjo O. Intraoral scanning devices applied in fixed prosthodontics. Acta Sci Dent Sci. 2019;3(7):44-51.
  50. Solaberrieta E, Arias A, Brizuela A, Garikano X, Pradies G. Determining the requirements, section quantity, and dimension of the virtual occlusal record. J Prosthet Dent. 2016;115(1):52-56.
  51. Song K-G, Baek S-H. Comparison of the accuracy of the three-dimensional virtual method and the conventional manual method for model surgery and intermediate wafer fabrication. Oral Sur Oral Med Oral Pathol Oral Radiol Endod. 2009;107(1):13-21.
  52. Doshi KN, Sathe S, Dubey SA, Bhoyar A, Dhamande M, Jaiswal T. A Comprehensive Review on Virtual Articulators. Cureus. 2024;16(1):52554.
  53. Kalpana D, Rao S, Venkatesh P, Bhat P. Virtual articulartors: Reality in virtuality–a review. Int J Sci Res. 2018;7:1-2.
  54. Özdemir G, Albayrak B, Yüzbaşıoğlu E, Us YÖ. Virtual articulators, virtual occlusal records and virtual patients in dentistry. J Exp Clin Med. 2021;38(3s):129-135.
  55. Solaberrieta E, Minguez R, Barrenetxea L, Sierra E, Etxaniz O. Novel methodology to transfer digitized casts onto a virtual dental articulator. CIRP J Manuf Sci Technol. 2013;6(2):149-155.