Comparison of Horizontal Arch Relation Pathways of Edentulous Patients Recorded with a Digital Arch Motion-Tracking Device.

Abstract

Purpose: To compare condylar path elements (CPEs) in edentulous patients using fully adjustable (FA) and semiadjustable (MS) digital articulators.

Materials and methods: A total of 10 patients with at least one edentulous arch were included. Arch relation records were digitally set in the articulators using two approaches: The MS group employed standard mean occlusal parameter values, while the FA group used individual values obtained using a digital arch motion-tracking device. Differences in CPEs, represented as Δ-values, were statistically analyzed using nonparametric Wilcoxon signed-rank test and post-hoc Tukey test. These analyses evaluated overall differences between FA and MS articulators, identified the regions with the greatest Δ-errors, and determined the percentage of movement required for statistical significance.

Results: CPEs differed significantly between MS and FA articulators. Significant variations were observed in individual CPEs (P < .001), with motion percentage significantly influencing Δ-values (P < .001). Notably, within the first 20% of CPE MS pathways, significant differences were found within the initial 2 mm of movement, a critical range for prosthetic rehabilitation.

Conclusions: This study highlights statistically significant differences in CPEs between MS and FA digital articulators, particularly within the initial 2 mm of movement. These findings underscore the importance of precise CPE replication for occlusal design of complete dentures.