Face‐bow transfer in prosthodontics: a systematic review of the literature

Abstract

An extensive search for randomised controlled clinical trials was accomplished to compare dental prostheses and occlusal splints constructed with or without face-bow transfer, and question whether face-bow transfer may present better clinical results than simpler approaches. Studies were identified by searching electronic databases (PubMed/MEDLINE, Latin American and Caribbean Literature on the Health Science, and Brazilian Bibliography of Dentistry). The keywords 'dental articulator', 'semi-adjustable articulator', 'face-bow', 'jaw relation record' and 'occlusal splint therapy' were used. The minimum inclusion requirements were (i) randomised controlled trials with patients of any age, (ii) comparison between dental prostheses or occlusal splints constructed with or without face-bow transfer and (iii) assessment of clinician's time, number of occlusal contacts, patient satisfaction or masticatory function. The search resulted in the identification of 8779 articles. Subsequently, 8763 articles were excluded on the basis of title and abstract. By the end of the search phase, eight randomised controlled trials were considered eligible. Current scientific evidence suggests that face-bow transfer is not imperative to achieve better clinical results in prosthodontics. Randomised clinical trials suggest that simpler approaches for the construction of complete dentures and occlusal splints may present acceptable results, while no clinical study has investigated its use in fixed and removable partial dentures.

Bepaling en registratie van de maxillomandibulaire relatie bij de vervaardiging van kronen en bruggen

“…Door anderen wordt echter de toegevoegde waarde hiervan in twijfel getrokken (Ellis et al, 1992;Walker et al, 2008 betere occlusale contacten (Shodadai et al, 2001). Het klinisch nut van een positieregistratie bij de vervaardiging van prothetische constructies is niet aangetoond (Carlsson 2009;Koyano et al, 2012;Farias-Neto et al, 2013). (Solaberrieta et al, 2013).…”

CEREC Chairside System to Register and Design the Occlusion in Restorative Dentistry: A Systematic Literature Review

“…Usually, a traumatic occlusal interference will occur due to a single tooth, which presents premature contact during maximum intercuspidation or in excursive jaw movements, resulting in disorders of orofacial structures . Thus, an adequate occlusal recording is essential to determine the integration of indirect restorations into the patient's masticatory system …”

“…3 Thus, an adequate occlusal recording is essential to determine the integration of indirect restorations into the patient's masticatory system. 4 Despite the fitting accuracy of CAD-CAM crowns, 5 an ideal occlusal surface is difficult to design, since it demands determining the dynamic relation between dental arches. The first CAD-CAM software systems provided an occlusal morphology based only on standardized morphology.…”

Facebow is a Valuable Tool in Prosthodontics That Facilitates an Articulator to Closely Simulate Jaw Movements

“…Such complications are inevitable if the occlusal morphology of the prosthesis has not been developed on the articulator that "does not behave" like a patient meaning that "does not receive Facebow transfer." The complete denture occlusion may not be so critical, rightly pointed out by few authors, 3 as the acrylic teeth can be trimmed easily to refine occlusion without the risk of metal exposure or crown perforation and additionally mucosal resiliency allows denture/s to get adjusted easily by the patient. Hence, there is a need of further studies to support the relevance of the facebow especially in a fixed prosthodontic practice including implant restorations.…”