the denar articulator is adjusted by using a 

pad,

a graphic record of the patient's jaw movements.

In order to be able to make the pan a graphic record.

It is necessary to accomplish two preliminary 

procedures,

locating the horizontal reference plane 

and fabricating the maxillary and mandibular 

clutches.

The horizontal reference plane will be used to measure the 

relationship of the inclinations of the pra 

crucitti candler paths.

The posterior reference points can be located by using 

average an atomic measurements.

The reference plane locator is positioned on the side of the 

face,

so it extends from the outer corner of the eye 

to the middle of the upper border of the external 

auditory me status.

A posterior reference point is marked on both 

sides of the face.

The interior reference point is also marked by using 

the reference plane locator.

The point is measured 43 mm above the 

insides.

Alleges of the maxillary anterior teeth.

A short line is marked on the patient's face 

to indicate the location of the horizontal reference 

plane.

The distance of the anterior reference point beneath the 

inner campus of the right eye is also 

measured.

This information is recorded on the patient's pad,

a graphic record for also 

recorded as the manner in which the posterior reference 

points were located.

The pantagraph will be secured to the patient's dental 

arches with clutches.

The clutches will be fabricated using these clutch 

frames at the 

anterior extremity of each clutch frame.

There is an index to which the pantagraph crossbar 

can be fitted and secured with a screw 

clutch frames can be easily modified to 

accommodate to the shape of the dental arches.

A clutch former will be used to fabricate 

clutches directly in the patient's mouth.

The clutch former supports two clutch frames 

and a flexible clutch die.

The superior surface of the dye determines the shape of 

the under surface of the maxillary clutch 

clutched.

I also holds the center bearing screw,

which will be incorporated in the mandibular 

clutch 

clutch.

Jig supports the frames and die in 

proper relationship for a patient 

exhibiting normal vertical and horizontal 

overlap of the anterior teeth.

For a patient who has a pragmatic relation,

a spacer is inserted between the maxillary clutch 

frame and the clutch jig.

This positions the maxillary clutch frame or 

distantly 

for maximum stability.

The clutch frames must be in close 

approximation to the labial surfaces of 

the interior teeth.

For a retro traffic patient,

the spacer is used to position the mandibular 

clutch frame more posterior lee 

if the center bearing screw is likely to impinge 

on the soft tissues immediately 

lingual to the lower anterior teeth.

The clutch dye can be pulled away from the clutch jig 

to locate the center bearing screw more distantly.

The space which opens at the anterior margin of the rubber 

clutch di is closed with utility wax 

to prevent the resin from flowing through this space 

and bonding the maxillary and mandibular clutches to 

each other.

The operator should practice assembly and disassembly of the 

clutch former until he is confident that he can 

arrange the components properly.

The screws which secured the clutch frames to the 

clutch.

Jig should not protrude out of the clutch 

frames where they would impinge against the teeth.

Okay.

The patient must be trained and rehearsed to allow the 

operator to affect centric relation are king of the 

mandible.

The clutch former is tried in the mouth and 

inspected for proper fit with the con 

dials in centric relation.

The clutch frames should not interfere with closure.

They're contoured as required to follow the shape of the 

dental arches and to be positioned facially 

to the labial and buccal surfaces of the teeth.

The clutch former is reinserted.

The upper lip is retracted with the thumb and index 

finger for good visibility while 

simultaneously supporting the clutch former in the 

inter maxillary space at the bicuspid 

area.

The completed clutches should be thick in the center for 

rigidity,

but then over the ACLU cell surfaces of the teeth 

for minimum vertical opening.

Since the clutch can also be used for a face.

Boat transfer.

There should be only light indexing of the 

tips to provide accurate seeding of a 

maxillary cast.

The resin should not go over the heights of contour of the 

teeth nor impinge on the soft 

tissues.

The volume of material used to construct the 

clutches is important.

Auto problem arising resin is used to construct the 

clutches directly in the mouth.

A measured amount of monomer is put in the mixing cup 

and the pre measured polymer is added.

The material is mixed into a smooth homogeneous 

mess.

It should have a consistency that will flow easily to 

accurately reproduce the shape of the superior 

surface of the clutch die,

but which at the same time will have sufficient 

body so that the material can be 

picked up on the end of a spatula without running.

Half of the resin is loaded within the maxillary clutch 

frame.

The remainder of the resin is loaded within the mandibular 

clutch frame.

The clutch former is immediately placed into a bowl of 

warm water.

Avoid excessive manipulation of the resin when 

loading the clutch former,

since it could produce wrinkles on the under surface of 

the maxillary clutch upon which the center 

bearing screw will glide 

when the resin is set to a consistency which 

resists flow but which at the same time will 

not rebound when it's displaced.

Use the thumb and index finger to distribute the 

material properly.

The resin should contact the inside of the clutch 

frames but should not extend over or beyond the 

frames contour the resin to 

be thin in the area of the ACLU cell surfaces of the 

teeth and thick in the center section.

It is not necessary to position the resin 

posterior early to cover all of the rubber die.

The resin needs to extend into the bicuspid 

areas only.

Do not put the clutch former into the mouth too soon.

Wait until the resin is rather tough,

so it will not flow into the minute details 

of the ACLU cell surfaces of the teeth,

locate the clutch former in the inter maxillary 

space,

with the handle extended straight out 

anterior lee mark the mandible 

in centric relation closure.

To simultaneously obtain a light 

indexing impression of the tips of the cusp 

of the maxillary and mandibular teeth,

inspect the impressions to confirm that they have 

sufficient depth.

If some of the impressions are too deep,

modify the resin and return the clutches to the 

mouth to perfect the tooth imprints,

remove the clutch former and place it in a bowl of 

warm water to hasten memorization.

When the material is almost set but still pliable,

remove the clutch former from the water,

return the clutch former to the mouth for the 

final cure to occur intra orally 

instruct the patient to hold the clutch former gently 

between the teeth without biting down 

and to indicate when the resin becomes so 

warm that it's uncomfortable 

When this occurs,

remove the clutch former from the mouth.

Disassemble the clutches by removing the screws,

which secure the clutches to the clutch jig,

remove the clutch handle and separate the components.

Note the concave shape formed on the under 

surface of the maxillary clutch.

It is important that this surface be smooth and free of 

defects.

The center bearing screw remains incorporated in the 

mandibular clutch 

raise the center bearing screw,

three quarters of a turn,

so the clutches will not interfere during 

excursion movements.

Place the mandibular clutch in the mouth and 

check it for stability By pressing downward on the 

center bearing screw,

insert the maxillary clutch and have the patient closed 

down to maintain the clutches in position.

The patient is now ready to be trained and rehearsed to make 

the required movements necessary to 

obtain the panda graphic records.