H anau's Laws of Articulation and the Hanau Quint have been great contributions to prosthetic dentistry. However, as described by Hanau, ~ they seem very confusing and unnecessarily complicated. The background of the work of Hanau and others will be presented along with a simpler approach to understanding balanced denture occlusion.
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H anau's Laws of Articulation and the Hanau Quint have been great contributions to prosthetic dentistry. However, as described by Hanau, ~ they seem very confusing and unnecessarily complicated. The background of the work of Hanau and others will be presented along with a simpler approach to understanding balanced denture occlusion.
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SECTION EDITORS
REMOVABLE PROSTHODONTICS LOUIS BLATTERFEIN
ROBERT M. MORROW S. HOWARD PAYNE
A reevaluation of Hanau's Laws of Articulation and
the Hanau Quint Bernard Levin, D.D.S., M.Ed.* University of Southern California, School of Dentistry, Los Angeles, Calif.
H anau's Laws of Articulation and the H a n a u
Quint have been great contributions to prosthetic implies that they may be increased or decreased at will. For example, in examining the bottom right dentistry. However, as described by Hanau, ~ they section of the Quint (Fig. 1), the heights of the cusps seem very confusing and unnecessarily complicated. are seen as one of the five factors; the other four show The background of the work of Hanau and others how they are related. The p!ane (of orientation) is will be presented along with a simpler approach to "pointing in," which indicates that it can be understanding balanced denture occlusion. decreased. The condyle (condylar guidance) i s "pointing out," which indicates an increase. This HANAU'S LAWS OF ARTICULATION A N D may be desirable for balanced occlusion, but the THE Q U I N T condylar paths are fixed for each patient and cannot Hanau was not a dentist, but rather an engineer be changed after they are recorded. T h e incisal and a great researcher. He believed articulation of (guidance) is "Pointing out," which indicates an artificial teeth was related to nine factors: (1) hori- increase. This also may be desirable for balanced zontal condyle inclination, (2) compensating curve, occlusion, but it may not be in harmony with the (3) protrusive incisal guidance, (4) plane of orienta- patient's needs, because the incisal guidance usually tion, (5) buccolingual inclination of tooth axes, (6) is determined by esthetics and phonetics. T h e last sagittal condylar pathway, (7) sagittal incisal guid- factor is the (compensating) curve; it "points in" and ance, (8) tooth alignment, and (9) relative cusp can be decreased. height. He mathematically charted the nine factors and listed the laws of balanced articulation in a series of TRAPOZZANO CONCEPT 44 statements. Hanau wisely combined the original A major examination of Hanau's work was done nine factors and reduced them to five: (1) condylar by the very knowledgeable TrapozzanoP He guidance, (2) compensating curve, (3) relative cusp reviewed Hanau's five factors and decided that only height, (4) incisal guidance, and (5) plane of orien- three factors were actually concerned in obtaining tation. He showed how they affected one another balanced occlusion. He eliminated the plane of with a clever diagram called The Articulation Quint orientation "since its location is highly variable (Fig. 1). His presentation 1 was applauded by most of within the available inner ridge space. ''2 He also the leading contemporary prosthodontists such as R, suggested that the occlusal plane can be located at O. Schlosser, C . J . R . Engstrom, A. A. Nelson, R. W. various heights to favor a weaker ridge. Trapozzano Tench, A. Gysi, and F. W. Frahn. However, J, W. saw no need for a compensating curve, as it is Needles thought Hanau's paper was "too long, " r e d u n d a n t . . . when the cuspal angulation which unnecessarily obtuse and c o m p l i c a t e d . . , it is almost will produce a balanced occlusion has been deter- incomprehensible to the average mind." mined, we are automatically confronted with a The Hanau Quint can create confusion, since it compensating concavity, or convexity. . . . Thus, shows the condylar and incisal factors in a way that establishing the prominence of the compensating curve is a passive f a c t o r . . , should b e omitted. ''2 *Professor, Department of Removable Prosthodonties. Trapozzano presented his Triad of Occlusion, which is Presented before the Academy of Denture Prostheties, Minneap- simpler than Hanau's Quint but eliminates the olis, Minn. important compensating curve (Fig. 2).
254 MARCH 1978 VOLUME39 NUMBER 3 0022-3913/78/0339-0254500.50/0 9 1978 The G. V. Mosby Co.