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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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0% found this document useful (0 votes)
81 views1 page

First Page PDF

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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© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
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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.

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