Ill

Prosthodontics

Number 9 September 1982

Report213O
Page 1

Original article:

Transfer Vise Technique

Michael Tradowsky, D.D.S., Dr. tned. dent.
Associate Professor and Chairman, Department of Fixed Prosthodontics
Asterios Doukoudakis, D.D.S., M.S.
Assistant Professor, Department of Fixed Prosthodontics
Address: Case Western Reserve University, School of Dentistry, 2123 Abington
Road. Cleveland. Ohio 44106

Minigraph System is removed from the

patient's mouth and positioned on the
maxillary cast of the articulator. Then
the mandibular cast is remounted in the
centric relation position (Fig. 7). On the
lateral line of the two tracings the 3 mm
and 8 mm points from centric relation
are marked. The Minigraph System is
positioned in the patient's mouth and the
patient is instructed to move to the right
8 mm mark. The thumb screws are tightened in this position (Fig. 8). The Minigraph System is transferred to the
articulator and the left condylar inclination and progressive sideshift are set.
Following the same procedures the right
Method
condylar inclination and progressive
Elastomeric full arch impressions are sideshift are set with the second transfer.
taken and the casts mounted to an The third transfer is made by instructing
adjustable articulator via facebow. The the patient to move to the right 3 mm
dental laboratory constructs the clutches mark (Fig. 9). By transferring this relausing autopolymerizing acrylic resin. The fion to the articulator the left immediate
clutches are tried in the mouth (Fig. 4) sideshift is set. Following the same proand the tracing device and transfer vise cedures the right immediate sideshift is
are attached to them (Fig. 5). With the set. Finally the articulator is adjusted for
clutches placed in the patient's mouth, any lateroprotrusive or lateroretrusive
the styli are activated and the patient is movement by having the styli follow the
instructed to move to protrusive and to medial lines of the double Gothic arch
the left and right lateral excursions. tracings (Fig. 10). At this point the
Thus, a double Gothic arch tracing is articulator has been adjusted according
obtained. The knurled thumb screws are to the patient's individual eccentric
tightened at the centric relation position movements. The settings are recorded in
which is clearly visible (Fig. 6). The a card (Fig. 11) which remains in the
patient's file.

The transfer vise is a new instrument

used to transfer jaw positions to adjustable articulators so that individual
articulator settings can be obtained. The
instrument allows the instant fixation of
the aw in centric relation or any eccentric position. The transfer vise (Fig. 1) is
attached to an extraora! tracing device
(Fig, 2) which in turn is fixed to the
dental arches with clutches. The total
system is called the Minigraph System'^
the clutches are fabricated with the help
of a clutch former assembly (Fig. 3).

' J. Adercr. Inc.. Long Isktnd Ciiy. N.Y.

"Quintessence International" 9/1982

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Report 2130
Page 2

Fig. I The transfer vise consists of two bars with spherical end portions held in pairs
of curved vise jaws. The
transfer vise is attached to the
patient's dental arches hy
clutches. When the knurlcii
thumb screws are loosened
the patient can move the jaw
freely in excursions. The vise
can be tightened for the
transfer of any desired centric
or eccentric position to an
articulator

Fig. 2 The transfer vise

attached to the extraoral tracing device which in turn is
mounted to the handles of
clutches. These will be fastened to the dental arches

Fig. 3 The clutch former

assetnbly ready to be loaded
with self-curing acrylic resin
and placed between the
mounted casts for clutch construction

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Number 9 September 1982

Report 2130
Page 3

Fig, 4 The clutches are tried

in the mouth, A center bearing screw separates the dental
arches by
approximately
2 mm

Fig, 5 The tracing device and the transfer

vise have been attached to the clutches

"Quintessence International" 9/19B2

Fig, 6 A double arcb tracing has been

obtained. The knurled thumb screws of the
vise are being tightened at centric relation
which is clearly visible

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Page4

Fig, 7 Tbe lower cast bas been remounted in

centric relation

III

Fig. 8 The patient is asked to pull the aw

slowly toward the kit shoulder, When the
right pointer hits the S mm mark from centric
the patient is asked to stop the jaw motion and
the transfer vise is locked

Fig, 9 Tbe patient is asked

to move the aw toward the
left shoulder a small amounl.
When tbe right pointer hits
the 3 mm mark the patient is
asked to stop and the transfer
vise is locked

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Number 9 September 1982

Report 2130
Page 5

I
Fig. 10 The articulator is adjusted for
lateroprotrusion or lateroretrusion by having
the stylus on the working side follow the
rnedial line of the tracing

TMJ RECORD
(Incisai guide pin at zero)
Patient's name:

Condylar inclination
Bennett guide
(Progressive sideshift)
liming screw
(Immediate sideshift)

John Doe
RIGHT

LEFT

14

18

6.5 mm

6.2 mm

17

12

Axis rotation

go L P 1

,0 L P C D
1 RfT^n

Intercondylar distance

58 mm

60 mm

Fig. 11 The settings are recorded in the TMJ record card for future reference for the dentist and
dental laboratory
"Quintessence international" 9/1982

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Report 2130
Page 6

Fig. 12 After the articulator has been

adjusted, the casts can he moved through the
wear facets tnuch like the patient does during
bruxing. This aids greatly in occlusion analysis

The transfer vise technique has been

used in combination with the Simulator
articuiator on over 500 patients treated
by faculty and students at Case Western
Reserve University. It has been proved
useful in the analysis of occlusal problems since the patient's casts can be
moved through the wear facets in the
same fashion as the patient moves the
jaw during bruxing (Fig. 12).
The transfer vise technique is shown in
connection with the Simulator.
However, it can be used with other
adjustable articulators. Some of the
advantages of the technique are:

1. Makes possible a fast and accurate

occlusion analysis.
2. Aids in teaching occlusal principles in
prectinical and clinical courses.
3. Allows the dentist and the technician
to work with a fully adjustable
articulator.
4. Enables the dentist to adjust the
articuiator within 20 minutes of chairtinie.
5. Reduces the chairtime for
adjustment of the castings.

final

13th International Meeting

on Dentai Implants and Transplants
Bologna (Italy), May 27-29, 1983
InfortnatJon: G.I.S.I. c/o Prof. G. Muratori
1, Via S. Gervasio, 40121 Bologna (Italy), Tel. 0 51/22 75 05

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"Quintessence Intemational" 9/1932