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World Journal of Advanced Research and Reviews
Article . 2026 . Peer-reviewed
Data sources: Crossref
ZENODO
Article . 2026
License: CC BY
Data sources: Datacite
ZENODO
Article . 2026
License: CC BY
Data sources: Datacite
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Complete Denture Rehabilitation Using a Semi-Adjustable Articulator with Centric Tray, Gnatometer, and Neutral Zone Technique: A Case Report

Authors: Hartono, Cindy Karina; Wicaksono, Imme Kris; Januarisca, Bernadeth Vindi; Djuarsa, Ivan;

Complete Denture Rehabilitation Using a Semi-Adjustable Articulator with Centric Tray, Gnatometer, and Neutral Zone Technique: A Case Report

Abstract

Background: Complete denture fabrication remains challenging, particularly in first-time edentulous patients, due to difficulties in achieving optimal retention, stability, and patient adaptation. Accurate transfer of maxillomandibular relations and functional impression techniques are essential to improve clinical outcomes. Purpose: This case report presents a clinical workflow for complete denture rehabilitation using a semi-adjustable articulator combined with centric tray, gnatometer-assisted jaw relation recording, closed-mouth functional impression, and the neutral zone technique. Case Description: A 66-year-old female patient presented with complete edentulism of the maxilla and mandible and no previous experience with dentures. Anatomical impressions were obtained, followed by tentative vertical dimension determination using a centric tray. Facebow transfer was performed to mount the maxillary cast on a semi-adjustable articulator. Functional impressions were made using a closed-mouth technique to achieve optimal peripheral seal. Definitive jaw relations were recorded using a gnatometer with gothic arch tracing to determine centric relation and protrusive movement. The neutral zone was recorded to guide tooth arrangement and denture base contouring. Teeth were arranged following bilateral balanced occlusion principles, and definitive acrylic dentures were fabricated. Results: The dentures demonstrated good retention, stability, and esthetics. The patient reported satisfactory comfort, improved phonetics, and the ability to chew effectively without denture dislodgement during follow-up visits. Conclusion: The integration of centric tray, gnatometer-assisted jaw relation recording, closed-mouth impression, and neutral zone technique using a semi-adjustable articulator can enhance the accuracy of complete denture fabrication and facilitate patient adaptation, particularly in first-time edentulous patients.

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Keywords

Semi-Adjustable Articulator, Complete Denture, Gnatometer, Closed-Mouth Impression

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selected citations
These citations are derived from selected sources.
This is an alternative to the "Influence" indicator, which also reflects the overall/total impact of an article in the research community at large, based on the underlying citation network (diachronically).
BIP!Citations provided by BIP!
popularity
This indicator reflects the "current" impact/attention (the "hype") of an article in the research community at large, based on the underlying citation network.
BIP!Popularity provided by BIP!
influence
This indicator reflects the overall/total impact of an article in the research community at large, based on the underlying citation network (diachronically).
BIP!Influence provided by BIP!
impulse
This indicator reflects the initial momentum of an article directly after its publication, based on the underlying citation network.
BIP!Impulse provided by BIP!
0
Average
Average
Average
gold