Described is a mandibular manipulator instrument as a standalone tool or with associated mouthpiece that includes two interlocking laterally sliding frames comprising a movable upper and a lower incisor pull, shaped for receiving a patients central incisor teeth and a pair of pinion shafts for driving the upper and lower incisor pulls. A screw thread is used to provide a precise lateral motion for the sagittal measurement. The mouthpiece is constructed of resilient rubber. The manipulator may be positioned and held in a resilient flexible mouthpiece by means of the two pinions protruding through acoustically tight apertures respective to each pinions position. The manipulator can be used for other application in an embodiment without the mouthpiece and/or in combination with a bite registration shape that is part of the manipulator frame.
