CLASSIFICATION
REQUIREMENTS OF AN ACCEPTABLE CLASSIFICATION
1- Permit immediate visualization of the type of partially edentulous arch
2- Permit immediate differentiation between bounded and free extension RPD.
3- It should be universally accepted
CLASSIFICATION OF PARTIALLY EDENTULOUS ARCHES
1- Classification According to the Extent/Distribution of the Removable Partial Denture
(Removable Bridge)
·
Should be used with caution, as the chance of the denture becoming
dislodged and aspirated is too great
Short bounded saddle cases
Long clinical crown of abutment tooth
Buccal and lingual surfaces of the abutment tooth must be parallel to resist
tipping forces
Retentive undercuts should be available on both the buccal and lingual
surfaces of each abutment
Which restore missing teeth and extended on both sides of the dental arch
2- BAYLIN’S Classification (According to the type of support) of the R.P.D.
1- Tooth and Tissue Supported RPD (Tooth and tissue borne)
2- Tooth Supported RPD (Tooth-borne) removable partial denture
3- Tissue Supported RPD (Tissue borne)
3- Kennedy Classification (According to the distribution of edentulous span or spans)
Class I: Bilateral edentulous areas located posterior to the remaining natural teeth.
Class II: Unilateral edentulous area located posterior to the remaining natural teeth.
Class III: Unilateral edentulous area with natural teeth, both anterior and posterior to it.
Class IV: Single, bilateral edentulous area located anterior to the remaining natural teeth.
Bilateral - free end Unilateral - free end
Unilateral - bounded Bilateral - bounded
• The ( LATIN) numeric sequence of the classification system is based on the frequency of occurrence of
each class .
• Class I being the most common while class IV is the least common.
• One of the principal the Kennedy method is that it permits immediate visualization of the partially
edentulous arch and allows easy distinction between tooth-supported versus tooth- and tissue-supported
prostheses.
•The Kennedy classification would be difficult to apply to every situation without certain rules for application.
•Applegate provided eight rules governing the application of the Kennedy method.
APPLEGATE'S RULES FOR APPLYING KENNEDY CLASSIFICATION
Rule 1
Classification should follow mouth preparations, since further extractions may alter the class.
·
Rule 2
If the third molar is missing and not to be replaced, it is not considered in the classification
Class ???
Rule 3
If the third molar is present and to be used as an abutment, it is considered in the classification
X X
Rule 4
If the second molar is missing and not to be replaced, because the OPPOSING second molar is also
missing, it is not considered in the classification
Rule 5
The most POSTERIOR edentulous area (or areas) always determines the classification
Rule 6
Additional edentulous areas other than those determining the class are referred to as modification spaces
and are designated by their number. E.g. (Class II mod. 2)
Rule 7
The extent of the modification is not considered, only the number of additional edentulous areas
Rule 8
·
There can be no modification areas in class IV arches, because if there is a posterior edentulous area
beside the anterior one, the posterior will determine the class and the anterior edentulous area will be a
modification to the class.
EXAMPLES
why not class iv