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Partial Edentulous Arches Classification

This document discusses various classifications of partial edentulism. It begins by defining removable prosthodontics and classifying it into removable complete dentures and removable partial dentures. Kennedy's classification is then discussed in detail, which divides partial edentulism into four basic classes based on the location of edentulous spaces. The document also summarizes other common classifications such as Cummer's, Bailyn's, Mauk's, and Applegate's modification of Kennedy's classification.
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0% found this document useful (0 votes)
563 views22 pages

Partial Edentulous Arches Classification

This document discusses various classifications of partial edentulism. It begins by defining removable prosthodontics and classifying it into removable complete dentures and removable partial dentures. Kennedy's classification is then discussed in detail, which divides partial edentulism into four basic classes based on the location of edentulous spaces. The document also summarizes other common classifications such as Cummer's, Bailyn's, Mauk's, and Applegate's modification of Kennedy's classification.
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PPT, PDF, TXT or read online on Scribd
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PREPARED BY:

Dr. Ranjeet Kumar chaudhary


PG 2nd year
CLASSIFICATION OF PARTIAL
EDENTULOUS ARCHES
Removable prosthodontics is defined as the
replacement of missing teeth and supporting
tissue with a prosthesis designed to be removed
by the wearer.

It can be broadly classified as :


1. Removable complete denture prosthodontics
2. Removable partial denture prosthodontics
• Extra coronal
• Intra coronal
• Need for classification

• Classification of partially edentulous arch should


be done for the following reasons:-
 To formulate a good treatment plan
 To anticipate the difficulties commonly to occur
for that particular design
To communicate with a professional about a case.
To design a denture according to the occlusal load
usually expected for a particular group
REQUIREMENTS OF A CLASSIFICATION:-

A classification must satisfy the following norms:-


 Allow visualization of the type of partially
edentulous arch that is being considered.
 Allow differentiation between tooth supported
and tissue supported partial dentures
 Serve as a guide to the type of design to be
used
 Be universally accepted
there are many classifications available for
classifying edentulous arches, the most common
ones are:-
1. CUMMER’S CLASSIFICATION
2. KENNEDY’S CLASSIFICATION
3. BAILYN’S CLASSIFICATION
4. NEUROHR’S CLASSIFICATION
5. MAUK’S CLASSIFCATION
6. WILD’S CLASSIFICATION
7. GODFREY’S CLASSIFICTION
8. FRIEDMAN’S CLASSIFICATION
9. BECKETT AND WILSON’S CLASSIFICTION
10. CRADDOCK’S CLASSIFICATION
11. SKINNER’S CLASSIFICATION
12. AUSTIN AND LIDGE’S CLASSIFICATION
13. WATT et al CLASSIFICATION
14. APPLEGATE’S CLASSIFICATION OR KENNEDY-APPLEGATE
CLASSIFICATION
15. SWENSON’S CLASSIFICATION
16. AVANT’S CLASSIFICATION
17. COSTA’S CLASSIFICATION
18. OSBORNE AND LAMMIE’S CLASSIFICATION
CUMMER’S CLASSIFICATION:-
This is the first professionally recognized classification.
It was introduced by CUMMER (1920)
According to him,partial dentures can be classified into 4
types based on the position of the direct retainers:-
He sited various possible saddle positions as the basis of
his classification.

Cummer’s Cummer’s Cummer’s Cummer’s Cummer’s


Diagonally retained diametric unilateral multilateral multilateral
removable partial removable removable triangular quadiangular
denture partial denture partial removable removable
denture partial partial denture
denture
BAILYN’S CLASSIFICATION:-
Proposed by BAILYN.
It was the first classification to give importance to
support of partial dentures by remaining tissues.

Bailyn’ P1 partially Bailyn’s P2 partially Bailyn’s P3 partially Bailyn’s A3 partially


edentulous condition edentulous condition edentulous condition edentulous
condition
• A: anterior restorations, where there are saddle areas
anterior to the first bicuspid (premolars)
• P: Posterior restorations, where there are saddle areas
posterior to the canine.
Further they are sub-classified as follows:
• Class I: Bounded saddle (not more than three teeth missing).
• Class 2: Free end saddle (there is no distal abutment tooth).
• Class 3 : bounded saddle (more than three teeth missing)

Bailyn’s A1P2 partially P1P2 partially Bailyn’s A1P2P3


edentulous condition partially edentulous
edentulous condition
condition
NEUROHR’S CLASSIFICATION:-
Proposed by NEUROHR(1939)

Based on the support derived.


DISADVANTAGE:-it is not commonly used due to it’s
unnecessary complexity.

MAUK’S CLASSIFICATION:-
Proposed by MAUK(1942)
Based on number,length and position of the
edentulous spaces and the number and position
of the remaining teeth.
Class I : Bilateral space with no Class II : Bilateral space with
teeth posterior to it Class III : Bilateral space with
teeth present posterior to one teeth present posterior to both
space
spaces

Class IV : Unilateral space with Class V : Anterior space with


no teeth posterio to it. The unbroken posterior arches on Class VI : Irregular spaces
opposing arch is unbroken around the arch. The
both sides remaining teeth are single or in
small groups
WILD’S CLASSIFICATION:-.
Proposed a simple yet self explanatory
classification.
It is not very well known in english dental
literature.

Class I: Interruption Class II shortening of Class III :


of the dental arch (I.e. the dental arch (I.e.) Combination of 1
bounded) free-end and 2
GODFREY’S
CLASSIFICATION:
Proposed in 1951.
Based on the location Godfrey’s class A
partially edentulous Godfrey’s class B

and size of the condition partially edentulous


condition

edentulous space.

Godfrey’s class C
partially edentulous Godfrey’s class D
condition partially edentulous
condition
FRIEDMAN’S CLASSIFICATION:-.
He introduced the ‘ABC’ classification in
1953.
A-anterior.
B-bounded posterior.
C-cantilever.

Friedman’s type A Friedmans’s type B Friedman’s type C


partially edentulous partially edentulous partially edentulous
condition condition condition
BECKETT AND WILSON’S
CLASSIFICATION:-.
Beckett(1953) and Wilson(1957) based their
ideas on Bailyn’s classification(1928).

CRADDOCK’S CLASSIFICATION:-
Craddock proposed his classification in 1954
He classified partial dentures as:-

SKINNER’S CLASSIFICATION:-
He introduced the classification in 1959.
His classification was influenced by Cummer’s
classification.
AUSTIN AND LIDGE
CLASSIFICATION:-
It was proposed in 1957
They suggested a classification that described the
position of the teeth.

WATT et al CLASSIFICATION:-
He proposed the classification in 1958
It was based on the type of support derived.

SWENSON’S CLASSIFICATION:-
It is a simple classification proposed by Swenson and
Terkla(1955)
It was not widely used.
It is similar to Kennedy’s classification.
AVANT’S CLASSIFICATION:-
It was proposed in 1966
The classification was based on the anterior and
posterior segments of the arch.
It resembled Kennedy’ s classification without any
improvements.

COSTA’S CLASSIFICATION:-
Proposed in 1974
It was based on the anterior, lateral and terminal spaces.

OSBORNE’S AND LAMMIE’S


CLASSIFICATION:-
It was proposed in 1974
It is similar to Watt et al’s classification,.
KENNEDY’S
CLASSIFICATION:-
Kennedy’s classification
was originally proposed by
Dr. Edward Kennedy(1925)
Kennedy’s class II partially
Kennedy divided all Kennedy’s Class I partially
edentulous condition edentulous condition
partially edentulous
arches into 4 basic
classes.
Edentulous areas other
than those determining
the basic classes were
designated as Kennedy’s Class III Kennedy’s class IV
modification spaces. partially edentulous partially edentulous
condition condition
The following is the Kennedy’s classification:-
CLASS I- bilateral edentulous area located posterior
to the natural teeth.
CLASS II- unilateral edentulous area located
posterior to the remaining natural teeth.
CLASS III- unilateral edentulous area with natural
teeth remaining both anterior and posterior to it.
CLASS IV- single but bilateral(crossing the midline),
edentulous area located anterior to the remaining
natural teeth.
ADVANTAGES:-
Advantages of the Kennedy’s method is that it
permits immediate visualization of the partially
edentulous arches and allow easy distinction between
tooth supported versus tooth and tissue supported
prostheses.
This method permits a logical approach to the problems
of designs.
It makes possible the application of sound principles of
partial denture design and is therefore a logical method
of classification.
APPLEGATE’S MODIFICATION:-
It was proposed in 1960
He modification was based on the condition of the
abutment to include 2 more additional groups:-
CLASS V- edentulous area bounded anteriorly and
posteriorly by natural teeth but in which the anterior
abutment( eg:lateral incisor) is not suitable for support.
It is basically a CLASS III situation where the anterior
abutment cannot be used for any support.
Hence, it cannot be treated conventional CLASS III
edentulous space.
CLASS VI- Edentulous area in which the teeth
adjacent the space are capable of total support of the
required prosthesis.
This denture hardly requires any tissue support.

Most of the RPD’s are tooth tissue supported. Hence,


this condition is classified as a separate group.

Kennedy Applegate’s class V Kennedy – applegates’ class VI


partially edentulous condition partially edentulous condition

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