You are on page 1of 27

CLASSIFICATION OF

PARTIALLY
EDENTULOUS ARCHES
By: Dr. Muhammad Ali Faridi
BDS, Mclindent (Restorative Dentistry)
Department of Prosthodontics

WHERE I COME FROM

Introduction
Need for classification
Requirements of a classification
Various classification systems
Conclusion

INTRODUCTION

Prime purpose : to enable dentist to clearly


communicate to a listener.

A workable Classification helps to create order from


the many number of possible combinations of missing
teeth and edentulous spaces.

An aid in learning of the fundamentals of design.

NEED FOR CLASSIFICATION

To formulate a good treatment plan.

To anticipate the difficulties common to occur for that


particular design.

To communicate with a professional about a case.

To design the denture according to the occlusal load


usually expected for a particular group.

CRITERIA FOR CLASSIFICATION OF


PARTIALLY EDENTULOUS ARCHES

Allow visualization of type of partially edentulous


arches that is being considered.

Allow differentiation between tooth supported and


tooth-tissue supported partial dentures.

Serve as a guide to the type of design to be used.

Be universally accepted.

VARIOUS CLASSIFICATION
SYSTEMS

There are many classifications available for


classifying edentulous arches. The most common
Austin and Lidge
ones are:
Cummer (1920)
(1957)

Kennedys (1923)

Craddock (1954)

Applegate-Kennedy (1960)

Wild

Bailyn

Watt et al (1958)

Neurohr (1939)

Costa (1974)

Mauk

Friedman (1953)

Osborne and Lammie


(1974)

Beckett (1953)

Swenson

ICK classification

Godfrey (1951)
Skinner (1957)

KENNEDYS CLASSIFICATION:

Most widely used method of


classification

Proposed in 1923 by Dr. Edward


Kennedy.

It is based on the relationship of the


edentulous spaces to the abutment
teeth.

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.

MODIFICATIONS

This refers to multiple edentulous areas


present in a case. Modifications can
only apply to Kennedy Classes I, II and
III.
This is because a Kennedy Class IV case
with modifications would fall in to one
of the other classifications, as these
take priorities.

ADVANTAGES:
Permits immediate visualization of the partially
edentulous arch.
Allows easy distinction between tooth supported
and tooth tissue supported prosthesis.
Permits logical approach to problems of design.

DISADVANTAGES:

Enough consideration is not given to condition of


teeth and remaining supporting structures.
No distinction between modification spaces in the
anterior region then those of posterior segment.

APPLEGATE KENNEDYS SYSTEM:

It is a modification of the Kennedys system.

It is based less on the number and location of the


remaining teeth and edentulous spaces.

It takes into consideration the capabilities of the


teeth, which bound the spaces to serve as abutments
for the prosthesis

DR. O.C APPLEGATE (1960) later attempted to expand


the kennedy system by adding class V and VI.
Class V:
Edentulous area bounded anteriorly and
posteriorly by the natural teeth but in which the anterior
abutment is not suitable for the support.

Class VI: an edentulous situation in which the teeth


adjacent to the space are capable of total support of the
required prosthesis

Applegates Rules:
Applegate also provided the following 8 rules to
govern the application of the Kennedy system:
Rule 1: Classification should follow rather than
precede extractions that might alter the original
classification.
Rule 2:
If the third molar is missing and not to be replaced it
is not considered in the classification.
Rule 3:
If the third molar is present and is to be used as an
abutment, it is considered in the classification.

Rule 4:
If the second molar is missing not to be replaced that is
the opposing second molar is also missing and is not
considered in the classification.

Rule 5
The most posterior edentulous area or areas always
determines the classification.

Rule 6
Edentulous areas other than those determining the
classification are referred to as the modification spaces
and are designated by their number.

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 any edentulous area lying posterior
to the single bilateral area determines the
classification.

IMPLANT CORRECTED KENNEDY'S


CLASSIFICATION (ICK)

First given Given by Misch and Judy in 1987.


No previous classification include a provision for placement of
implants.
Emphasis on the available bone in the edentulous area for
implant placement.
Restricted to cases with severe atrophy of the edentulous
area.
Improved classification based on Kennedys Classfication
presented in 2008 by Al-Johany and Andreas.
Helps easy communication with the lab and assists
professional communication.

REFRENCES
McCracken's Removable Partial Prosthodontics 11th
ed. - Carr,McGivney,Brown {Elsevier Mosby}.

Al-Johany, S. S. and Andres, C. (2008), ICK


Classification System for Partially Edentulous Arches.
Journal of Prosthodontics

You might also like