Scribd
Upload
4 views35 pages

Classification of Removable Partial Denture-1

The document provides an overview of removable partial dentures (RPD), including definitions, objectives, and classifications such as Osborne and Lammie’s and Kennedy’s classifications. It outlines the sequence of tooth loss and its effects, as well as Applegate’s rules for applying the Kennedy classification. The document emphasizes the importance of proper classification for effective communication between dentists and laboratory technicians.

Uploaded by

abdullah.rashed
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PDF, TXT or read online on Scribd
4 views35 pages

Classification of Removable Partial Denture-1

The document provides an overview of removable partial dentures (RPD), including definitions, objectives, and classifications such as Osborne and Lammie’s and Kennedy’s classifications. It outlines the sequence of tooth loss and its effects, as well as Applegate’s rules for applying the Kennedy classification. The document emphasizes the importance of proper classification for effective communication between dentists and laboratory technicians.

Uploaded by

abdullah.rashed
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PDF, TXT or read online on Scribd
You are on page 1/ 35

CLASSIFICATION OF THE

REMOVABLE PARTIAL DENTURE

Dr. May Hamza


Objectives
1. Definition of RPD.
2. Sequence of tooth loss.
3. Objectives of RPD.
4. Requirements of an acceptable classification.
5. Osborne and Lammie’s classification.
6. Kennedy’s Classification.
7. Applegate’s rules for applying the Kennedy classification.
Definition of RPD
• A removable dental prosthesis that restores one or more
but not all of the natural teeth and/or associated parts
and may be supported in part or whole by natural teeth,
dental implant supported crowns, dental implant
abutment(s), or other fixed dental prostheses and/or the
oral mucosa.
The glossary of prosthodontic terms. THE ACADEMY OF PROSTHODONTICS J Prosthet Dent. 2005 Jul;94(1):10-92.
Sequence of tooth loss
1. Reduced masticatory efficiency.
2. Disability of speech.
3. Development of abnormal chewing
movement.
4. Impaired esthetics.
Tissue changes which includes:.
a. Resorption of the edentulous
ridges.
b. Disturbance of the TMJ.
c. Over-eruption of the unopposed
teeth.
d. Drifting of the remaining teeth.
Tissue changes which includes:.
e. Changing in the supporting tissues from over-
function or non-function.
f. Attrition accompanied by loss of vertical
dimension.
g. Enlargement of the tongue from over-
function.
h. Bad oral hygiene.
Objectives of RPD
1. Preservation and maintenance of the
remaining oral
 structures.
2. Restoration of masticatory efficiency.
3. Restoration and improvement of
appearance.
4. Restoration of impaired speech.
Requirements of an acceptable method of
classification
Classification are important to facilitate
communication between the dentist and the
laboratory technician
• The classification of a partially edentulous
arch should satisfy the following requirements:
1. It should permit immediate visualization of the type
of partially edentulous arch that is being
considered.
2.It should permit immediate differentiation between
the tooth-supported and the tooth and tissue-
supported removable partial denture.
3. It should be universally acceptable.
Osborne and Lammie’s classification
• Propsed in 1974, and uses the type of support of the
 partial denture for classification.
• 3 classes were described:
1. Tooth and Tissue Supported RPD (Tooth and tissue
 borne)
2. Tooth Supported RPD (Tooth-borne)
3. Tissue Supported RPD (Tissue borne)
Kennedy’s classification
• The Kennedy method of classification was originally
proposed by Dr. Edward Kennedy in 1925. It attempts
to classify the partially edentulous arch in a manner
that suggests certain principles of design for a given
situation.
• Kennedy divided all partially edentulous arches into
four basic classes. Edentulous areas other than those
determining the basic classes were designated as
modification spaces.
• The following is the Kennedy
classification:
• Class I: Bilateral edentulous areas located
posterior to the natural teeth
• Class II:
A unilateral edentulous
Area located posterior to the remaining natural
teeth
• Class III: A unilateral edentulous area with
natural teeth remaining both anterior and
posterior to it
Class IV: A Single, but bilateral (crossing the midline),
edentulous area located anterior to the remaining
natural teeth
Modification spaces
Applegate’s rules for applying the Kennedy
classification

•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.
Rule 1
•Classification should follow rather than precede any
extractions of teeth that might alter the original
classification.
Rule 2
•If a third molar is missing and not to be replaced, it is
not considered in the classification.
Rule 3
•If a third molar is present and is to be used as an
abutment, it is considered in the classification.
Rule 4
•If a second molar is missing and is not to be replaced,
it is not considered in the classification (e. g., if the
opposing second molar is likewise missing and is not to
be replaced).
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 modifications 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. (Other edentulous areas lying posterior to the
single bilateral areas crossing the midline would
instead determine the classification; see Rule 5. )
Determine the Kennedy classification
• Reference
1.Glen P. McGivney, Alan B. Carr, William L McCracken:
McCracken's Removable Partial Prosthodontics, 10th Edition.
Mosby 2010.
2.Phoenix, Rodney D. Stewart’s clinical removable partial
prosthodontics. 4th Edition Quintessence Publishing Co, Inc.
2008.

You might also like