CLASSIFICATION OF RPDs AND PARTIALLY EDENTULOUS ARCHES
CLASSIFICATION OF RPDs AND PARTIALLY EDENTULOUS ARCHES
CLASSIFICATION OF RPDs AND PARTIALLY EDENTULOUS ARCHES
EDENTULOUS ARCHES
INTRODUCTION
While numerous classification systems were proposed, few met the needs of the profession.
Some classification systems were overly simplified, while others were immensely complex.
It was decided that for a classification system to be acceptable, it should:
4. Be universally accepted
1. Cummer’s
2. Kennedy’s
3. Kennedy’s and Applegate
4. Bailyn’s
5. Friedman’s
6. Craddock’s
7. Skinner’s
8. Fiset’s
9. ACP classification
Kennedy classification
The most widely used method for classification of partially edentulous dental arches was
proposed by Dr Edward Kennedy of New York in 1925.
Although relatively simple, the system can easily be applied to nearly all semi-edentulous
conditions.
The Kennedy Classification System is composed of four major categories, denoted Class I
through Class IV.
The numeric sequence of the classification system was based partly on the frequency of
occurrence, with Class I arches being most common and Class IV arches least common.
Applegate’s Rules
Certain rules have been provided by Applegate to govern application of the Kennedy classifi cation. 1.
The classification should include only natural teeth involved in the definitive dentures and should
follow rather than precede extraction. (Classification is identified after extraction(s).)
2. If the third and second molars are missing and not to be replaced, they are not considered in the
classification. But if they are present and used as an abutment, they are considered in the
classification.
3. The main classification is determined by the most posterior area (or areas).
4. Edentulous areas other than those determining classification are called “modification,” and the
number of modification spaces is considered, not their extent.
5. Modification spaces can be included in Class I, II, and III. Class IV can have no modification.
Limitations of Kennedy classification
Modification to the original Kennedy designation is done. The letter I added to the original
Kennedy designation would communicate the change from the conventional tooth-tissue–
borne situation to one that is now tooth-implant–borne.
Tooth numbers that correspond to implant locations in combination with the traditional
Kennedy classification can be used effectively to describe the mechanical result of implant
placement.
The number of implants in parentheses according to their position in the arch (according to
the FDI numbering system) preceded by the number sign (#) (e.g., ICK I mod. 2 (# 16, 27)