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CHAPTER 3: CLASSIFICATION OF PARTIALLY might alter the original classification.

EDENTULOUS ARCHES
Rule 2: If third molar is missing and is not
Basis of treatment complexity: to be replaced, it is not considered in the
classification.
● Location and extent of the edentulous area
● Condition of the abutments Rule 3: If third molar is present and is to be
● Occlusal characteristics and requirements used as an abutment, it is considered in
● Residual ridge characteristics the classification.

Most familiar classifications are those originally Rule 4: If second molar is missing and is
proposed by: not to be replaced, it is not considered in
the classification.
• Kennedy
• Cummer Rule 5: The most posterior edentulous
• Bailyn area/s always determines the classification.

Others: Rule 6: Modifications are those


● Godfrey edentulous areas other than those that
● Swenson determine the classification and are
● Friedman designed by their number.
● Wilson
● Skinner Rule 7: The extent of the modification is
● Applegate not considered, only the number of
● Avant additional edentulous areas.
● Miller
Rule 8: No modification areas can be
Requirements of an acceptable method of included in Class IV arches.
Classification:

● should permit immediate visualization of the


type of partially edentulous arch that is being
considered.
● should permit immediate differentiation
between the tooth-supported and toothand
tissue-supported RPD.
● should be universally acceptable.

KENNEDY CLASSIFICATION
- proposed by Dr. Edward Kennedy in 1925.
- attempts to classify the partially edentulous
arch in a manner that suggests certain
principles of design for a given situation.

Principal Advantages of Kennedy Method:

● permits immediate visualization of the partially


edentulous arch.
● Allows easy distinction between
tooth-supported versus tooth- and
tissuesupported prosthesis.

Four (4) basic classes of Kennedy


Classification:

Class I – bilateral edentulous area 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 remaining teeth both anterior and
posterior to it.

Class IV – a single, but bilateral (crossing


the midline), edentulous area located
anterior to the remaining teeth.

Applegates’ rules governing application of


the Kennedy method:

Rule 1: Classification should follow rather


than precede any extractions of teeth that
CHAPTER 5: MAJOR AND MINOR through the principle broad distribution of
CONNECTORS stress.
● Do not interfere with and are not irritating
Components of a typical RPD: to the tongue.
● Do not substantially alter the natural
● major connectors contour of the lingual surface of the
● minor connectors mandibular alveolar ridge or of the
● rests palatal vault.
● direct retainers ● Do not impinge on oral tissue when
● stabilizing or reciprocal components restoration is placed, removed, or
● indirect retainers rotates in function.
● one or more bases, each supporting one ● Cover no more tissue than is absolute
to several replacement teeth. necessary.
● Have support from other elements of the
Chief functions of a major connector: framework to minimize retention
tendencies in function.
● Unification of the major parts of the ● Contribute to the support of the
prosthesis. prosthesis.
● Distribution of the applied force
throughout the arch to selected teeth Types of Mandibular major connectors:
and tissue.
● Minimization of torque to individual teeth. 1. Lingual Bar
- used majority of the time.
CROSS-ARCH STABILITY – becomes more - Half-pear shape located above moving
important in situations associated with high tissue but as far the gingival tissue as
potential for greater prosthesis movement. possible.
- INDICATIONS FOR USE: mandibular
MAJOR CONNECTOR – a foundation that RPD when sufficient space exists
connects the parts of the prosthesis located on between the lightly elevated alveolar
one side of the arch to those on the opposite lingual sulcus and lingual gingival tissue.
side. - WAX SPECIFICATION: 6-gauge -
- FINISHING LINES: Butt-type joint (s)
Major connector may be compared with: with minor connector(s) for retention of
denture base(s)
● Frame of an automobile 2. Linguoplate
● Foundation of a building - Used majority of the time.
- Half-pear shaped with bulkiest portion
Failure of the major connector to provide inferiorly located. - INDICATIONS FOR
rigidity may be manifested by: USE: when the alveolar lingual sulcus so
closely approximates the lingual gingival
● Traumatic damaged to periodontal crevices that adequate width for a rigid
support of the abutment teeth. lingual bar does not exist.
● Injury to residual ridges. - WAX SPECIFICATION: Inferior border –
● Impingement of underlying tissue. 6-gauge Apron – 24-gauge
- FINISHING LINES: Butt-type joint(s) with
Major connector should be designed and minor connector(s) for retention of
located with the ff. guidelines in mind: denture base(s).
3. Palatal plate-type
● Should be free of movable tissue. - Are used to designate anything broad,
● Impingement of gingival tissue should be contoured palatal coverage used as a
removed. MX major connect or and covering one
● Bony and soft tissue prominences half or more of the hard palate.
should be avoided during placement and - Should be located anterior to the
removal. posterior palatal seal area.
● Relief should be provided to prevent its - Not necessary with a MX RPD ’s palatal
settling into areas of possible plate because of the accuracy and
interference. stability of the cast metal.
● Should be located and/or relieved to - May be used in any one of three ways:
prevent impingement of tissue. ➢ A plate of varying width that
covers the area between two or
NOTE: Appropriate relied beneath the major more edentulous areas.
connector avoids the need for its adjustments ➢ A complete or partial cast
after tissue damage (impingement) has plate that extends posterior to the
occurred. junction of the hard and soft
palates.
Relief: MX - 6mm MN – 4mm ➢ Form of an anterior palatal
connector with a provision for
BAR – 7mm & below extending an acrylic resin
STRAP – 8mm & above denture base in a posterior
direction.
Characteristics of major connectors Advantages:
contributing to health and well-being: ● Permits the making of a uniformly thin
metal plate that reproduces faithfully the
● Made form alloy compatible with oral anatomic contours of the patient ’s own
tissue. palate.
● Rigid and provide cross-arch stability ● The corrugation in the anatomic replica
adds enough strength to the casting thus Principal objections to use of the U-shaped
a thinner casting with adeq uate rigidity connector:
can be made.
● Surface irregularities are intentional ● It lacks rigidity.
rather than accidental; therefore, ● Design fails to provide good support
electrolytic polishing is all that is needed. characteristics.
● By virtue of intimate contact, interfacial ● Bulk to enhance rigidity results in
surface tension between metal and increased thickness in areas that are a
tissue provides the prosthesis with hindrance to the tongue.
greater retention.
6. Anterior-posterior palatal bars
Complete Palatal Coverage - - Structurally, this combination of major
- Anatomic replica form for full palatal connectors exhibits many of some
metal casting supported anteriorly by disadvantages as the single palatal bar. -
positive rest seats. - To be sufficiently rigid and to provide
- INDICATIONS FOR USE: needed support and stability, these
➢ In most situations in which connectors could be too bulky and could
only some of all anterior teeth interfere with tongue function.
remain.
➢ Class II arch with a large MINOR CONNECTORS
posterior modification space and - serve as the connecting link between the
some missing anterior teeth. major connector or the base of RPD and
➢ Class I arch with one to four the other components of the prosthesis.
premolars and some of all - Must have sufficient bulk to be rigid. -
anterior teeth remaining. - Contacts the axial surface of an
➢ In the absence of a abutment should not be located on a
pedunculated torus. convex surface.
- WAX SPECIFICATIONS: 22- to 24 - Should conform to the interdental
-gauge wax embrasure, passing vertically from the
major connector so that the gingival
4. Single Palatal B a r/ Single B road Palatal crossing is abrupt and covers as little of
the gingival tissue as possible.
- Anatomic replica form and anterior Functions:
border following valleys of rug ae as ● Transfers functional stress to the
near right angle to median suture line as abutment teeth. (Prosthesis to abutment
possible and not extending anterior to function)
occlusal rests or indirect retainers. - ● Transfers the effects of the retainers,
- INICATIONS FOR USE: rests, and stabilizing components
➢ Class I partially edentulous throughout the prosthesis. (Abutment to
ridge arches that have Prosthesis function)
undergone little vertical
resorption. TISSUE STOPS
➢ V- or U-shaped palates - Are integral parts of minor connectors
➢ Strong abutments designed for retention of acrylic-resin
➢ More teeth in arch than 6 bases.
remaining anterior teeth - Provide stability to the framework during
➢ Direct retention not a problem. the stages of transfer and processing. -
➢ No interfering tori. - Can engage buccal and lingual slopes of
- WAX SPECIFICATION: 24-gauge wa x - the residual ridge for stability.
- FINISHING LINES:
➢ Precision for butt - type joint at FINISHING LINES
pterygomaxillary notches. - Junction with the major connector should
➢ Undercut and slightly take the form of an angle not greater
elevated. than 90 degrees, therefore somewhat
➢ No farther than 2mm medial undercut.
from an imaginary line contacting - If finishing line is located too far medially,
the lingual surfaces of the the natural contour of the palate will be
missing natural teeth. altered by the thickness of the junction
➢ Following curvature of arch. and the acrylic resin supporting the
artificial teeth.
5. U -shaped palatal - If finishing line is located too far buccally,
- Should be used only in those situations it will be most difficult to create a natural
in which inoperable tori extend to the contour of the acrylic resin on the lingual
posterior limit of the hard palate. surface of the artificial teeth. -
- LEAST favorable design of all major - LOCATION: at the junction of the major
connector because it lacks the rigidity. and minor connectors should be based
- When it must be used, indirect retainers on restoration of the natural palatal
must support any portion of the shape, with consideration given to the
connector that extends anteriorly from location of the replacement teeth.
the principal occlusal rests.
- Anterior borders must be kept at least Reaction of tissue to metallic coverage:
6mm away from the adjacent teeth. ● Lack of adequate hygiene measures can
- WAX SPECIFICATIONS: 22- to result in tissue reactions caused by an
24-gauge wax accumulation of food debris and
- FINISHING LINES: same as single bacteria.
broad palatal ● Impingement will likewise occur if the
denture settles because of loss of tooth
and/or tissue support.
● Prolonged contact through continual use
of a prosthesis.

NOTE: Clinical experience with the use of


linguoplates and complete metallic palatal
coverage has shown conclusively that when
factors of pressure, cleanliness, and time are
controlled, tissue coverage is not in itself
detrimental to the health of oral tissue

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