Classication of FPD

INTRODUCTION
 fixed partial dentures are usually grouped into various categories based on factors
like abutments, components, length of the span, etc. An ideal classification should
fulfill the following criteria:
• Allow visualization of the type of partially edentulous arch being considered.
• Permit 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.
• Should include codes for the designs that are in common use.
 ACP Classification American College
of Prosthodontics (ACP) classification:
Thomas McGary put forth this system of
classification for the partially edentulous patients
 Class I—Ideally or minimally compromised
 Class II—Moderately compromised
 Class III—Substantially compromised
 Class IV—Severely compromised
 Diagnostic Criteria
Location and extent of edentulous area There are four broad diagnostic
criteria that help in classification.
They are:
 • Location and extent of edentulous area
 • Condition of abutment
 • Occlusal scheme
 • Residual ridge scheme
 CLASS
 A class identifies the location of the edentulous space.
 Class I:Posterior edentulous spaces. One or more of the
posterior teeth (premolars and molars) are missing
 . Class II: Anterior edentulous spaces. One or more of
the anterior teeth (incisors and canines) are missing
 Class III: Anteroposterior edentulous spaces. Edentulous
spaces involving both the anterior and posterior regions,
i.e. some anterior and posterior teeth are missing
 DIVISION
 A division gives information about the teeth present adjacent to the
edentulous space that are capable of taking support.
 DIV 1 : Cantilever FPDs. Abutments present only on one side of the
edentulous space are capable of taking support
 Division II:Conventional FPDs. Abutments that are capable of taking up
occlusal load are present on both sides of the edentulous space
 Division III:Pier Abutments. A single tooth is surrounded by an
edentulous space on either side
 SUBDIVISION
 A sub-division denotes the status of the tooth that is to be used as an abutment.
 Sub-division I:Ideal abutments. Healthy teeth, which provide good support
 Sub-division II:Tilted Abutments. Either the design of the prosthesis should be
modified or the tilt of the abutment should be corrected .
 Sub-division III:Periodontally weak abutment. This abutment cannot take up
occlusal load as effectively as healthy abutment
 Sub-division IV:Extensively damaged abutment. The abutment has good bone
support but require exten-sive restoration, e.g. inlay, onlay, dowel core. The status
of the abutment crown determines the type of attachment required for the FPD .
 Sub-division V: Implant abutment. The abutment is an implant and the design of
the prosthesis should be modified accordingly .
 Depending on the type of
connector:

 Fixed fixed partial denture

 Fixed movable partial denture
 Removable fixed partial denture
 Type of material used:
 • All metal crowns
 • Metal ceramic crowns
 • All ceramic crowns
 • All acrylic crowns
 • Ceramic veneer
 • Acrylic veneer
 III. Length of the span:
 • Short span bridges
 • Long span bridges
 Duration of use:
 Permanent fixed partial dentures
 Long span bridges

- Interim prosthesis
- Periodontally weak abutment (Maryland bridge)
- Splints
 Type of abutment:
 • Normal/ideal abutment
 • Cantilever abutment
 • Pier abutment
 • Mesially tilted abutment
 Mesial half crown
 - Telescopic crown
 • Endodontically treated abutment (depending on the amount of remaining tooth structure) -
Core: plastic core materials
 • Amalgam
 • Composite
 • Glass-lonomer cements
 • Pin-retained amalgam - Post core restorations
 • Custom-made posts
 • Prefabricated posts - Periodontally weak teeth • Resin bonded bridges
 • Fiber reinforced bridges
• Splints - Implant abutments
 Bridges which require minimal
preparation
 • Micro-retention
 • Macro-retention