ACP Classification of Complete Edentulism Quiz & Flashcards

Questions and Answers

What classification system has the American College of Prosthodontists (ACP) developed?

A classification system for the completely dentate, partially edentulous, and completely edentulous patient.

ACP Classification Benefits include improved _ and improved professional _ consistency.

inter-operator consistency, communication

What is described as the physical state of the jaw following the removal of all erupted teeth?

Complete edentulism.

The diagnostic criteria include height, relationship, morphology, and attachments.

Bone, Maxillo-mandibular, Residual ridge, Muscle Signup and view all the answers

Match the classification of the completely edentulous patient with their description:

Class I = Ideal or minimally compromised Class II = Moderately compromised Class III = Substantially compromised Class IV = Severely compromised Signup and view all the answers

Which type of Bone Height - Mandibular corresponds to 21mm or greater?

Type I Signup and view all the answers

What type of muscle attachment has high mentalis muscle attachment?

Type B Signup and view all the answers

What is a condition that can require pre-prosthetic surgery related to insufficient interarch space?

Insufficient interarch space requires surgical correction. Signup and view all the answers

A refractory patient continues to have chronic complaints despite appropriate therapy.

True Signup and view all the answers

What classification relationship requires tooth position outside normal ridge relation to attain phonetics and articulation?

Maxillomandibular Relationship Class II. Signup and view all the answers

The maxillomandibular relationship classification relates to the position of the artificial teeth to the _ and to the _.

residual ridge, opposing dentition Signup and view all the answers

What can raise the classification for a patient by one level?

Esthetic concerns or challenges Signup and view all the answers

Study Notes

ACP Classification Overview

The American College of Prosthodontists (ACP) has a classification system for diagnosing and treating completely edentulous patients.
This system is crucial for identifying conditions and treatment pathways for fully dentate and partially edentulous patients.

Benefits of ACP Classification

Enhances inter-operator consistency among dental professionals.
Improves professional communication across the dental field.
Provides an objective method for patient screening, especially in dental education.
Establishes standardized criteria for outcomes assessment and research.
Increases diagnostic consistency and supports clinical decision-making during referrals.

Complete Edentulism Definition

Refers to the condition of the jaw after all erupted teeth have been removed.
Evaluates the state of supporting structures for reconstructive and replacement therapies.

Diagnostic Criteria Parameters

Bone height: Mandibular measurements and morphology.
Maxillo-mandibular relationship: Relationships of dental structures to jaw anatomy.
Residual ridge morphology: Shape and support of the remaining jaw structure.
Muscle attachments: Impact of muscle location on denture fit and function.

Classification of Completely Edentulous Patients

Class I: Ideal or minimally compromised conditions.
Class II: Moderately compromised conditions.
Class III: Substantially compromised conditions.
Class IV: Severely compromised conditions.

Mandibular Bone Height Types

Type I: 21mm or greater.
Type II: 16-20mm.
Type III: 11-15mm.
Type IV: 10mm or less.

Maxillary Residual Ridge Morphology Types

Type A: Optimal support with well-defined anatomy; absence of tori/exostoses.
Type B: Moderate compromise; rounded tori do not affect denture stability.
Type C: Loss of vital vestibules; compromised support and minimal resistance to movement.
Type D: Severe loss of structure with tori interfering with denture fit.

Muscle Attachments Types

Type A: Adequate attached mucosa with no impingement during function.
Type B: Adequate mucosal base except in the anterior buccal vestibule, affected by high mentalis muscle.
Type C: Adequate mucosa with less support in anterior vestibules, influenced by high genioglossus and mentalis muscles.
Type D: Adequate mucosal base only in the posterior lingual region; others are detached.
Type E: No attached mucosa in any region, resulting in compromised denture retention.

Maxillomandibular Relationship Classes

Class I: Normal articulation with residual ridge support.
Class II: Tooth position outside normal ridge relation for phonetics and articulation.
Class III: Crossbite scenario requires position adjustments beyond normal ridge relation.

Conditions Requiring Pre-Prosthetic Surgery

Can be classified as minor or major for both soft and hard tissue procedures.
Surgical correction necessary for issues like insufficient interarch space or large tongue obstructing space.

Refractory Patient Concept

A patient with chronic complaints despite receiving appropriate therapy.
Struggles to meet treatment expectations due to persistent challenges.

Guidelines for Classification System

Mixed diagnostic criteria can elevate classification to a more complex category.
Pre-treatment evaluations are advised for accurate classification; post-treatment analyses may alter final classification.

Additional Guidelines

Patients classified under the highest checked category; reassessment is recommended after the removal of existing prostheses.
Aesthetic concerns can raise classification by one level in Classes I and II.

Description

This quiz focuses on the classification system developed by the American College of Prosthodontists (ACP) for diagnosing and treating completely edentulous patients. Key categories and diagnostic criteria will be explored in depth, enhancing understanding for dental professionals.

ACP Classification Complete Edentulism