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Types and Objectives of Removable Partial Dentures (RPD)

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9 Questions

What are edentulous areas referred to as under the Applegate classification system?

Modifications

How are edentulous areas other than classification determinants designated?

By their number

Under the Applegate classification system, what does Class III describe?

A single bounded saddle

According to Applegate Rule 7, what is considered when determining the modification?

The number of additional edentulous areas

Why can no modification areas be included in Class IV arches?

As per Applegate Rule 8

In the Applegate system, what distinguishes Class I from Class II?

Number of edentulous areas

In a Kennedy Class III Modification 1, how many bounded saddles are there?

1

What determines whether a denture falls into Class IV according to the Applegate rules?

of edentulous spaces as per rules

What is considered when determining the modification according to Applegate Rule 7?

Only number of additional edentulous areas

Study Notes

Applegate Rules for Kennedy Classification

  • Applegate Rule 6: Edentulous areas other than those determining the classification are referred to as MODIFICATION (S) and are designated by their number.
  • Applegate Rule 7: The extent of the modification is not considered, only the number of additional edentulous areas are considered.
  • Applegate Rule 8: No modification areas can be included in Class IV arches.

Removable Partial Dentures (RPD)

  • Types of RPD: Acrylic partial dentures (Flipper), Cast partial dentures (Cr-Co), and Flexible partial dentures (Valplast)
  • Objectives of RPD Construction:
  • Restore esthetic
  • Restore function (phonetic and mastication)
  • Prevent apposing teeth extrusion or migration and tilting of adjacent teeth
  • Fill empty space or spaces
  • Prevent disease atrophy
  • Restore the psychological status of the patient
  • Achieve proper muscular balance

Causes of Teeth Loss

  • Main causes of teeth loss:
  • Caries (main cause in young people below 35 years)
  • Periodontal diseases (main cause in old people above 35 years)
  • Trauma or accident
  • Congenital missing teeth

Indications of Removable Partial Dentures (RPD)

  • Distal extension situations (free end situation)
  • Long span tooth-bounded edentulous area
  • Need for cross-arch (bilateral) stabilization
  • Excessive loss of the residual ridge
  • Unusually sound abutment teeth

Kennedy 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

Classification of Partially Edentulous Arches

  • 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: (not defined in the text, but implied as a separate class)

Applegate Rules

  • Applegate Rule 1: Classification should follow rather than precede any extractions of teeth that might alter the classification
  • Applegate Rule 2: If a third molar is missing and not to be replaced, it is not considered in the classification
  • Applegate Rule 3: If a third molar is present and is to be used as an abutment, it is considered in the classification
  • Applegate Rule 4: If a second molar is missing and is not to be replaced, it is not considered in the classification
  • Applegate Rule 5: The most posterior edentulous area (or areas) always determines the classification

Learn about the three types of removable partial dentures (RPD): Acrylic, Cast, and Flexible. Explore the objectives of constructing RPDs such as restoring esthetics, function, preventing tooth issues, and filling empty spaces.

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