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Indications for RPD
- Distal extention cases
- After recent extractions as an interim prosthesis
- Long span edentulous arches
- Need for cross arch stabilization - edentulous spaces on both sides of arch
- Excessive loss of alveolar bone
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Kennedy's classification
- Most widely used Classification
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Class I
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Bilateral edentulous area located posterior to remaining natural teeth
- Most commonly seen
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Class II
- Unilateral edentulous area located posterior to remaining natural teeth
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Class III
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Unilateral edentulous are with natural teeth anterior & posterior to it
- Best resists the forces applied to it, because it is tooth supported at both the ends
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Class IV
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Single bilateral edentulous area located anterior to remaining natural teeth
- Least common
- 2 more classes are added to this classification
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Class V
- An edentulous area bound by teeth anteriorly & posteriorly, but where anterior tooth is not suitable to be used as an abutment
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Class VI
- An edentulous situation where the bounded teeth are capable of total support of the prosthesis
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Applegate's rules
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Rule 1
- Classification should follow rather than precede extractions that might alter the original classification
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Rule 2
- If 3rd molar is missing & not to be replaced it is not considered in the classification
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Rule 3
- If 3rd molar is present & is to be used as an abutment, it is considered in the classification
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Rule 4
- If 2nd molar is missing not to be replaced that is the opposing 2nd molar is also missing & is not considered in the classification
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Rule 5
- The posterior most edentulous area or areas determines the classification
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Rule 6
- Edentulous areas other than those determining classification are referred as modification spaces & are designated by their number
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Rule 7
- The extent of modification is not considered, only the number of edentulous areas
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Rule 8
- There can be no medical areas in Class IV arches, because any edentulous area lying posterior to the single bilateral area determines the classification
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Components of RPD
- Major connector
- Minor connector
- Rest & rest seats
- Direct retainer
- Indirect retainer
- Denture base
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OTHER KEY POINTS
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Support for RPD/Distal extention cast partial denture
- Kennedy's class III & IV derive support from adjacent teeth
- Class I & II RPD receive support from both Residual ridges & terminal abutments
- Distal extention cast partial denture :-
both tissue & tooth borne
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Extent of framework
- Minor connector for Maxillary distal extention should cover maxillary tuberosity
- While in Mandibular arch it should extend till anterior 2/3rd the length of retromolar pad