Journal of Prosthodontics on Dental Implants

Avinash Bidra, Stephen Parel, Avinash Bidra, Stephen Parel

• Publisher: Wiley-Blackwell
• Year: 2015
• Print ISBN: 9781119115366
• eBook ISBN: 9781119115373
• Edition: 1
• Topic: Medicine
• Subtopic: Dentistry

The Journal of Prosthodontics has been the official publication of the American College of Prosthodontics for more than 20 years. In excess of 1, 000 peer-reviewed articles on a wide variety of subjects are now in print, representing a treasure chest of history and valuable information on a myriad of topics of interest to the specialty of prosthodontics. Journal of Prosthodontics on Dental Implants is a "best of" compilation of the journal's articles from a number of years, focusing exclusively on the multiple applications of osseointegrated implants: for the management of the partially edentulous patient, management of the completely edentulous patient, and management of patients with maxillofacial defects. Sections also relate to in-vitro studies and general considerations to round out the readership selections. Whether you're a subscriber who's looking for implant articles in one convenient collection or a clinician with a focus on implant dentistry looking to improve your knowledge base, Journal of Prosthodontics on Dental Implants is a must-have for your personal library.

Part I
Management of the Partially Edentulous Patient

1
ICK Classification System for Partially Edentulous Arches

Sulieman S. Al-Johany, BDS, MSD,¹ and Carl Andres, DDS, MSD²

¹Assistant Professor, Department of Prosthetic Dental Sciences, College of Dentistry King Saud University Riyadh Saudi Arabia

²Professor and Director, Graduate Prosthodontics, Department of Restorative Dentistry Indiana University, School of Dentistry Indianapolis IN

Keywords

Classification system; dental implants; removable partial denture.

Correspondence

Sulieman S. Al-Johany, College of Dentistry, King Saud University, P.O. Box 60169, Riyadh 11545, Saudi Arabia. E-mail: [email protected]

Previously presented at the Table Clinic Session at the American College of Prosthodontists 2006 Annual Session, Miami, FL.

Accepted May 24, 2007

Published Journal of Prosthodontics August 2008; Vol. 17, Issue 6

doi: 10.1111/j.1532-849X.2008.00328.x

Abstract

Several methods of classification of partially edentulous arches have been proposed and are in use. The most familiar classifications are those originally proposed by Kennedy, Cummer, and Bailyn. None of these classification systems include implants, simply because most of them were proposed before implants became widely accepted. At this time, there is no classification system for partially edentulous arches incorporating implants placed or to be placed in the edentulous spaces for a removable partial denture (RPD). This article proposes a simple classification system for partially edentulous arches with implants based on the Kennedy classification system, with modification, to be used for RPDs. It incorporates the number and positions of implants placed or to be placed in the edentulous areas. A different name, Implant-Corrected Kennedy (ICK) Classification System, is given to the new classification system to be differentiated from other partially edentulous arch classification systems.

Partial edentulism is defined as the absence of some but not all the natural teeth in a dental arch.¹ Several methods of classification of partially edentulous arches have been proposed and are in use. It has been estimated that there are over 65,000 possible combinations of teeth and edentulous spaces in opposing arches.²

The most familiar classifications are those originally proposed by Kennedy,³ Cummer,⁴ and Bailyn.⁵ Costa⁶ in 1974 summarized most of the classification systems for partially edentulous arches and the rationale of the classification. These included: (i) the number and position of direct retainers,⁴ (ii) the relation of edentulous spaces to abutment teeth,³ (iii) the type of denture support, that is, tooth-supported, tissue-supported, or a combination,^5,7 (iv) the quality and degree of support a removable partial denture (RPD) receives from the abutment teeth and residual ridge,⁸ (v) the number, length, and position of edentulous spaces and the number and position of remaining teeth,⁹ (vi) the location and extent of edentulous spaces,¹⁰ (vii) the boundaries of the spaces,¹¹ and (viii) combinations of these principles.^3,12,13 Classifications have also been proposed by Neurohr,¹⁴ Austin and Lidge,¹⁵ Avant,¹⁶ and others.^6,17 Kennedy's method of classification is probably the most widely accepted classification of partially edentulous arches today.^2,17 None of these classification systems include implants, simply because most were proposed before implants became widely accepted. Recently, Misch and Judy¹⁸ described a classification system depending on the Applegate–Kennedy system, with emphasis on the available bone in the edentulous area for implant placement. Their classification involves four divisions: Divisions A and B when bone is available for implant placement, division C when bone is not available for implant placement, and division D, restricted to cases with severe atrophy of the edentulous area involving basal bone.

Implants with or without attachments can be used to improve the support, stability, and retention of an RPD. The esthetic result of the RPD can be greatly improved by the use of implant attachments, thus eliminating unesthetic clasps. With the use of implants, the options for RPD use have increased, and the high de...

Table of contents

• Cover
• Title Page
• Copyright
• Preface
• Acknowledgments
• American College of Prosthodontists Position Statement on Dental Implants
• Part I: Management of the Partially Edentulous Patient
• Part II: Management of the Completely Edentulous Patient
• Part III: Management of Patients with Maxillofacial Defects
• Part IV: In Vitro Studies
• Part V: General Considerations
• Index
• End User License Agreement