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PDIPartiallyEdentulousWorksheet
ClassI ClassII ClassIII ClassIV
LocationandExtentofEdentulousAreas
1arch,MX2incisors,MD4incisors,2premolars,onepremolarandamolar
Botharchesandotherwisesameasabove,or1/botharchesandmissingcanine(s)
1/botharches,posteriorarea>3teethortwomolars,anteropostarea3teeth
Requiringhighdegreeofpatientcompliance;guardedprognosis
Congenitaloracquiredmaxillofacialdefect
Abutmentcondition
Localizedadjunctivetreatment(perio,endo,ortho)
None
12sextants
3sextants
4sextants
Insufficienttoothstructure
None
12sextants
3sextants
4sextants
Occlusion
Nopreprosthetictherapy
Localizedadjunctivetherapy
Reestablishentireocclusion,nochangeinOVD
Reestablishentireocclusion,withchangeinOVD
Residualridge
ClassIedentulous
ClassIIedentulous
ClassIIIedentulous
ClassIVedentulous
Conditionscreatingaguardedprognosis
Severeoralmanifestationsofsystemicdisease
Maxillomandibulardyskinesiaand/orataxia
Refractorypatient
Guidelinesforuseoftheworksheet
1.Anysinglecriterionofamorecomplexclassplacesthepatientintothemorecomplexclass.
2.Considerationoffuturetreatmentproceduresmustnotinfluencethediagnosticlevel.
3.Hopelessteethshouldnotbeconsideredinapplyingtheclassification.
4.Initialpreprosthetictreatmentand/oradjunctivetherapycanchangetheinitialclassificationlevel
5.Ifthereisanestheticconcern/challenge,theclassificationisincreasedincomplexitybyoneormorelevels.
6.InthepresenceofTMDsymptoms,theclassificationisincreasedincomplexityinoneormorelevels.
7.Inthesituationwherethepatientpresentswithanedentulousmaxillaopposingapartially
edentulousmandible,eacharchisdiagnosedwiththeappropriateclassificationsystem.