Indications, Contraindications and

Classifications of RDP’s

DR. WAHEED MURAD DAHRI

ASSISTANT PROFESSOR
Department of Prosthodontics
BADC Larkana
 Indications
• Long edentulous arches
• Very young and very old patients
• No tooth posterior to edentulous space
• Poor periodontal support of remaining teeth
• Cross arch stabilization
• Excessive bone loss due to trauma or RRR
• Aesthetics
• Immediate tooth replacement after extraction
• Emotional problems
• Patients desires due to economic reasons or
avoiding operating procedures on sound teeth
 Contraindications

• Patients with large tongue

• Mentally retarded patients
• Patients with poor oral hygiene
 Classifications
1. Cummer’s Classification
2. Kennedy’s Classification
3. Bailyn’s Classification
4. Mauk’s Classification
5. Wild’s Classification
6. Godfrey’s Classification
7. Friedman’s Classification
8. Beckett and Wilson’s Classification
9. Skinner’s Classification
10.Craddock’s Classification
11.Austin and Lidge Classification
12.Watt et al Classification
13.Avant’s Classification
14.Costa’s Classification
15.Osbone and Lammie’s Classification
 Kennedy Classification
• Proposed by Dr Edward Kennedy of New
York in 1925
• Most commonly used classification

Saddle:
The part of a denture that rests on the
foundation tissues and to which teeth are
attached.
 Kennedy Class I

• Bilateral edentulous areas located

posterior to the remaining teeth

– Denture saddles that restore such

edentulous areas are described as ‘free
end saddles or distal extension saddles
 Kennedy Class II

• A unilateral edentulous area located

posterior to the remaining teeth
 Kennedy Class III

• A unilateral edentulous area with natural

teeth remaining anterior and posterior to
it

– Denture saddles that restore this type of

edentulous area are described as bounded
saddles
 Kennedy Class IV

• A single but bilateral (crossing the midline)

edentulous area located anterior to the
remaining natural teeth
Eight Applegate’s Rules (Applied to
the Kennedy Classification)
1. Classification should follow rather than
precede any extractions of teeth
2. Missing 3rd molars are discounted (if not
being replaced)
3. Present 3rd molars are counted (if used
as abutment)
4. Missing 2nd molars are discounted (if not
being replaced)
5. Most posterior edentulous area
determines classification
6. Additional edentulous areas are
described as ‘Modification Spaces’
7. Extent of modification is not considered,
only number of additional edentulous
areas
8. There are no modifications to Class IV
Support Classification (Beckett 1953)

Tooth Supported
Tooth and Tissue Supported
Tissue Supported
Thanks