PROSTHODONTICS - American College of Prosthodontists

March 1999, Volume 8, Number 1 31Figure 5. Type A maxillary residual ridge.vertical height. The values assigned to each of thefour types listed below are averages that historicallyhave been used in relation to preprosthetic surgicalprocedures. A measurement is made and the patientis classified as follows:Type I (most favorable): residual bone height of 21mm or greater measured at the least verticalheight of the mandible (Fig 1);Type II: residual bone height of 16 to 20 mmmeasured at the least vertical height of the mandible(Fig 2);Type III: residual alveolar bone height of 11 to 15mm measured at the least vertical height of themandible (Fig 3);Type N: residual vertical bone height of 10 mm orless measured at the least vertical height of themandible (Fig 4).Residual Ridge Morphology: Maxilla OnlyResidual ridge morpholou is the most objective criterionfor the maxilla, because measurement of theFigure 7. Type C maxillary residual ridge.maxillary residual bone height by radiography is notreliable." The classification system continues on alogical progression, describing the effects of residualridge morphology and the influence of musculatureon a maxillary denture."Type A (most favorable) (Fig 5)Anterior labial and posterior buccal vestibulardepth that resists vertical and horizontal movementof the denture base.0 Palatal morpholog resists vertical and horizontalmovement of the denture base.Sufficient tuberosity definition to resist verticaland horizontal movement of the denture base.0 Hamular notch is well defined to establish theposterior extension of the denture base.Absence of tori or exostoses.Type B (Fig 6)Loss of posterior buccal vestibule.0 Palatal vault morphology resists vertical and horizontalmovement ofthe denture base.Tuberosity and hamular notch are poorly defined,compromising delineation of the posterior extensionof the denture base.Figure 6. Type B maxillary residual ridge.Figure 8. Type D maxillaryresidual ridge.2010 CDEL Re-recognition of the Specialty Report 150 of 279