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Classification of maxillectomy in edentulous arch defects, algorithm, concept, and proposal classifications: A
Hatem Alqarni1,2, Mohammed Alfaifi3, Walaa Magdy Ahmed4
1Department of Restorative and Prosthetic Dental Sciences, College of Dentistry, King Saud Bin Abdulaziz University for Health Sciences, Riyadh, Saudi Arabia.
Clinical and Experimental Dental Research
|January 5, 2023
Summary
A new classification system for edentulous maxillectomy defects is proposed, addressing a gap in current literature. This pragmatic approach enhances communication and treatment outcomes for maxillectomy patients.
Area of Science:
- Oral and Maxillofacial Surgery
- Prosthodontics
- Dental Anatomy
Background:
- Aramany's classification is widely used for partially edentulous maxillectomy defects.
- Existing classifications lack a comprehensive approach, failing to integrate surgical, defect, and rehabilitation factors.
- No specific classification system exists for completely edentulous maxillary arch defects.
Purpose of the Study:
- To review existing maxillectomy defect classification systems.
- To propose a pragmatic classification series for edentulous maxillary arch defects.
- To enhance treatment outcomes and interdisciplinary communication through a unified classification.
Main Methods:
- Conducted an electronic literature search using PubMed/MEDLINE and Google Scholar.
- Utilized keywords such as "maxillectomy classification" and "complete edentulous."
- Performed a manual search in key dental journals, including the Journal of Prosthetic Dentistry and Journal of Prosthodontics.
Main Results:
- Multiple classification systems for partially dentate maxillectomy defects were identified, varying by size, location, dentition, and defect extension.
- Existing classifications address surgical factors and rehabilitation for partially dentate patients.
- No classification system specifically addresses completely edentulous maxillary arch defects.
Conclusions:
- Current literature lacks a classification system for completely edentulous maxillectomy defects.
- A novel, simple classification system for edentulous maxillectomy defects is proposed.
- The proposed classification is modeled after Aramany's system for improved memorization and clinical application.
