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The Prosthodontic Diagnostic Index
The Prosthodontic Diagnostic Index
A presentation by:
Spence D. Because home is where the health is. Health Magazine-i Financial Times. December 2009
Chester W. Douglass, Annie Shih, Larry Ostry. J Prosth Den 2002; 87(1): 5-8
§ The prosthodontics diagnostic index (PDI) for edentulism is an
§ In general, there are 4 classifications with Class I being the most ideal
referral.
The prosthodontics diagnostic index (PDI)
The prosthodontics diagnostic index (PDI)
Class I Class II
Anterior Maxilla Anterior labial and posterior buccal Loss of posterior buccal
vestibular depth that resists vertical and vestibule
horizontal movement of the denture
base.
Hard Palate form Palatal morphology that resists vertical Tori are rounded and do not
and horizontal movement of the denture affect the posterior extension
base. No tori or exostosis. of the denture base.
4. Maxillomandibular Relationship
Class I: Maxillomandibular relationship allows tooth position that
has normal articulation with the teeth supported by the residual ridge.
4. Maxillomandibular Relationship
The prosthodontics diagnostic index (PDI)
4. Maxillomandibular Relationship
Class III: Maxillomandibular relationship requires tooth position
outside the normal ridge relation in order to attain phonetics and
articulation; i.e., crossbite— anterior or posterior, tooth position not
supported by the residual ridge.
The prosthodontics diagnostic index (PDI)
• Class IV
ü Surgical correction required
The prosthodontics diagnostic index (PDI)
7. Tongue Anatomy
• Class III
ü Large and occludes interdental space
• Class IV
ü Hyperactive with retracted position
The prosthodontics diagnostic index (PDI)
The prosthodontics diagnostic index (PDI)
8. Modifiers
q Oral manifestation of systemic diseases
ü Mild (Class II)
ü Moderate (Class III)
ü Severe (Class IV)
Refractory Patient
Refractory Patient