Ridge Deficiency Classification

By Dr Rohit Rai

Soft/hard tissue defects

Seibert (1983) Class I:buccolingual loss of tissue with normal apicocoronal ridge height Class II: apicocoronal loss of tissue with normal buccolingual ridge width Class III:combination-type defects (loss of both height and width)

Limitation Of Seibert Classification

Seiberts classification represents the three broad categories of ridge defects, but a division of those defects into subcategories is lacking.

HVC classification
Allen et al (1985) modification of Seibert classification A: apicocoronal loss of tissue B:buccolingual loss of tissue C:combination Subclassification in each category Mild:< 3 mm; medium:36 mm; severe:> 6 mm

Horizontal medium size defect

combined horizontal and vertical medium size

HVC ridge classification. Subclassification: small (s) 3 mm; medium (m) 46 mm; large (l) 7 mm

Hard tissue defects

Lekholm and Zarbs includes five stages of bone resorption, from minimal to severe A: virtually intact alveolar ridge and Zarb B: minor resorption of alveolar ridge C:advanced resorption of alveolar ridge to base of dental arch D: initial resorption of base of dental arch E:extreme resorption of base of dental arch

Misch
Misch and Judys classification describes four divisions of available bone, with treatment options based on the amount of available bone height, width, and angulation A:abundant bone and Judy B:barely sufficient bone C:compromised bone (C-h:compromised height; C-w:compromised width) D: deficient bone