Armany classification of maxillary defect

The Aramany classification is a system used to categorize maxillary defects, particularly those resulting from surgical interventions such as tumor resections or trauma. This classification helps guide the planning of reconstructive procedures and prosthetic rehabilitation. It was developed by Dr. Ali Aramany in his work on maxillofacial prosthetics. The classification is based on the location and extent of the maxillary defect, typically categorizing it into different classes. Here are the main classes: 1. **Class I**: Involves the anterior portion of the maxilla, typically affecting the teeth in the incisive region without involvement of the palate or nasal cavity. 2. **Class II**: Affects the anterior maxilla and may involve the hard palate but does not extend into the soft palate area. 3. **Class III**: Affects a larger portion of the maxilla, involving both the hard and soft palate. This class may also include defects that extend into nasal structures. 4. **Class IV**: Involves the maxilla but also includes the mid-facial region, affecting the maxillary sinus and possibly leading to more extensive rehabilitation needs. 5. **Class V**: This class may represent total maxillectomy defects or very extensive maxillary resections, involving complete loss of the maxillary arch and its associated structures, necessitating complex reconstructive procedures. The Aramany classification can be essential for determining the best approach for rehabilitation, including whether to use surgical reconstruction, prosthetic devices, or a combination of both to restore function and aesthetics. Additionally, understanding the specifics of the defect aids in anticipating potential complications and planning follow-up care.