Year : 2022

Volume : Volume 13

Issue : Issue 2

Address for correspondence :
Dr. Mahesh B
drmaheshmds70@gmail.com

Abstract

Completely edentulous maxilla opposing mandibular anterior teeth without any posterior teeth in the mandibular arch is a common clinical situation. Combination syndrome usually occurs in patients with maxillary complete denture opposing a partially edentulous mandibular arch with preserved anterior teeth with or without distal extension removable partial denture. The syndrome shows a complex of pathologic conditions
affecting both hard tissue and soft tissue. These changes are initiated by loss of bone in the upper anterior maxilla. The common feature of most combination syndrome cases is an edentulous pre-maxilla with advanced ridge resorption in the anterior region and overeruption of the mandibular anterior teeth. Loss of lower posterior teeth and over-erupted lower anteriors lead to uneven occlusal forces. Over-erupted anteriors put excessive
load on anterior edentulous maxilla and cause resorption. Flabby ridges are most commonly seen in the anterior part of maxilla opposing natural mandibular anterior teeth. Combination syndrome is one of the most peculiar oral conditions which is less studied and analyzed in the literature and clinical practice. This article reviews the important literature on this subject and discusses about different modalities of treatment.
Keywords: Complete denture, Flabby ridge, Ridge resorption, Anterior hyperfunction