¿Qué tratamiento podemos elegir para rehabilitar pacientes con Síndrome de Combinación?

Abstract

INTRODUCTION: The term "Combination Syndrome" was defined by Ellsworth Kelly in 1962 when, after carrying out a study involving almost 500 patients wearing a removable prosthesis, it was observed that there were a series of characteristics that repeated in some patients wearing a complete upper prosthesis occluding with a partial lower prosthesis, the edentulous mandible being Kenndy class I. Specifically, the syndrom was defined by a grouping of five characteristics, the main one being significant reabsorption of the upper maxillary anterior, hypertrophy of the maxillary tuberosity and extrusion of the mandibular dental section. Subsequently, Tolstunov suggested a much broader classification of the syndrome including more patients with the common characteristics of the anterior reabsorptionof the maxillary and the extrusion of the anterior mandibular section. PATIENT ANO METHOD: The case was presented of a patient with Combination System, wearing a removable partial upper prosthesis. To come up with the treatment plan indicated, a bibliographic search was carried out in the Pubmed and Compludoc search engines. Next a therapeutic plan to restore both function and aesthetics was designed to suit the characteristics of the type of syndrome. CONCLUSION: After consulting the bibliography and according to our clinical experience, among the restorative options for patients with Combination Syndrome, the first option is considered to be a fixed supported implant treatment.