Fogorvosi szemle, 2016 (109. évfolyam, 1-4. szám)
2016-03-01 / 1. szám
27 FOGORVOSI SZEMLE ■ 109. évf. 1. sz. 2016. 19. Palmqvist S, Carlsson G: The combination syndrome: a literature review. J Prosthet Dent 2003; 90: 270-275. 20. Rutkunas VI, Mizutani H, Peciuliene V, Bendinskaite R, Linkevicius T: Maxillary complete denture outcome with two-implant supported mandibular overdentures. A systematic review. Stomatologija 2008; 10: 10-15. 21. Saunders T, Gillis Jr R, Desjardins R: The maxillary complete denture opposing the mandibular bilateral distal-extension partial denture: treatment considerations. J Prosthet Dent 1979; 1 : 124-128. 22. Schmitt S: Combination syndrome: A treatment approach. J Prosthet Dent 1985; 54: 664-671. 23. Shen K, Gongloff R: Prevalence of the combination syndrome’ among denture patients. J Prosthet Dent 1989; 62: 642-644. 24. Stahl SS, Wisan JM, Miller SC: The influence os systemic diseases on alveolar bone. J Am Dent Assoc 1952; 45: 277-283. 25. Tallgren A, LDS, Ódont Dr: The continuing reduction of the residual alveolar ridges in complete denture wearers: A mixedlongitudinal study covering 25 years. J Prosthet Dent 1972; 27: 120-132. 26. The glossary of prosthodontic terms. J Prosthet Dent. 2005; 94: 10-92. 27. Tolstunov L: Combination syndrome Symptomatology and Treatment. Compend Contin Educ Dent. 2011 ; 32: 62-66. 28. Tymstra N, Raghoebar GM, Vissink A, Meijer HJ: Maxillary anterior and mandibular posterior residual ridge resorption in patients wearing a mandibular implant-retained overdenture. J Oral Rehabit. 2011; 38: 509-516. Markovics D, Szendi R, Vicko K, Rajnics Zs, Marada Gy, Radnai M Incidence of combination syndrome based on the orthopantomograms made between 2009 és 2014 at the Department of Prosthodontics, University of Pécs, Hungary The treatment of patients having a completely edentulous maxillary arch and lower anterior teeth present is frequent in the dental practice. In these cases some specific changes can be detected in the oral cavity and on orthopantomograms. These signs were summarized and described first by Kelly (1972). Aim of the study was to examine the presence of the specific signs of the combination syndrome among the patients between 2009 and 2014. With the help of the electronic patient registry system used by the University of Pécs, 319 patients were filtered who were diagnosed with anodontia code (K0000 International Classification of Diseases (ICD)) in the examined period. 220 patients' orthopantomograms were evaluated searching for specific symptoms of the combination syndrome. 34 patients had complete edentulous maxilla and anterior teeth in the mandible. 4 patients (11,7%) showed the main sign of the combination syndrome, i.e. the maxillary anterior bone loss. Hypertrophy of maxillary tuberosity (9 cases, 26,4%), extrusion of the lower anterior teeth (6 cases, 17,6%) and great resorption of the distal mandibular ridge (16 cases, 47%) was diagnosed on the X-rays. The clinical examination of three patients supported the radiological findings. The combination syndrome was detectable, but the incidence rate was lower in this population in comparison with the data available in dental scientific publications. Keywords: combination syndrome, bone absorption, maxillary tuberosity, hypertrophy, anterior teeth extrusion, implant A jelen tudományos közleményt a szerzők a Pécsi Tudományegyetem alapításának 650. évfordulója emlékének szentelik.
