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Revista da Associacao Paulista de Cirurgioes Dentistas

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Abstract

MARIN, Danny Omar Mendoza et al. Oral rehabilitation of a patient with combination syndrome: a case report. Rev. Assoc. Paul. Cir. Dent. [online]. 2014, vol.68, n.1, pp. 75-78. ISSN 0004-5276.

The Combination Syndrome represents an important pathologic condition of the masticatory system that requires a complex rehabilitation treatment. The presence of flaccid mucosa is one of the most common features due to bone resorption of the pre-maxilla caused by anterior hyperfunction of the mandibular teeth on the maxillary complete denture, where the impact of oclusal loading in this region results in movement of the maxillary prosthesis into the ridge, resulting in increased resorption of the residual ridge, internal misfit and loss of the retention of the maxillary complete denture. The presence of flaccid mucosa, in such cases, leads to problems of support and stability of the maxillary complete denture, which can be treated by surgical reduction of the thickness of the tissue or using specific techniques of fabrication of prostheses. This article describes the oral rehabilitation of a patient with the Combination Syndrome where the surgical reduction of flaccid mucosa was not performed, using a modified technique of functional impression in two steps, with the objective of generating forces and less distortion in flaccid mucosa during functional impression.

Keywords : dental impression technique; dental impression materials; dental occlusion..

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