Síndrome da combinação: revisão de literatura

Abstract

Combination Syndrome or Kelly Syndrome is a pathology present in patients with maxillary total dentures that antagonize with natural mandibular anterior teeth (Kennedy class I). This work aims to describe the characteristics of the Combination Syndrome and discuss ways to prevent and treat this condition. This is a descriptive literature review with qualitative approach. As inclusion criteria, were selected studies that discuss the theme of this review, published in the form of a scientific article, with no publication date limit, in English and Portuguese. Studies that are not related to the theme of this work and studies with little scientific relevance were excluded. When present, several clinical characteristics are observed, such as: maxillary bone resorption, papillary and palate mucosal hyperplasia, lower teeth extrusion, mandibular bone resorption and increased tuberosity. When formulating a treatment plan for a patient with Combination Syndrome, the professional must be able to search for clinical history and detailed examination to identify all the characteristics that may be related to this syndrome. By following this approach, it is possible to diagnose the patient's oral condition and provide the most appropriate planning for their case. The adoption of adequate and individualized rehabilitation treatments allows the maintenance of natural teeth and is the best way to prevent the Combination Syndrome.