Aranda-Herrera Benjamin, Cruz Tania Rubi Agudo-de la, Jurado Carlos Alberto, Garcia-Contreras Rene
Interdisciplinary Research Laboratory, Nanostructures, and Biomaterials Area, National School of Higher Studies (ENES) Leon, National Autonomous University of Mexico (UNAM), Leon 37684, Mexico.
Private Clinical Practice, A&A Advanced Dentistry, Puebla 72340, Mexico.
Clin Pract. 2024 Aug 18;14(4):1584-1600. doi: 10.3390/clinpract14040128.
Combined Kelly syndrome, also known as anterior hyperfunction syndrome, is a complex pathological condition of the stomatognathic system, originally established by five characteristics but primarily triggered by edentulism, specifically, the absence of the upper and posterior mandibular teeth. This condition is characterized by a series of clinical features, such as bone loss, tuberosity growth, enamel wear, periodontal damage, muscle fatigue, pain, and temporomandibular joint issues. However, these features are not unique and rather reflect an oral hyperfunction state. There is a lack of consensus on the best way to assess and diagnose this condition, which is proposed to be understood as an "oral hyperfunction state" rather than a syndrome. This study aims to conduct a literature review to analyze the available information on anterior hyperfunction syndrome in dentistry, with the goal of proposing a conceptual model of the etiological risk factors that contribute to early diagnosis and the prevention of complications. This approach has important clinical implications, as it would allow for the early identification and management of risk factors, thus improving the quality of life of patients and preventing malpractice that could compromise their oral health.
联合凯利综合征，也称为前功能亢进综合征，是口颌系统的一种复杂病理状况，最初由五个特征确定，但主要由无牙症引发，具体而言，是下颌上后牙缺失。这种状况的特征包括一系列临床特征，如骨质流失、结节生长、牙釉质磨损、牙周损伤、肌肉疲劳、疼痛和颞下颌关节问题。然而，这些特征并非该综合征所特有，而是反映了一种口腔功能亢进状态。对于评估和诊断这种状况的最佳方法，目前尚无共识，有人提议将其理解为一种“口腔功能亢进状态”而非一种综合征。本研究旨在进行文献综述，分析牙科领域中关于前功能亢进综合征的现有信息，目的是提出一个病因风险因素的概念模型，以有助于早期诊断和预防并发症。这种方法具有重要的临床意义，因为它能够早期识别和管理风险因素，从而提高患者的生活质量，并防止可能损害其口腔健康的医疗事故。
