Langer Y, Laufer B Z, Cardash H S
Department of Oral Rehabilitation, Maurice and Gabriela Goldschleger School of Dental Medicine, Tel Aviv University, Israel.
J Prosthodont. 1995 Jun;4(2):76-81. doi: 10.1111/j.1532-849x.1995.tb00320.x.
A series of destructive changes occurring in the jaws of patients wearing a complete maxillary denture opposed by a mandibular distal extension removable partial denture have been described as the combination syndrome. However, the syndrome does not occur in all patients. Those patients who have not developed signs of the combination syndrome and whose mandibular anterior teeth are well preserved and not overerupted may be treated conservatively with a mandibular removable partial denture. A properly designed removable partial denture that distributes occlusal stresses over hard and soft tissues minimizes the risk of developing the combination syndrome. Nevertheless, the overdenture seems to provide a more predictable prognosis, especially for patients who already have the combination syndrome or whose mandibular anterior teeth are structurally or periodontally compromised or overerupted. The treatment modality is determined by the apparent potential of the patient to develop the combination syndrome and by the condition of the remaining mandibular anterior teeth.
佩戴全口上颌义齿并与下颌远中游离端可摘局部义齿相对的患者颌骨中发生的一系列破坏性变化被描述为联合综合征。然而，并非所有患者都会出现该综合征。那些尚未出现联合综合征体征且下颌前牙保存良好且未过度萌出的患者，可以使用下颌可摘局部义齿进行保守治疗。设计合理的可摘局部义齿可将咬合应力分布在硬组织和软组织上，从而将发生联合综合征的风险降至最低。尽管如此，覆盖义齿似乎能提供更可预测的预后，特别是对于那些已经患有联合综合征或下颌前牙在结构或牙周方面受损或过度萌出的患者。治疗方式取决于患者发生联合综合征的明显可能性以及剩余下颌前牙的状况。
