Prosthodontics & Occlusion · single question
A patient is edentulous in the maxillary anterior region with mandibular natural anterior teeth opposing a maxillary denture. They develop anterior maxillary bone loss and anterior mandibular bone overgrowth. What syndrome is this?
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Correct answer: D. Combination syndrome
Combination syndrome (Kelly syndrome) = bone loss under the maxillary anterior denture flanges when opposing mandibular natural anterior teeth, with compensatory bone growth in mandibular anterior. Classic denture/natural tooth combination problem. Source confirms: 'Combination Syndrome.'
- A. Van der Woude = cleft lip/palate with lip pits — not denture biomechanics.
- B. Ellis-van Creveld = genetic skeletal dysplasia with extra digits — not denture syndrome.
- C. Atrophic rhinitis is a nasal condition — not dental occlusion related.
- D. CORRECT. Combination syndrome = specific bone resorption pattern when upper complete/partial denture opposes lower natural anterior teeth.
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