Journal of AdvancedMedical and Dental Sciences Research

Background: Combination syndrome also known as anterior hyperfunction syndrome is when an edentulous maxilla is opposed by natural mandibular anterior teeth. The present study was conducted to assess the cases of combination syndrome in study population. Materials & Methods: This study was conducted on 120 patients having edentulous maxilla wearing maxillary denture and partially edentulous mandible wearing mandibular removable partial denture. They were assessed for various signs of combination syndrome. Results: Out of 340 patients examined, 120 (35%) patients were found positive for combination syndrome.Males were 70 and females were 50.Maximum cases were recorded for lack of maxillary denture adaptation (male- 13, female- 9). The need for replacement for maxillary denture was seen equally in 10 males and 6 females. Lack of mandibular denture adaptation was seen in males (9) and females (2). Growth of the tuberosities was seen in 7 males and 6 females. Need for replacement for mandibular denture was seen in 9 males and 5 females. The difference was significant (0.01). Papillary hyperplasia was significantly higher in females (7) than males (8). Hypermobility of the anterior part of the maxilla was seen in females (7) and males (6). 5 males and 2 females showed extrusion of lower anterior teeth. The difference was significant (P< 0.05). Conclusion: The prevalence rate of combination syndrome was 35% with slight male predominance. Most common sign was lack of maxillary denture adaptation and the need for replacement for maxillary denture. Key words: Combination syndrome, Hypermobility, Maxilla