Placement of 2 to 4 implants in the posterior maxilla on each side, alveoloplasty ± sinus lift; implant-retained or supported overdenture
Extended table of classification of Combination Syndrome (CS)
author: Len Tolstunov, DDS | publisher: drg. Andreas Tjandra, Sp. Perio, FISID
CS class
CS modification
Posterior maxilla
Posterior mandible
Conventional treatment: maxilla / mandible
Suggested implant treatment of maxillary arch (based on bone availability)
I
1
Moderate hypertrophy
Moderate atrophy
FUD / bilateral distal extension RPD
Placement of 2 to 4 implants in the posterior maxilla on each side, alveoloplasty ± sinus lift; implant-retained or supported overdenture
2
Severe atrophy
Severe hypertrophy
FUD
implants are unlikely
3
Severe atrophy on one side and moderate hypertrophy on the other
Severe hypertrophy on one side and moderate atrophy on the other
FUD/ unilateral distal extension RPD
Placement of 2 to 4 implants in the posterior maxilla on hypertrophic side, alveoloplasty ± sinus lift; implant-retained overdenture
II
1
Severe hypertrophy
Severe atrophy
Anterior extension RPD/ bilateral distal extension RPD
Teeth extraction with placement of 2 to 4 implants in the posterior maxilla on each side ± sinus lift; implant-retainers or supported overdenture
2
No significant changes
No significant changes
Anterior extension RPD
Teeth extraction with placement of 2 to 4 implants in the posterior maxilla on each side ± sinus lift; implant-retainers or supported overdenture
3
Severe hypertrophy on one side and no changes on the other
Severe atrophy on one side and no changes on the other
Anterior extension RPD/ unilateral distal extension RPD
Teeth extraction with placement of 2 to 4 implants in the posterior maxilla on each side ± sinus lift; implant-retainers or supported overdenture
III
1
Different degree of hypertrophy on both sides
Different degree of atrophy on both sides
Unilateral distal extension RPD / bilateral distal extension RPD
Placement of 2 to 4 implants in the posterior maxilla on 1 or 2 sides +- extraction / sinus lift; implant-retained or supported overdenture
2
Severe atrophy on one side and no changes on the other
Severe hypertrophy on one side and no changes on the other
Unilateral distal extension RPD
Placement of 2 to 4 implants in the posterior maxilla on 1 side +- extraction / sinus lift; implant-retained overdenture
3A
Moderate hypertrophy on one side and no changes on the other
Moderate atrophy on one side and no changes on the other
Unilateral distal extension RPD for both jaws
Placement of 2 to 4 implants in the posterior maxilla on 1 or 2 sides +- extraction / sinus lift; implant-retained or supported overdenture
3B
Severe atrophy on one side and severe hypertrophy on the other
Opposite of posterior maxilla
Unilateral distal extension RPD for both jaws
Placement of 2 to 4 implants in the posterior maxilla on 1 or 2 sides +- extraction / sinus lift; implant-retained overdenture
Serial posts:
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Combination Syndrome: Classification and Case Report
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Introduction: Combination Syndrome
-
Case report: combination syndrome
-
Diagnosis: Combination Syndrome
-
Treatment Plan : Combination Syndrome
-
Operative phase : Combination Syndrome
-
Restorative stage : Combination Syndrome
-
Classification : Combination Syndrome
-
Discussion : Combination Syndrome
-
Conclusion : Combination Syndrome
-
References : Combination Syndrome
-
Table Classification of combination syndrome (CS)
-
Extended table of classification of Combination Syndrome (CS)
| CS class | CS modification | Posterior maxilla | Posterior mandible | Conventional treatment: maxilla / mandible | Suggested implant treatment of maxillary arch (based on bone availability) |
|---|---|---|---|---|---|
| I | 1 | Moderate hypertrophy | Moderate atrophy | FUD / bilateral distal extension RPD | Placement of 2 to 4 implants in the posterior maxilla on each side, alveoloplasty ± sinus lift; implant-retained or supported overdenture |
| 2 | Severe atrophy | Severe hypertrophy | FUD | implants are unlikely | |
| 3 | Severe atrophy on one side and moderate hypertrophy on the other | Severe hypertrophy on one side and moderate atrophy on the other | FUD/ unilateral distal extension RPD | Placement of 2 to 4 implants in the posterior maxilla on hypertrophic side, alveoloplasty ± sinus lift; implant-retained overdenture | |
| II | 1 | Severe hypertrophy | Severe atrophy | Anterior extension RPD/ bilateral distal extension RPD | Teeth extraction with placement of 2 to 4 implants in the posterior maxilla on each side ± sinus lift; implant-retainers or supported overdenture |
| 2 | No significant changes | No significant changes | Anterior extension RPD | Teeth extraction with placement of 2 to 4 implants in the posterior maxilla on each side ± sinus lift; implant-retainers or supported overdenture | |
| 3 | Severe hypertrophy on one side and no changes on the other | Severe atrophy on one side and no changes on the other | Anterior extension RPD/ unilateral distal extension RPD | Teeth extraction with placement of 2 to 4 implants in the posterior maxilla on each side ± sinus lift; implant-retainers or supported overdenture | |
| III | 1 | Different degree of hypertrophy on both sides | Different degree of atrophy on both sides | Unilateral distal extension RPD / bilateral distal extension RPD |
Placement of 2 to 4 implants in the posterior maxilla on 1 or 2 sides +- extraction / sinus lift; implant-retained or supported overdenture |
| 2 | Severe atrophy on one side and no changes on the other | Severe hypertrophy on one side and no changes on the other | Unilateral distal extension RPD | Placement of 2 to 4 implants in the posterior maxilla on 1 side +- extraction / sinus lift; implant-retained overdenture | |
| 3A | Moderate hypertrophy on one side and no changes on the other | Moderate atrophy on one side and no changes on the other | Unilateral distal extension RPD for both jaws | Placement of 2 to 4 implants in the posterior maxilla on 1 or 2 sides +- extraction / sinus lift; implant-retained or supported overdenture | |
| 3B | Severe atrophy on one side and severe hypertrophy on the other | Opposite of posterior maxilla | Unilateral distal extension RPD for both jaws | Placement of 2 to 4 implants in the posterior maxilla on 1 or 2 sides +- extraction / sinus lift; implant-retained overdenture |
- Combination Syndrome: Classification and Case Report
- Introduction: Combination Syndrome
- Case report: combination syndrome
- Diagnosis: Combination Syndrome
- Treatment Plan : Combination Syndrome
- Operative phase : Combination Syndrome
- Restorative stage : Combination Syndrome
- Classification : Combination Syndrome
- Discussion : Combination Syndrome
- Conclusion : Combination Syndrome
- References : Combination Syndrome
- Table Classification of combination syndrome (CS)
- Extended table of classification of Combination Syndrome (CS)