COMBINATION SYNDROME: - Also known as Paterson- Kelly Syndrome Maxillary CD, lower class I RPD Lower anterior teeth — mobility Maxillary anterior part — ridge resorption — papillary hyperplasia Flabby tissue on pre-maxilla !Q. Over tissue in mandibular with wearing denture epulis fisssurment. Prognathic facial appearance Decreased VDRelining add acrylic to the base of denture to increase vertical dimension Maxillary tuberosity — downward growth Re – CD impression — passive position impressiono (due to flabby tissue remember !)

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