Prosthodontic Rehabilitation of Patient with Anterior Hyper Function Syndrome

Abstract

BACKGROUND:The success of prosthetic rehabilitation in patients with removable dentures depends on the achievement of the aesthetics, phonetics and most of all, proper use in the mastication process. All the patients that receive removable prostheses need a feeding education program. They must cut the food into smaller pieces, extend the length of time necessary for chewing and place the food upon both the right and left sides of the mouth at once. Bilaterally chewing with dentures will contribute to increased efficiency and denture stability during mastication. Using the anterior teeth for biting, as a result of increased pressure on the anterior ridge may lead to the anterior hyperfunction syndrome.CASE REPORT:The patient requested dental rehabilitation in our clinic for prosthetic dentistry two and a half years ago. We examined him and made therapy plan, for complete removable maxillary denture and partial mandibular denture. Besides our instructions for proper use of dentures and necessity for regular controls, his next visit was after two and a half years. He came with enlarged tuberosity and papillary hyperplasia in the pre-maxillary region. After oral surgery treatment (laser removing of hyperplastic tissue) and a healing period of four weeks, we made indirect relining on the upper denture, re-occlusion and re-articulation achieving weak contacts between the lower natural teeth and upper teeth of the complete denture. The patient was advised not to bite food with his anterior teeth, and avoid chewing very hard food which tends to imprint and displace dentures.CONCLUSION:Anterior hyperfunction syndrome with its high incidence is a disease with the need of interdisciplinary therapy approach. Fast diagnosis, thorough clinical examination using all available diagnostic tools, and choosing the right treatment is very challenging.

Anterior Hyperfunction by Mandibular Anterior Teeth: A Narrative Review

“…In addition, three articles were added by handsearch. However, only one article included the key word "anterior hyperfunction" in the title [19] and another article included "anterior hyperfunction syndrome" [20]. Thus, this narrative review was conducted to discuss anterior hyperfunction using the previous reports about combination syndrome and a review of our clinical cases.…”

“…A special tray cut away from flabby tissues can be used for the impression of maxilla to eliminate the mobility of these tissues during the impression [23][24][25] and the high-flow impression material is used effectively to avoid impression pressure for the maxillary anterior site (Figure 3). When severe flabby tissues or denture fibroma are present in the maxillary anterior region, surgical intervention (resection of these tissues) can be a treatment option to enhance the stability of maxillary complete dentures (Figure 4) [20]. In the mandible, a well-functioned bilateral distal extension removable partial denture can contribute to the management of anterior hyperfunction.…”

Prevalencia del Síndrome de Combinación y sus factores asociados en la Clínica de la Facultad de Odontología de la Universidad de Cuenca, periodo 2015-2016

“…El SC es una condición compleja que afecta la calidad de salud oral del paciente. Es necesario un diagnóstico rápido, una correcta examinación clínica y la elección de un tratamiento con un enfoque interdisciplinario [10].…”

Prosthodontic rehabilitation after oral surgical treatment of a patient with epulis fissuratum – case report.

“…Epulis fissuratum is presented as a lesion in the form of folds with a smooth surface, covered with normal or erythematous overlying mucosa. Sometimes, ulcerated surfaces can be seen as a result of chronic irritation when the oral mucosa is traumatized 3 . The size of lesions is variable and they can be seen as small lesions, localized hyperplasia with dimensions less than 1 cm, to extensive changes involving most of the denture or the entire length of the tissue around its border 4 .…”