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 VD

Relining add acrylic to the base of denture to increase vertical dimension
 Maxillary tuberosity — downward growth
 Re – CD impression — passive position impression
o (due to flabby tissue remember !)