Complete Denture Fabrication for a Patient Without Preprosthetic Surgery: A Case Report

Abstract

Fabricating complete dentures for patients with unfavorable oral anatomy and without preprosthetic surgery presents significant challenges. This case report describes the denture fabrication process for an 81-year-old Thai male patient with torus mandibularis, bilateral undercuts beneath the mylohyoid ridges, and an undercut on the left maxillary tuberosity, which impeded denture insertion and removal. Due to health constraints, the patient was ineligible for preprosthetic surgery. To address these challenges, a surveyor was used to identify insertion and removal paths by assessing tissue obstructions. A tissue conditioner was employed to enhance occlusion rim retention and minimize trauma during try-in. Additionally, a permanent soft liner was applied to improve denture retention and reduce tissue trauma during use. This alternative approach demonstrates an effective method for fabricating complete dentures for patients unable to undergo preprosthetic surgery, providing functional and beneficial outcomes for such individuals.