PDF: Modified Lingual Sulcus Reconstruction in Atrophic Mandibles: Clinical Insights from a Case Series



The rehabilitation of severely atrophic mandibles remains one of the most demanding challenges in pre-prosthetic surgery, particularly when the compromised anatomy limits the stability and comfort of conventional dentures or implant-supported prostheses.

The article Reconstruction of lingual sulcus in a severely atrophic mandible using a modified approach as a pre-prosthetic surgery: Case series presents an innovative surgical technique designed to restore lingual vestibular depth while enhancing the functional foundation for prosthetic rehabilitation.


Through a detailed case series, the authors propose a refined modification of traditional lingual sulcoplasty that prioritizes safety around the lingual neurovascular bundle, minimizes postoperative complications, and provides improved soft-tissue positioning for long-term prosthetic support.


The report offers valuable clinical outcomes and practical considerations that can guide surgeons dealing with extreme mandibular atrophy—an area where predictable and minimally invasive solutions are urgently needed.

This contribution is particularly relevant for clinicians in oral surgery, implantology, prosthodontics, and periodontology, providing evidence-based insights into a technique that may redefine treatment planning for complex atrophic mandibles.

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