Non surgical prosthodontic rehabilitation of a prominent anterior maxillary ridge with labial undercuts using a flangeless complete denture: a case report

Vijayakumar Jeyarathi, Manu Rathee, Pankaj Ghalaut, Sarthak Singh Tomar, Balavignesh S., Nang Nalika Moungkhom

Abstract


Prominent anterior maxillary ridges associated with pronounced labial undercuts pose a significant prosthodontic challenge during complete denture fabrication, frequently resulting in over-contoured labial flanges that adversely affect facial aesthetics, lip support, phonetics, and patient comfort. This case report describes the prosthodontic management of such anatomical limitations using a conventional flangeless maxillary complete denture as a conservative, non-surgical alternative. Elimination of the anterior labial flange permitted improved adaptation of the denture base to the underlying ridge anatomy while minimising soft-tissue impingement and excessive labial fullness. The clinical workflow, design rationale, and processing modifications are presented to highlight the functional and aesthetic advantages of this approach. This treatment approach demonstrated improved comfort, satisfactory retention, and enhanced facial aesthetics during post-insertion follow-up, supporting the clinical applicability of flangeless denture designs in cases with unfavourable ridge morphology.

 

Received 25 January 2026

Accepted 11 April 2026

Published 13 May 2026


Keywords


Flangeless denture; Labial undercut; Maxillary ridge; Denture aesthetics; Complete denture

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References


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DOI: https://dx.doi.org/10.21622/AMPDR.2026.06.1.1914

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Copyright (c) 2026 Vijayakumar Jeyarathi, Manu Rathee, Pankaj Ghalaut, Sarthak Singh Tomar, Balavignesh S., Nang Nalika Moungkhom

Advances in Medical, Pharmaceutical and Dental Research

E-ISSN: 2812-4898

P-ISSN: 2812-488X

 

Published by:

Academy Publishing Center (APC)

Arab Academy for Science, Technology and Maritime Transport (AASTMT)

Alexandria, Egypt

ampdr@aast.edu