Prosthetic management of a total glossectomy defect after free flap reconstruction in an edentulous patient: A clinical report

Abstract

Total glossectomy with surgical reconstruction can result in a significantly altered mandibular arch anatomy. In edentulous patients, lingual vestibules along with the mandibular alveolar ridge can be obliterated. With the absence of lower anterior dentition, support of the lower lip is lost and traction from surgical closure can cause the lower lip to collapse into the oral cavity. This report describes the prosthetic treatment of an edentulous total glossectomy patient with an unconventional custom impression procedure to develop and record proper lower lip and cheek support. It also discusses some issues involved in the prosthetic management of the total glossectomy patient. (J Prosthet Dent 2003;89:119-22.)