A metal-based denture with soft liner to accommodate the severely resorbed mandibular alveolar ridge

A technique is described for designing and making a mandibular denture, for patients with severely resorbed and compromised residual alveolar ridges. The denture base is stabilized by a mucostatic impression technique, myostatic denture base design, weight of a cast metal denture base, and noninterceptive occlusion with monoplane or Centrimatic posterior teeth. The hard metal denture base is made tissue-compatible by means of a soft denture liner attached to a specially relieved cast metal denture base. Over a 2-year period, this technique has successfully provided, in my practice, an alternative to residual alveolar ridge implants and other surgical interventions for 22 edentulous patients with severely resorbed and compromised mandibular residual alveolar ridges.