Modified tie-over technique for lingual sulcoplasty (vestibuloplasty)

Sulcoplasty has traditionally been approached labially and buccally to increase the retention and stability of a denture by increasing the relative vertical depth of an atrophic alveolar ridge.1 The advent of dental endosseous implants has reduced the need for preprosthetic surgery. There has, however, been a resurgence in the use of sulcoplasty with the rise of soft tissue resections and reconstructions for oral malignancy. A sulcoplasty in these cases can restore mobility of the tongue, particularly where the flap and tissue may be tethered at the level of the mandibular crest, despite a good alveolar height.

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