The background  and the basis of mouth preparation before any prosthodontic treatment should be thoroughly kept in mind. Complete denture rehabilitation enhanced by pre prosthetic mouth preparation can improve the prognosis and outcome of a successful prosthodontic service. Vestibuloplasty is one such type of surgical mouth preparation that improves stability and retention of a denture. We present a case of  an elderly female patient who reported  dissatisfaction with newly made previous dentures. The main source of dissatisfaction being poor stability and retention. Intra oral examination showed severely resorbed mandibular residual alveolar ridge. A secondary epithelialization vestibuloplasty procedure using  the Kazanjans technique with the help of a guided surgical splint was performed as part of preprosthetic surgical preparation. With an increase of  more than five millimeter in ridge height, the patient compliance was substantially improved to new dentures.

Keywords:  vestibule, epithelialization, bone graft, preprosthetic surgery, mouth preparation.

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Khurshid A Mattoo

Assistant Professor, Department of Prosthodontics, College of dentistry, JU