Prosthodontic Rehabilitation of Patients with Severe Alveolar Ridge Resorption

Severe alveolar ridge resorption represents a major challenge in prosthodontic rehabilitation because it compromises denture stability, retention, function, esthetics, and patient comfort. Progressive bone loss following tooth extraction alters jaw morphology, reduces denture-bearing area, and complicates prosthetic planning and execution. The aim of this article is to provide a comprehensive review of clinical strategies, materials, and rehabilitation approaches for patients with severe alveolar ridge resorption. Various prosthetic modalities, including conventional complete dentures, implant-supported overdentures, fixed implant-supported prostheses, and adjunctive surgical and non-surgical techniques, are evaluated with emphasis on anatomical adaptation, functional outcomes, and long-term maintenance. Additionally, the article addresses material selection, handling, and storage to optimize prosthesis performance and biological compatibility. Clinical evidence indicates that individualized treatment planning, precise impression techniques, proper material utilization, and strategic prosthetic design significantly improve functional and esthetic outcomes, minimize soft tissue trauma, and enhance patient satisfaction. Early identification of residual ridge morphology and tailored rehabilitation strategies are critical to achieving long-term prosthetic success.