eng Science and Education Publishing American Journal of Medical Case Reports 2374-216X 2024-02-04 12 2 15 20 10.12691/ajmcr-12-2-2 AJMCR20241222 article Vishwadeepak Singh 1 Rishabh Garg 2 Amit Siwach 2 Shuja Ur Rahman 3 Nishant Gaba 4 Noopur Rathi 5 Anchal Deep 6 Manas Singh 6 Roma Goswami 7 Khurshid A Mattoo drkamattoo@rediffmail.com 8 Department of Prosthodontics, Vananchal dental college, NPU, Jharkhand, India Department of Prosthodontics, Kalka dental college, CCSU, Uttar Pradesh, India Dept of Oral and maxillofacial rehabilitation, College of Dentistry, Mustaqbal University, KSA Department of Prosthodontics, Inderprastha Dental College Hospital, CCSU, Uttar Pradesh, India Department of Prosthodontics, DJ College of Dental Sciences, BRAU, Uttar Pradesh, India Department of Prosthodontics, Ideas dental college, MPMSU, Madhya Pradesh, India Department of Prosthodontics, Subharti dental college, SVSU, Uttar Pradesh, India Department of Prosthodontics, College of dentistry, Jazan University, (KSA) This case series describes the multiple labial flange design to overcome the problem of providing adequate labial fullness by a complete denture prosthesis in patients who cannot due to some reasons undergo alveoloplasty of the maxillary residual alveolar ridge. The relation between the design and the particular case scenario has been presented under different denture flange design. Four different design types with case presentation include that of a gumfit denture, gumfit with stainless steel wire, gumfit with wire and acrylic and finally a flanged labial window complete denture prosthesis. Each case is different and covers multiple clinical variations of providing labial support using labial denture flange without totally constructing the labial flange. Each individual design has been discussed in the light of lip relation, the height of contour of the residual alveolar ridge, the labial undercut and finally the vestibular depth. These designs are simple and mostly done in the laboratory and can be customized for all patients depending upon the availability or non availability of the bone. https://pubs.sciepub.com/ajmcr/12/2/2/ajmcr-12-2-2.pdf complete denture maxillary lip orbicularis oris esthetics facial symmetry