Published: 2021-07-27

Techniques of hollow maxillary dentures: a literature review

Anas Omar Haroub, Alaa Mohammad Alaidarous, Mazen Thabet Alshahrani, Naif Mayouf Alrasheedi, Abdulhakeem Nasier Almodahi, Alanoud Abdullah Alnahdi, Bashayr Habbas Alanazi, Aljawharah Talal Alghamdi, Shuruq Suhaim Alkhashrami, Zeyad Tariq Ashour


Clinically, the management of severy atrophic maxilla might represent a significant challenge for the attending dentists and surgeons to successfully perform and achieve fabricated complete maxillary dentures. Making a hollow denture base for these defects has also been previously reported as a valid approach that can be used to decrease the weight of the maxillary prosthesis. Many modalities have been proposed for these procedures with favorable outcomes, and variable events of disadvantages and adverse events. This literature review aims to collect enough evidence regarding the different reported techniques of the hollow maxillary denture, according to the different studies. Many techniques have been previously reported as using magnets, using implants, intramucosal inserts, springs, suction disks, lightweight dentures, and modified impression techniques. Many materials have been previously used with the 3D spacers of the lightweight denture techniques as dental stone, silicon putty, cellophane-wrapped asbestos, light-body coated gauze, modeling clay, salt, thermocol, caramel, and glycerine soap. Favoring one of the modalities over the other requires the inauguration of future studies with an adequate sample size to validate the efficacy and safety of these modalities. All of this information is furtherly discussed within the manuscript based on the collected evidence from the different studies in the literature.


Dentistry, Prosthodontics, Hollow maxillary denture, Technique, Management

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el Mahdy AS. Processing a hollow obturator. The Journal of prosthetic dentistry. 1969;22(6):682-86.

Brown KE. Fabrication of a hollow-bulb obturator. The Journal of prosthetic dentistry. 1969;21(1):97-103.

Chalian VA, Drane JB, Standish SM. Maxillofacial prosthetics: multidisciplinary practice. Williams & Wilkins Company. 1972.

Nidiffer T, Shipmon T. The hollow bulb obturator for acquired palatal openings. Journal of Prosthetic Dentistry. 1957;7(1):126-34.

Worley JL, Kniejski ME. A method for controlling the thickness of hollow obturator prostheses. The Journal of prosthetic dentistry. 1983;50(2):227-29.

Holt RA, Jr. A hollow complete lower denture. The Journal of prosthetic dentistry. 1981;45(4):452-4.

Jhanji A, Stevens ST. Fabrication of one-piece hollow obturators. The Journal of prosthetic dentistry. 1991;66(1):136-8.

Fattore LD, Fine L, Edmonds DC. The hollow denture: an alternative treatment for atrophic maxillae. The Journal of prosthetic dentistry. 1988;59(4):514-6.

Wyatt CC. The effect of prosthodontic treatment on alveolar bone loss: a review of the literature. The Journal of prosthetic dentistry. 1998;80(3):362-6.

Riley MA, Walmsley AD, Harris IR. Magnets in prosthetic dentistry. The Journal of prosthetic dentistry. 2001;86(2):137-42.

Walmsley AD. Magnetic retention in prosthetic dentistry. Dental update. 2002;29(9):428-33.

Gonçalves F, Dias EP, Cestary TM. Clinical and histopathological analysis of intramucosal zirconia inserts used for improving maxillary denture retention. Brazilian dental journal. 2009;20(2):149-55.

Fenn HRB, Liddlelow K, Gimson AP. Clinical dental prosthetics. Staples Press. 1953.

Radke U, Mundhe D. Hollow maxillary complete denture. Journal of Indian Prosthodontic Society. 2011;11(4):246-9.

Caculo SP, Aras MA, Chitre V. Hollow dentures: treatment option for atrophic ridges. a clinical report. Journal of prosthodontics: official journal of the American College of Prosthodontists. 2013;22(3):217-22.

McAndrew KS, Rothenberger S, Minsley GE. 1997 Judson C. Hickey Scientific Writing Awards. An innovative investment method for the fabrication of a closed hollow obturator prosthesis. The Journal of prosthetic dentistry. 1998;80(1):129-32.

O'Sullivan M, Hansen N, Cronin RJ, Cagna DR. The hollow maxillary complete denture: a modified technique. The Journal of prosthetic dentistry. 2004;91(6):591-4.

Shetty V, Gali S, Ravindran S. Light weight maxillary complete denture: A case report using a simplified technique with thermocol. Journal of Interdisciplinary Dentistry. 2011;1(1):45.

McCord JF, Tyson KW. A conservative prosthodontic option for the treatment of edentulous patients with atrophic (flat) mandibular ridges. British dental journal. 1997;182(12):469-72.

Shah RJ, Lagdive SB, Machchhar AH, Periyanan K, Cherian S. Technique to Fabricate Hollow Maxillary Complete Denture Using 3D Printed Template. Journal of Prosthodontics. 2020;29(4):360-3.

Bhushan P, Aras MA, Chitre V, Mysore AR, Mascarenhas K, Kumar S. The Hollow Maxillary Complete Denture: A Simple, Precise, Single-Flask Technique Using a Caramel Spacer. Journal of prosthodontics: official journal of the American College of Prosthodontists. 2019;28(1):e13-7.

Chalian VA, Barnett MO. A new technique for constructing a one-piece hollow obturator after partial maxillectomy. The Journal of prosthetic dentistry. 1972;28(4):448-53.

Gardner LK, Parr GR, Rahn AO. Simplified technique for the fabrication of a hollow obturator prosthesis using vinyl polysiloxane. The Journal of prosthetic dentistry. 1991;66(1):60-2.

Aggarwal H, Jurel SK, Singh RD, Chand P, Kumar P. Lost salt technique for severely resorbed alveolar ridges: An innovative approach. Contemporary clinical dentistry. 2012;3(3):352-5.

Gundawar S, Zamad A, Gundawar S. Light weight dentures: An innovative technique. Contemporary clinical dentistry. 2014;5(1):134.

Qanungo A, Aras MA, Chitre V, Mysore A, Da Costa GC. An innovative and simple technique of hollow maxillary complete denture fabrication. Journal of clinical and diagnostic research: JCDR. 2016;10(8):ZD23.