Speech evaluation during maxillary mini-dental implant overdenture treatment: A prospective study
Speech evaluation during maxillary mini-dental implant overdenture treatment: A prospective study
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DOI：
10.1111/joor.12852
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发表时间：
2019-07-21
影响因子：
2.9
通讯作者：
De Bruyn, Hugo
中科院分区：
文献类型：
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作者：
Fonteyne, Ester;Van Doorne, Luc;De Bruyn, Hugo
很大比例的患者是缺牙的，并且佩戴可移动义齿，导致功能舒适度降低和口腔健康相关的生活质量降低。种植后对口腔状况的满意度取决于进食舒适度、言语舒适度和美学效果。牙齿形状和位置的改变可能会影响语言。本研究的目的是确定语言，oromyofunctional行为，满意度的治疗和生活质量的影响，马蹄覆盖义齿保留微型牙科种植体（MDIs）在上颌骨。这项前瞻性多中心队列研究纳入了32例接受治疗的患者。放置5至6个植入物，创伤性地刺穿粘膜。在治疗期间对患者进行了三次评估（术前使用传统修复体，包括全腭覆盖（CD），术后使用临时重衬CD和MDI上的马蹄形覆盖义齿）。评估包括语音评价、口腔功能行为检查、对生活质量影响的评价（OHIP-14）以及视觉模拟量表上对治疗和言语的满意度评级。在治疗前发现几种语音受到干扰。在接下来的两个治疗阶段，言语问题的数量减少。在最后阶段，有10个人表现出轻微的言语问题，特别是/s/音。在这个阶段，7人仍然存在口腔功能问题，特别是口哨问题。在最后一个阶段，人们对治疗（83%）和言语（84%）非常满意。对生活质量的影响较低（8.23/56）。
Large proportions of patients are edentulous and wear removable dentures leading to reduced functional comfort and less oral health-related quality of life. Satisfaction with the oral situation after implantation depends on the outcome in eating comfort, speech comfort and aesthetics. Modification in form and location of the teeth may affect speech. The aim of this study is to determine speech, oromyofunctional behaviour, satisfaction with the treatment and the impact on quality of life of the horse-shoe overdenture retained by mini-dental implants (MDIs) in the maxilla. This prospective multicentre cohort study included 32 patients for treatment. 5 to 6 implants were placed, traumatically piercing the mucosa. Patients were evaluated three times during treatment (pre-operatively with conventional prosthesis including full palatal coverage (CD), post-operatively with provisionally relined CD and with horse-shoe overdenture on MDI). The assessment included a phonetic evaluation, examination of oromyofunctional behaviour, evaluation of the impact on quality of life (OHIP-14) and a rating of satisfaction with the treatment and speech on a visual analogue scale. Several speech sounds are found to be disturbed before treatment. In the next two stages of the treatment, the number of speech issues decreases. In the final stage, ten people show minor speech problems, especially with the /s/ sound. In this stage, seven people still present with oromyofunctional problems, especially whistling problems. In this last stage, people are very satisfied with the treatment (83%) and with speech (84%). The impact on quality of life is low (8.23/56).