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佩戴传统假牙和有腭皱襞假牙患者的声学分析及言语清晰度

Acoustic analysis and speech intelligibility in patients wearing conventional dentures and rugae incorporated dentures.

作者信息

Adaki Raghavendra, Meshram Suresh, Adaki Shridevi

机构信息

Department of Prosthodontics, Bharati Vidyapeeth University Dental College, Sangli, 416414 Maharashtra India.

Department of Prosthodontics, Government Dental College and Hospital, Mumbai, Maharashtra India.

出版信息

J Indian Prosthodont Soc. 2013 Dec;13(4):413-20. doi: 10.1007/s13191-013-0262-x. Epub 2013 Mar 9.

Abstract

Phonetics is an important function of oral cavity. It has been overlooked quite frequently while fabricating the complete dentures. In this study modification of anterior palatal surface of denture is done and assessed for its impact on phonetics. Purpose is to assess acoustic and speech intelligibility analysis in edentulous patients and also to evaluate the influence of conventional dentures, arbitrary rugae and customized rugae dentures on speech in complete denture wearers. Ten healthy edentulous patients 55-70 years of age were selected for the study. Dentures were fabricated in conventional way for these patients. Recordings were done for intelligibility and acoustic analysis of the speech. Recordings were done without denture, with conventional denture, with arbitrary rugae denture, with customized rugae denture. Each recording was done at an interval of 10 days period. All four recordings were analyzed and comparison was done using paired 't' test. There was significant improvement in frequency peak noise energy for 's', antiformant frequency for 'n' in rugae incorporated dentures. There was relative improvement in frequency peak noise energy for 'sh', frequency proximity burst, voice onset time for 'd', with rugae incorporated dentures. Findings of intelligibility analysis have shown substitution errors with conventional dentures. There was relative improvement of speech with rugae incorporated dentures. Among these, customized rugae dentures showed better results than arbitrary rugae dentures.

摘要

语音是口腔的一项重要功能。在制作全口义齿时,它常常被忽视。在本研究中,对义齿的腭前部表面进行了改良,并评估其对语音的影响。目的是评估无牙患者的声学和言语清晰度分析,以及评估传统义齿、任意嵴突义齿和定制嵴突义齿对全口义齿佩戴者言语的影响。选择了10名年龄在55至70岁之间的健康无牙患者进行研究。为这些患者以传统方式制作义齿。对言语的清晰度和声学分析进行了录音。分别在不戴义齿、佩戴传统义齿、佩戴任意嵴突义齿、佩戴定制嵴突义齿的情况下进行录音。每次录音间隔10天。对所有四次录音进行分析,并使用配对“t”检验进行比较。在带有嵴突的义齿中,“s”的频率峰值噪声能量、“n”的反共振峰频率有显著改善。在带有嵴突的义齿中,“sh”的频率峰值噪声能量、频率接近突发、“d”的嗓音起始时间有相对改善。清晰度分析结果显示,传统义齿存在替代错误。带有嵴突的义齿的言语有相对改善。其中,定制嵴突义齿的效果优于任意嵴突义齿。

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