Zaki Mahross Hamada, Baroudi Kusai
Department of Removable Prosthodontics, College of Dentistry, Al-Azhar University, Cairo, Egypt ; Department of Restorative Dental Sciences, Alfarabi Colleges, Riyadh, Saudi Arabia.
Department of Restorative Dental Sciences, Alfarabi Colleges, Riyadh, Saudi Arabia.
Int J Dent. 2015;2015:606834. doi: 10.1155/2015/606834. Epub 2015 Mar 26.
Objective. To investigate the influence of reproduction of different thickness and palatal rugae materials on complete dentures speech using Computerized Speech Lab (CSL) (spectrogram). Materials and Methods. Three completely edentulous male patients (aged 50-60 years) were selected for reading a paragraph. Twelve upper dentures were constructed, four for each patient. The patients' speech groups were divided into five groups, Group I: patients without dentures; Group II: patients rehabilitated with conventional acrylic dentures; Group III: patients with conventional acrylic dentures with rugae reproduction; Group IV: patients with dentures with metallic framework of minimal thickness and direct ragged metallic palatal surface at rugae area; Group V: patients with dentures with palatal rugae constructed from resilient acrylic resin material with thickness less than conventional denture. Speech samples were recorded after insertion of each denture for groups using Computerized Speech Lab (CSL) (spectrogram). The sounds selected were lingopalatal /s/z/sh/t/d/ and /l/. Results. Group III produced high mean significant difference with /sh/t/ sound. For Group IV, the difference was noticed with /s/z/sh/t/ and /d/ sounds, while for Group V the difference was shown with /z/l/ sound (P < 0.05). Conclusion. It is recommended to reproduce the rugae area in complete denture because the phonetic quality of complete denture with rugae is superior to the conventional denture.
目的。使用计算机语音实验室(CSL)(频谱图)研究不同厚度和腭皱襞材料的复制对全口义齿语音的影响。材料与方法。选取3名无牙颌男性患者(年龄50 - 60岁)阅读一段文字。制作12副上半口义齿,每位患者4副。将患者的语音分组分为五组,第一组:无义齿患者;第二组:佩戴传统丙烯酸树脂义齿修复的患者;第三组:佩戴有腭皱襞复制的传统丙烯酸树脂义齿的患者;第四组:佩戴厚度最小的金属支架且在腭皱襞区域有直接粗糙金属腭面的义齿的患者;第五组:佩戴由厚度小于传统义齿的弹性丙烯酸树脂材料制成的带有腭皱襞的义齿的患者。在每组患者佩戴每副义齿后,使用计算机语音实验室(CSL)(频谱图)记录语音样本。选取的声音为舌腭音/s/、/z/、/sh/、/t/、/d/和/l/。结果。第三组在/sh/、/t/音上产生了高度显著的平均差异。第四组在/s/、/z/、/sh/、/t/和/d/音上有差异,而第五组在/z/、/l/音上有差异(P < 0.05)。结论。建议在全口义齿中复制腭皱襞区域,因为带有腭皱襞的全口义齿的语音质量优于传统义齿。