Department of Oral Health Sciences, Section Periodontology and Oral Implantology, Ghent University, Ghent, Belgium.
Department of Oral Health Sciences, Section Maxillo-Facial Surgery, Periodontology and Oral Implantology, Ghent University, Ghent, Belgium.
J Oral Rehabil. 2019 Dec;46(12):1151-1160. doi: 10.1111/joor.12852. Epub 2019 Jul 21.
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).
大量患者无牙或佩戴可摘义齿，导致功能舒适度降低和口腔健康相关生活质量下降。种植体治疗后的满意度取决于进食舒适度、言语舒适度和美观度的结果。牙齿形态和位置的改变可能会影响言语。本研究旨在确定马蹄形覆盖义齿（MDI）通过微型牙科植入物（MDI）在上颌保留后的言语、口颌功能行为、对治疗的满意度以及对生活质量的影响。这是一项前瞻性多中心队列研究，共纳入 32 名患者进行治疗。植入 5 到 6 个种植体，创伤性地刺穿黏膜。患者在治疗过程中接受了 3 次评估（术前使用包括全腭覆盖（CD）的常规义齿、术后使用临时重衬 CD 和 MDI 上的马蹄形覆盖义齿）。评估包括语音评估、口颌功能行为检查、生活质量（OHIP-14）评估以及治疗和言语满意度的视觉模拟评分。治疗前发现一些语音存在问题。在治疗的后两个阶段，言语问题的数量减少。在最后阶段，有 10 人出现轻微的言语问题，特别是/s/音。在这个阶段，仍然有 7 人存在口颌功能问题，特别是吹口哨问题。在最后阶段，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）。
