van der Weijden F N
Ned Tijdschr Tandheelkd. 2023 Apr;130(4):183-188. doi: 10.5177/ntvt.2023.04.22101.
The interplay of all the muscles around the mouth when playing a wind instrument is called 'embouchure'. The teeth also play an important role, as they support the lips against which the mouthpiece is placed. Even a small dental procedure can have a major positive or negative impact on the performance of a wind instrumentalist. Severe malocclusions or craniofacial deformities (such as an oral cleft, large sagittal overbite, or severe crowding) should not discourage one from playing a wind instrument. Wind instrumentalists appear to be able to adapt to a sub-optimal condition, and even reach a (semi) professional level. While orthodontic treatment may offer improvement, it is difficult for a patient and the treating specialist to predict precisely what the effect will be on the playing ability. On the other hand, to estimate the effect of changing a tooth shape on musical performance, a mock-up can be made as a trial. Oral osteotomy poses a risk of nerve damage and change in sensibility of the lips, which can be disastrous for a wind instrumentalist.
吹奏管乐器时,口腔周围所有肌肉的相互作用被称为“口型”。牙齿也起着重要作用,因为它们支撑着放置吹嘴的嘴唇。即使是一个小的牙科手术也可能对管乐器演奏者的表现产生重大的积极或消极影响。严重的错颌畸形或颅面畸形(如唇腭裂、严重的矢状深覆合或严重拥挤)不应阻碍人们吹奏管乐器。管乐器演奏者似乎能够适应不理想的状况,甚至达到(半)专业水平。虽然正畸治疗可能会有所改善,但患者和治疗专家很难精确预测其对演奏能力的影响。另一方面,为了评估改变牙齿形状对音乐表现的影响,可以制作一个模型作为试验。口腔截骨术存在神经损伤和嘴唇感觉改变的风险,这对管乐器演奏者来说可能是灾难性的。