Kanayama N, Mizokami T
Department of Complete Denture Prosthodontics, Tokyo Dental College, Japan.
Bull Tokyo Dent Coll. 1993 May;34(2):69-77.
To clarify the standard of bucco-lingual tooth arrangement in complete denture construction, the influence of the bucco-lingual position of upper posterior artificial teeth on pronunciation was investigated. Wearing 7 kinds of experimental artificial teeth with the upper posterior ones arranged in 7 different positions, patients pronounced 5 test sounds: "ka", "ki", "kw", "ke" and "ko". Resultant sounds were evaluated in terms of how the bucco-lingual position of posterior artificial teeth influenced pronunciation as determined with by aural pronunciation judgment test and frequency analysis using a 1/3 octave-band real-time analyzer. Pronunciation disorders caused by the arrangement of the upper posterior artificial teeth in complete dentures occur when the lingual surfaces of the upper molars is located more than 1/4 inward of the distance between the right and left denture border from the buccal denture border or less than 1/10 of that distance outward from the buccal denture border. Results of the aural pronunciation judgment test indicated that the influence of the arrangement of the upper posterior artificial teeth on pronunciation depends on the vowel following the consonant of the sound. When the vowel following the consonant is a back vowel, as in "ka", "kw" and "ko" the sound was barely influenced, but when the vowel is a front vowel. as in "ke" and "ki", the sound was markedly influenced. We established the frequency spectrum of the consonant of the normally pronounced 5 test sounds as the standard frequency spectral range and compared distorted and misheard sounds with it.(ABSTRACT TRUNCATED AT 250 WORDS)
为明确全口义齿修复中颊舌向牙齿排列的标准,研究了上颌后牙颊舌向位置对发音的影响。患者佩戴7种实验性义齿,其上颌后牙排列在7个不同位置,发5个测试音:“ka”“ki”“kw”“ke”和“ko”。通过听觉发音判断测试和使用1/3倍频程实时分析仪进行频率分析,评估后牙颊舌向位置对发音的影响。当上颌磨牙舌面位于义齿颊侧边缘到左右义齿边缘距离向内超过1/4处,或从颊侧义齿边缘向外小于该距离的1/10时,全口义齿上颌后牙排列会导致发音障碍。听觉发音判断测试结果表明,上颌后牙排列对发音的影响取决于发音中辅音后的元音。当辅音后的元音为后元音,如“ka”“kw”和“ko”时,发音几乎不受影响,但当元音为前元音,如“ke”和“ki”时,发音受到显著影响。我们将正常发音的5个测试音的辅音频谱确立为标准频谱范围,并将失真和听错的声音与之进行比较。(摘要截选至250字)