A SYSTEMATIC REVIEW
Journal of Dentomaxillofacial Science (J Dentomaxillofac Sci ) April 2018, Volume 3, Number 1: 1-4
P-ISSN.2503-0817, E-ISSN.2503-0825
1 © 2018 JDMFS. Published by Faculty of Dentistry, Hasanuddin University. All rights reserved. http://jdmfs.org
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Abstr act
Objective: Getting information about on influence of denture bases
design on speech ability on maxillary denture wearer.
Methods: Electronic search in PubMed and Wiley online library
databases to find articles that were published in last 20 years; between
January 1998 to December 2017 with keywords “denture bases” and
“speech”. The articles were then selected by reviewing the title and
abstract.
Result: The initial search obtained 52 articles. Then selected by
involving the inclusion criteria. Finally, it gain 2 articles only that
suitable with the inclusion criteria.
Conclusion: Speech ability is usually not the main complain of denture
wearer. Subjects with inappropriate design of the prosthetic base,
disposition of artificial teeth and functional quality (retention,
support, stability) have dyslalia when pronunciation of separate
phonemes is changed.
Keywords: Denture bases, Speech
Cite this Article: Muchtar M, Habar ID. 2018. The speech ability on maxillary denture wearer: a systematic review. Journal of Dentomaxillofacial
Science 3(1): 1-4. DOI: 10.15562/jdmfs.v3i1.731
The speech ability on maxillary denture wearer:
a systematic review
Meriyam Muchtar,
*
Ike D. Habar
Introduction
Human speech is a result of the following
physiological processes: respiration, phona-
tion, resonance, speech articulation, audition,
neurological function, emotional behavior.
1-3
Te
voice of each person is unique and is generally
determined by the size of the resonator system
(oral cavity, larynx, pharynx, vocal folds, nasal
sinus), which vibrates at diferent frequencies,
producing various sounds.
1,4
Te voice quality
is characterized by speech intelligibility
(relationship between the voice pitch,
volume, timbre and speech speed). Changes in
the oral cavity resulting from the loss of teeth and
the resorption of the processus alveolaris maxillae
or the processus alveo-laris mandibulae, may
cause defects in the patient`s voice and speech.
One of the most frequent phonetic distortions is
lisping.
5
Omission, substitution, distortion, addition
and nasality are also possible when improper and
functionally low quality dentures are used.
5,6
Restrictions or alterations of the normal mandibu-
lar movement may impede the transmission of
acoustic energy through the oral cavity, thereby
afecting both oral resonatory characteristics
and oral/nasal resonance balance.
6
Te phonet-
ic adaptation of the patients with complete
dentures depends on selection and placing of the
artifcial teeth, the thickness, size and placement
of the maxillary prosthetic base, the optimal
space of the tongue, individual adaptation capacity,
patients sound recognizing capacity, Efective
speech requires teeth. Proper positioning of the
artifcal teeth, appropriate design and functional
quality of dental prostheses, small changes in the
prosthetic feld and full adaptation to the foreign
body, the dental prosthesis in the oral cavity, are
important factors speech intelligibility.
2,4,5-9
Te position of artifcial teeth is a very important
factor infuencing the voice quality afer the inser-
tion of dental prostheses. It is proved (1 that the
dental consonant /s/ is mispronounced phonetic
articulators as tongue position and a narrow stream
of air across the incisal edges. Terefore, this
phoneme is ofen used for phonetic tests when the
front artifcial teeth are mounted.
2,4,5
Te anatomical orientators of the location
of natural teeth is a very important factor when
setting up the anterior teeth. Many authors believe
that the incisal papilla and the rugae palatina are
the most reliable orientators because resorption of
the alveolar bone does not afect them.
1,4,6
Resonance is one of the most important char-
acteristics of the human speech. Te resonance
depends on the age, gender, spoken language,
phonetic environment of the pronunced sounds,
models and speech conventions.
8,9
Tooth loss afects multiple parameters. In partic-
ular, prosthetic dentistry has put special emphasis
on patient-centered assesments such as quality of
life and satisfaction with dentures. Terefore, the
outcome of dental rehabilitation is strongly
infuenced by the patients satisfaction with the
Department of Prosthodontic,
Faculty of Dentistry, Hasanuddin
University, Makassar, Indonesia
*
Corresponding to:
Meriyam Muchtar, Department of
Prosthodontic, Faculty of Dentistry,
Hasanuddin University, Makassar,
Indonesia
iyankmuchtar@gmail.com
Received: 27 January 2018
Revised: 19 March 2018
Accepted: 22 March 2018
Available online: 1 April 2018