Page 113 - Impact of implant retained overdenture treatment and speech, oromyofunction, social participation and quality of life.
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Speech, OMF and OHRQoL in OD on MDI in the maxilla
fixed dentures may be useful in overdentures as well. It is possible that the reduction of the volume of the resin in the premolar area can solve remaining problems, especially with the /s/ sound. It is to be examined whether the size of the implants influences the size of the prosthesis and therefore affects speech and oromyofunctional behavior. It is possible that the reduction of the volume of the resin in overdentures on MDI is easier because the attachment structure is smaller. Besides the adjustment of the denture it is possible that conventional speech therapy can offer a solution to the remaining speech problems.
Conclusion
Speech and oromyofunctional problems occur during all stages of the treatment. Especially the /s/ sound and the whistling function seem very fragile and occur in all stages. The speech problems seen during the two first stages are similar, yet slightly different from the ones seen in previous studies. Especially the introduction of the horse-shoe overdenture on MDI seemed to be important. People are very satisfied with their oral and speech situation in this last stage, despite the fact that speech therapists detect some difficulties with the pronunciation of in particular the /s/ sound. Therefore it is important for dentists to inform their patients that speech and oromyofunctional problems may occur during treatment, but most likely will disappear after an adaptation period.
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