Page 155 - Impact of implant retained overdenture treatment and speech, oromyofunction, social participation and quality of life.
P. 155

 Summary
From the age of 17, most people have 28 teeth (wisdom teeth excluded) and ideally keep them lifelong. Most people, due to life events lose some teeth during life. Especially when it comes to food intake and aesthetics, the need for rehabilitation, in case of edentulism, is very high. According to the WHO, edentulism can be considered as a chronic disability, influencing mastication, phonetics and aesthetics. In many cases, rehabilitation with complete removable dentures is the first choice, predominantly dependent on the financial condition of the patient. Long time removable denture wearing increases resorption of the crestal bone of the jaw. As a result, a denture might no longer fit properly, losing its retention. To solve this retention problem dental implant treatment can be useful. The IOD treatment is getting more attention the past years. This makes it important to evaluate the current practice in dental implant rehabilitation
Speech is the result of a complex interaction between the respiratory system (lungs), phonatory system (vocal folds), resonatory system (pharynx, nasal and oral cavity) and the articulatory system (the jaw, tongue, lips, soft palate, teeth, hard palate and the alveolar ridge). When changes are made to the oral structures, as is the case in rehabilitation with full dentures, it is possible that this complex interaction is disturbed and articulation in speech production is affected. The most frequently heard speech complaint in dental rehabilitation is the occurrence of /s/ sound disorders. To evaluate the /s/ sound during speech production, perceptual evaluation by a speech language pathologist (SLP) is commonly used. Since this is a subjective way of evaluation it is advised to perform a consensus evaluation. In search for a more objective way of speech evaluation, it is therefore interesting to explore the potential of using spectral analysis to classify distortions of the /s/ sound. When adjustments are made to the orofacial and dental structures, the possible impact on different functions and quality of life can’t be underestimated. On the other hand, people have higher demands and expectations regarding aesthetics, comfort and function. Besides the environmental factors and the health condition of the patient, also personal factors play a role in the way patients deal with their situation. Contemporary research on the impact of dental implants on quality of life and social participation paid only marginal attention to the role of personality in the experiencing of quality of life and social relationships and adaptation after surgery.
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Summary and social relevance
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