ASSESSMENT OF PHONETIC ADAPTATION OF DENTAL PATIENTS AFTER TREATMENT WITH COMPLETE REMOVABLE PROSTHESIS

Dmitriy Zhivotov, Igor' Pchelin, Ol'ga Polyanskaya
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Abstract

Background. As a result of teeth loss, a complex of factors arises that leads to changes in the dental system and impaired speech of the patient. Speech is an important communicative function, and assessing its intelligibility allows us to evaluate the result of prosthetic treatment. It is necessary to ensure unimpeded movement of the tongue, lips, cheeks and to fill in the missing components of the sound-producing system to restore phonetics. The optimal method of restoring complete absence of teeth is treatment with complete removable plate dentures made of acrylic plastics. Adaptation to this design over time restores the functions of sound pronunciation and the digestive system. The adaptation process depends not only on the patient’s abilities, but also on the quality of the manufactured structure. The discrepancy between the prosthetic bed and the base of the orthopedic structure is manifested by a violation of fixation and stabilization, which leads to pain. Aim. To evaluate the dynamics of the phonetic adaptation process of patients after the application of a complete removable prosthesis. Materials and methods. Application of phonetic control according to W. Wright and logopedic exercise “Drawing”. Results. During the study, the results were obtained that patients of groups II, III and IV improved their initial indicators, while group III increased their indicators by 25%. On average, the groups that followed the recommendations improved their results by 19.4%. Conclusions. According to the results obtained, the exercises used help patients with removable plate prostheses to adapt to them faster and accelerate the restoration of sound reproduction.
评估牙科患者在接受完全可摘义齿治疗后的语音适应情况
背景。由于牙齿缺失,一系列复杂的因素导致牙科系统发生变化,患者的言语能力受损。言语是一项重要的交流功能,评估言语的清晰度可以帮助我们评估修复治疗的效果。有必要确保舌、唇、颊的活动畅通无阻,并填补发音系统缺失的部分,以恢复语音功能。修复全口缺失牙的最佳方法是使用丙烯酸塑料制成的全口活动板式假牙。随着时间的推移,适应这种设计可以恢复发音和消化系统的功能。适应过程不仅取决于患者的能力,还取决于制造结构的质量。假体床与矫形结构基座之间的差异表现为固定性和稳定性受到破坏,从而导致疼痛。目的评估使用全可摘义齿后患者语音适应过程的动态变化。材料和方法。根据 W. Wright 和逻各斯练习 "画图 "进行语音控制。结果。研究结果显示,II、III 和 IV 组患者的初始指标有所改善,而 III 组患者的指标提高了 25%。平均而言,遵循建议的各组患者的治疗效果提高了 19.4%。结论。根据所获得的结果,所使用的练习有助于活动板式义齿患者更快地适应活动板式义齿,并加快声音再现的恢复。
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