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Medicina
Croatian Medical Association - Rijeka branch
ISSN: 0025-7729
Vol. 44, No. 3-4, 2008, pp. 241-247
Bioline Code: me08030
Full paper language: Croatian
Document type: Research Article
Document available free of charge

Medicina, Vol. 44, No. 3-4, 2008, pp. 241-247

 en Speech in patients with removable dental prostheses
Badel, Tomislav; Laškarin, Mirko; Carek, Vlado & Lajnert, Vlatka

Abstract

The importance of speech rehabilitation of edentulous patients arises from practical reasons and from clinical trials which showed that there is an alteration of physiological speech in patients with removable dental prosthesis (RDP). In this paper we have considered the prosthodontic importance of determining the closest speaking space while determining the vertical occlusal dimension as well as the impact of RDP occlusal plane and palatal plate on speech. The potential negative impact of the interrelations between the tongue, mouth and prosthetic teeth on phoneme production has been described bearing in mind that prosthesis placement is the most important factor of speech. The aftercare of a RDP patient includes monitoring of subjective and objective factors which impair physiological speech. Speech implications in RDP patients have been described by a functional relationship between the tongue and the palate and by computer speech analysis. The influence of RDP on speech can be evaluated by speech analysis and this can have a broader linguistic importance, e.g. for disgnathous patients. In this way, the influence of natural or prosthetic anatomical factors on speech can be evaluated with respect to other compensational mechanisms which sustain the physiological function of speech. In this paper we analyzed the importance of speech factors for

Keywords
phoneme production, removable dental prosthesis, speech

 
 hr Govor bolesnika s mobilnim zubnim protezama
Badel, Tomislav; Laškarin, Mirko; Carek, Vlado & Lajnert, Vlatka


Svakodnevna praksa i klinička ispitivanja pokazuju kako u bolesnika zbrinutih mobilnim protezama postoji promjena fiziološkog govora, što upućuje na važnost govorne rehabilitacije bezubih bolesnika. U ovom radu razmatrano je određivanje najmanjeg govornog razmaka tijekom određivanja vertikalnog međučeljusnog odnosa i njegova važnost u protetici, kao i utjecaj okluzijske ravnine i nepčane ploče proteza na izgovor. Opisan je i potencijalni negativni utjecaj međuodnosa jezika, usana i umjetnih zubi na tvorbu glasova, s obzirom na to da je postava umjetnih zubi najvažniji čimbenik govora. Naknadna briga o bolesnicima s protezama obuhvaća i praćenje subjektivnih i objektivnih čimbenika koji ometaju fiziološki govor. Implikacija govora u nosilaca potpunih proteza opisana je funkcijskim odnosom jezika s nepcem (palatogram) i računalnom govornom analizom. Govornom analizom moguće je procijeniti utjecaj proteza na govor, što ima i širu lingvističku važnost, kao npr. kod disgnatih osoba. Na taj se način procjenjuje uloga prirodnih ili protetski nadomještenih anatomskih oralnih čimbenika na izgovor u odnosu na druge kompenzacijske mehanizme koji održavaju fiziološku funkciju govora. U ovom radu analizirana je važnost čimbenika govora u izradi proteza, kao i govornih promjena koje se javljaju kod bolesnika zbrinutih protezama.


riječi: artikulacija glasova, govor, mobilne zubne proteze

 
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Alternative site location: http://hrcak.srce.hr/medicina

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