Long-term Outcome of Speech Intelligibility in Maxillary Dental Rehabilitation with Full Dentures: A Prospective Study Using Automatic Speech Quantification

Stelzle F, Riemann M, Klein A, Oetter N, Rohde M, Maier A, Eitner S, Neukam FW, Knipfer C (2017)


Publication Type: Journal article

Publication year: 2017

Journal

Book Volume: 30

Pages Range: 419-425

Journal Issue: 5

DOI: 10.11607/ijp.5239

Abstract

Complete maxillary edentulism and prosthetic rehabilitation with removable full dentures are known to affect speech intelligibility. The aim of this study was to prospectively investigate the long-term effect of time on speech intelligibility in patients being rehabilitated with newly fabricated full maxillary dentures.Speech was recorded in a group of 14 patients (male = 9, female = 5; mean age ± standard deviation [SD] = 66.14 ± 7.03 years) five times within a mean period of 4 years (mean ± SD: 47.50 ± 18.16 months; minimum/maximum: 24/68 months) and in a control group of 40 persons with healthy dentition (male = 30, female = 10; mean age ± SD = 59 ± 12 years). All 14 participants had their inadequate removable full maxillary dentures replaced with newly fabricated dentures. Speech intelligibility was measured by means of a polyphone-based speech recognition system that automatically computed the percentage of accurately spoken words (word accuracy [WA]) at five different points in time: 1 week prior to prosthetic maxillary rehabilitation (both with and without inadequate dentures in situ) and at 1 week, 6 months, and a mean of 48 months after the insertion of newly fabricated full maxillary dentures.Speech intelligibility of the patients significantly improved after 6 months of adaptation to the new removable full maxillary dentures (WA = 66.93% ± 9.21%) compared to inadequate dentures in situ (WA = 60.12% ± 10.48%). After this period, no further significant change in speech intelligibility was observed. After 1 week of adaptation, speech intelligibility of the rehabilitated patients aligned with that of the control group (WA = 69.79% ± 10.60%) and remained at this level during the examination period of 48 months.The provision of new removable full maxillary dentures can improve speech intelligibility to the level of a healthy control group on a long-term basis.

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APA:

Stelzle, F., Riemann, M., Klein, A., Oetter, N., Rohde, M., Maier, A.,... Knipfer, C. (2017). Long-term Outcome of Speech Intelligibility in Maxillary Dental Rehabilitation with Full Dentures: A Prospective Study Using Automatic Speech Quantification. International Journal of Prosthodontics, 30(5), 419-425. https://doi.org/10.11607/ijp.5239

MLA:

Stelzle, Florian, et al. "Long-term Outcome of Speech Intelligibility in Maxillary Dental Rehabilitation with Full Dentures: A Prospective Study Using Automatic Speech Quantification." International Journal of Prosthodontics 30.5 (2017): 419-425.

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