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ASSESSMENT OF ACOUSTIC SPEECH SIGNALS AND PATIENT SATISFACTION WITH TWO PARTIAL DENTURE FRAMEWORK MATERIALS IN MAXILLARY KENNEDY CLASS IV CASES. A RANDOMIZED CROSSOVER STUDY.

Article

Last updated: 23 Dec 2024

Subjects

-

Tags

Removable Prosthodontics

Abstract

Aim: This study aimed to measure the effect of two different framework materials on speech. Materials and methods: Twenty participants with maxillary class IV arches (maxillary four anterior teeth missing) each patient received two prostheses alternating in a cross-over design. For both prostheses, CAD designed and printed resin patterns of the framework were made. For the Co-Cr metallic framework, the resin was then invested and cast conventionally. For the PEEK group, it was constructed by injection molded technique (for two press technique). Evaluation of speech was done on the same visit of prosthesis insertion, then patients were scheduled for one and three months follow-up visits for each prosthesis using a Computerized Speech Lab (CSL) (spectrogram). The Visual analog scale (VAS) was used to assess the level of patient satisfaction using a questionnaire three months after denture insertion. Results: For speech evaluation: the PEEK group showed higher statistical significance mean duration for all sounds compared to Co-Cr group after three months p≤0.05. Also PEEK showed lower frequency levels for all sounds p≤0.05 except (n,l) p > 0.05. For patient satisfaction: PEEK RPD recorded significantly higher satisfaction scores group as regard the esthetic appearance, comfort and overall general satisfaction compared to the Co-Cr RPD group but there were insignificant differences (P>0.05) between the two groups regarding retention, stability and masticatory function. Conclusion: Co-Cr RPDs showed better speech qualities compared to PEEK RPDs. Patients with PEEK frameworks were more satisfied regarding RDPs appearance, comfort and overall satisfaction than patients with metallic Co-Cr frameworks.

DOI

10.21608/edj.2023.224053.2643

Keywords

PEEK RPD, Co-Cr RPD, digitally designed pattern, speech analysis, patient satisfaction

Authors

First Name

Nancy

Last Name

EL Sherbini

MiddleName

Nader

Affiliation

Associate Professor, Department of Prosthodontics, Faculty of Dentistry, Cairo University, Egypt

Email

dr.nancynader@gmail.com

City

cairo

Orcid

0000-0003-4553-9092

Volume

69

Article Issue

4

Related Issue

43786

Issue Date

2023-10-01

Receive Date

2023-07-19

Publish Date

2023-10-01

Page Start

2,933

Page End

2,942

Print ISSN

0070-9484

Online ISSN

2090-2360

Link

https://edj.journals.ekb.eg/article_320086.html

Detail API

https://edj.journals.ekb.eg/service?article_code=320086

Order

320,086

Type

Original Article

Type Code

254

Publication Type

Journal

Publication Title

Egyptian Dental Journal

Publication Link

https://edj.journals.ekb.eg/

MainTitle

ASSESSMENT OF ACOUSTIC SPEECH SIGNALS AND PATIENT SATISFACTION WITH TWO PARTIAL DENTURE FRAMEWORK MATERIALS IN MAXILLARY KENNEDY CLASS IV CASES. A RANDOMIZED CROSSOVER STUDY.

Details

Type

Article

Created At

23 Dec 2024