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The speech outcome of definitive obturators constructed using two different impression techniques

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Abstract

Objectives

The aim of this study was to evaluate the accuracy of two different impression techniques through the assessment of the performance of the two definitive obturators fabricated by each technique.

Patients

A total of six partially edentulous patients with unilateral maxillary surgical defects were selected from those admitted at the Prosthodontic Department, Faculty of Dentistry, Alexandria University.

Methods

For every patient, two hollow bulb obturators were constructed, each using a different impression technique. Three patients started with the open face tray impression technique and the other three started with the altered cast impression technique. Each patient was given one obturator at a time and was instructed to use it for 2 months. All patients were subjected to the following: (a) a preprosthetic evaluation, (b) an evaluation 2 months after the insertion of the first obturator, and (c) an evaluation 2 months after the insertion of the second obturator. During each session, speech and swallowing were evaluated.

Results

Regarding the three formant frequencies of the vowel /a/, there was a statistically significant improvement only in F1 between the altered cast and the preprosthetic phase and between the altered cast and the open face impression techniques, whereas concerning vowel /e/, there was a statistically significant improvement in F2 in favor of the altered cast impression technique. The degree of nasality in the vowels and the plosives were significantly improved in the altered cast technique. However, there was no significant improvement in the nasality between the two techniques with regard to oral and nasal sentences. There was an observed improvement in the competence and the shape of the velopharyngeal valve with the obturator than without the obturator.

Conclusion

The altered cast technique caused statistical improvement in the nasality of vowels and plosives as compared with the open face impression technique. Both treatment modalities caused general improvement in the patient’s satisfaction and in swallowing with no statistically significant difference between them.

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Correspondence to Reham M. El-Maghraby MD of Phoniatrics.

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El-Maghraby, R.M., El-Didi, L.M., Al-Shimy, A.M. et al. The speech outcome of definitive obturators constructed using two different impression techniques. Egypt J Otolaryngol 32, 61–66 (2016). https://doi.org/10.4103/1012-5574.175862

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Keywords

  • maxillectomy
  • obturators
  • speech prosthesis