Palatogram Utilization for Phonetic Adaptation in The Maxillary Full Denture

Transcription

1 Palatogram Utilization for Phonetic Adaptation in The Maxillary Full Denture Dona Dewita 1, Henni Koesmaningati 2 1 Postgraduate Student of Department of Prosthodontic, Universitas Indonesia, Jakarta, Indonesia 2 Department of Prosthodontic, Universitas Indonesia, Jakarta, Indonesia

2 Background There were many cases in phonetic disruption or unclear pronounciation after first insertion of maxillary full denture Less evaluation in phonetic function -> Most evaluations are in aesthetic, mastication system, and patient's comfortable

3 Background Patient s experience Gender Factors affecting adaptation of maxillary full denture Age Rugae s duplicate

4 Background Importance of adding rugae s duplicate into the maxillary full denture to increase phonetic adaptation

5 Literature Review Anatomy and Physiology of Palatal Rugae

6 Literature Review Classification of Palatal Rugae

7 Literature Review Role of Palatal Rugae in Prosthodontics Increase the sound quality of full denture Increase Phonetic Adaptation

8 Literature Review Steps to Duplicating Palatal Rugae Record the rugae with putty elastomeric Cut the wax in 1 mm as a "stop" in three sides. Apply the separating medium on the model and put the acrylic After the acrylic has setting, take it from model with air spray, and then trim it.

9 Literature Review Steps to Duplicating Palatal Rugae Move the palatal rugae area from the base and apply the palatal rugae's duplicate. Add wax on base, invest, and flasking

10 Literature Review Palatogram Palate's speaker reviewed by black powder -> Speaker usually pronounce the single consonant In Articulation: the tongue will removes the powder on several parts-> Use mirror to take the photo The images: The place of articulation on erased area where the powder is spreaded -> palatogram

11 Literature Review Palatogram Consonant n (apical-alveolar) Consonant l (apical-alveolar) Consonant d (apical-palatal)

12 Literature Review Palatogram Consonant t (apical-palatal) Consonant s (apical-alveolar) Consonant z (apical-alveolar)

13 Literature Review Palatogram Consonant c (medial-palatal) Consonant j (medial-palatal)

14 Conclusion Patients who lost their teeth -> Different in oral cavity and speaking habit Dentist must design the shape and expansion of the denture correctly -> restore the function of the teeth and oral structures One of them: restore the phonetic function simultaneously used as a clinical requirement in making an appropriate full denture Dentists need to know about the science of studies about phonetic so it can be used as a guide in making prostheses. One of the method is with palatal rugae's duplication

15 Conclusion Palatal rugae s shape is stable because it does not change over time, and unchanged from the first form to the oral mucosa until it degenerates at the time of death. Its uniqueness in each individual serve as identification of individuals so that duplication of rugae must record on each individual. Duplication of rugae will form a certain patterns as close as normal palatum from the patient so it can help the patient in phonetic adaptation Using of palatal rugae's duplication is expected can reduce the disruption of phonetic adaptation in full denture patient. Palatogram can be used as a technique for assess the phonetic adaptation.

16 Refferences 1. Anila K, Shreekanth NG, Santosh H, Kaveri H, Parul K. Palatal Rugae: An Overview in Forensic Odontology. Indian Journal of Forensic Odontology Volume 5 Number 4, October-December Kalra A, Kinra M, Fahim R. Review Article: Speech considerations with complete denture. Indian J Dent Sci Kheraif AA Al, Ramakrishnaiah R. Phonetics Related to Prosthodontics. Middle-East J Sci Res. 2012;12(1): Nikko F, Henni K, Sitti F. METODE BARU UNTUK MENILAI ADAPTASI PEMAKAI GIGI TIRUAN PENUH RAHANG ATAS BERDASARKAN PALATOGRAM KONSONAN LINGUO-PALATAL BAHASA INDONESIA. 2013: Arora S, Walia M, Garg S. Phonetics Its Role In Prosthodontics. Indian J Dent Sci. 2011;3(2):36-40

17 Refferences 6. Marsono. Fonetik. 4rd ed. Yogyakarta: Gadjah Mada University; Balu K, Karthik. Speech in Prosthodontics Type of Literature: commentary. JIADS. 2011;2(2): Hassel AJ, Holste T. Improving the Speech Function of Maxillary Complete Dentures : A Pilot Study. Int J Prosthodont. 2006;19(5): Panjwani B, Cable C, Flores-Mir C, Bhargava K. Palatal Rugae: A Potential Reference to Determine Key Anterior Maxilla Dimensions and Tooth Positions. Int J Prosthodont. 2013;26(3): Hoggan BR, Sadowsky C. The use of palatal rugae for the assessment of anteroposterior tooth movements. Am J Orthod Dentofac Orthop. 2001;119(5):

18 Refferences 11. Christou P, Kiliaridis S. Vertical growth-related changes in the positions of palatal rugae and maxillary incisors. Am J Orthod Dentofac Orthop. 2008;133(1): Manvi S, Ankola A. Simple Technique for Duplicating The Palatal Rugae in The Maxillary Complete denture. World Journal of Dentistry, January-March 2012;3(1): Jethlia H, Jethlia A, Raj P N, Meshram A, Sharma N. REVIEW ARTICLE: POST INSERTION PROBLEMS AND THEIR MANAGEMENT IN COMPLETE DENTURE. J Evol Med Dent Sci. 2013;2(3): Saxena S, Aeran H, Rastogi PK, Kadam A. Rugoscopy-An Emerging aid For Personal Identification A Review. Indian Journal of Dental Sciences, October 2013 Supplementary Issue, 4(5):