The Influence of Anterior Esthetic Fixed Appliance of Prematurel y Lost Primary Incisors on Sound Production In a Group of Egyptian Children. (A case Control study) | ||||
Egyptian Dental Journal | ||||
Article 15, Volume 64, Issue 4 - October (Orthodontics, Pediatric & Preventive Dentistry), October 2018, Page 3057-3068 PDF (700.28 K) | ||||
Document Type: Original Article | ||||
DOI: 10.21608/edj.2018.78281 | ||||
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Authors | ||||
Adel Abdel Azeem Elbardissy1; Sara A. Mahmoud1; Asmaa Abdel Hamid2 | ||||
1Associate Professor of Pediatric Dentistry- Faculty of Dentistry - Cairo University | ||||
2Associate Professor of phoniatrics, phoniatric unit. ENT department, Faculty of Medicine, Cairo University. | ||||
Abstract | ||||
Background: premature loss of primary incisors could affect speech, esthetics, and arch integrity. The need for replacement of prematurely lost primary incisors with esthetic and functional fixed or removable appliances were a subject for investigation in many literatures. The aim of such appliances is to restore esthetics, preserve arch integrity and to prevent speech impairment. Aim of the study: to evaluate the Influence of anterior esthetic fixed appliance of prematurely lost primary incisors on sound production and speech intelligibility. Methodology: A case control study was conducted on 15 children (3-5 years old) with premature loos of primary incisors (experimental group) and 15 children of similar age completely dentulous. Speech evaluation was examined in four stages: Before extraction of the decayed primary incisors. Before the modified fixed partial denture fitting. Immediately after denture fitting. One month after denture fitting. Results: sound production and speech intelligibility were not affected by premature loss of primary teeth. Minor affection after immediate placement of the fixed prosthetic appliance was restored in a period of one month as a result of adaptation. Conclusions: 1- Early loss of primary incisors due to caries would have minor effect on speech production 2- Replacement of prematurely lost primary incisors with fixed prosthetic appliances did not affect speech production 3- Replacement of prematurely lost primary incisors with fixed prosthetic appliances for the purpose of restoring appearance if required by the parents should be encouraged however, assuring that speech development will not be affected by early loss of these teeth should also be explained to them if they are concerned. | ||||
Keywords | ||||
premature loss of primary incisors; speech intelligibility; speech production | ||||
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