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Biomedical subjects

T Haraldson

Publications and source records attributed to T Haraldson.

8 recordsLinked to original sources

Speech in connection with maxillary fixed prostheses on osseointegrated implants: a three-year follow-up study.

In 21 individuals, edentulous in the upper jaw, the speech function was evaluated. In an earlier study, registrations were made when the patients wore complete dentures in the upper jaw and 3-6 months after they had been treated with fixed prostheses on osseointegrated implants in the maxilla. These patients were re-examined after 3 years, as reported in this follow-up study. An expert group as well as a non-expert group participated in a perceptual analysis. Acoustic, audiological and cast analyses were performed. In addition, a questionnaire was filled in. The results indicated that, after initial phonetic problems, 94% of the individuals considered themselves free from speech problems at the 3-year follow-up. The patients' experience of the change of the s-sound corresponded well with the judgement of both the expert and the non-expert groups. Difficulties with pronouncing the s-sound were associated with decreased bite force, the number of occluding contacts, the frontal width of the fixed prosthesis and tenderness at palpation of the masticatory muscles. These oral functional factors will contribute to the s-sound production.

Adult

Evaluation of masticatory function before and after treatment in patients with craniomandibular disorders.

The masticatory function was evaluated in 12 patients with signs and symptoms of craniomandibular disorders of mainly muscular origin. Palpation of the masticatory muscles and measurements of occlusal force endurance, on a submaximal level with visual feedback, and of masticatory efficiency were performed before and after treatment. Significant changes occurred between the two measurements. Of a total of 10 masticatory muscles, 8 were sensitive to palpation before treatment and 2 after treatment. Occlusal force endurance increased from 92.5 seconds before treatment to 132 seconds after treatment, and masticatory efficiency increased from 54% to 65%, respectively. It is concluded that the masticatory muscle function of these patients is compromised and that treatment had a positive effect on the masticatory function.

Adult

Bite force and oral function in complete denture wearers.

Oral function was evaluated in complete denture wearers by using a questionnaire, clinical examination and bite force measurements. Ten patients with satisifactory and ten with unsatisfactory dentures were studied and six of the latter patients were reexamined 1 year after the insertion of new dentures. The bite force values were compared with those obtained in ten dentate controls. No significant differences in bite force were found between the satisfactory and unsatisfactory denture groups. Individual values varied much in both groups. The six patients re-examined were satisfied with their new dentures and thought they had improved chewing but no significant increase of bite force was found. The maximal bite force was 5-6 times greater in the dentate subjects than in the denture wearers. Edentulous persons are very handicapped in masticatory function and even clinically satisfactory complete dentures are poor substitutes for natural teeth.

Adult

Silent period and jaw jerk reflex in patients with osseointegrated oral implant bridges.

The silent period in the masseter and in the anterior portion of the temporal muscle during tooth tapping, the rate of tooth tapping and the jaw jerk reflex evoked by a tap on the chin were compared in individuals with oral implant bridges and with natural teeth. Thirteen women with osseointegrated oral implant bridges in one or both jaws, aged 42-59 years, were compared with 10 women, aged 42-64 years, with natural teeth. There was no difference between women, aged 42-64 years, with natural teeth. There was no difference between women with implant bridges and those with natural teeth in tooth tapping rate or in the occurrence, latency or duration of the jaw jerk reflex. A silent period during tooth tapping was found in 12 of the 13 women with implant bridges. The latency of the silent period was the same as in the subjects with natural teeth but the duration tended to be somewhat longer. The jaw jerk and the silent period were the same in individuals with implants in both jaws as in the whole implant group. It is therefore concluded that periodontal or mucous membrane receptors cannot be solely responsible for the silent period.

Adult

Functional state, bite force and postural muscle activity in patients with osseointegrated oral implant bridges.

The function of the masticatory system of 13 women, aged 42-59 years, with osseointegrated oral implant bridges (OIB) made within the last seven years was compared with that of 10 matched dentate controls by means of a questionnaire, clinical examination, bite force measurements and electromyographic recordings of biting and of postural muscle activity. Both groups were satisfied with their masticatory capacity according to the questionnaire. The clinically determined state of the masticatory system, as judged from the clinical dysfunction index, was normal in both groups. Three levels of bite force 1) gentle biting, 2) biting as when chewing and 3) maximal biting, were recorded with a bite force apparatus and electromyographically. There was no statistically significant difference between the groups at any level of bite force for any of the methods of registration. Nor was there any difference of the two groups in the activity of the masticatory muscles with the mandible in the postural position. It is concluded that patients with osseointegrated oral implant bridges have a masticatory muscle function equal to or approaching that of patients with natural teeth, or with tooth-supported bridges, with the same number of chewing units as the OIB-patients.

Adult

Muscle function during chewing and swallowing in patients with osseointegrated oral implant bridges. An electromyographic study.

The activity of the anterior and posterior portions of the temporal muscle, the masseter and the upper lip has been studied with electromyography in 13 women with osseointegrated oral implant bridges and compared with that in 10 subjects with natural teeth. The functions examined were chewing and swallowing of apple, bread and peanuts. There was no difference between implant and control subjects in the number of chewing cycles nor in duration of the act of chewing or in the amplitude of the muscle activity during chewing and swallowing. However, the duration of the activity during chewing was longer in the implant than in the control subjects. The number of years of wearing a maxillary implant bridge was found to be of importance for the number of chewing cycles during an act of chewing and for the muscle activity during chewing. Other factors influencing the muscle activity were age, number of occluding tooth units and the extension of the lower implant bridge. It was concluded that patients with osseointegrated oral implant bridges have a masticatory muscle function equal to or approaching that in patients with natural teeth or with bridges supported on natural teeth with the same extension of the dentition.

Adult

Bite force and oral function in patients with osseointegrated oral implants.

The function of the masticatory system was analyzed in 19 patients (13 women and 6 men), aged 39 to 68, randomly selected from a group of 165 patients who had been treated with osseointegrated oral implants within the last 7 years (average 3.5 years). The patients were well satisfied with the functional capacity of their implant reconstructions, especially compared with the poor function before treatment. According to the clinical examination, all but one patient had no or only mild symptoms of dysfunction of the masticatory system. Three bite-force levels were recorded. The mean value for gentle biting was 15.7 N, for biting as when chewing 50.1 N, AND FOR MAXIMAL BITING 144.4 N. The patients could thus well discriminate between the different bite-force levels, and the maximal values are much higher than those in persons with removable dentures.

Adult