Orofacial Trauma on the Anterior Zone of a Trumpet’s Player Maxilla: Concept of the Oral Rehabilitation—A Case Report

Miguel Pais Clemente, André Moreira, Nádia Carvalho, Gilberto Bernardes, Afonso Pinhão Ferreira, José Manuel Amarante and Joaquim Mendes
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Miguel Pais Clemente: Departmento de Cirurgia e Fisiologia, Faculdade de Medicina, Universidade do Porto, 4200-319 Porto, Portugal
André Moreira: Oral Rehabilitation, Faculdade de Medicina Dentária, Universidade do Porto, 4200-135 Porto, Portugal
Nádia Carvalho: INESC TEC, Faculdade de Engenharia, Universidade do Porto, 4200-465 Porto, Portugal
Gilberto Bernardes: INESC TEC, Faculdade de Engenharia, Universidade do Porto, 4200-465 Porto, Portugal
Afonso Pinhão Ferreira: Faculdade de Medicina Dentária, Universidade do Porto, 4200-135 Porto, Portugal
José Manuel Amarante: Departmento de Cirurgia e Fisiologia, Faculdade de Medicina, Universidade do Porto, 4200-319 Porto, Portugal
Joaquim Mendes: Labiomep, INEGI, 4200-465 Porto, Portugal

IJERPH, 2020, vol. 17, issue 24, 1-19

Abstract: Background: The occurrence of an orofacial trauma can originate health, social, economic and professional problems. A 13-year boy suffered the avulsion of tooth 11 and 21, lost at the scenario. Methods: Three intraoral appliances were manufactured: A Hawley appliance with a central expansion screw and two central incisors (1), trumpet edentulous anterior tooth appliance (2) and a customized splint (3) were designed as part of the rehabilitation procedure. Objectively assessing the sound quality of the trumpet player with these new devices in terms of its spectral, temporal, and spectro-temporal audio properties. A linear frequency response microphone was adopted for precision measurement of pitch, loudness, and timbre descriptors. Results: Pitch deviations may result from the different intra-oral appliances due to the alteration of the mouth cavity, respectively, the area occupied and modification/interaction with the anatomy. This investigation supports the findings that the intra-oral appliance which occupies less volume is the best solution in terms of sound quality. Conclusions: Young wind instrumentalists should have dental impressions of their teeth made, so their dentist has the most reliable anatomy of the natural teeth in case of an orofacial trauma. Likewise, the registration of their sound quality should be done regularly to have standard parameters for comparison.

Keywords: orofacial trauma; orofacial pain; wind instrument player; oral rehabilitation; embouchure mechanism; sound quality; orthodontics; intra-oral appliances (search for similar items in EconPapers)
JEL-codes: I I1 I3 Q Q5 (search for similar items in EconPapers)
Date: 2020
References: View complete reference list from CitEc
Citations: View citations in EconPapers (1)

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