PMC9930643_01
(A) Intraoral view at the patient's first visit (5.7.2012). (B) Three-dimensional computed tomography scan obtained before treatment (5.7.2012).
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fig1
The upper right central incisor was missing (Figure 1A) and there was a lateral luxation of the upper right lateral incisor and canine and the lower right incisors and canine. Radiographs showed alveolar fractures around the apices of the upper and lower right incisors and the upper right canine (Figure 1B).
(A) Occlusal view with the removable prosthesis placed (19.7.2012). (B) Panoramic radiograph with the dental implant inserted (19.7.2012). (C) Intraoral view with the final prosthesis in place (7.3.2013). (D) Lateral view of the patient with the oboe in place (7.3.2013). (E) Dental radiograph after 8 years observation (2.9.2021).
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fig2
When the prosthesis was tried, the acrylic base on the palate was reduced according to performance and patient preference (Figure 2A). Two weeks later, a titanium dental implant (Branemark System Mk III RP 3.75 x 18 mm, Nobel Biocare, Gothenberg, Sweden) was placed in the position of the missing incisor (Figure 2B). A zirconia abutment and final superstructure made of layered zirconia with a ceramic veneer was then created in the shape of the provisional restoration (Figure 2C). The patient again played the instrument in the clinic to confirm the contour before the final prosthesis was cemented (Figure 2D).
(A) Test tone used in the rhythm analysis. (B) Test tone used in the dynamic analysis.
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Her tonguing control was assessed with rhythm analyzes by recording the notes shown in mezzo forte at 85 beats per minute (Figure 3A). A microphone (LA5120, Ono Sokki, Kanagawa, Japan) was placed 20 cm from the oboe's bell, and the notes (Figure 3B) were played pianissimo, mezzo forte, and fortissimo at 60 beats per minute while wearing the final prosthesis.