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Dent. J. 2018, 6(3), 33;

A Prosthodontic Treatment Plan for a Saxophone Player: A Conceptual Approach

Faculty of Dental Medicine, University of Porto, 4200-393 Porto, Portugal
Department of Mechanics, Faculty of Engineering, University of Porto, 4200-465 Porto, Portugal
Department of Orthodontics, Faculty of Dental Medicine, Department; University of Porto, 4200-393 Porto, Portugal
Department of Surgery, Faculty of Medicine, University of Porto, 4200-319 Porto, Portugal
Author to whom correspondence should be addressed.
Received: 9 June 2018 / Revised: 9 July 2018 / Accepted: 10 July 2018 / Published: 18 July 2018
PDF [634 KB, uploaded 18 July 2018]


Introduction: A wind instrumentalist was diagnosed with a periapical lesion on tooth 21. The prosthetic rehabilitation options were considered with respect to the embouchure mechanism of the saxophonist. The underlying mechanism associated with the embouchure of the saxophone player was observed in this particular case in order to understand if asymmetrical forces were transmitted to the upper central incisors. Periapical lesions can be harmful to the oral health of musicians. The treatment options thus have to be taken into consideration with special focus on the need for oral rehabilitation on the anterior maxilla. Material and Methods: The patient underwent a radiographic examination with a panoramic X-ray. Subsequently, two piezoresistive sensors (FlexiForce™) were placed on the upper surface of the mouthpiece in order to quantify the pressure applied to the central incisors during the embouchure. In order to understand the values involved during this procedure, the saxophone player was required to play three different notes at different pitches: high, medium, and low. This procedure was repeated three times for each pitch in order to obtain a medium value for each note. Signal acquisition was obtained within software developed for this purpose, with the voltage output observed in LabView 2011®. Results: The panoramic X-ray showed a periapical lesion with the characteristics of a radicular cyst on tooth 21. The FlexiForce™ piezoresistive sensors allowed us to find that greater force (kg) was being applied to tooth 11 in comparison to tooth 21 during the embouchure mechanism. Conclusions: The sensors used in this research are acceptable for identifying the tooth where the greatest pressure is applied during the mouthpiece stabilization. In the case of executing an oral rehabilitation procedure for wind instrumentalists, a clinical examination can be complemented with the aid of bioengineering and the inherent development of sensor technology in order to better understand the embouchure mechanism. Likewise, the prosthetic rehabilitation should be taken into consideration in order to provide minimal changes to the musician’s performance. View Full-Text
Keywords: oral rehabilitation; piezoresistive sensors; prosthodontics; embouchure oral rehabilitation; piezoresistive sensors; prosthodontics; embouchure

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Clemente, M.; Mendes, J.; Moreira, A.; Ferreira, A.P.; Amarante, J.M. A Prosthodontic Treatment Plan for a Saxophone Player: A Conceptual Approach. Dent. J. 2018, 6, 33.

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Dent. J. EISSN 2304-6767 Published by MDPI AG, Basel, Switzerland RSS E-Mail Table of Contents Alert
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