{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,10]],"date-time":"2026-07-10T04:12:53Z","timestamp":1783656773979,"version":"3.55.0"},"reference-count":30,"publisher":"Wiley","issue":"6","license":[{"start":{"date-parts":[[2026,5,4]],"date-time":"2026-05-04T00:00:00Z","timestamp":1777852800000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"},{"start":{"date-parts":[[2026,5,4]],"date-time":"2026-05-04T00:00:00Z","timestamp":1777852800000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Journal of Prosthodontics"],"published-print":{"date-parts":[[2026,7]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Purpose<\/jats:title>\n                    <jats:p>Tooth loss leads to reduced occlusal contact area, altered jaw biomechanics, and diminished neuromuscular coordination, impairing both masticatory function and speech clarity. Edentulous patients often adapt by modifying food choices or swallowing behavior and may experience persistent phonetic disturbances. Maximum bite force affects masticatory performance, while speech intelligibility affects patient communication. This study aimed to objectively evaluate maximum bite force and speech intelligence among completely edentulous patients rehabilitated with different types of prostheses, compared with natural dentition.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Materials and Methods<\/jats:title>\n                    <jats:p>A cross\u2010sectional study (IRB #857207) was conducted with 50 participants divided into 5 groups: (A) implant\u2010supported fixed dental prosthesis (IFDP); (B) implant\u2010retained complete removable overdentures (IOD) in both arches; (C) maxillary complete removable dental prosthesis (CRDP) with mandibular IOD; (D) maxillary and mandibular CRDP; and (E) natural dentition (control). Maximum bite force was measured using a microelectromechanical (MEM) pressure sensor during three maximal\u2010effort bites; unilateral values were also analyzed. Speech intelligence was assessed using a standardized articulation passage and analyzed with a speech intelligibility scorer; readings were taken three times per participant.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      Group E had the highest masticatory bite force (752.03 N), followed by Groups A (522.97N), B (294.13 N), C (174.23 N), and D (72.13 N). Total bite force was 1.5\u20131.8\u00d7 greater than unilateral values. Group E also had the highest speech score (85.67%) and outperformed Groups B, C, and D (\n                      <jats:italic>p<\/jats:italic>\n                      &lt; 0.005). Fixed prostheses and natural dentition (Groups A and E) outperformed removable designs (Groups B, C, and D) in both maximum bite force and speech intelligibility. Males had higher bite force than females (\n                      <jats:italic>p<\/jats:italic>\n                      &lt; 0.01); no statistically significant gender differences were found for speech.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>This study underscores the need for individualized assessment strategies in prosthodontic rehabilitation by establishing an objective functional gradient across prosthetic designs. Complete removable dentures exhibited only one\u2010tenth of the maximum bite force of natural dentition. Maximum bite force improved to 2.4\u00d7 with a mandibular IOD and 4\u00d7 with IOD in both arches. Fixed prostheses yielded superior speech intelligibility due to enhanced tongue space and palatal contours. Total bite force was consistently greater than unilateral values. While gender influenced bite force, it did not affect speech. Bite force sensors and intelligibility scorers offer efficient, evidence\u2010based tools for long\u2010term evaluation.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1111\/jopr.70156","type":"journal-article","created":{"date-parts":[[2026,5,4]],"date-time":"2026-05-04T11:55:31Z","timestamp":1777895731000},"page":"861-869","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Investigating the maximum bite force and speech intelligibility in patients requiring prosthetic rehabilitation"],"prefix":"10.1111","volume":"35","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-3521-7931","authenticated-orcid":false,"given":"Aditi","family":"Gupta","sequence":"first","affiliation":[{"name":"Division of Restorative Dentistry Department of Preventive and Restorative Sciences University of Pennsylvania School of Dental Medicine  Philadelphia Pennsylvania USA"},{"name":"Private Practice  Claremont New Hampshire USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-5939-6618","authenticated-orcid":false,"given":"Nupur","family":"Patel","sequence":"additional","affiliation":[{"name":"Division of Restorative Dentistry Department of Preventive and Restorative Sciences University of Pennsylvania School of Dental Medicine  Philadelphia Pennsylvania USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Francis","family":"Mante","sequence":"additional","affiliation":[{"name":"Division of Restorative Dentistry Department of Preventive and Restorative Sciences University of Pennsylvania School of Dental Medicine  Philadelphia Pennsylvania USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jason D.","family":"Lee","sequence":"additional","affiliation":[{"name":"Department of Restorative Dentistry and Biomaterials Sciences Harvard School of Dental Medicine  Boston Massachusetts USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-6492-4243","authenticated-orcid":false,"given":"M. Brian","family":"Chang","sequence":"additional","affiliation":[{"name":"Department of Oral and Maxillofacial Surgery University of Pennsylvania School of Dental Medicine  Philadelphia Pennsylvania 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