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articulation disorder articulation disorder
articulation disorder
articulation disorder
oral structure 1
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oral structure 1
Lips, teeth, tongue, and hard and soft palates are all involved in speech production. The traditional classification of speech sounds suggests the importance of those structures. However, most children who misarticulate have normal lips, teeth, tongue, and palates. Therefore, in a majority of cases, speech sound disorders cannot be explained by significant structural anomalies. In a few cases, tongue-tie, also known as ankyloglossia, may be an organic cause of speech sound production problems. Normally, the free tip of the tongue is mobile. This mobility is needed to make sounds such as /t/ and /d/. However, if the lingual frenum, which attaches the tongue to the base of the mouth, is too short, the range of tongue-tip movement is reduced. The frenum is then attached too close to the tip of the tongue. This is diagnosed as tongue-tie. In the past, clipping of the frenum to free the tongue tip was more common that it is now. However, research has shown that tongue-tie is not a frequent cause of misarticulations. Only an extreme case of tongue-tie can affect articulation. Such cases are rare. Although most children who misarticulate do not show gross organic defects, such defects, when present, are associated with speech sound disorders. For example, children with unrepaired clefts of the palate and lips have difficulty producing various speech sounds. Oral-structural deviations and dental anomalies are common in such children. Some children may have dental abnormalities with no clefts. The teeth may be missing, or the two dental arches may be misaligned. The upper incisors are important in the production of some speech sounds. Nevertheless, missing incisors may or may not cause problems in target phoneme production. Although some children have difficulty producing the target sounds, other do not. The effects of malocclusion of the dental arches on speech sound production has been a topic of several studies.
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1 Lips, teeth, tongue, and hard and soft palates are all involved in speech production. 2 The traditional classification of speech sounds suggests the importance of those structures. 3 However, most children who misarticulate have normal lips, teeth, tongue, and palates. 4 Therefore, in a majority of cases, speech sound disorders cannot be explained by significant structural anomalies. 5 In a few cases, tongue-tie, also known as ankyloglossia, may be an organic cause of speech sound production problems. 6 Normally, the free tip of the tongue is mobile. 7 This mobility is needed to make sounds such as /t/ and /d/. 8 However, if the lingual frenum, which attaches the tongue to the base of the mouth, is too short, the range of tongue-tip movement is reduced. 9 The frenum is then attached too close to the tip of the tongue. 10 This is diagnosed as tongue-tie. 11 In the past, clipping of the frenum to free the tongue tip was more common that it is now. 12 However, research has shown that tongue-tie is not a frequent cause of misarticulations. 13 Only an extreme case of tongue-tie can affect articulation. 14 Such cases are rare. 15 Although most children who misarticulate do not show gross organic defects, such defects, when present, are associated with speech sound disorders. 16 For example, children with unrepaired clefts of the palate and lips have difficulty producing various speech sounds. 17 Oral-structural deviations and dental anomalies are common in such children. 18 Some children may have dental abnormalities with no clefts. 19 The teeth may be missing, or the two dental arches may be misaligned. 20 The upper incisors are important in the production of some speech sounds. 21 Nevertheless, missing incisors may or may not cause problems in target phoneme production. 22 Although some children have difficulty producing the target sounds, other do not. 23 The effects of malocclusion of the dental arches on speech sound production has been a topic of several studies.