Toropov O. A., Lokes K. P., Karasiunok A. Y., Steblovskyi D. V., Lychman V. O., Avetikov D. S.
THE INFLUENCE OF MAXILLOFACIAL DEFORMITIES ON SPEECH DISORDERS IN CHILDREN OF PRIMARY SCHOOL AGE
Show/Download
About the author:
Toropov O. A., Lokes K. P., Karasiunok A. Y., Steblovskyi D. V., Lychman V. O., Avetikov D. S.
Heading:
DENTISTRY
Type of article:
Scientific article
Annotation:
This work is devoted to evaluating the relationship between malocclusion and speech disorders to understand their etiology in schoolchildren for optimizing diagnostic and treatment algorithms. Most foreign authors attribute dental dysglossia as the main cause, which most often manifests as the omission of some letters from words, the substitution of phonetically similar sounds, incorrect pronunciation of some sounds, and the inclusion of extra sounds in a word. The study involved 250 schoolchildren aged 7 to 9 years. Articulation, its mechanisms, central and lateral dental occlusions, articulatory praxis, position and size of the tongue at rest, and swallowing function were investigated. Participants underwent a clinical examination by a single assessor under identical conditions, which consisted of assessing occlusion, crowding (discrepancy between available space and tooth size), assessing articulatory praxis and masticatory muscles by observing the muscles during balloon inflation and palpating the masticatory muscle when the patient clenches their teeth. The presence of harmful habits was investigated through a questionnaire with additional answers to a survey provided to parents regarding the child's habits. A correlation was established between dental malocclusion and articulatory praxis in schoolchildren. According to our data, rotacism is observed in 72.5% of cases, and sigmatism in 68.3%. Thus, the presence of malocclusion can cause an imbalance in the functioning of the dentomaxillofacial system. It was found that this pathology is associated with harmful habits and functional changes in the masticatory muscles, leading to dysfunction of the dentomaxillofacial apparatus. Awareness of this connection in young school-aged children will help relevant specialists implement new algorithms for preventive and therapeutic measures for optimal development of the oral cavity and its structural elements.
Tags:
Bibliography:
- Terband H, Maassen B, Maas E. A Psycholinguistic Framework for Diagnosis and Treatment Planning of Developmental Speech Disorders. Folia Phoniatr Logop. 2019;71(5-6):216-227. DOI: 10.1159/000499426.
- Saccomanno S, Biagi R, Di Cosola M, D’Attilio M, D’Ercole S, Festa F, et al. The association between malocclusion, oral habits, and dental caries in a paediatric population and their impact on speech. Eur J Paediatr Dent. 2020;21(4):259-264.
- Iuzzini-Seigel J, Hogan TP, Green JR. Speech Inconsistency in Children With Childhood Apraxia of Speech, Language Impairment, and Speech Delay: Depends on the Stimuli. J Speech Lang Hear Res. 2017;60(5):1194-1210. DOI: 10.1044/2016_JSLHR-S-15-0184.
- Zhou X, Chen S, Zhou C, Jin Z, He H, Bai Y, et al. Expert consensus on early orthodontic treatment of class III malocclusion. Int J Oral Sci. 2025;17(1):20. DOI: 10.1038/s41368-025-00357-9.
- Niemi P, Lehtinen P, Rimpilä V, Kinnari M. Relationship between malocclusion, speech articulation, and oral motor skills in 6-8-year-old children. Eur J Orthod. 2020;42(2):177-183.
- Amr-Rey O, Sánchez-Delgado P, Salvador-Palmer R, Cibrián R, Paredes-Gallardo V. Association between malocclusion and articulation of phonemes in early childhood. Angle Orthod. 2022;92(4):505-511. DOI: 10.2319/043021-342.1.
- Cozzani M, Rosa M, Cozzani L. Malocclusion and oral habits. Angle Orthod. 2018;88(3):355-362.
- Szyszka-Sommerfeld L, Sycińska-Dziarnowska M, Cernera M, Esposito L, Woźniak K, Spagnuolo G. Electromyographic Assessment of Muscle Activity in Children Undergoing Orthodontic Treatment-A Systematic Review. J Clin Med. 2024;13(7):2051. DOI: 10.3390/ jcm13072051.
- Koaban A, Al-Harbi SK, Al-Shehri AZ, Al-Shamri BS, Aburazizah MF, Al-Qahtani GH, et al. Current Trends in Pediatric Orthodontics: A Comprehensive Review. Cureus. 2024;16(9):e68537. DOI: 10.7759/cureus.68537.
- Bishara SE, Thordarson A, Sumner WA 3rd. Dental and facial proportions in subjects with an ideal occlusion and Class II division 1 malocclusion. Angle Orthod. 1994;64(4):255-62.
- López-Giménez J, Bagan JV. Relationship between oral habits and malocclusion: systematic review. Med Oral Patol Oral Cir Bucal. 2014;19(3):e169-75. DOI: 10.4317/medoral.19213.
- Proffit WR, Fields HW Jr, Sarver DM. Contemporary orthodontics. 5th ed. St. Louis, Mo: Mosby Elsevier; 2013. 768 p.
- Subtelny JD. Malocclusions, orthodontics and speech. Am J Orthod. 1970;57(2):171-89. DOI: 10.1016/0002-9416(70)90197-7.
- Hanson ML, Barrett RH, Shellhamer FG. Oral myofunctional therapy. Springfield, Ill: Charles C Thomas; 1991.
- Ferreira AJr, Mattos CT, Freitas SF, Quintão CC. Influence of atypical swallowing on the development of malocclusions: a systematic re view. Braz Oral Res. 2016;30(1):e78. DOI: 10.1590/1807-3107BOR-2016.vol30.0078.
- Ingervall B, Thilander B. Relation between mouth breathing and malocclusion. Am J Orthod Dentofacial Orthop. 1994;106(5):584-91. DOI:10.1016/s0889-5406(94)70067-8.
- Tomoyasu M, Wakamatsu H, Taguchi Y, Baba Y, Yoshimaru N. Relationship between malocclusion and articulation disorders in children. J Oral Sci. 2001;43(4):309-14.
- Bishara SE. Impact of oral habits on the dentition. Am J Orthod Dentofacial Orthop. 1999;116(4):416-23. DOI: 10.1016/s0889 5406(99)70244-2.
- Laine T. Malocclusion traits and sucking habits in a Finnish population. Acta Odontol Scand. 1991;49(4):207-12. DOI:10.3109/00016359109005947.
- Van Lieshout PH, Folmer R, Sommerhalder MJN. Associations between orofacial myofunctional disorders and different types of malocclu sion in children: a systematic review and meta-analysis. J Oral Rehabil. 2022;49(1):84-96. DOI: 10.1111/jor.13394. 21. Ferrario VF, Sforza C, Serrao G, Dellavia V. Three-dimensional assessment of mouth opening movements in subjects with different Angle classes. J Craniomandib Disord. 1999;13(1):33-40.
Publication of the article:
«Bulletin of problems biology and medicine», Issue 2,177, 558-563 pages, index UDC 616.314-089.23:616.716-06-053.2