Speech Disorders in Dysgnathic Adult Patients in the Field of Severity of Primary Dysfunction

The normative functioning of the stomatognathic system and masticatory apparatus requires specific coordination between several structures such as teeth with good occlusion, tongue without ankyloglossia or thrusting, and well-balanced facial muscles. This study aimed to evaluate the influence of non...

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Main Authors: Anna Lichnowska, Marcin Kozakiewicz
Format: Article
Language:English
Published: MDPI AG 2021-12-01
Series:Applied Sciences
Subjects:
Online Access:https://www.mdpi.com/2076-3417/11/24/12084
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author Anna Lichnowska
Marcin Kozakiewicz
author_facet Anna Lichnowska
Marcin Kozakiewicz
author_sort Anna Lichnowska
collection DOAJ
description The normative functioning of the stomatognathic system and masticatory apparatus requires specific coordination between several structures such as teeth with good occlusion, tongue without ankyloglossia or thrusting, and well-balanced facial muscles. This study aimed to evaluate the influence of non-normative primary functions such as breathing, swallowing, biting and chewing on the consonant pronunciation outcome in adults affected with facial skeletal deformities. Moreover, the authors would like to promote a new kind of speech therapy-orthognathic speech therapy. A total of 181 adults affected by skeletal class II and III malocclusion were included, along with the relationship between the malocclusion, speech deficiency (20 phonemes tested) and primary function disorders, in the subjects before and after surgical correction. The impact of surgery on pronunciation and primary function improvement and types of Polish phonemes most often misarticulated by Polish adults were also examined. Patients underwent combined treatment and received a full speech pathology examination. The treatment improved speech (<i>p</i> < 0.05), and primary functions (<i>p</i> < 0.05). Palatal, alveolar (<i>p</i> < 0.05), fricatives (<i>p</i> < 0.05), and labiodental consonant pronunciation (<i>p</i> < 0.05) improved. The surgical correction of malocclusion leads to better oral motor control and articulation of Polish consonants in adults.
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spelling doaj.art-5dd0dd6c295147bca373d1486b25ad482023-11-23T03:42:58ZengMDPI AGApplied Sciences2076-34172021-12-0111241208410.3390/app112412084Speech Disorders in Dysgnathic Adult Patients in the Field of Severity of Primary DysfunctionAnna Lichnowska0Marcin Kozakiewicz1Department of Maxillofacial Surgery, Medical University of Lodz, 113th S. Żeromskiego, 90-549 Lodz, PolandDepartment of Maxillofacial Surgery, Medical University of Lodz, 113th S. Żeromskiego, 90-549 Lodz, PolandThe normative functioning of the stomatognathic system and masticatory apparatus requires specific coordination between several structures such as teeth with good occlusion, tongue without ankyloglossia or thrusting, and well-balanced facial muscles. This study aimed to evaluate the influence of non-normative primary functions such as breathing, swallowing, biting and chewing on the consonant pronunciation outcome in adults affected with facial skeletal deformities. Moreover, the authors would like to promote a new kind of speech therapy-orthognathic speech therapy. A total of 181 adults affected by skeletal class II and III malocclusion were included, along with the relationship between the malocclusion, speech deficiency (20 phonemes tested) and primary function disorders, in the subjects before and after surgical correction. The impact of surgery on pronunciation and primary function improvement and types of Polish phonemes most often misarticulated by Polish adults were also examined. Patients underwent combined treatment and received a full speech pathology examination. The treatment improved speech (<i>p</i> < 0.05), and primary functions (<i>p</i> < 0.05). Palatal, alveolar (<i>p</i> < 0.05), fricatives (<i>p</i> < 0.05), and labiodental consonant pronunciation (<i>p</i> < 0.05) improved. The surgical correction of malocclusion leads to better oral motor control and articulation of Polish consonants in adults.https://www.mdpi.com/2076-3417/11/24/12084primary functionslogopaedicsarticulationmotor speech disordersspeech-language pathologyskeletal malocclusion
spellingShingle Anna Lichnowska
Marcin Kozakiewicz
Speech Disorders in Dysgnathic Adult Patients in the Field of Severity of Primary Dysfunction
Applied Sciences
primary functions
logopaedics
articulation
motor speech disorders
speech-language pathology
skeletal malocclusion
title Speech Disorders in Dysgnathic Adult Patients in the Field of Severity of Primary Dysfunction
title_full Speech Disorders in Dysgnathic Adult Patients in the Field of Severity of Primary Dysfunction
title_fullStr Speech Disorders in Dysgnathic Adult Patients in the Field of Severity of Primary Dysfunction
title_full_unstemmed Speech Disorders in Dysgnathic Adult Patients in the Field of Severity of Primary Dysfunction
title_short Speech Disorders in Dysgnathic Adult Patients in the Field of Severity of Primary Dysfunction
title_sort speech disorders in dysgnathic adult patients in the field of severity of primary dysfunction
topic primary functions
logopaedics
articulation
motor speech disorders
speech-language pathology
skeletal malocclusion
url https://www.mdpi.com/2076-3417/11/24/12084
work_keys_str_mv AT annalichnowska speechdisordersindysgnathicadultpatientsinthefieldofseverityofprimarydysfunction
AT marcinkozakiewicz speechdisordersindysgnathicadultpatientsinthefieldofseverityofprimarydysfunction