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Speech evaluation in children with temporomandibular disorders
Raquel Aparecida Pizolato1, Frederico Silva de Freitas Fernandes, Maria Beatriz Duarte Gavião
1Department of Community Dentistry, Piracicaba Dental School, University of Campinas, Piracicaba, SP, Brazil.
Journal of Applied Oral Science : Revista FOB
|October 12, 2011
Summary
Temporomandibular disorders (TMD) did not show an association with speech issues in children. However, occlusal alterations were linked to speech sound distortions and incorrect tongue positioning.
Area of Science:
- Pediatric dentistry
- Speech-language pathology
- Orthodontics
Background:
- Temporomandibular disorders (TMD) can affect children's oral functions.
- Understanding the link between TMD, occlusion, and speech is crucial for diagnosis and treatment.
Purpose of the Study:
- To investigate the impact of TMD on speech in children.
- To determine the influence of occlusal characteristics on speech.
Main Methods:
- Assessed speech and occlusal characteristics in 152 Brazilian children (8-12 years old).
- Utilized Research Diagnostic Criteria for TMD (RDC/TMD) and a speech assessment tool for Portuguese.
- Categorized children into groups based on TMD signs and symptoms.
Main Results:
- No association found between TMD and speech disorders.
- Occlusal alterations were prevalent and associated with speech sound distortions (/s/, /z/) and tongue positioning issues.
- Reduced vertical jaw amplitude observed more in children with TMD symptoms.
Conclusions:
- TMD is not directly associated with speech disorders in children.
- Occlusal alterations are significant factors influencing speech sound production and tongue posture.
- Further research into the interplay of occlusion and speech development is warranted.

