Number Super Duper Handy Handouts Super Duper Publications

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theanteiorofthetongueslopesdwnardtopushfoodintothethroata negatieinta-oalpressureforcesthetongueintoawaveliemotionDviantSwallw:thesidesofthetonguepressagainsttheanteiorteeththeanteiorofthetonguepushesupardandthetonguetipmvesforardinathustingmotion,sometimesthroughtheteethandlipsthelipsarepursed,andthejwisopenfoodispushedbakwithapositiepressureTheDentalPolemsOthodontistslvechildrenwhohvetonguethust,becausetheconstantforardmvementofthetongueagainstthetopteethcausesaClassIIMalocclusionknwnasanoverbit.Baceswithananteiorcageareoftenplacedon5-7thgrtoprohibitthetonguethustSpacesbeteenthetopteetharealsocommon.ThePerectCombinationforSpeehTherayResearchindicatesthatatonguethustresultsinalispwithsecondayothodonticfeature.Othodontistsknwthat baceswillnotcuretheprolemwithout“yofunctional”(tonguethust)theay.Speechtheapistsknwthat theycannotremediate interdentallispswithoutmyofunctionaltheayaswell.Childrenwhopresentwiththeseprolems seea speechtheapistinschool,orpiatel.Theayconsistsofacombinationoftonguestrengthening,repositioning,andpacticeoftheaccuate/s/soundTheothodontistandspeechtheapistconeronthemostappropiatetimetofitbacesandintroducetheay.Childrenwhoarestilllosingteetharenotgoodcandidatesfortheayhweve,thy oftenreceive treatment inschoolduetopoorspeechintelligibilityintheclassroom.LispsandtonguethustsshouldnotbeignoredbasedontheimpotanceofgooddentalhealthIfyoususpectastudenttopresentwithalis,filloutaspeechreeralfomassoonaspossil. ©2001SuperDuper®Publications.personaluseonly.cialuseisstrictlypohibited. Handy Handouts!Publications. For personal use only. Commercial use is strictly prohibited. Many student that are eligible for speech and language services, have three similarcharacteristics:ÒA lisp,ÓÒTongue Thrust,ÓÒDental Problems.ÓThis newsletter will discuss these three characteristics in detail,as they almost always occur together.A lisp is the speech disorder most people know about.Common cartoon characters likeDaffy Duck present with lisps.What some people do not know is that there are two different:ÒinerdentalÓand Òbilateral.ÓAn interdental lisp is the most common.The tongue pushes through the front teeth,which is why it is called Òinterdental.ÓThis involves a substitution error when ÒthÓreplaces Òs.Ó(For example, thun/sun).A bilateral lisp is when air escapes from the corners of the mouth because both sides ofthe tongue remain ÒflatÓin the mouth, instead of ÒcurlingÓup when producing /s/.This givesspeech a ÒslushyÓor ÒslurredÓsound.The Tongue ThrustA tongue thrust, also a Òreversed swallow,Óis very common in school agell babies use a reversed swallow at birth to protect the airway;however, as thegrows they develop a more efficient pattern.There are many factors associated with tongue thrust.Some are developmental delays,hereditary factors, immature loss of teeth, thumb sucking, respiratory difficulties, andprolonged bottle feeding.To make a tongue thrust easier to visualize, one can compare a normal swallow to thatof a deviant swallow of the Òtongue thruster:ÓNormal Swallow:teeth and lips are sealed, relaxed and firmA Perfect Combination for Therapyby Robyn Merkel-Piccini, M.A., CCC-SLP