Articulation and speech problems

Repetitions, prolonged sounds or blocks on syllables, which persist in 1% of adults.

Changes in vocal tone, volume or quality, affecting 6.6% of adults under 65.

These disorders may be present from early childhood or develop later as a result of dental procedures, neurological conditions or psychosocial factors.

The following methods may be used to pinpoint articulation difficulties:

• Video analysis of speech: filming from the front and side makes it possible to observe the movements of the lips, tongue and jaw during pronunciation.
• Acoustic voice analysis: using specialist software, this method measures the sound characteristics of speech (frequencies and resonances) to provide an objective assessment of vowel and consonant pronunciation.
• Guided therapy exercises: using mirrors and tactile cues, the patient gradually learns to position their tongue and lips correctly.

If a dental condition is identified as a contributing factor (tongue-tie, malocclusion, etc.), our practice can provide suitable care in coordination with the speech and language professional.

A cone beam scan (or CBCT) is an imaging examination that produces three-dimensional images of the jaws, teeth and surrounding bone structures with far greater precision than a conventional X-ray.

This examination is particularly useful for:

• Viewing the bone and dental anatomy in detail: root position, bone density and volume, and the location of sensitive anatomical structures such as nerves and sinuses.
• Analysing discrepancies between the jaws: CBCT accurately measures positional discrepancies (a jaw that is too far forwards or backwards, lateral overlap or an open bite), helping to determine whether orthodontic treatment alone or more comprehensive care is appropriate.
• Studying the facial structure as a whole: combined with a 3D facial analysis, CBCT provides a clearer understanding of facial asymmetry and volume, particularly in cases requiring a multidisciplinary approach.

These images are then integrated into simulation software to anticipate treatment results and refine the care plan before any procedure.

Every case is discussed at a multidisciplinary meeting attended by:

• A dental surgeon, for the general oral health assessment and surgical care.
• An orthodontist, to define the tooth-alignment protocol and appropriate orthodontic mechanics.
• An ENT specialist, if breathing-related factors (mouth breathing or nasal obstruction) affect tongue posture or swallowing.
• A speech and language therapist, to define therapy objectives (articulation, fluency and prosody) and coordinate the schedule of sessions.

This collaborative approach provides a complete view of the patient. It limits duplication and ensures consistent care, from diagnosis through to final rehabilitation.

Request your personalised assessment at Le Cabinet Dentaire de la Madeleine. Quickly identify the cause of your difficulties and explore the most appropriate treatment.