Pahkala R, Laine T, Lammi S
Department of Orthodontics, Faculty of Dentistry, University of Kuopio, Finland.
J Craniofac Genet Dev Biol. 1991 Jul-Sep;11(3):170-5.
This study was undertaken to investigate the effect of developmental stage of the dentition on speech sound production in children with and without articulatory speech disorders. In the whole sample, there were 281 subjects, mean age 7.5 years (SD 0.4). The stage of the eruption of the permanent incisors was calculated as the percentage height of each tooth of the mean crown height of the corresponding tooth in a group of 252 young adults. Eruptional stage of the first permanent molars was classified into three categories. Articulatory disorders were diagnosed by one experienced speech therapist and phoniatrician using the Remes Articulation Test [Remes, 1975] for the Finnish language. The results showed a wide interindividual variation in developmental stage of the dentition in a group of 7-year-old children with a tendency of the first permanent molars but not the incisors to erupt earlier in girls than in boys. Boys had a higher frequency of misarticulations estimated to need treatment than did girls. The present results indicate that during eruption of permanent teeth it is more important to draw attention to symmetrical eruption and to individual timing pattern rather than to the mean values of tooth eruption in subjects of the same age. The findings also suggest a decreasing risk of faulty speech sound production with advancing eruption of some permanent teeth still present in 7-year-old children.
本研究旨在调查牙列发育阶段对有和没有构音障碍的儿童语音产生的影响。在整个样本中,有281名受试者,平均年龄7.5岁(标准差0.4)。将恒牙切牙的萌出阶段计算为一组252名年轻成年人中每颗牙齿的高度占相应牙齿平均冠高的百分比。第一恒磨牙的萌出阶段分为三类。由一名经验丰富的言语治疗师和语音科医生使用针对芬兰语的雷梅斯发音测试[雷梅斯,1975]诊断构音障碍。结果显示,在一组7岁儿童中,牙列发育阶段存在广泛的个体差异,第一恒磨牙有在女孩中比男孩更早萌出的趋势,但切牙没有。男孩中估计需要治疗的发音错误频率高于女孩。目前的结果表明,在恒牙萌出期间,更重要的是关注对称萌出和个体萌出时间模式,而不是同年龄受试者牙齿萌出的平均值。研究结果还表明,在7岁儿童中,随着一些恒牙的萌出,产生错误语音的风险降低。