Mason R M, Helmick J W, Unger J W, Gattozzi J G, Murphy M W
J Am Dent Assoc. 1977 Apr;94(4):708-12. doi: 10.14219/jada.archive.1977.0321.
Screening for speech problems in the dental office involves less than five minutes. Procedures include the sampling of a child's pronunciations in counting activities, word responses to pictures or questions, and conversational speech situations. Use of a normative sound development chart will help judge each child's pronunciation skills. Oral diadochokinetic testing provides a means of evaluating the maturational level of the neuromotor components of the oral structures used in support of sound production. Finally, the child's ability to modify sound production after stimulation, that is, his "stimulability," adds important data for determining the child's potential for outgrowing his problem. The screening assessment of these several characteristics of speech performance, then, provides sufficient diagnostic criteria for the dentist to recommend those children for speech therapy whose error productions will not likely improve through maturation alone. In instances where examination indicates that maturation should cause spontaneous improvement of speech, the dentist would then be able to inform the parents.
在牙科诊所筛查言语问题耗时不到五分钟。程序包括在计数活动、对图片或问题的单词回答以及对话言语情境中对儿童发音进行采样。使用标准化的语音发展图表将有助于判断每个儿童的发音技能。口腔轮替运动速率测试提供了一种评估用于发声支持的口腔结构神经运动成分成熟水平的方法。最后，儿童在受到刺激后改变发声的能力，即他的“可刺激性”，为确定儿童克服其问题的潜力提供了重要数据。对言语表现的这几个特征进行筛查评估，为牙医提供了足够的诊断标准，以便推荐那些仅靠成熟不太可能改善其错误发音的儿童接受言语治疗。在检查表明成熟应导致言语自发改善的情况下，牙医就能告知家长。
