Pinsky T M, Goldberg H J
Int Dent J. 1977 Dec;27(4):363-9.
Clinical management of articulation dysfunctions is one area in which the joint efforts of dentistry and speech pathology are particularly beneficial. Those articulation deviations discussed result from: (1) deformities in the upper lip, teeth, mandible and the hard and soft palates; (2) introduction of dentures; (3) difficulties in adjusting to esophageal speech; and (4) special problems associated with cleft palate/cleft prepalate. Team management of the individual with cleft palate and/or cleft prepalate was also reviewed. While orthodontists and prosthodontists provide the technology for correct speech production, speech pathologists furnish therapy for cultivating speech or modifying defective articulation patterns. Speech pathologists also serve as liaisons with respect to patients and other professionals. The authors believe that, ideally, clinicians from all disciplines should assume a holistic attitude in treating organic and functional human pathologies. Such interdisciplinary clinical cooperation is especially effective between dentistry and speech pathology. The concept of team management of cleft palate/cleft prepalate is an excellent example of how concomitant treatment effects total patient care. However, joint research and educational ventures also contribute to this objective and should continue to be encouraged.
发音功能障碍的临床管理是一个牙科和言语病理学共同努力会特别有益的领域。所讨论的那些发音偏差是由以下原因导致的：(1) 上唇、牙齿、下颌以及硬腭和软腭的畸形；(2) 义齿的佩戴；(3) 适应食管语音的困难；以及(4) 与腭裂/腭前裂相关的特殊问题。还回顾了对腭裂和/或腭前裂患者的团队管理。虽然正畸医生和修复医生提供正确发音的技术，但言语病理学家提供培养语音或改变有缺陷发音模式的治疗。言语病理学家还充当患者与其他专业人员之间的联络人。作者认为，理想情况下，所有学科的临床医生在治疗人体器质性和功能性疾病时都应采取整体态度。这种跨学科的临床合作在牙科和言语病理学之间尤其有效。腭裂/腭前裂的团队管理概念是协同治疗如何实现全面患者护理的一个很好的例子。然而，联合研究和教育项目也有助于实现这一目标，应继续予以鼓励。
