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乳牙列和混合牙列中的错牙合畸形及其与语音障碍的关系:一项范围综述

Malocclusion and Its Relationship with Sound Speech Disorders in Deciduous and Mixed Dentition: A Scoping Review.

作者信息

Aprile Mariangela, Verdecchia Alessio, Dettori Claudia, Spinas Enrico

机构信息

Department of Surgical Sciences, Postgraduate School in Orthodontics, University of Cagliari, 09124 Cagliari, Italy.

Department of Surgical Sciences, School of Dental Medicine, University of Cagliari, 09124 Cagliari, Italy.

出版信息

Dent J (Basel). 2025 Jan 10;13(1):27. doi: 10.3390/dj13010027.

Abstract

The intricate relationship between malocclusions and speech sound disorders (SSDs) is yet to be fully understood. This is particularly true for pediatric patients during the deciduous and mixed dentition stages. Employing a methodical scoping review approach, this study scrutinizes the recent literature to elucidate how these dental misalignments impact speech articulation and phonetic clarity. The present scoping review has been conducted following the Preferred Reporting Items for Systematic reviews and Meta-Analyses extension for Scoping Reviews (PRISMA-ScR) guidelines. The selected articles have been found using PubMed, Scopus, Web of Science, and The Cochrane Library; the scope was limited to studies describing cases of patients in the deciduous or mixed dentition stage and the presence of both malocclusion and SSDs. Out of the 1880 articles found, 44 passed the initial screening and 12 met the eligibility criteria and have been included in this review. The analysis reveals that while there is a consensus on the influence of malocclusions on speech production, the extent and specific nature of these effects vary across studies. anterior open bite is frequently associated with speech disorders, affecting phonemes by altering airflow and tongue placement. The review highlights the need for multidisciplinary approaches for effective treatment and calls for further investigation into the causative relationships between malocclusions and SSDs.

摘要

错牙合畸形与语音障碍(SSD)之间的复杂关系尚未完全明了。这在乳牙列和混合牙列期的儿科患者中尤为如此。本研究采用系统的范围综述方法,仔细研究近期文献,以阐明这些牙齿排列不齐如何影响语音清晰度和发音。本范围综述是按照系统评价和Meta分析扩展的范围综述首选报告项目(PRISMA-ScR)指南进行的。通过PubMed、Scopus、科学网和考科蓝图书馆检索到了所选文章;范围仅限于描述乳牙列或混合牙列期患者病例以及同时存在错牙合畸形和语音障碍的研究。在检索到的1880篇文章中,44篇通过了初步筛选,12篇符合纳入标准并被纳入本综述。分析表明,虽然对于错牙合畸形对语音产生的影响存在共识,但这些影响的程度和具体性质在不同研究中有所不同。前牙开牙合常与语音障碍相关,通过改变气流和舌头位置影响音素。该综述强调了采用多学科方法进行有效治疗的必要性,并呼吁进一步研究错牙合畸形与语音障碍之间的因果关系。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/dd99/11764062/af9ccb804ddb/dentistry-13-00027-g001.jpg

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