Dyslalias associated to maloclussion in schoolchildren

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Adriana Vázquez-Reyes
Adriana Reyes-y Zepeda
Ángeles Moyaho-Bernal
Alicia Moreno-García
Álvaro José Montiel-Jarquín
Ana Karen Hernández-Ruíz
Ruth Bejarano-Huertas
Aurelio López-Colombo

Keywords

Malocclusion, Articulation disorders, Speech disorders

Abstract

Background: The test for evaluating phonological simplification processes (TEPROSIF, according to its initials in Spanish) is a tool which is used to identify dyslalias. Our objective was to establish, by using TEPROSIF, the association between dyslalias and malocclusion in children from 4 to 6 years of age.

Methods: After we standardized the tool with a kappa of 0.9, we applied it to 116 children from 4 to 6 years of age. Patients were conducted to a central occlusion through deglutition. We observed type of bite, overbite, oclussion and terminal plane in order to relate them to the dyslalia presented. For statistical analysis, we used c2 test (p < 0.05).

Results: They were 55 (47.4 %) boys and 61 (52.6 %) girls, with a median age of 5 years ± 0.71. Phoneme substitution was the most common alteration. We found significant correlation between omission of the phonemes and terminal plane (p = 0.01), Baume type I arch (p = 0.00) and absence of teeth (p = 0.00), as well as between phoneme substitution and terminal plane (p = 0.03), bite type (p = 0.01) and absence of teeth (p = 0.00).

Conclusions: Phoneme substitution is the most common alteration, followed by omission and distortion of phonemes in children between 4 and 6 years of age.

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