LECTURE 15: SPEECH CONSIDERATIONS WITH COMPLETE DENTURES Flashcards
T/f
most patients are able to adapt to new dentures and speech disturbances are typically transient and not severe
T
____ involves controlling the airstream from the lungs through the vocal cords, with the subtle adjustments affecting pitch and intensity
speech
____ occurs when various oral and nasal structures manipulate the airstream to produce speech sounds
articulation
the ____ lifts to close off the nasopharynx during speech, while the tongue, lips, and jaw further modify the airstream
soft palate
T/f
speech production is a rapid, rhythmic series of motor actions, requiring precise coordination of multiple articulators
T
T/f
feedback from proprioception, orosensory, and auditory sources is crucial for controlling the timing and sequencing of speech movements
T
when adapting to new dentures, patients rely on _____ to improve speech
sensory feedback
T/f
gradual hearing loss in older adults may impair the adaptation process to dentures, as both orosensory and auditory feedback play a critical role in speech adaptation
T
T/f
complete dentures can distort speech, but tooth positions can help guide speech production
T
produced by stopping airflow and releasing it explosively
A. Plosives (p,t)
B. Fricatives (s, z)
C. Africatives (ch, i)
D. Nasal Consonants (m,n,ng)
E. Liquid Consonants (r)
F. Glides (w,y)
A
produced by stopping airflow and releasing it explosively
A. Plosives (p,t)
B. Fricatives (s, z)
C. Africatives (ch, i)
D. Nasal Consonants (m,n,ng)
E. Liquid Consonants (r)
F. Glides (w,y)
A
produced when air is squeezed through nearly obstructed articulators, creating a sharp sound
A. Plosives (p,t)
B. Fricatives (s, z)
C. Africatives (ch, i)
D. Nasal Consonants (m,n,ng)
E. Liquid Consonants (r)
F. Glides (w,y)
B
a mix of plosives and fricatives
A. Plosives (p,t)
B. Fricatives (s, z)
C. Africatives (ch, i)
D. Nasal Consonants (m,n,ng)
E. Liquid Consonants (r)
F. Glides (w,y)
C
produced without air exiting through the mouth
A. Plosives (p,t)
B. Fricatives (s, z)
C. Africatives (ch, i)
D. Nasal Consonants (m,n,ng)
E. Liquid Consonants (r)
F. Glides (w,y)
D
produced without friction
A. Plosives (p,t)
B. Fricatives (s, z)
C. Africatives (ch, i)
D. Nasal Consonants (m,n,ng)
E. Liquid Consonants (r)
F. Glides (w,y)
E
sounds with gradually changing articulator shapes
A. Plosives (p,t)
B. Fricatives (s, z)
C. Africatives (ch, i)
D. Nasal Consonants (m,n,ng)
E. Liquid Consonants (r)
F. Glides (w,y)
F
T/f
teeth position affects five out of the six speech valves, which play a role in sound production
T
sounds made when both lips touch, like b, p, and m
A. BILABIAL SOUNDS
B. LABIODENTAL SOUNDS
C. LINGUODENTAL SOUNDS
D. LINGUOALVEOLAR SOUNDS
E. LINGUOPALATAL AND LINGUOALVEOLAR SOUNDS
A
the position of the front teeth and how thick the part of the
denture that touches the lips is, can affect how well you make these sounds (anteroposterior position of anterior teeth and thickness of labial lange)
A. BILABIAL SOUNDS
B. LABIODENTAL SOUNDS
C. LINGUODENTAL SOUNDS
D. LINGUOALVEOLAR SOUNDS
E. LINGUOPALATAL AND LINGUOALVEOLAR SOUNDS
A
like f and v, are made by placing the upper teeth against the bottom lip
A. BILABIAL SOUNDS
B. LABIODENTAL SOUNDS
C. LINGUODENTAL SOUNDS
D. LINGUOALVEOLAR SOUNDS
E. LINGUOPALATAL AND LINGUOALVEOLAR SOUNDS
B
like the th sound in “this”, are made by putting the tip of the tongue just between the upper and lower front teeth
o the sound is actually made closer to the gums (alveolus)
than right at the tip of the teeth
A. BILABIAL SOUNDS
B. LABIODENTAL SOUNDS
C. LINGUODENTAL SOUNDS
D. LINGUOALVEOLAR SOUNDS
E. LINGUOPALATAL AND LINGUOALVEOLAR SOUNDS
C
o if you can’t see about 3 mm of the tongue tip, the teeth are
likely too far forward, or the bite may be too deep, not
allowing enough space for the tongue to stick out
o if you can see more than 6 mm of the tongue sticking out between the teeth, the teeth are probably too far back
A. BILABIAL SOUNDS
B. LABIODENTAL SOUNDS
C. LINGUODENTAL SOUNDS
D. LINGUOALVEOLAR SOUNDS
E. LINGUOPALATAL AND LINGUOALVEOLAR SOUNDS
C
sibilants like s, z, sh, ch, and j
A. BILABIAL SOUNDS
B. LABIODENTAL SOUNDS
C. LINGUODENTAL SOUNDS
D. LINGUOALVEOLAR SOUNDS
E. LINGUOPALATAL AND LINGUOALVEOLAR SOUNDS
D
are made when the tongue touches the roof the mouth near the palate, like in the words “year”, “she”, “vision”, and “onion”
A. BILABIAL SOUNDS
B. LABIODENTAL SOUNDS
C. LINGUODENTAL SOUNDS
D. LINGUOALVEOLAR SOUNDS
E. LINGUOPALATAL AND LINGUOALVEOLAR SOUNDS
E
are made when the back of the tongue touches the soft part of the roof of the mouth, like in the sounds of k, g, and ng
A. BILABIAL SOUNDS
B. LABIODENTAL SOUNDS
C. LINGUODENTAL SOUNDS
D. LINGUOALVEOLAR SOUNDS
E. LINGUOPALATAL AND LINGUOALVEOLAR SOUNDS
E
this method looks at sound patterns using technology like a sonograph, which records the speech sounds
A. PERCEPTUAL OR ACOUSTIC ANALYSIS
B. KINEMATIC ANALYSIS
A
→ this method tracks the movement of speech-related parts (like the tongue)
→ techniques include:
o ultrasonics and x-ray mapping (to see movement)
o cineradiography and optoelectronic tracking (which use videos and sensors to track movement)
o electropalatography (EPG) technique which maps where
the tongue touches the mouth while speaking
A. PERCEPTUAL OR ACOUSTIC ANALYSIS
B. KINEMATIC ANALYSIS
B
speech typically adapts to new dentures within ___ weeks
2-4
MANDIBULAR DENTURE ISSUES
problems like improper positioning of the lower denture teeth or thick lingual flanges can affect the production of sounds, such as “_____”
s
a proper VDO should maintain a ____ mm separation between the upper and lower teeth while pronouncing the “s” sound
1-1.5
for maxillary edentulous patients receiving an immediate loaded implant-supported prosthesis after wearing a denture for an extended period a ___month speech adaptation period should be expected, and patients should be informed about this
3- to 6-
