ALGORITHM FOR SPEECH DISORDERS CORRECTION USING PROPRIETARY CONSTRUCTION DEVICE

Currently, there is a tendency in Ukraine to increase the number of children with speech disorders. One of the most common disorders of speech function is dyslalia. Speech therapists are the main form of correctional training, children are assigned certain and consistent stages of speech therapy. Along with that, various individual and standard devices are used. The aim of the study – to conduct logopedic correction of speech disorders in patients with physiologic occlusion using the in-house designed device according to the proposed algorithm. Materials and Methods. A survey was conducted on 73 children (24 – aged 3 to 6 years, 49 – from 6 to 12 years old) without significant orthodontic pathology in the presence of speech impairment with normal hearing and intelligence and speech correction. In addition to logopedic exercises, it was recommended to use vestibular plates Dr. Hinz - MUPPY-P with beads, removable orthodontic devices with beads, Bluegrass appliances, devices for elimination and prevention of unhealthy tongue habits. In order to identify early risk factors for major dental diseases, the hygienic state of the cavity of the mouth, the intensity of caries, the presence or absence of inflammatory processes in the tissues of periodontal disease were determined. Results and Discussion. The first step in the algorithm for successful correction of speech disorders were to explain its necessity. The second stage involved the phonetic diagnosis of all aspects of speech, logic, intelligence, memory and thinking. Polymorphic dyslalia was diagnosed in all subjects of reporting panel. The third stage of the algorithm is to carry out work to overcome the abnormalities of the phonetic side of speech was a direct speech correction. The proposed device for elimination and prevention of unhealthy tongue habits was used in 6 cases. Conclusions. After the speech therapy correction correct articulation and sound were formed. The proposed device for the elimination and prevention unhealthy tongue habits should be used in conjunction with speech therapy, in particular, dyslalia. In addition to the positive logopedic effect of the proposed therapeutic and prophylactic measures, we have also received improvement of the hygienic state of the oral cavity, the absence of an increase in the intensity of the caries of permanent teeth and increased motivation in patients

Algorithm of patient’s treatment with the presence anomalies of bite and speech disorders

Доведено причинно-наслідковий взаємозв’язок зубощелепних аномалій і мовленнєвих порушень. Аномалії та деформації зубощелепного апарату заважають нормальній вимові звуків, сприяють закріпленню звичок неправильної артикуляції й ускладнюють їх логопедичну корекцію. Мета дослідження: провести лікування пацієнтів за наявності аномалій прикусу і мовленнєвих порушень згідно із запропонованим алгоритмом. Для досягнення поставленої в роботі мети було прийнято на лікування 82 пацієнтів із вираженою ортодонтичною патологією і мовленнєвими порушеннями, з нормальним слухом та інтелектом. Виконували клінічне обстеження зa зaгaльноприйнятою схемою, позaротові тa внутрішньоротові фотознімки, антропометрію, міографію, цефалометрію, логопедичну діагностику всіх сторін мови. Після встановлення діагнозу, визначення плану лікування проводили ортодонтичне лікування одночасно з логопедичною корекцією; Доказана причинно-следственная взаимосвязь зубочелюстных аномалий и речевых нарушений. Аномалии и деформации зубочелюстного аппарата препятствуют нормальному произношению звуков, способствуют закреплению привычек неправильной артикуляции и затрудняют их логопедическую коррекцию. Цель исследования: провести лечение пациентов при наличии аномалий прикуса и речевых нарушений согласно предложенного алгоритма. Для достижения поставленной в работе цели было принято на лечение 82 пациента с выраженной ортодонтической патологией и речевыми нарушениями, с нормальным слухом и интеллектом. Выполняли клиническое обследование по общепринятой схеме, внеротовые и внутриротовые фотоснимки, антропометрию, миографию, цефалометрию, логопедическую диагностику всех сторон речи. После установки диагноза, определения плана лечения проводили ортодонтическое лечение одновременно с логопедической коррекцией; Relevance of research. Under complex correction of speech disorders in existing orthodontic pathology, it is important to establish the causative factor, because incorrect tongue articulation, infantile type of swallowing and other bad habits can be the cause of dental and maxillary pathologies and, at the same time, speech disorders. The cause-and-effect relationship between dentoalveolar and speech disorders has been proved. Anomalies and deformations of the dentoalveolar apparatus prevent the sounds from being pronounced normally, contribute to strengthening the habits of improper articulation and complicate logopedic correction. The problem of logopedic correction of sound pronunciation should be addressed comprehensively in collaboration with an orthodontist. The purpose of the research. To treat patients with anomalies of bite and speech disorders according to the proposed algorithm. Materials and methods. To achieve study objectives, 82 patients with severe orthodontic pathology and speech disorders, with normal hearing and intellect, were accepted for treatment. Clinical examination according to the generally accepted scheme, extraoral and intraoral photographs, anthropometry, myography, cephalometry, and logopedic diagnostics of all aspects of speech were conducted. After establishing the diagnosis, determining the treatment plan, orthodontic treatment was performed simultaneously with speech therapy correction. Results and discussion. The first step in the algorithm of successful treatment (correction) of speech disorders and dentoalveolar anomalies was the explanation of its necessity. The second stage of the algorithm was a clinical examination, which included medical history taking and objective methods of examination. The speech therapy part of the algorithm provided for speech therapy diagnosis of all aspects of speech: sound pronunciation, vocabulary, grammar, phonetics. Additional methods of examination were performed for the preparation of the plan, the choice of method and tactics of treatment: extraoral and intraoral photographs, anthropometry, myography, cephalometry, which is an integral part of the second stage of the treatment algorithm for patients with abnormalities and deformations of the dentoalveolar device in conjunction with correction of speech disorders. The third stage of the algorithm was direct orthodontic treatment and speech correction. The retention period is the final stage of the algorithm for treating patients with abnormalities and deformations of the dental apparatus in combination with the correction of speech disorders. Conclusion. The algorithm for treating patients with anomalies of bite and speech disorders consists of the following blocks: motivation, detailed diagnosis, treatment planning and tactics, the active period of orthodontic treatment simultaneously with speech correction and patient management in the retention perio