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Full Arch Case Speech Complications

Doctors often have questions concerning a patient’s speech versus the correct tooth position, and how to correct and complications. We believe that this correction is best served chairside by the doctor. This enables the doctor and patient to see immediate results while also saving time and money resulting from multiple appointments.

This series of videos, Managing Speech Complications of Full Arch Fixed Hybrid Cases (presented by Joe Ambrose, Technical Director at ROE), will enable doctors to assess and correct speech complications resulting from full arch fixed hybrid surgery.

  1. Why Do Speech Complications Occur in Full Arch Cases?
  2. The “D-N-T” sounds
  3. The “L” sounds
  4. The “T-H” sounds
  5. The “S-Z” sounds
  6. The “S-H” sounds
  7. The “F-V” sounds
  8. The “B-M-P” sounds
Managing-Speech-Complications

1. Why Do Speech Complications Occur in Full Arch Cases?

2. The "D-N-T" sounds

  • Tongue to hard palate
  • Complicating issue: Too much material over the incisive papilla
  • Adjustment test phrase: DETENTION

3. The "L" sounds

  • Tongue to lingual of anterior teeth
  • Complicating issue: Anterior teeth are placed too far facially, or too far lingually
  • Adjustment test phrase: LOLLY

4. The "T-H" sounds

  • Tongue between upper and lower anterior teeth
  • Complicating issue: Not enough freeway space
  • Adjustment test phrase: THIRTY-THREE

5. The "S-Z" sounds

  • Teeth to teeth
  • Complicating issue: Potential space between appliance and tissue
  • Adjustment test phrase: MISSISSIPPI

6. The "S-H" sounds

  • Tongue to posterior teeth
  • Complicating issue: Posterior arch too narrow, or there is too much VDO
  • Adjustment test phrase: SHIMBASHI

7. The "F-V" sounds

  • Upper incisors to lower lip
  • Complicating issue: Maxillary teeth set to incorrect height
  • Adjustment test phrase: FIFTY-FIVE

8. The "B-M-P" sounds

  • Lip to lip
  • Complicating issue: Close VDO, and/or bring teeth lingually to allow space for normal lip function
  • Adjustment test phrase: BUMP

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