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This occurs when the tongue pushes between the back teeth on both sides during the swallow with the jaw partially open. Sometimes, the only teeth that touch are the molars, with the bite completely open on both sides including the anterior teeth. A large tongue can also be noted. This is the most difficult thrust to correct.
When a fronted lisp does not have a sibilant quality, due to placing the lack of a grooved articulation, the IPA transcription would be [θ, ð] or variants thereof. A lateral lisp occurs when the [s] and [z] sounds are produced with air-flow over the sides of the tongue. It is also called "slushy ess" or a "slushy lisp" in part due to its wet ...
Tongue thrusting is a type of orofacial myofunctional disorder, which is defined as habitual resting or thrusting the tongue forward and/or sideways against or between the teeth while swallowing, chewing, resting, or speaking. Abnormal swallowing patterns push the upper teeth forward and away from the upper alveolar processes and cause open bites.
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Some terms can be used to describe more than one of the above categories, such as lisp, which is often the replacement of /s/ with /θ/ (a substitution), but can be a distortion, producing /s/ just behind the teeth resulting in a sound somewhere between /s/ and /θ/.
Prognathism, if not extremely severe, can be treated in growing patients with orthodontic functional or orthopaedic appliances. In adult patients this condition can be corrected by means of a combined surgical/orthodontic treatment, where most of the time a mandibular advancement is performed. The same can be said for mandibular prognathism.
In the generalized form, all teeth are involved. In the localized form, only a few teeth are involved. The most common teeth affected are the upper lateral incisors and third molars. Teeth affected by microdontia may also have abnormal shape, and the abnormal size may affect the whole tooth, or only a part of the tooth. [1]
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