Relação entre ceceio e índice oclusal em crianças com fissura labiopalatina / Relationship between occlusion and lisping in children with cleft lip and palate

AUTOR(ES)
DATA DE PUBLICAÇÃO

2009

RESUMO

INTRODUCTION: Lisping has been described as an expected aspect of speech of individuals with history of cleft lip and palate who present with midfacial growth deficiency. The relationship between distortions during production of linguoalveolar fricative sounds and the severity of malocclusion has not been established for the population with cleft. OBJECTIVE: Correlation between lisping and dental arches relationship, according to oclusal index, in children with operated unilateral cleft lip and palate (UCLP). METHODOLOGY: Speech samples and dental arch casts were obtained from 106 children with operated UCLP during mixed dentition and before orthodontic treatment. Video-taped productions of the phrases /u sasi saiw sedu/ and /zizi powzow na kaza da zeze/ were rated by speech-language pathologists for the identification of lisping during /s/ and /z/. Dental arches casts were rated by orthodontists using the occlusal index to establish dental arches relationships. LOCAL: Hospital of Rehabilitation of Craniofacial Anomalies, USP, Bauru -SP, Brazil. RESULTS: Substantial inter-judge agreement during auditory-perceptual ratings of lisping during /s/ and /z/ (kappa = 0.65) and moderate to perfect intra-judge agreement during auditory-perceptual ratings during /s/ e /z/ (k=0.58 1.00) were found. Almost perfect agreement was found between orthodontists while establishing five-years index (k=0.81). Multiple logistic regression showed no significant association between lisping and occlusal index (p=0.802) and age (p=0.662) for /s/, and between lisping and occlusal index (p=0.252) and age (p=0.755) for /z/. CONCLUSION: This study failed to reveal an association between lisping and dental arches relationship in children with operated UCLP.

ASSUNTO(S)

malocclusion transtornos da articulação da fala maloclusão fissura palatina cleft palate lisping

ACESSO AO ARTIGO

Documentos Relacionados