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Any dentists or speech therapists? Underbite and speech

9 replies

landamum · 14/05/2012 20:34

7 year old DS has an underbite. As a toddler his speech was a bit delayed and it took him ages to make the correct mouth shape to blow out candles etc. Now he has lost his top two teeth about a month ago and I am really worried about his speech. He makes the f sound by touching his bottom teeth onto his top and does similar for v. He also juts his bottom jaw out for things like ch rather than making the pout like movement.

I don't know whether things are worse because he has 2 top teeth virtually missing, 1 has started to grow through a bit or whether his bottom jaw has grown further forward- looks like it to me. I am being quite harsh on him and making his articulate these sounds properly/ making him repeat things etc. Am I rigt or should I just let him make the wrong mouth shapes, it looks awful!! I know he is going to need braces as a first step to rectify this. What age would this normally be started? Many thanks for any advice. I have a dentist appointment for him in a few weeks but need some advice sooner if poss!

OP posts:
CandthePickle · 14/05/2012 21:43

Orthodontics can't usually be started untill all the 2nd teeth have developed however a removable appliance can be fitted earlier to correct bone abnormalities. are his bottom teeth infront of his top teeth when he closes together? as for the speech - is he tongue tied? can he stick his tongue out, or lick right round his teeth with his tongue? if this is the problem it is easily rectified :)

landamum · 14/05/2012 21:54

Thanks for the reply. The dentist has always said that his bottom front 4 teeth lie in front of his top ones. I believe this is still the case since he has lost 4 bottom and 2 top BUT there seems a bigger gap between the 4 top/bottom teeth now. I accept that he won't be able to have a brace for a few years but just unsure about the speech issue. DH thinks it'll be easier for him to say v and f properly when he gets his 2top front teeth in but I'm not so sure.

OP posts:
RandomMess · 14/05/2012 21:56

Sounds like he will need an expansion appliance for his upper jaw, my eldest as had one and my 8 year old is just waiting for her adult molars to come through to have hers (unfortunately her baby molars have decayed so can't be used).

landamum · 14/05/2012 22:04

Have your children's speech been affected Random?

OP posts:
RandomMess · 14/05/2012 22:11

Not by the underbite - those 2 had no issues!!

My other two - one had glue ear and tongue that was snipped as baby (so she spent months with her tongue hanging out and struggled to learn to eat solids)
my youngest had Auditory Processing Dysfunction and severe speech delay.

Reality is that they'll all need orthodontic work though for their small jaws.

Our orthodontist has told me that underbite is more of a concern in boys as their lower jaws expand more than girls do during puberty so def keep on at the dentist for a referral.

CandthePickle · 15/05/2012 22:35

Won't necessarily need an expansion appliance maybe twinblock appliance to bring the upper jaw forward. don't what ever you do let them take teeth out and try move the lower teeth back this will just make further problems. Get an orthodontic referral (go private if you have the money) hope it gets sorted. :-)

MikeMew · 25/08/2012 16:37

Hi, I've just started on this site and this is my first post.

I've read this conversation with interest as an orthodontist I know how much disagreement there is in the profession for most of the points that have been raised. As such how can Mum know what the right or wrong thing is. if you want to know the most alternative view points to obtain a balanced point of view, do goto www.orthotropics.co.uk/ where 9 years of age is too late for treatment, which is a shame if you don't get to read it till after then.

Mike

bonhomiee · 25/08/2012 22:05

Hi OP
I think when the new top teeth are grown down an appliance can be fitted to the top teeth to promote upper jaw bony growth and rectify the underbite.
From about 8 or 9 or so... well before the usual orthodontic treatment.

I think it would impact on clarity of speech.

Did he grind down his top teeth as a toddler?

Its imperative to treat, privately if needed, and early, to prevent the upper jaw becoming under developed, but the good news is it's treatable.

MikeMew · 19/09/2012 20:34

Dear All,

I'm an orthodontist that is doing orthotropics treatment and I made a post 2 further up. Reading through my last mail I realize that it was not very helpful, and hope to do better now, although I don't want to lecture, rant or bore you.

It seems that glue ear, speech problems, crooked teeth and a few other problems go together. We have been trying to put the pieces together and come up with an answer. As orthodontists we were not happy with the fact that orthodontics only focuses on the teeth, not on any of the rest of these issues and have been trying to find some answers.

In modern society most children have poor posture and eat soft food- they sit with their mouths open and have weak chewing muscles (few is anyone has chewing muscles like our ancestors). Some element of the old wives talk is true; the wind changes and their faces set like that or rather growth a little longer, or more vertical. It's a hard concept to put across as it suggests that your little darlings faces are not perfect. And it really is not so obvious to an untrained eye, until they are older . But if the face is longer and there is only so much of it then it is going to be narrow and shorter. That leaves less space for the teeth (crooked teeth), for the tongue (speech problems), leaves the tissues at the back of the throat as slack (so the Eustachian tube does not open fully on a swallow- leading to a lack of aeration to the inner ear, so an alternative tube is inserted- grommet- not very natural), the airway is narrower (as is the face and upper jaw-the roof of the mouth is the floor of the nose) and the tongue is pushed into the airway due to a lack of space that leads to a change in head and neck posture and is strongly related to snoring and sleep apnoea. Any face that is not the right shape does not work as well. Look at someone with a classical adenoid face, findmeacure.com/2011/02/02/adenoids/ it wreaks lives. These children clearly have all the elements that I have describe and it is not a genetic condition! You don't need a medical qualification to start putting this together, however the questions on this thread are trying to separate each section individual. This is exactly why modern medicine has missed this.

Widening the upper jaw can help some issues (breathing and tongue space) and at times will give space for the tongue to move up. If the child then learns to keep their mouth close due to this, it does help but it is not in vogue for orthodontist to do this for young children at the moment (or at all for many of them). Conventional orthodontists generally do not agree with this view point and correctly point that we do not have the evidence to prove this, however there is inadequate evidence to prove much in orthodontics and it should be noted that the profession admits that they do not know what causes the problem or how to cure it (after orthodontic treatment the teeth nearly always become crooked again). Since there are no long term studies showing that orthodontics has a long term benefit it is up to you to make your decision, at the end of the day it is your child and their future.

However faces are an emotive issue and many Mums do not want to hear want we are saying, as I mentioned it is critical of their children's faces. You can point out that a child's teeth are very crooked but mention that their face has not fulfilled it's genetic potential and you some Mums will walk out. That is your choice, but if you do want to know google "orthotropics". We are saying that most faces are a little too long, and it is hard to see the wood for the trees in any modern society.

I hope that this help. If you wish to do something then you need to do it before the age of 7 for the best effect. After 9 is really too late.

Some feedback would be very helpful to me, thanks

Mike

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