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Children's Speech Problems

What did you say?

We've all heard young children speak "baby talk." Sometimes it can sound endearing — it may be a speech defect.

In early infancy, babies begin to make vowel sounds, usually mastered by age three, when they are finished teething. Consonant sounds are more difficult and come a little later on. By the eighth birthday, most children can pronounce all consonants and are 100% intelligible. But some children have more difficulty with speech and may need help learning.

• Lisping — The most common speech defect is lisping, which is relatively easy to correct. Children who lisp cannot produce "s," "z," "sh," "ch," and "j" sounds. A lisp is heard when children cut off an "s" with the tongue instead of the front teeth. Prolonged thumb sucking or finger sucking can create an open bite and result in a lisp. Other causes are the loss of a primary tooth, impaired hearing, undeveloped ability to discriminate sounds, imitation of a relative or friend who lisps, or neurological disturbances.
• Cleft palate — A cleft palate can dramatically affect a child's speech, and often requires oral surgery. Sometimes an orthodontist provides a plastic plate to cover the opening in the roof of the mouth — this allows the child to develop normal speech patterns until surgery can correct the palate.
• Tongue thrusting — Tongue thrusting is another problem that can impair speech. This is essentially "reverse swallowing," and can cause improper tooth alignment. It may result from prolonged thumb sucking, which leaves a gap between the teeth and fosters the habit.

Your pediatric dentist may notice a speech problem first. The dentist often works with a team, including a speech pathologist, orthodontist and oral surgeon, to correct the speech problem. Your family dentist can let you know if they think anything is amiss with your child's developing speech patterns.

+Jim Du Molin is a leading Internet search expert helping individuals and families connect with the right dentist in their area. Visit his author page.

Oral Disease: Talking To Children About Tobacco

Over the past several decades, the number of adult smokers has substantially declined, however, the number of youths who smoke has remained unchanged. More disturbing is the fact that the use of snuff (also called chewing or spit) tobacco has tripled.

Tobacco use is the largest avoidable cause of death and disability in the United States. A tobacco-related illness or condition is the cause of 25% of all deaths in the United States. On average, each smoker who dies would have lived another 15 years if he or she were a non-smoker.

Smoking causes or contributes to the following diseases and conditions:

• Lung cancer
• Laryngeal cancer
• Esophageal cancer
• Oral and oropharyngeal cancer
• Cervical cancer
• Bladder cancer
• Pancreas cancer
• Kidney cancer
• Heart disease
• Emphysema
• Chronic bronchitis
• Stroke
• Slows wound healing
• Slows illness recovery

More than 9,000 individuals die each year from oral and oropharyngeal cancer. The risk of having oral and oropharyngeal cancer is much greater among tobacco users. Over 90% of people with oral and oropharyngeal cancer are tobacco users. The mouths of tobacco users have more red and white patches and nodules, sores, and ulcers that could be oral and oropharyngeal cancer. Tobacco users also have a higher incidence of gum disease, coated tongue, cavities, wearing of teeth, and gum recession.

Also consider that about 3,000 children begin to smoke each day. Approximately 90% of new smokers begin before age 20, and children and adolescents who smoke become addicted faster than adults do. Nicotine, a drug found in all forms of tobacco, is very addictive.

Pregnant women who smoke have a higher risk of having an unhealthy baby than those who do not smoke. New mothers who smoke put their babies at risk for sudden infant death syndrome (SIDS), poor lung development, asthma, and infections.

Tobacco use occurs in the form of cigarettes, cigars, or smokeless (spit) tobacco. Kids need to be educated about the harmful effects of tobacco. Bring up the subject of tobacco use. This can be done when you see or hear things about tobacco on TV, on advertisement billboards, t-shirts, hats, or in magazines. Explain that buying tobacco is a waste of money and that the tobacco companies target advertisements toward young people in order to hook another generation of tobacco users. Tell them tobacco kills about a half million people each year. More people die from tobacco-related illnesses than from car accidents, alcohol, AIDS, suicides, homicides, fires, and illegal drugs combined. Let kids know that tobacco use will stain teeth and dental fillings, cause their clothes and hair to smell, cause tooth decay, tooth loss, gum disease, bad breath, and will dull their sense of taste. Young people may be more receptive to the fact that their boyfriend or girlfriend may think they have bad breath or stained teeth than the number of deaths caused by tobacco use. Tobacco use does not improve athletic ability, increase popularity, or make one appear grown-up.

by Denise J. Fedele, DMD, MS

+Jim Du Molin is a leading Internet search expert helping individuals and families connect with the right dentist in their area. Visit his author page.