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In children, tongue thrusting is common due to immature oral behavior, narrow dental arch, prolonged upper respiratory tract infections, spaces between the teeth (diastema), muscle weakness, malocclusion, abnormal sucking habits, and open mouth posture due to structural abnormalities of genetic origin.
A late talker is a toddler experiencing late language emergence (LLE), [2] [3] which can also be an early or secondary sign of an autism spectrum disorder, or other neurodevelopmental disorders such as fetal alcohol spectrum disorder, attention deficit hyperactivity disorder, intellectual disability, learning disability, social communication disorder, or specific language impairment.
Macroglossia is the medical term for an unusually large tongue. [1] Severe enlargement of the tongue can cause cosmetic and functional difficulties in speaking, eating, swallowing and sleeping. Macroglossia is uncommon, and usually occurs in children. There are many causes. Treatment depends upon the exact cause.
Oral-Motor Exam: An exam of the mouth and muscles involved in speech (e.g., lips, tongue, jaw) helps determine if there are any structural or motor problems causing the disorder. Cause Identification : Based on the results, the SLP determines the likely cause of the speech sound disorder.
The sides of the tongue are inspected with a gloved hand holding a piece of gauze. The tongue is moved side to side and inspected; it should be pink, moist, smooth and glistening. Assessment of the ventral (bottom) surface of the tongue is done by having the patient touch the tip of their tongue against the roof of their mouth.
Tongue coating - food debris, desquamated epithelial cells and bacteria often form a visible tongue coating. [7] This coating has been identified as a major contributing factor in bad breath ( halitosis ), [ 7 ] which can be managed by brushing the tongue gently with a toothbrush or using special oral hygiene instruments such as tongue scrapers ...
This is in line with earlier research, which found that kids tend to do the tongue thing until about age 6. But the children stuck their tongues out most often during the knock-and-tap game.
For infants, passively elevating the tongue tip with a tongue depressor may reveal the problem. For older children, making the tongue move to its maximum range will demonstrate the tongue tip restriction. In addition, palpation of genioglossus on the underside of the tongue will aid in confirming the diagnosis. [2]