The relationship between malocclusion and speech patterns: a cross-sectional study

Abstract Objective Dental occlusion and the alignment of the dentition play crucial roles in producing speech sounds. The Arabic language is specifically complex, with many varieties and geographically dependent dialects. This study investigated the relationship between malocclusion and speech abnor...

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Main Authors: Nada E. Tashkandi, Razan AlDosary, Hissah Zamandar, Misk Alalwan, Mohannad Alwothainani, Hissah Aljoaid, Duaa Alghazhmri, Eman Allam, Anand Marya, Samar M. Adel
Format: Article
Language:English
Published: BMC 2025-01-01
Series:BMC Oral Health
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Online Access:https://doi.org/10.1186/s12903-025-05437-0
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author Nada E. Tashkandi
Razan AlDosary
Hissah Zamandar
Misk Alalwan
Mohannad Alwothainani
Hissah Aljoaid
Duaa Alghazhmri
Eman Allam
Anand Marya
Samar M. Adel
author_facet Nada E. Tashkandi
Razan AlDosary
Hissah Zamandar
Misk Alalwan
Mohannad Alwothainani
Hissah Aljoaid
Duaa Alghazhmri
Eman Allam
Anand Marya
Samar M. Adel
author_sort Nada E. Tashkandi
collection DOAJ
description Abstract Objective Dental occlusion and the alignment of the dentition play crucial roles in producing speech sounds. The Arabic language is specifically complex, with many varieties and geographically dependent dialects. This study investigated the relationship between malocclusion and speech abnormalities in the form of misarticulations of Arabic sounds. Materials and methods One hundred native subjects (28.92 ± 12.09 years old) were recruited for this cross-sectional study. The Peer Assessment Rating (PAR) index was used to describe malocclusion pattern. A standard speech sample was recorded for each subject and evaluated by a blinded speech therapist to judge misarticulations and indicate the misarticulation classification. The Jeddah Institute for Speech and Hearing Centre (JISH) articulation test was used to assess the phonologic abilities of the participants. Mann-Whitney U test was utilized for the statistical analysis. P-value < 0.05 was considered statistically significant. Results The PAR score ranged from 0 to 15, with an average of 4.87. The descriptive statistics of the included sample demonstrated that twenty-seven subjects showed improper articulation of sounds, with 25 being distortions and 2 substitutions. No significant gender differences were reported. A statistically significant association between PAR scores was recorded for the sounds / ص/ (p = 0.004), / ز/ (p = 0.017), and / س/ (p = 0.010). Conclusions There was an evident pattern of partial association of PAR index scores and speech abnormalities including improper articulation. To provide optimal care for involved subjects, collaboration between orthodontists and speech therapists, in pre- and post-treatment evaluations, is crucial.
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spelling doaj-art-626930eb705d4b75a0a98e8bfd56c0092025-01-19T12:41:10ZengBMCBMC Oral Health1472-68312025-01-012511710.1186/s12903-025-05437-0The relationship between malocclusion and speech patterns: a cross-sectional studyNada E. Tashkandi0Razan AlDosary1Hissah Zamandar2Misk Alalwan3Mohannad Alwothainani4Hissah Aljoaid5Duaa Alghazhmri6Eman Allam7Anand Marya8Samar M. Adel9Department of Preventive Dentistry, Riyadh Elm UniversityPrince Sultan Military Medical City, Basic Speech and Language Therapist and Auditory Verbal PractitionerRiyadh Elm University, Dental StudentsRiyadh Elm University, Dental StudentsRiyadh Elm University, Dental StudentsVision Collages, Dental StudentGeneral Dentist, Private PracticeResearch and Graduate Studies Department, Mohammed Bin Rashid University of Medicine and Health SciencesDepartment of Orthodontics, Faculty of Dentistry, University of PuthisastraDepartment of Orthodontics, Faculty of Dentistry, Alexandria UniversityAbstract Objective Dental occlusion and the alignment of the dentition play crucial roles in producing speech sounds. The Arabic language is specifically complex, with many varieties and geographically dependent dialects. This study investigated the relationship between malocclusion and speech abnormalities in the form of misarticulations of Arabic sounds. Materials and methods One hundred native subjects (28.92 ± 12.09 years old) were recruited for this cross-sectional study. The Peer Assessment Rating (PAR) index was used to describe malocclusion pattern. A standard speech sample was recorded for each subject and evaluated by a blinded speech therapist to judge misarticulations and indicate the misarticulation classification. The Jeddah Institute for Speech and Hearing Centre (JISH) articulation test was used to assess the phonologic abilities of the participants. Mann-Whitney U test was utilized for the statistical analysis. P-value < 0.05 was considered statistically significant. Results The PAR score ranged from 0 to 15, with an average of 4.87. The descriptive statistics of the included sample demonstrated that twenty-seven subjects showed improper articulation of sounds, with 25 being distortions and 2 substitutions. No significant gender differences were reported. A statistically significant association between PAR scores was recorded for the sounds / ص/ (p = 0.004), / ز/ (p = 0.017), and / س/ (p = 0.010). Conclusions There was an evident pattern of partial association of PAR index scores and speech abnormalities including improper articulation. To provide optimal care for involved subjects, collaboration between orthodontists and speech therapists, in pre- and post-treatment evaluations, is crucial.https://doi.org/10.1186/s12903-025-05437-0MalocclusionSpeech misarticulationsArabic lettersPAR Index
spellingShingle Nada E. Tashkandi
Razan AlDosary
Hissah Zamandar
Misk Alalwan
Mohannad Alwothainani
Hissah Aljoaid
Duaa Alghazhmri
Eman Allam
Anand Marya
Samar M. Adel
The relationship between malocclusion and speech patterns: a cross-sectional study
BMC Oral Health
Malocclusion
Speech misarticulations
Arabic letters
PAR Index
title The relationship between malocclusion and speech patterns: a cross-sectional study
title_full The relationship between malocclusion and speech patterns: a cross-sectional study
title_fullStr The relationship between malocclusion and speech patterns: a cross-sectional study
title_full_unstemmed The relationship between malocclusion and speech patterns: a cross-sectional study
title_short The relationship between malocclusion and speech patterns: a cross-sectional study
title_sort relationship between malocclusion and speech patterns a cross sectional study
topic Malocclusion
Speech misarticulations
Arabic letters
PAR Index
url https://doi.org/10.1186/s12903-025-05437-0
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