Abstract：
Dental caries (tooth decay) is a disease with a significant global burden. Management may necessitate the extraction of teeth to restore oral health. The association between dental extractions and children\'s speech is unclear, with clinical implications for speech-language pathologists and dentists. This case series describes a prospective study reporting the impact of primary maxillary incisor teeth extraction on speech sound accuracy for three children (C1 aged 5;6 (years; months), C2 aged 4;6, C3 aged 3;10). Their speech was assessed using the Diagnostic Evaluation of Articulation and Phonology (DEAP) and the Intelligibility in Context Scale (ICS) before (T1) and 1 month after dental treatment (T2). Speech analysis included the percentage of consonants correct (PCC) and error-type analyses. Caregiver and child perception of the child\'s oral health-related quality of life (OHRQoL) were assessed pre- and post-operatively using a modified Scale of Oral Health Outcomes for 5-year-old children (SOHO-5). At T1, all three children scored >1 standard deviation below the mean on normative data in the DEAP. There was no clinically significant change in PCC for any child (C1 T1: 89.6%, T2: 90.6%, C2 T1: 78.0%, T2: 75.9%, C3 T1: 56.1%, T2: 63.1%). OHRQoL measures were improved for C1 by the carergiver report and remained stable for C2 and C3 and all child reports. Speech sound difficulties were present before dental treatment in all participants and extraction of primary maxillary incisors did not significantly impact speech production. Dental extractions appear to be independent from speech production in this case series of preschool children.
摘要：
龋齿（蛀牙）是一种具有重大全球负担的疾病。管理可能需要拔牙以恢复口腔健康。拔牙与儿童言语之间的关联尚不清楚，对语言病理学家和牙医有临床意义。本病例系列描述了一项前瞻性研究，报告了上颌切牙拔除对三名儿童（C1岁；6岁（岁；月），C24岁；6岁，C33岁；10）。在牙科治疗之前（T1）和之后1个月（T2），使用清晰度和语音诊断评估（DEAP）和上下文量表（ICS）评估他们的语音。语音分析包括辅音正确的百分比（PCC）和错误类型分析。使用改良的5岁儿童口腔健康结果量表（SOHO-5），术前和术后评估护理人员和儿童对儿童口腔健康相关生活质量（OHRQoL）的看法。在T1时，所有三个孩子在DEAP中的标准数据上得分均比平均值低>1个标准差。任何儿童的PCC均无临床显着变化（C1T1：89.6％，T2:90.6%,C2T1:78.0%,T2:75.9%,C3T1：56.1%，T2：63.1%）。护理者报告改善了C1的OHRQoL指标，并在C2和C3以及所有儿童报告中保持稳定。所有参与者在进行牙科治疗之前都存在语音困难，并且拔除上颌切牙并没有显着影响语音产生。在这种情况下，学龄前儿童系列中，拔牙似乎与语音产生无关。
