• Mannheim
  • 0621 / 17 888 222
  • rezeption-ma@madsen.de
  • 0621 / 17 888 222
  • History
    • Dental Brace
    • From Antiquity to 1850
    • Dental Braces 1850 – 1900
    • Dental Braces 1900 – 1925
    • Dental Braces 1925 – 1970
    • Dental Braces from 1970 to the Present Day
    • The Scientific Norm to the Present Day
  • Diagnosis
    • Dental Casts
    • Panoramic X-Rays
    • Side-View Skull X-Rays
    • Avoiding Over-Diagnosis
  • Treatment
    • The Use of Removable Braces
    • Fixing the Brackets
    • Length of Treatment with Braces
    • Stabilising the Result of Treatment
    • Dental Hygiene and Fixed Braces
  • Problems
    • Speech Impediments
    • Pain
    • Decalcification of Tooth Enamel and Caries
    • Root Resorption
    • Social Inconvenience
  • Costs
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    • Aligner
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Menu
  • History
    • Dental Brace
    • From Antiquity to 1850
    • Dental Braces 1850 – 1900
    • Dental Braces 1900 – 1925
    • Dental Braces 1925 – 1970
    • Dental Braces from 1970 to the Present Day
    • The Scientific Norm to the Present Day
  • Diagnosis
    • Dental Casts
    • Panoramic X-Rays
    • Side-View Skull X-Rays
    • Avoiding Over-Diagnosis
  • Treatment
    • The Use of Removable Braces
    • Fixing the Brackets
    • Length of Treatment with Braces
    • Stabilising the Result of Treatment
    • Dental Hygiene and Fixed Braces
  • Problems
    • Speech Impediments
    • Pain
    • Decalcification of Tooth Enamel and Caries
    • Root Resorption
    • Social Inconvenience
  • Costs
    • Publicly Insured
    • Privately Insured
    • Self-Payers
  • Info
    • Aligner
    • Homepage
    • Temporomandibular joint (jaw joint)
    • Lingual Technique
  • German

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Speech Impediments

Most removable braces consist of a plastic body (PMMA) and some retaining clips and active components made out of steel wire. The plastic body is normally positioned on the inside of the teeth, so that a large part of the gum in the upper jaw is covered by plastic and in the lower jaw, the inside of the teeth and gum are also covered by plastic. For stability reasons, the plastic base needs to be of a certain thickness so it takes up the same amount of space that would normally be occupied by the tongue.

This is the reason why most removable braces have a huge effect on speech. In particular, the so-called double braces such as the Ativator or the Bionator can often lead to slurred speech. The effect is sometimes so severe that removable braces simply cannot be worn at school. But children also want their freedom in the afternoons so that they can play games and sports in an unimpaired way – so removable braces also pose a problem here and so are not generally worn.
Scientific studies have established that these are the reasons why removable braces can only be worn at night because this is the only time when any kind of speech impediment just does not matter. But just wearing a brace at night will have little or no effect so much of the treatment with removable braces actually fails.

On the other hand, fixed braces do not normally affect speech in any way at all, because they are usually attached to the outside of the teeth and therefore cannot hinder the function of the tongue. Some fixed dental aids such as the palatal bar or gum extension appliances are actually fixed to the palate area but leave the front of the gums free which is the most important thing as far as speech is concerned. Even these devices do not normally impair the speech.

In some sensitive people the fixed brace and bracket that is attached to the inside of the teeth (Lingual technique) can hinder the formation of certain sounds. But in most patients this normally disappears after a few weeks once they have got used to it.

News

Fixed orthodontic appliances are more efficient and economical

31. March 2020

A common orthodontic finding is the narrow upper jaw with the unilateral cross bite in the lower jaw, which then deviates a few millimetres to one

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Rapid maxillary expansion can be helpful for children with nocturnal enuresis

31. March 2020

In numerous studies there have already been indications that rapid maxillary expansion can have a positive effect on children with nocturnal enuresis. A particularly high-quality study

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Dr. Madsen Kieferorthopädie Mannheim, MVZ GmbH

Q7, 3
68161 Mannheim

Tel.: 0621 / 17 888 222
E-Mail: rezeption-ma@madsen.de
Web: www.madsen.de

Other Pages
 

die-zahnspange.org
das-kiefergelenk.org
die-lingualtechnik.de
aligner-info.de
madsen-kids-teens.de

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