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Alveolar Ridge Scarring

Ann W. Kummer, Ph.D., CCC-SLP

December 12, 2011

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Question

Is there a way to correct a lateral distortion of/s/ if the child has a lot of scarring on the alveolar ridge.

Answer

The scarring shouldn’t affect the production of /s/.  What you want to do is have the child start with a /t/.  Close the teeth because closing the teeth actually gets the tongue in the right position for an /s/.  You drop the t then use that straw.  Tell the child to push the air through the straw.  Now, if there are teeth in the way the problem may be an obligatory distortion and in that case you really can't correct the speech.  You have to move the teeth and of course we cannot do that in speech therapy.

Dr. Ann Kummer is Senior Director of the Division of Speech Pathology at Cincinnati Children's Hospital Medical Center and Professor of Clinical Pediatrics and Professor of Otolaryngology at the University of Cincinnati Medical Center. She is the author of numerous professional articles, 15 book chapters, an inventor of the Oral-Nasal Listener, and author of the SNAP nasometry test (KayPentax). 


ann w kummer

Ann W. Kummer, Ph.D., CCC-SLP

Dr. Ann Kummer is Senior Director of the Division of Speech Pathology at Cincinnati Children's Hospital Medical Center. She is also Professor of Clinical Pediatrics and Professor of Otolaryngology at the University of Cincinnati Medical Center. She does many lectures, seminars and workshops on a national and international level. She is the author of numerous professional articles, 15 book chapters, an inventor of the Oral-Nasal Listener, and author of the SNAP nasometry test (KayPentax). She is also the author of the text entitled Cleft Palate and Craniofacial Anomalies: The Effects on Speech and Resonance, 2nd Edition, Clifton Park, NY: Delmar Cengage Learning, 2008. Dr. Kummer is an ASHA Fellow.  (Receives royalties from Delmar Cengage Learning for textbook and from Super Duper for Oral-Nasal Listener.)


Related Courses

20Q: Evaluation and Treatment of Speech/Resonance Disorders and Velopharyngeal Dysfunction
Presented by Ann W. Kummer, PhD, CCC-SLP
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Presenter

Ann W. Kummer, PhD, CCC-SLP
Course: #8729Level: Intermediate1 Hour
  'I like the examples given and the handout in order to test for phoneme specific VPI'   Read Reviews
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Ann W. Kummer, PhD, CCC-SLP
Course: #7915Level: Intermediate1.5 Hours
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This is Part 1 of a two-part series. Children with resonance disorders (hypernasality, hyponasality and cul-de-sac resonance) or suspected velopharyngeal dysfunction present challenges for SLPs in all settings. This course is designed to provide information about the causes and characteristics of resonance disorders and velopharyngeal dysfunction so that these disorders can be recognized and appropriate treatment can be recommended.

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This is Part 2 of a two-part series. Children with resonance disorders (hypernasality, hyponasality and cul-de-sac resonance) present challenges for speech-language pathologists (SLPs) in all settings. This course is designed to provide simple, yet very reliable low-tech evaluation techniques for practicing SLPs who frequently or occasionally see clients with cleft palate, hypernasality, or suspected velopharyngeal dysfunction. (Part 1: Course 7915)

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Differentiating obligatory distortions from compensatory productions, sensory feedback techniques, and effective placement strategies for correction of speech sound errors (e.g., lateral lisp and distortion of /ɚ/ and /r/) are described in this course. Motor learning and motor memory principles are discussed as a framework for achieving carryover after sound acquisition has occurred.

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There is much controversy about the diagnosis of ankyloglossia and its potential effects on neonatal feeding and speech. Guidance regarding the diagnosis of ankyloglossia and a summary of current research regarding its potential effects on function are provided in this course.

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