Is Therapy Appropriate Now?

by Cathy
(California)

I am seeing an 8 year old boy for correction of a frontal lisp.

The young man has good placement and what I consider to be good production of the /s/ in words and sentences, and conversation.

His mother is concerned that his /s/ is not "clear" all of the time.

Here is the catch.

They boy has had both of his upper canine teeth extracted, therefore air is escaping laterally.

Should I continue working with him, trying to occlude the gaps with the sides of his tongue or would you recommend waiting until his teeth come in?

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Jan 21, 2013
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Don't need teeth for /s/ production
by: Anonymous

Air should not be escaping laterally anyway. It should be midline. Missing canines should not be a concern if positioning is proper.

Use speech viewing videos and images to see what is the same and different with his speech - some are available on this great website.

If he is concerned with getting his /s/, he will "get it". If not, then why is he attending therapy?

Is it relevant to his life?

Does he care?

THAT is usually the determinant factor.

Jan 16, 2013
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Similar situation
by: Gwyn H

I had a similar situation with a client who had no front teeth.

I discharged her artic goals while I'm waiting for her permanent teeth to appear. Luckily, she also has language goals, so that is our focus now.

I will resume artic therapy when all structures are intact.

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