When to Refer to Orthodontia and ENT

By Pam Marshalla

Q: You mentioned orthodontic referral in one of your lectures on the lisps and R. I am wondering if you also refer to ENTs for issues relating to and resulting from mouth breathing.

I follow standard practices in SLP. Therefore I refer clients to orthodontics when there are indications that a dental malocclusion may exist, and when it seems to be interfering with sound production. I refer clients to an ENT when there are indications that there may be upper respiratory problems, undiagnosed oral structural issues, etc., that may be interfering with speech development.

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