Orthognathic Speech Pathology: Phonetic Contrasts of Patients With Dental Discrepancies Pre- and Post-Treatment Analyses

Trial statusRecruiting
Trial phaseNot listed
Trial typeObservational
Biological sexAll
Age15-40
SponsorUniversity of North Carolina, Chapel Hill

About this trial

The investigators are studying how speech is effected by jaw and tooth position in jaw surgery patients. Eighty percent of our jaw surgery patients have speech pathologies, compared to five percent of the general population, but speech pathologists do not understand why. The investigators hypothesize that open bites and underbites prevent most patients from being able to pronounce words normally and surgical correction will lead to improvement in speech. Patients will be audio recorded speaking and patients' tongue gestures ultrasound recorded before and after their jaw surgeries to observe what changes occur in their speech and tongue movements.

Eligibility criteria

This trial does not accept healthy volunteers

Qualifiers

Jaw surgery patient at UNC with a skeletal open bite, underbite or overjet greater than 5mm.

Age 15-40 years

Disqualifiers

Hearing loss

Learned English as a second language

Significant regional accent, as characterized by a speech pathologist

Developmental delay, performing several grade levels below age bracket

Trial population

The study population includes healthy patients who present in our oral surgery and/or orthodontic dentofacial disharmony clinics with skeletal underbites, open bites, and/or excessive overjet. These patients have decided (prior to our study) to pursue orthodontic treatment combined with orthognathic surgery to address their jaw disproportions.

Trial design

Design model

Cohort

Time perspective

Prospective

Treatments tested in this trial

  • Orthognathic surgery and Orthodontics

    Other intervention

    This study is observational. All subjects identified to participate will be undergoing orthognathic jaw surgery and orthodontic treatment.

Treatment groups

180 Participants
are divided into 1 treatment group
Group A: Dentofacial Disharmony Patients1 intervention

Trial outcomes

Primary outcomes

1

Change in Speech Distortion Phonemes over Time

Audio recordings of consonant phonemes will be quantitatively analyzed using spectral moment analysis yielding mean values.

Time frame
pre-operation through 9-15 months post-operation
2

Change in Quantitative Tongue Gestures over Time

Ultrasound analysis of tongue posture to quantitatively describe tongue position during speech.

Time frame
pre-operation through 9-15 months post-operation

Secondary outcomes

Other outcomes

Sponsors and contacts

Click on the lead sponsor to view all of their trials.

University of North Carolina, Chapel Hill

Lead sponsor

North Carolina State University

Collaborator