Akademik Veri Yönetim Sistemi
International Association of Paediatric Dentistry (IAPD) -the 30th IAPD Congress , Cape-Town, Güney Afrika, 22 - 25 Ekim 2025, ss.1-5, (Tam Metin Bildiri)
Comparative Evaluation of Children With and Without Speech Disorders Utilizing the Nordic Orofacial Test-Screening and Kotlow’s Classification System Background/Purpose: Orofacial dysfunctions may arise as a result of genetic factors, congenital anomalies, systemic diseases, trauma, or parafunctional habits. Speech delay and speech sound disorders (SSD) may contribute to developmental delays in children. Early diagnosis and a multidisciplinary approach are essential. The Nordic Orofacial Test-Screening (NOT-S) is a validated tool for assessing speech, chewing, and swallowing difficulties in children aged three and above. Pediatric dentists play a key role in early speech screening. Objective: This study aims to identify and comparatively evaluate the orofacial dysfunction profile in children with and without speech disorders. Methods: This study included 77 children aged 5–13 years, with (n=37) and without (n=40) speech disorders. Data collected included gender, age group, systemic health, NOT-S scores (interview, examination, total), and tongue-tie classification. Orofacial dysfunctions were assessed using NOT-S, and the lingual frenulum was evaluated using the Kotlow Classification. Statistical analyses were conducted with SPSS (version 30.0). The Kruskal–Wallis test, Chisquare t-test, Mann-Whitney U and one-way ANOVA were used. Statistical significance was set at p < 0.05. Results: A statistically significant difference was found in both examination and total NOT-S scores between children with speech disorders and those without (p = 0.001; p < 0.05). Significant intergroup differences were observed in four examination sections (p < 0.05). Gender-based comparison revealed that males exhibited significantly higher drooling dysfunction scores (p < 0.05). Conclusion: A key limitation of this study is that severe tongue-tie was observed in only 10.8% of children with speech disorders and 2.5% of those without, while both groups showed considerable health heterogeneity. These findings highlight the need for further research using larger, more homogeneous cohorts and standardized assessments to clarify the role of tongue-tie in orofacial dysfunction.
Sepet E1 , Özkuyucu D1 , Balaban M1 , Oğuzbal E1 , Dayan E1 , Emiroğlu S1 , Kocabıyık N2 .
1Department of Pediatric Dentistry, Faculty of Dentistry, İstanbul Kent University, İstanbul, Türkiye
2Department of Speech and Language Therapy, Faculty of Health Sciences, İstanbul Kent University, İstanbul, Türkiye