All on 4 speech problems

Speech problems with the all on 4

Speech problems of the all on 4 dental implant prosthesis is one of several problems that can occur. Some problems are a maintenance issue and as just going to happen with time and other issues we can fix or avoid. Many of these issues are the same with a denture.

All on 4 speech problems with a new set of full arch dental implant prosthesis teeth.

Your dentist can help with some of the speech problems, while some of them may just need some time for your tongue and brain to adjust to. Overtime you can fix some issues but others your dentist will need to fix. The upper prosthesis is typically the one that needs to have an adjustment done to fix a speech issue. However, since the upper prosthesis must contact the lower in a very specific way, it too may need adjusting.

The “F” and “V” sounds are the labiodental sounds.

When making your teeth your dentist will often have you count fifty, fifty-one, fifty two, and so on to check the “f” sound. We want the lower lip to just contact the edge of the upper teeth. If the teeth are too long the “F” will sound like a “V”. If the teeth are too short “V” will sound like an “F”. Ideally the proper position of the upper teeth is found before the prosthesis is made into a final. Typically, just looking at where the upper lip rests can place it in the correct position for phonetics.

The “S”, “Z”, and “Sh” sounds are the sibilant sounds.

We check the “S” sound by having patients count sixty, sixty-one, sixty two, and so on. We check to make sure the back teeth do not hit during the “S” sound. If the upper prosthesis is too bulky in some dimension the “S” sounds will be off. If the prosthesis is too bulky in the premolar area then there will be a whistling sound. If the prosthesis is too thick in the palatal part or there is insufficient space between upper and lower teeth then there will be a lisp.

“Th” and “L” sounds are the linguodental sounds.

This sound can be off if the anterior teeth are either too far lingual or labial.

“B”, “M”, and “P” are the bilabial sounds.

These sounds are set by the vertical dimension of occlusion that is found during one of the early fabrication steps.

“D”, “N”, and “T” all on 4 speech problems

Problems with these sounds come from an over-contoured lingual prosthesis.

Dealing with all on 4 speech problems that can not be changed with the prosthesis.

There are limits to how much the prosthesis can be altered. All of the speech habits can be improved with time and exercises. The only exercise that we require to improve speech is to read out lout several times a day. The more and longer this is done the quicker and more completely a speech issue can be overcome.