Definition of Articulation: The process of joining two elements (e.g., bones).
Articulatory System: Comprises mobile and immobile structures in the oral cavity that come together to produce sounds (phonemes).
Phonemes: The smallest unit of sound in speech; achieved through correct positioning of articulators.
Function of Vocal Folds: Produce a quasi-periodic tone, characterized by inconsistencies in periodicity.
Vocal Tract: Sound produced by vocal folds travels through the oral cavity, pharyngeal cavity, and nasal cavity.
Sound Interpretation: Sound is shaped into different phonemes (vowels/consonants) based on turbulence created by the position of articulators.
Volume and Frequency Relationship: As volume increases, frequency decreases; vice versa.
Example: Good posture and head voice increase vocal tract size, affecting sound production.
Changing Shapes of Vocal Tract: Resonant frequencies govern the production of vowels; differing tongue positions yield different vowels (e.g., high vs low vowels).
Articulators: Include both mobile (e.g., tongue, mandible) and immobile structures (e.g., alveolar ridge, hard palate).
Mobile Articulators (9): Tongue, mandible, soft palate (velum), lips, cheeks, fauces, pharynx, larynx, hyoid bone.
Immobile Articulators (3): Alveolar ridge, hard palate, teeth.
Impact on Speech: Distance between mobile and immobile articulators affects intelligibility; closer articulation results in clearer sound production.
Facial Skeleton: Comprises 28 bones in three groups: facial bones, cranial bones, middle ear bones (6).
Mandible: Unpaired bone with body and ramus; contains key landmarks such as the mental foramen and alveolar processes.
Temporomandibular Joint (TMJ): A hinge and gliding joint allowing multi-directional movement crucial for speech and chewing.
Functions (9): chewing, sucking, phonation, facial expression, breathing, posture, pressure of middle ear
Maxilla: Paired, Largest facial bone; consists of 4 processes (zygomatic, frontal, palatine, alveolar) & 6 landmarks (infraorbital foramen, infraorbital margin, nasal crest, nasal notch, canine eminence, & maxillary sinus).
Nasal Bones: Paired, smaller bones articulate with the frontal bones superiorly, and the maxillae laterally; they form the bridge of the nose and contribute to the shape and support of the nasal cavity.
Palatine Bones: Paired, form part of the hard palate and contribute to the nasal cavity's structure.
Vomer: Small unpaired bone forming part of the nasal septum.
Nasal Conchae: Contribute to the shape of the nasal cavity, with three types (superior, middle, inferior).
Zygomatic Bone: Paired, makes up the cheekbone; has multiple processes connecting to other facial bones. Frontal process articulates with the frontal bone, the temporal process articulates with the temporal bone, & the maxillary process articulates with the maxillary bone. The zygomatic arch is on the temporal process of the zygomatic bone.
Lacrimal Bone: Smallest bones forming part of the eye orbit.
Overview: Suspends the larynx; connects the phonatory and articulatory structures, assisting in speech production.
Developmental Issues: Occur due to genetic and environmental factors during early development (6-8 weeks); can be unilateral or bilateral. Unilateral can be on either side, (incomplete start below the nose), (complete go up to the nose). Bilateral
Feeding Impact: Cleft lip causes fewer issues than cleft palate; affects the ability to feed effectively.
Surgical Repairs: Typically take place within the first year for lips and 12-18 months for palates, often requiring multiple surgeries.
Delays in Speech Development: Often associated with surgeries and adjustments due to anatomical challenges.
Pressure Consonant Production: Particularly challenging; higher pressure consonants become difficult due to the lack of adequate closure in the oral cavity.
Main Sutures: Include squamous, lambdoid, coronal, and sagittal sutures connecting various cranial bones.
Ethmoid Bone: Contributes to cranial, nasal and orbital spaces; key landmarks include crista galli (protecting brain) and cribiform plate (cranial nerve 2 passes through optic nerve), orbital contributes to inner eye.
Sphenoid Bone: Butterfly-shaped bone with multiple articulations and pathways for cranial nerves.
Frontal Bone: Forms the forehead and upper eye orbit, connecting with zygomatic and nasal bones.
Parietal and Occipital Bones: Cover respective lobes of the brain.
Temporal Bone: Paired, has four major portions (squamous, tympanic, mastoid, and petrous), contributing to various structures related to hearing and mastication.
Dental Status: Describes teeth situation; "edentulous" refers to lacking teeth, often seen in older adults. “Adentulous” refers to no teeth
Dental Arch Components: Discusses anatomy and layers of a tooth (root, crown, enamel, etc.).
Types of Teeth: Includes incisors, cuspids, canines, premolars, molars, and wisdom teeth.
Deciduous teeth: Also known as baby teeth, these are the first set of teeth that typically emerge in childhood, usually starting around six months of age.
Succesional teeth: Adult teeth
Classifications: Bite. Include class one (typical/normal), class two (overbite), class three (underbite).
Importance in Oral Motor Exams: Observations during exams should note any misalignment or dental issues affecting speech production.
Misaligned Teeth:
Oral Cavity: Primary site for speech production, comprising the tongue and mandible.
Buccal Cavity & Nasal Cavity: Functions in swallowing and sound production; aids in warming and humidifying air.
Pharyngeal Cavity: Bifurcation into nasal and oral pharynx; crucial for swallowing and voice modulation.
Facial Muscles: Integral for forming facial expressions; include (Orbicularis oris muscles • Risorius muscle • Buccinator muscle • Levator labii superioris muscles • Zygomatic minor muscles • Levator labii superioris alaeque nasi muscles • Levator anguli oris muscle • Zygomatic major muscle • Depressor labii inferioris muscle • Depressor anguli oris muscle • Mentalis muscle • Platysma muscle)
Tongue Musculature: Divided into oral and pharyngeal components; intrinsic muscles shape the tongue while extrinsic muscles position it for sound production.
7 lingual landmarks: median sulcus, terminal sulcus, foramen secum, lingual tonsil, sublingual folds, lingual frenulum, & circumvallate papillae.
Intrinsic Muscles (4): Superior longitudinal, inferior longitudinal, transverse, and vertical muscles; these muscles work together to allow for precise movements of the tongue, facilitating articulation and speech production.
Extrinsic Muscles (5): Genioglossus, Hyoglossus, Styloglossus, Palatoglossus, and the Chondroglossus; these muscles play a crucial role in positioning the tongue within the oral cavity, enabling a wide range of sounds during speech.
Mandibular Elevators & Depressors: Masseter muscle • Temporalis muscle • Medial pterygoid muscle • Lateral pterygoid muscle • Digastricus muscle • Mylohyoid muscle • Geniohyoid muscle • Platysma muscle
Muscles of the Velum: Levator veli palatini muscle • Musculus uvulae muscle • Tensor veli palatini muscle • Palatoglossus muscle • Palatopharyngeus muscle
Mastication Muscles: Important for chewing, including the masseter and temporalis.
Velopharyngeal Muscles: Key for closing off the nasal cavity during speech; dysfunction can lead to hypernasality.
Pharyngeal Muscles: Facilitate swallowing and impact speech, particularly during singing. Superior pharyngeal, (inferior pharyngeal cricopharyngeus and thyropharyngeus muscles), and middle pharyngeal constrictor, Salpingopharyngeus muscle, Stylopharyngeus muscle.