Speech pattern improvement following gingivectomy of excess palatal tissue.
BACKGROUND
Speech disruption secondary to excessive gingival tissue has received scant attention in periodontal literature. Although a few articles have addressed the causes of this condition, documentation and scientific explanation of treatment outcomes are virtually non-existent. This case report describes speech pattern improvements secondary to periodontal surgery and provides a concise review of linguistic and phonetic literature pertinent to the case.


METHODS
A 21-year-old white female with a history of gingival abscesses secondary to excessive palatal tissue presented for treatment. Bilateral gingivectomies of palatal tissues were performed with inverse bevel incisions extending distally from teeth #5 and #12 to the maxillary tuberosities, and large wedges of epithelium/connective tissue were excised.


RESULTS
Within the first month of the surgery, the patient noted "changes in the manner in which her tongue contacted the roof of her mouth" and "changes in her speech." Further anecdotal investigation revealed the patient's enunciation of sounds such as "s," "sh," and "k" was greatly improved following the gingivectomy procedure.


CONCLUSIONS
Palatometric research clearly demonstrates that the tongue has intimate contact with the lateral aspects of the posterior palate during speech. Gingival excess in this and other palatal locations has the potential to alter linguopalatal contact patterns and disrupt normal speech patterns. Surgical correction of this condition via excisional procedures may improve linguopalatal contact patterns which, in turn, may lead to improved patient speech.
Holtzclaw
Dan
D
Department of Periodontics, Naval Hospital, Pensacola, FL, USA.
Toscano
Nicholas
N
D005260:Female; D005882:Gingival Diseases / Q000601:surgery; D019214:Gingival Overgrowth / Q000601:surgery*; D005890:Gingivectomy; D006801:Humans; D010159:Palate / Q000601:surgery*; D010508:Periodontal Abscess / Q000601:surgery; D013060:Speech / Q000502:physiology*; D013065:Speech Intelligibility / Q000502:physiology*; D014059:Tongue / Q000502:physiology; D055815:Young Adult