Tongue Thrust Case Study

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When an SLP examines a four-year old child with tongue thrust, he or she should examine the tongue. During speech and/or swallowing, the tongue will move forward in an exaggerated way. At rest, the tongue may also lie forward too far and may protrude between the teeth during speech or swallowing and at rest. Teeth are another structure that should be kept in mind. The position of the tongue in a child with tongue thrust can cause labioversion of the incisors (teeth tilt towards lips). Anterior open bite is another characteristic of tongue thrust. Enlarged tonsils and adenoids are a third possible sign of tongue thrust. These can cause blocked airways, which results in an open-mouth breathing pattern. Tongue thrust can cause difficulties in

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