Speech Disorders in Dysgnathic Adult Patients in the Field of Severity of Primary Dysfunction

Round 1

Reviewer 1 Report

Authors present a well-designed study attempting to evaluate speech disorders in dysgnathic adult patients in the field of primary functions in the stomatognathic system. However, some sections resulted excessively discursive

 

Abstract

Line 13 requires

 

Introduction

Line 39 : please delete –

Line 53 :of

Line 85 :a slow

 

Methods

Material and methods resulted too long and discursive

Line 111-114: please insert citation of the mentioned article

Line 129 : please delete see (Table 2)

Line 158-159: please specify how type of occlusion and teeth position were determined

Comments for author File: Comments.docx

Author Response

Dear Reviewer,

 

We are incredibly grateful for every suggestion to correct the article.

We would like to express that your opinion is vital for us, and we prepared the article according to your suggestions. All your comments have been considered.

Firstly, we have changed the title to Speech Disorders in Dysgnathic Adult Patients in the field of Severity Primary Dysfunction. Secondly, we have shortened the reference list, deleted some citations, shortened the text in general, and corrected the numbering in the main text and reference lists. We have also corrected the names you have found to be incorrectly written.  The introduction was shortened. We would like to draw your attention to the fact that we have included a background for research on both children and adults. The authors did not evaluate the sample method size of determination. The study relied on standard statistical techniques with a confidence threshold of p<0.05. We have tried to make the result section more comprehensive and deleted all unnecessary information and abbreviations. We would like to inform that only two people were working on the research: the same surgeon operated on all the patients and the same speech-language pathologist proceeded with the speech diagnoses. Therefore, there should not be any objection to possible interoperator error.

The speech therapist graduated from post-graduate studies in speech therapy, followed by several courses and workshops in phonetics, developmental disorders of speech and recently from an international course of temporomandibular joints diagnosis and therapy organised by Italian Scuola of Cranio Mandibolare of Valerio Palmierini. Therefore, we are attaching the diploma and certificate. Moreover, for the last six years, this speech therapist has been consulting patients in the Department of Maxillofacial Surgery in Łodź, where all the patients were operated on.

As far as the language is concerned, we have asked Mr Joe Vaugh Jr, a US citizen and the academic lecturer in American Language and Culture, to do language corrections. We hope that now the content of our article is better organised and more comprehensible.

We are looking forward to hearing from you. We are ready to make any other adjustments or corrections due to your suggestions. 

 

Yours faithfully,
Anna Lichnowska
Marcin Kozakiewicz

Author Response File: Author Response.docx

Reviewer 2 Report

Dear Authors,
the article submitted deals with an interesting topic, the relationship between speech disorders and malocclusion in adult patients.
Reading the article I found confusing information, despite the value of research based on careful observation of many patients.
The title does not correspond well with the research carried out on patients before and after maxillofacial surgery.
The introduction is confusing, the description of the topic is not focused on introducing the purpose of the work.
In the materials and method the sample selection includes patients with misarticulation and primary function disorders. Does this assume that all adult Class II or Class III patients have such problems? Or is a control group missing?
During the experimentation, numerous clinical parameters were detected for the evaluation of patients. Who carried out the surveys? How was he trained? Was the method error evaluated? If several operators visited the patients and collected the data for the statistics, was the interoperator error evaluated?
The sample is large, as many as 181 subjects, but has the sample size of the research been calculated?
Reading the results is difficult due to the many figures reported numerically. Is it possible to refer to the tables and describe the most significant data more clearly?
The discussion must be more concise. It must highlight the importance of the results obtained from the research, in comparison with the existing literature. For example, I would shorten or eliminate the explanation about the movement of the tongue when swallowing.
The bibliographic references are to be revised, because in the text they are not cited correctly: in some cases the name of the first author  is not reported.
The language must be corrected by a native English speaker, because the text has errors and is difficult to read.

Author Response

Please see the attachement

Author Response File: Author Response.docx

Round 2

Reviewer 2 Report

Dear Authors,

the readibility of the paper has improved.

I noticed that you still did'n correct the references in the text. 

I made a reccomandation and a list of the references that had to be fixed.

If you need to cite the author or the authors of an article in the text , you must  cite the name of first author or the names of  the first and second author, if they are only two. If they are three or more, you must report the first author’s name, followed by et al. After the names of the authors the reference number must be reported. The verbs in the following sentences  must be in accordance with the number of the authors. The following citation must be corrected:

Page 2 line 50 and page 12 line 349  reference 5 - 5. Yamaguchi, H.; Sueishi, K.;. Malocclusion associated with abnormal posture. Bull Tokyo Dent Coll. 2003, 44, pp. 43-54. 502 doi:10.2209/tdcpublication.44.43.

Page 2 line 53 and page 12 line 349 reference 6 -6. Thijs, Z,; Bruneel, L.; De Pauw, G.; Van Lierde, K.M.; Oral Myofunctional and Articulation Disorders in Children with Mal-504 occlusions: A Systematic Review. Folia Phoniatr Logop Off organ Int Assoc Logop Phoniatr. Published online June 2021:1-16. 505 (accessed on 23rd September 2021) doi:10.1159/000516414.

Page 2 line 73  and page 12 line 357 reference 8 - 8. Fujiki, T.; Deguchi, T.; Nagasaki, T.; Tanimoto, K.; Yamashiro, T.; Takano-Yamamoto, T. Deglutitive tongue movement after 509 correction of mandibular protrusion. Angle Orthod. 2013, 83, pp. 591-596. doi:10.2319/060412-464.1.

Page 3 line 80 reference 9 - 9. Foletti, J.M.; Antonarakis, G.S.; Galant, C.; Courvoisier, D.S.; Scolozzi, P. Is Atypical Swallowing Associated With Relapse in 511 Orthognathic Patients? A Retrospective Study of 256 Patients. J Oral Maxillofac Surg. 201, 76, pp.1084-1090. 512 doi:10.1016/j.joms.2017.09.007.

Page 3 line 91 reference 12 -12. Hassan, T.; Naini, F.B.; Gill, D.S. The effects of orthognathic surgery on speech: A review. J. Oral Maxillofac. Surg. 2007, 65, 518 pp2536–2543. https://doi.org/10.1016/j.joms.2007.05.018.

 

Page 11 line 317 and page 12 line 321 and 324, reference 16 - 16. Vallino, L.D.; Tompson, B. Perceptual characteristics of consonants error associated with malocclusion. J. Oral Maxillofac. 524 Surg. 1993, 51, pp. 850–856. doi: 10.1016/s0278-2391(10)80101-6.

Page 12 line 321 reference 19 - 19. Subtelny, J.D.; Mestre, J. Comparative study of normal and defective articulation of /s/ as related to malocclusion and de-530 glutition. J. Speech Lang. Hear. Res. 1964, 29, pp.269–285. doi: 10.1044/jshd.2903.269.

Page 13 line 375 reference 21 - 21. Kojima, S.; Kaku, M.; Yamamoto, .; Yasuhara, Y.; Sumi, H.; Yamamoto, T.; Yashima, Y.; Izumino, J.; Nakajima, K.; Nagano, Y.; Kono, M.; Yoshimura, A.; Ueasa, M.; Tanimoto, K. Tongue-palatal contact changes in patients with skeletal mandibular 535 prognathism after sagittal split ramus osteotomy: an electropalatography study. J Oral Rehabil. 2017,44, pp. 673-682. doi: 536 10.1111/joor.12530.

Page13 line 377 reference 22 -22. Mozzanica, F.; Pizzorni, N.; Scarponi, L.; Crimi, G.; Schindler, A. Impact of Oral Myofunctional Therapy on Orofacial 538 Myofunctional Status and Tongue Strength in Patients with Tongue Thrust. Folia Phoniatr Logop. 2021, 73, pp.413-421.doi: 539 10.1159/000510908.

Page 13 line 386 reference 23 - 23. Pereira, AC.; Jorge, TM.; Ribeiro, Júnior PD,; Berretin-Felix, G. Características das funções orais de indivíduos com má 541 oclusão classe III e diferentes faciais. Rev Dental Press Ortodon Ortopedi Facial. 2005, 10, pp.111-9. https://doi.org/10.1590/S1516-542 80342010000100023.

Page 14 line 416 reference 25 - 25. Islam, R.; Kitahara, T.; Naher, L.; Hara, A.; Nakata, S. Lip morphology changes following orthognathic surgery for Class III 546 malocclusion. Angle Orthod., 2010, 80, pp.344-53. doi: 10.2319/031209-143.1.

Page 14 line 434 reference 26 -26. Piancino, MG.; Isola, G.; Merlo, A.; Dalessandri, D.; Debernardi, C.; Bracco, P. Chewing pattern and muscular activation in 548 open bite patients. J Electromyogr Kinesiol., 2012, 22, pp.273-9. doi: 10.1016/j.jelekin.2011.12.003. 549 550

 

Author Response

Dear Reviewer, 

We are extremely happy to hear from you again. We would like to apologise for not seeing those mistakes in citations before. Hopefully, we have corrected all of them, together with subjects and complements. We have marked all the new changes in orange. 


We will be happy to hear from you again. 

Anna Lichnowska

Author Response File: Author Response.docx