Orthodontics and Speech: Improving Alignment and Articulation

Speech is an essential part of a child’s development, shaping how they communicate, learn, socialise, and express themselves. When a child struggles with articulation, lisps, unclear speech, or difficulty pronouncing certain sounds, parents often turn to speech therapists for support. However, what many families don’t realise is that the cause of these speech challenges may be structural, not just functional.

This is where orthodontics and speech are closely connected. The alignment of a child’s teeth, the shape of their jaws, and the amount of space available for the tongue all play major roles in how clearly and confidently they speak. Bite problems, crowding, and jaw misalignment can interfere with proper tongue placement and airflow, leading to speech errors that persist unless the structural issues are corrected.

By addressing orthodontic concerns early, kids can develop clearer articulation, stronger oral function, and more confidence in everyday communication.

How Bite Misalignment Affects Speech

A healthy bite allows the lips, tongue, and jaw to move freely and coordinate efficiently. When the bite doesn’t line up properly, speech can be affected in several ways.

Crowded Teeth

When teeth compete for space, the tongue has less room to move. This can make it challenging to form crisp consonant sounds or maintain normal speech patterns. Crowding may lead to slurred speech, unclear articulation, or difficulty with precise sounds such as “s”, “t”, and “d”.

Overbites

In a deep overbite, the upper front teeth cover too much of the lower teeth. This can limit tongue movement and obstruct airflow during certain speech sounds. Children with overbites may develop lisps or have trouble pronouncing sounds that require controlled airflow.

Underbites

When the lower jaw extends too far forward, it can distort lip and tongue positioning. Underbites often affect the clarity of consonants like “f”, “v”, and “s”, and may give speech a “pushed forward” sound.

Open Bites

An open bite occurs when the front teeth don’t meet, even when the jaw is closed. This makes it difficult to create proper seals with the tongue and lips, leading to tongue thrust and some forms of lisping.

These conditions can create long-term challenges if left untreated. Because speech habits develop early, children often compensate for structural difficulties, forming patterns that persist into adulthood. Correcting bite misalignment helps reset these patterns and restore proper tongue positioning for clearer speech.

How Braces Improve Lisps and Speech Problems

The tongue needs adequate space and the correct resting posture to produce clear speech. Orthodontic treatment helps create an ideal environment for the tongue to function normally.

Creating More Space for the Tongue

A narrow upper jaw or crowded teeth reduce the available space inside the mouth. Braces, clear aligners, and expanders help widen the arches and straighten the teeth, giving the tongue room to articulate sounds properly.

Correcting Tongue Placement

Many speech errors are linked to tongue placement—especially with “s”, “sh”, “ch”, and “z” sounds. When orthodontic treatment improves alignment, the tongue naturally adopts a healthier resting posture, reducing lisping and slurring.

Enhancing Oral Motor Coordination

A child’s jaw position affects how easily they can open, close, swallow, and articulate. Straightening the teeth and correcting the bite strengthens oral muscles and improves overall motor control.

Reducing Lisping

A lisp often occurs when the tongue pushes between the teeth or rests too far forward. Orthodontic appliances encourage the tongue to stay in the correct place, allowing for crisp, proper articulation.

Effective orthodontic treatment does more than correct bite issues—it re-trains oral habits, supporting stronger, clearer, and more confident speech.

Exercises and Techniques for Improved Speech

While orthodontic care corrects the structural foundation, combining treatment with speech therapy or simple at-home exercises can produce even better results. This combination is particularly effective for kids with long-standing speech habits or complex articulation challenges.

Children undergoing orthodontic treatment may benefit from the following exercises:

  1. Tongue Push-Ups: Pressing the tongue firmly into the roof of the mouth helps strengthen the tongue and improve its resting posture.
  2. Lip Closure Exercises: Simple activities such as holding a piece of paper or a straw between the lips build strength and coordination. Strong lip muscles help with bilabial sounds like “p”, “b”, and “m”.
  3. Jaw Movement Drills: Guided exercises help the jaw move symmetrically and smoothly, which supports consistent articulation.
  4. Targeted Speech Drills: Speech therapists may use repetition of troublesome consonants or syllables to reinforce new patterns. These drills become more effective once orthodontic limitations have been corrected.

Supporting structural change with functional exercises creates a holistic approach to speech and orthodontic health, delivering long-lasting improvements.

Why Orthodontics Is Important for Speech Development

Orthodontic intervention can make a significant difference in how a child speaks, even beyond visible alignment improvements. Proper jaw development supports:

  • Clear articulation
  • Healthy breathing patterns
  • Better swallowing
  • Improved oral posture
  • Stronger orofacial muscles
  • Reduced risk of long-term speech disorders

When alignment issues are left untreated, children may continue compensating with incorrect tongue movements or facial habits. Early orthodontic care helps prevent these patterns from becoming permanent.

When to Seek an Orthodontic Evaluation

The New Zealand Association of Orthodontists recommends that children receive an initial orthodontic evaluation around age seven. At this age, orthodontists can identify misalignment concerns that may be contributing to speech issues.

Parents should seek an orthodontic assessment if their child experiences:

  • A noticeable lisp or persistent articulation errors
  • Difficulty pronouncing certain sounds (especially “s”, “sh”, “r”, and “th”)
  • Tongue thrust or improper swallowing patterns
  • Bite misalignment such as overbites, underbites, or open bites
  • Crowded or crooked teeth
  • Teeth grinding or jaw discomfort
  • Mouth breathing or poor tongue posture

The earlier treatment begins, the more effectively orthodontists can guide jaw growth, create tongue space, and improve speech clarity.

How Shakespeare Orthodontics Helps Support Speech Development

At Shakespeare Orthodontics, we use modern orthodontic techniques and early intervention strategies to support both oral structure and functional development. Our team evaluates:

  • Bite alignment
  • Jaw growth and harmony
  • Tongue posture
  • Oral habits such as mouth breathing or thumb sucking
  • Crowding or spacing issues
  • Speech-related structural challenges

Whether your child is experiencing a lisp, difficulty speaking clearly, or bite issues that could impact their confidence, orthodontic care may provide life-changing improvement.

Support Your Child’s Confidence, Communication, and Oral Function

Speech development affects every part of a child’s life—from school success to social interactions. When alignment issues interfere with how a child speaks, the effects can be frustrating and long-lasting. Fortunately, orthodontic treatment can help address the underlying causes and support strong communication skills.

If your child is struggling with lisping, unclear speech, or bite misalignment, an orthodontic assessment is a valuable first step. With expert care, your child can speak clearly, smile confidently, and grow with healthier oral habits for life.

Shakespeare Orthodontics: Shaping a Smile You Will Love

Four Auckland Locations: Takapuna (North Shore), Epsom, Warkworth, Howick

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Ph: 09 2166 888

Our team of specialist orthodontists at Shakespeare Orthodontics includes:

  • Dr Mo Al‑Dujaili, BDS, DClinDent, MRACDS‑Orth, MOrthRCSEd
  • Dr Azza Al‑Ani, BDS, DClinDent, MRACDS‑Orth, MOrthRCSEd
  • Dr Adriana Perez, BDS (Ven/Esp), MDS‑Orth (Arg)

Our specialist orthodontists provide expert care across our Auckland clinics, offering tailored treatment based on your individual needs. Schedule a FREE consultation with Shakespeare Orthodontics today to evaluate jaw alignment, tongue posture, and overall oral function.

Dr. Adriana Perez

BDS (Ven/Esp) | MDS-Orth (Arg)
 
Dr. Adriana Perez grew up in Caracas, Venezuela. She is one of the registered specialist orthodontist working at Shakespeare Orthodontics in Auckland.

 

In 2008, Adriana graduated with a Bachelor of Dental Surgery from Santa Maria University in Caracas, Venezuela. After graduation, she worked in Venezuela in private practice, at the Orthopaedic Children’s Hospital (Dentistry/Orthodontics unit), and as a lecturer in the National Experimental University of the Armed Forces.

In the year 2011, Adriana moved to Argentina to specialise, gaining the Specialist Orthodontist degree from the University of Buenos Aires in 2013. While in Argentina, she worked as a part-time lecturer at the Orthodontics Department in the University of Buenos Aires, private practice, and at the Craniofacial Unit in the Paediatric Hospital Garrahan, looking after cleft lip new-born, children, and adolescent patients.

Adriana is a Spanish speaker. On her spare time she likes going to the beach, travelling, socialising with friends, playing video games, cooking, and going to the gym.

Orthodontist Adriana Perez

Dr. Azza Al-Ani

BDS | DClinDent | MRACDS-Orth | MOrthRCSEd

Dr Azza Al-Ani, grew up in Christchurch, is a registered specialist orthodontist working at Shakespeare Orthodontics in Auckland. You can find her at one of the clinics in the city, or at their Takapuna clinic on the North Shore. 

In 2009, Azza graduated with a Bachelor of Dental Surgery with Credit from the University of Otago.

She worked as a dental house surgeon at Auckland, Greenlane and Middlemore Hospitals; and as a dental officer at Sydney’s Westmead Hospital.

In 2012, she completed the Royal Australasian College of Dental Surgeons (RACDS) primary examinations.

Before commencing her specialist training, she held a part-time Professional Practice Fellow position at the Faculty of Dentistry, while working as a dentist in private practice.

In 2016, Azza graduated from the University of Otago with a Doctor of Clinical Dentistry in Orthodontics. She passed examinations to gain memberships into the Royal Australasian College of Dental Surgeons and the Royal College of Surgeons of Edinburgh.

She is also certified with the Australasian Orthodontic Board, and is a member of the New Zealand Association of Orthodontists, and the New Zealand Dental Association.

Azza’s area of research interest is hypodontia.
She has presented about this topic at the European Orthodontic Society Congress, and at the International Association Dental Research ANZ Scientific Meeting, and has been involved in the publication of numerous articles in peer-reviewed journals.

Outside of work, Azza loves spending time with her son and Mo (her husband), socialising with family and friends, overseas travel, and tries to keep up with Mo mountain biking.

Waiheke Island

Dr. Mo Al-Dujaili

BDS | DClinDent | MRACDS-Orth | MOrthRCSEd

Mo is a Specialist Orthodontist. He grew up in both New Zealand and Australia.

After completing a year in Health Sciences, and later physiotherapy, he qualified as a dentist in New Zealand. He spent the next four years working alongside his father in Sydney where he practised general dentistry. Mo then returned to Dunedin to specialise, gaining his specialist degree – Clinical Doctorate in Orthodontics from the University of Otago.

During the three years of specialist training, Mo had the privilege of learning from the best. The combined clinical and academic acumen of professors, doctors and staff provided an invaluable experience.

Meanwhile, Mo published and presented significant research and clinical cases at both national and international forums, including the International Association of Dental Research, the Australasian Begg Society of Orthodontics, the European Orthodontic Society and the New Zealand Dental Association conference.

A firm believer in maintaining high clinical standards, Mo successfully completed further examinations to become affiliated with the Royal College of Surgeons (Edinburgh) and the Royal Australasian College of Dental Surgeons (Sydney).

Mo is currently a part time senior lecturer at Auckland University of Technology, a Fellow of the World Federation of Orthodontists and also holds professional memberships with the New Zealand Association of Orthodontists, the New Zealand Dental Association and American Association of Orthodontists.

He has also been involved in the supervising and lecturing of students at the Auckland University of Technology.

Outside of work, Mo enjoys the precious time with his young family and the outdoors. He especially loves mountain biking, running, fishing, diving and, in winter, snowboarding.

Traveling along with his best friend and wife (Azza) around the world has also been a big part of Mo’s life. Mo is primarily based in Shakespeare Orthodontic’s city clinics and on the North Shore.

 
Mo holding a large snapper