The Smile Clinic Paris has become The Madeleine Dental Practice.

dental orthodontics

joint disorders and speech problems

Speech is a central element of human communication, relying on a complex synergy between breathing, phonation, and articulation. When one of these links is flawed, speech difficulties arise, affecting clarity of speech, self-confidence, and social or professional relationships.

This is why the Madeleine Dental Practice offers comprehensive care, combining dental expertise, 3D technologies, and speech therapy rehabilitation, to help everyone regain clear and confident speech.

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What are speech difficulties?

Speech difficulties encompass three major categories of disorders:

Articulation disorders (dyslalias)

substitutions (e.g. 's' becomes 'ch'), omissions, or distortions of phonemes, affecting 6-8% of school-aged children in France.

Fluency disorders (stuttering)

Repetitions, prolongations, or syllabic blocks, which persist in 1% of adults.

Voice disorders (dysphonias)

Alterations in timbre, intensity, or vocal quality, affecting 6.6% of adults under 65.

These disorders can be present from early childhood or occur secondarily, related to dental interventions, neurological disorders, or psychosocial factors.

Speech disorders: a barrier to communication and confidence

To limit the consequences associated with speech difficulties, it is recommended to consult a specialist as soon as the first signs appear. Without appropriate care, the patient may face various complications:

School impact

An articulation disorder not addressed before the age of 4 can delay learning and lead to a sense of academic failure.

Social and professional implications

unclear speech or persistent stuttering limit public speaking, hinder professional integration, and can lead to isolation and anxiety.

Voice-related risks

chronic dysphonia can progress to vocal nodules or vocal fatigue, requiring more invasive interventions.

Oral health

unchecked malocclusions or poorly fitting prosthetics can worsen speech disorders and expose one to functional and aesthetic complications.

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Follow-up and personalized, effective treatment plan

The Madeleine Dental Practice relies on a strict diagnostic protocol to ensure a tailored, effective, and comfortable care plan for the patient.

Speech therapy assessment

The speech therapy assessment aims to precisely quantify articulatory capacities, fluency, and intensity of speech.

  • Articulation tests: repetition of logatoms (meaningless syllable sequences) and naming of images to identify substitutions, omissions, or distortions of phonemes (e.g. ‘s’ → ‘ch’).
  • Verbal fluency: measurement of spontaneous and controlled speech rate, including semantic (animals, fruits…) and phonemic (words starting with a given letter) list trials to evaluate repetitions or blocks.
  • Intensity and vocal quality: tests using phonometers and perceptual scales (CAPE-V) to assess volume, vocal fatigue, and stability of voice across multiple phonations.

Each test is conducted according to validated protocols (HAS, DIADOLAB3) and results in a detailed report mentioning scores, deviations from the norm, and recommendations.

Phonetic analysis & videography

To precisely locate articulatory dysfunctions, we resort to:

  • Audio-video recordings: HD camera positioned sideways and front to visualize lips, tongue, cheeks, and chin during phoneme production.
  • Spectrograms and formants: computer-assisted acoustic analysis (Praat, VOCALAB) to measure fundamental frequency, formants, and spectral transitions, providing objective feedback on vowel and consonant production.
  • Visual-tactile guidance: use of mirrors and tactile stimuli (palatography) to make the patient aware of correct tongue and lip positioning.

This method allows real-time correction of articulatory gestures and documents progress over sessions.

3D imaging (cone beam scan)

The cone beam scanner provides:

  • High-resolution images of the maxillae, dental roots, and surrounding bony structures, with a controlled radiation dose (lower than a traditional medical CT).
  • Mapping of malocclusions: quantification of sagittal discrepancies (classes II/III), transverse (crossbite), and vertical (open-bite) to plan orthodontics and orthognathics.
  • Assessment of facial dysmorphisms: integration of 3D facial scans (stereophotogrammetry) with CBCT data to analyze asymmetries, contours, and volumes of soft tissues.

This data is imported into simulation software to anticipate bone corrections and optimize therapeutic interventions.

Multidisciplinary Consultation

All cases are discussed in a consultation meeting bringing together:

  • Dentist for general oral health assessment and surgical management.
  • Orthodontist to define the dental alignment protocol and appropriate dental mechanics.
  • ENT specialist if respiratory factors (mouth breathing, nasal obstruction) affect tongue posture or swallowing.
  • Speech therapist to specify the rehabilitation goals (articulation, fluency, prosody) and harmonize the schedule of sessions.

This collaborative approach ensures a holistic view of the patient. It minimizes redundancies and guarantees consistency in treatments, from diagnosis to final rehabilitation.

Request your personalized assessment at the Madeleine Dental Practice. Quickly identify the root of your difficulties and consider the most appropriate treatment.

Why choose the Madeleine Dental Practice?

At the Madeleine Dental Practice, we take pride in providing personalized care for every patient. Our experts are equipped with the latest technologies to ensure accurate diagnosis and optimal treatment. Make an appointment today to start your journey towards a perfect smile!

Treatments and solutions offered by the Madeleine Dental Practice

The Madeleine Dental Practice implements a multidisciplinary approach and advanced techniques for each step of the journey:

CAD/CAM Assisted Orthodontics

Transparent aligners and fixed appliances are based on Computer-Aided Design and Manufacturing (CAD/CAM); they gradually reposition the teeth and restore an optimal anterior guide, improving the precision of critical phonemes (/s/, /ʃ/, /f/, /v/).

Maxillofacial Surgery (Orthognathics)

For severe malocclusions (classes II/III, open-bites), the Madeleine Dental Practice performs orthognathics, combined with pre- and postoperative orthodontic treatment. This procedure repositions the jaws to balance facial aesthetics and articulatory function.

Custom Dental Prosthetics

Thanks to CAD/CAM, bridges and crowns are digitally designed to optimize palatal contours and incisal edges, ensuring ideal lingual support and fine phonetic restitution.

Laser Frenectomy (Ankyloglossia)

Lingual frenectomy, performed in a single outpatient session under local anesthesia, frees the mobility of the tongue when the lingual frenulum is too short. Postoperative speech therapy ensures a quick and complete recovery of tongue movements.

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Treatment Pricing

The cost of orthodontic or surgical treatment varies depending on the technique used.

Type of treatment

Estimated fee (€)

Social Security reimbursement

Remaining cost to patient

Metal braces

2,500 – 4,000

193.50€ per semester (100%)

Variable depending on insurance

Clear aligners

2,000 – 6,000

Not reimbursed

100% at the patient’s expense

Lingual orthodontics

5,000 – 7,000

Not reimbursed

100% at the patient’s expense

Orthodontic treatment semester

600 — 1,200

193.50€ per semester (100%)

406.50 – 1,006.50

Lingual frenectomy

300 — 600

Social Security base: 35.45€

264 — 564

Orthognathic surgery

3,000 – 10,000

On quote

On quote

For an accurate and personalized estimate, contact the dental office at the Madeleine Dental Practice. Book an appointment online and check our availability to reserve your first session in just a few clicks.

Why choose the Madeleine Dental Practice?

Trusting the Madeleine Dental Practice means choosing:

  • A multidisciplinary expertise: dentists, orthodontists, ENT specialists, and speech therapists working hand in hand for optimal diagnosis and treatment.
  • State-of-the-art technologies: cone beam 3D scanner, CAD/CAM, acoustic biofeedback, laser frenectomy… all tools that guarantee precision and comfort.
  • A personalized care pathway: each treatment plan is tailored to the patient’s age, the nature, and severity of the issue, with close follow-up and regular check-ups.
  • A quality commitment: the Madeleine Dental Practice relies on protocols validated by the Haute Autorité de Santé (French National Authority for Health) and satisfied patient feedback, ensuring safety and efficiency.
  • A nurturing environment: warm welcome, personalized care, and psychological support to ease anxiety related to speech disorders.

FAQ

Before 4 years old for speech disorders related to learning, but an assessment is always relevant at any age to adapt the therapeutic strategy.

The radiation dose is controlled and lower than that of traditional medical CT scans. The diagnostic benefits far outweigh the risk, and the technique is commonly used in orthodontics.

Generally between 12 and 24 months, depending on the complexity of the malocclusion and the device chosen.

Laser frenectomy is minimally invasive, with minor scarring and quick recovery, often without stitches.

Stuttering observed in children evolves spontaneously in 75% of cases; in persistent cases, the combination of speech therapy and psychological support significantly improves fluency.

Yes, Smile Clinic offers clear aligners specifically designed for adults, with an ergonomic and discreet treatment plan.

Depending on your availability, Smile Clinic offers slots within 1 to 3 weeks, and has emergency options for critical cases.

For any other questions, our team is at your disposal. Get your free estimate: without obligation, receive a clear and detailed estimation of your future care.