“…[2][3][4]14 The phonemes acknowledged to present lingering difficulties with articulation are /s/, /f/, /v/, /t/, /r/, /n/, and /l/ phonemes. 5,6,14 Feldman 15 presented the sole article containing data on the effects of labial fixed appliances in 1956 and reported an increase in errors immediately after appliance insertion, with resolution within weeks. Though useful, this study presents several shortcomings: small sample size, appliance variability, lack of sound error type and uniformity in evaluating sample readings, a lack of adult patients, and, finally, a lack of attention to malocclusions that may predispose one to maladaptation.…”