Parent question
Lateral lisp: when S sounds slushy
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The short answer
In a lateral lisp, air escapes over the sides of the tongue instead of down the middle, so S and Z sound slushy or wet. Unlike a “th” lisp, which is common in young children, a lateral lisp isn’t part of typical development, so it’s worth asking a speech-language pathologist (SLP) about it rather than waiting for it to fade. It can affect SH, CH and J too.
What’s happening
For a clear S, the tongue makes a groove down the middle with its sides raised, so air flows out at the front. In a lateral lisp, the sides of the tongue are down and air comes out over one or both sides (Preston, Leece & Maas, 2016; Bode et al., 2023).
| Frontal (“th”) lisp | Lateral lisp | |
|---|---|---|
| What you hear | “thun” for sun | A slushy, wet S |
| Where the air goes | Out the front, with the tongue between the teeth | Over the sides of the tongue |
| Typical development? | Common in young children | Not part of typical development |
Is it normal?
- A UK NHS speech therapy service describes a frontal lisp as typical until about age 5, but says a lateral lisp isn’t part of typical development (Whittington Health NHS Trust).
- In an Australian community study of 4 to 5-year-olds assessed after a parent or teacher raised a concern, 13.3% had lateral lisps (McLeod et al., 2013). That isn’t a rate for all children, but it shows they aren’t rare.
- It can last. One published case was an 11-year-old who still had a lateral S (McAuliffe & Cornwell, 2008).
Which sounds it affects
Lateral lisps are best known on S and Z, but the same pattern can affect other hissing and hushing sounds. Studies of children with these errors found lateral sounds on SH and CH as well as S (Gibbon, Hardcastle & Dent, 1995; Preston, Leece & Maas, 2016). J, which is made like CH with the voice on, can be affected too. See the SH, CH and Z guides.
Tongue-tie, teeth and bite
- Tongue-tie. A systematic review found no clear link between tongue-tie and speech errors (Wang et al., 2022). See tongue-tie and speech.
- Bite. An open bite, where the front teeth don’t meet, is the bite difference most often linked to speech sound errors, though mainly to frontal lisps (Bode et al., 2023).
- An SLP will check the mouth as part of an evaluation and can suggest a dentist or orthodontist if needed (ASHA).
How therapy helps
- Learning the new position. An SLP teaches where the tongue goes, and may use touch cues, like a tongue depressor, to help a child feel the right spot (ASHA).
- Seeing the tongue. Some clinics use technology that shows tongue position: electropalatography (a thin palate sensor) or ultrasound. An 11-year-old improved after 12 electropalatography sessions and a 6-week home program, and ultrasound has been used in small studies that included children with lateral sounds (McAuliffe & Cornwell, 2008; Cleland et al., 2019). These are small studies, and most children are treated without special equipment.
- Building it up. Once the new S is there, practice moves from syllables to words, sentences and conversation. See the articulation hierarchy.
Questions parents ask
Will a lateral lisp go away on its own?
A lateral lisp isn’t part of typical development, so don’t count on it fading without help. Ask an SLP whenever you notice it.
What’s the difference between a lateral lisp and a frontal lisp?
In a frontal lisp, the tongue pushes between the teeth and S sounds like “th”, which is common in young children. In a lateral lisp, air escapes over the sides of the tongue and S sounds slushy.
Can a lateral lisp be fixed in older children?
Therapy can still help older children. One published case report describes an 11-year-old whose lateral S improved after intensive therapy and a home program.
Sources
- Preston, J. L., Leece, M. C., & Maas, E. (2016). Intensive treatment with ultrasound visual feedback for speech sound errors in childhood apraxia. Frontiers in Human Neuroscience, 10, 440.
- Bode, C., Ghaltakhchyan, N., Rezende Silva, E., et al. (2023). Impacts of development, dentofacial disharmony, and its surgical correction on speech: A narrative review for dental professionals. Applied Sciences, 13(9), 5496.
- Whittington Health NHS Trust: Lisps.
- McLeod, S., Harrison, L. J., McAllister, L., & McCormack, J. (2013). Speech sound disorders in a community study of preschool children. American Journal of Speech-Language Pathology, 22(3), 503–522.
- McAuliffe, M. J., & Cornwell, P. L. (2008). Intervention for lateral /s/ using electropalatography (EPG) biofeedback and an intensive motor learning approach: A case report. International Journal of Language & Communication Disorders, 43(2), 219–229.
- Gibbon, F., Hardcastle, B., & Dent, H. (1995). A study of obstruent sounds in school-age children with speech disorders using electropalatography. European Journal of Disorders of Communication, 30(2), 213–225.
- Wang, J., Yang, X., Hao, S., & Wang, Y. (2022). The effect of ankyloglossia and tongue-tie division on speech articulation: A systematic review. International Journal of Paediatric Dentistry, 32(2), 144–156.
- ASHA Practice Portal: Speech sound disorders (articulation and phonology).
- Cleland, J., Scobbie, J. M., Roxburgh, Z., Heyde, C., & Wrench, A. (2019). Enabling new articulatory gestures in children with persistent speech sound disorders using ultrasound visual biofeedback. Journal of Speech, Language, and Hearing Research, 62(2), 229–246.