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Why do some people have trouble saying speech sounds clearly?

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Why do some people have trouble saying speech sounds clearly?

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Individuals may mishear sounds due to permanent or fluctuating hearing loss. Frequent ear infections may cause inconsistent sound perception. Other individuals may be tongue tied, have dental or jaw problems, structural problems, cleft palate, motor speech disorders, apraxia or neurological injury or diseases. Sometimes the origin of speech difficulties is unknown.

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