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Using the Bite-R in Teletherapy during the Covid 19 Crisis

For Speech Pathologists using teletherapy

Please make sure that your students do not have COVID-19 and have not been exposed to the virus.  If the parent agrees, you may use the Bite-R for teletherapy. It is expected that the parent inserts the Bite-R. Please pay particular attention to the placement of the Bite-R as it is critical to the success of the R production.

Incorrect placement can lead to misarticulation of the R sound

Please ensure that the position is correct.  When the Bite-R is moved too far back, the tongue position encourages an airy sounding R similar to a German accent.  Too far forward and the child will gag. If you hear an airy R sound, it is likely that the tongue back is down.  The child should be reminded to use the Bite-R position and to imagine pulling back on the tension band.


Parent’s role in speech therapy

 Parents should be encouraged to set up a time and location in which the sound errors can be discussed.  Both child and parent should agree.  After all, no one wants to think that every sound is being listened to all the time. 

At the designated time, the parent should hold a conversation with the child, have them read or play a game.  When the child misarticulates a sound, the parent should point out the word, ask the child to repeat the word silently and then have the child report if he/she used the Bite-R position.  The child should be encouraged to self-correct the word.

For Speech Pathologists using articulation packets

  The Bite-R kits contain 30 words.  Once the child has the correct mouth position and is able to produce an “er” sound, weekly practice is sufficient to both elicit and maintain an excellent R production. The parent should be instructed in developing a speech time daily in which the child is simply asked if he/she used the correct Bite-r position.  (See Parent’s role in speech therapy.)

For questions or additional information, contact Susan Haseley



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