Advances in Clinical and Experimental Medicine

Adv Clin Exp Med
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Advances in Clinical and Experimental Medicine

2015, vol. 24, nr 2, March-April, p. 301–305

doi: 10.17219/acem/40451

Publication type: original article

Language: English

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Creative Commons BY-NC-ND 3.0 Open Access

Rehabilitation of the Orofacial Complex by Means of a Stimulating Plate in Children with Down Syndrome

Teresa Matthews-Brzozowska1,A,B,C,D,E,F, Dorota Cudziło2,A,B,C,D,E,F, Jolanta Walasz3,A,B,C,D,E,F, Beata Kawala4,A,B,C,D,E,F

1 Department and Clinic of Maxillofacial Orthopedics and Orthodontics, University of Medical Sciences, Poznań, Poland

2 Department of Orthodontics, Institute of Mother and Child, Warszawa, Poland

3 Center for Dental Techniques and Technologies at the Department of Biomaterials and Experimental Dentistry, University of Medical Sciences, Poznań, Poland

4 Department of Maxillofacial Orthopedics and Orthodontics, Wroclaw Medical University, Poland

Abstract

Background. Disorders in the orofacial complex as well as muscle hypotension in children with Down syndrome can be corrected through orofacial therapy that makes use of a palatal plate.
Objectives. The aim of this paper was to present how parents of children with DS assess the availability of treatment and the therapeutic effects of orthodontic palatal plate therapy on the tongue position and mimetic muscle tension in their children; and to determine whether implementing full Castillo-Morales therapy and using only a palatal plate lead to substantially different results.
Material and Methods. The study was conducted on 100 children with DS between the ages of two months and two years (44 boys, 56 girls) who were treated by means of stimulating plate therapy. The study analyzed responses obtained from the parents to questions included in a questionnaire completed at every visit over a period of two years.
Results. The study found that in 50 patients with DS who underwent palatal plate rehabilitation there was a visible improvement of the mimetic muscles, tongue retraction and lip closure.
Conclusion. Early orthodontic palatal plate therapy ought to be an integral part of the multidisciplinary rehabilitation of patients with DS.

Key words

Down syndrome, orofacial rehabilitation, stimulating palatal plate, questionnaire survey.

References (25)

  1. Neuhauser M, Krackow S: Adaptive-filtering of trisomy 21: risk of Down syndrome depends on family size and age of previous child. Naturwissenschaften 2007, 2, 117–121.
  2. Churchill SS, Kieckhefer GM, Landis CA, Ward TM: Sleep measurements and monitoring in children with Down syndrome: A review of the literature, 1960–2010. Sleep Med Rev 2012, 16, 477–488.
  3. Krajewska-Walasek M: Udział wieku matki w etiologii zespołu Downa (trisomii 21) w świetle współczesnej wiedzy. Pol Tyg Lek 1993, 48, 16–17, 386–388.
  4. Sąsiadek M: Podstawy genetyczne zespołu Downa. In: Współczesna diagnostyka i rehabilitacja dziecka z zespołem Downa. Red. Patkiewicz J. TWK, Wrocław 1996, 17–19.
  5. Kucharczyk M, Goryluk-Kozakiewicz B, Kuguado M, Gutowska A, Borucka-Mankiewicz M, Krajewska-Walasek M: Prenatal detection using MLPA metod of a de novo translocstion Down syndrome in a male fetus. Fac Univ Palacky Olomouc Czech Repub 2012, 156, Suppl. 2, 101–116.
  6. Barkla DH: Ages of eruption of permanent teeth in mongols. I Ment Defic Res 1996, 10, 190–197.
  7. Zavaglia V, Nori A, Mansour N: Long term effects of the palatal plate therapy for the orofacial regulation in children with Down syndrome. J Clin Pediatr Dent 2003, 28, 1, 89–93.
  8. Oliveira A, Paiva S, Campos M, Czeresnia D: Factors associated with malocclusions in children and adolescents with Down syndrome. Am J Orthod Dentofacial Orthop 2008, 133, 4, 489–498.
  9. Lopez-Perez RS, Borges-Yanez A, Lopez-Morales P: Anterior open bite and speech disorders in children with Down syndrome 2008, 78, 221–227.
  10. Castillo-Morales R: Die orofaziale Regulationtherapie. Kommunikation. Plafum Verlag Munchen 1992, 44–46.
  11. Matthews-Brzozowska T, Nęcka A: Zaburzenia czynnościowe w układzie stomatognatycznym u pacjentów z zespołem Downa. Ann UMCS 2007, (62/18), 408–421.
  12. Faulks D, Mazille MN, Veyrune JL, Hennequin M: Masticatory dysfunction in persons with Down’s syndrome. J Oral Rehabil 2008, 35, 863–869.
  13. Regner A: Wczesne usprawnianie rozwoju mowy u dzieci z zespołem Downa z zastosowaniem ustno-twarzowej terapii regulacyjnej (uttr).W: Wspomaganie rozwoju dzieci z zespołem Downa – teoria i praktyka. Impuls 2008, 79–88.
  14. Miamoto C, Pereira L, Ramos-Jorge M, Marques L: Prevalence and predictive factors of sleep bruxism in children with and without cognitive impairment. Braz Oral Res 2011, 25, 439–445.
  15. Teresa Matthews-Brzozowska T, Walasz J, Matthews-Kozanecka M, Matthews Z, Kopczyński P: The role of the orthodontist in the early simulating plate rehabilitation of children with Down syndrome. J Med Sci 2014, 2, 83, 145–151.
  16. Schuster G, Giese R: Retrospective clinical investigation of the impact of early treatment of children with Down syndrome according to castillo-Morales. J Ortofa Orthop 2001, 62, 4, 255–263.
  17. Carlstedt K, Henningson G, Mc Allister, Danhlof G: Long-term effects of palatal therapy on motor function in children with Down syndrome evaluated by video registration. Acta Odontol Scand 2001, 59, 63–68.
  18. Carlstedt K, Henningsson G, Dahllof G: A four-year longitudunal study of palatal plate theraphy in children with Down syndrome: effects on oral motor function, articulation and communication preferences. Acta Odontol Scand 2003, 61, 39–46.
  19. Bäckman B, Grevér-Sjölander A, Bengtsson K, Persson J, Johansson I: Children with Down syndrome: oral development and morphology after use of palatal plates between 6 and 48 months of age. Int J Paediatr Dent 2007, 17/1, 19–28.
  20. Limbrock GJ, Castillo-Morales R, Hoyer H, Stöver B, Onufer C: The Castillo-Morales approach to orofacial pathology in Down syndrome. Int J Orofacial Myology 1993, 19, 30–37.
  21. Matthews-Brzozowska T, Walasz J, Matthews Z: Zespół Downa – wczesna terapia płytka stymulacyjną Castillo-Moralesa. Now Lek 2009, 78, 3–4, 253–255.
  22. Walasz J, Matthews-Brzozowska T, Matthews-Kozanecka M, Cudzilo D: Types and positioning of palatal plate stimulation elements in children with Down syndrome. JMST 2014, 3, 1, 1–6.
  23. Nęcka A, Regner A, Matthews-Brzozowska T: Ustno-twarzowa terapia regulacyjna (Uttr) według koncepcji Castillo-Moralesa. Dent Med Probl 2004, 41, 3, 537–542.
  24. Bäckman B, Grever-Sjolander AC, Holm AK, Johansson I: Childrem with Down syndrome: oral development and morphology after use of palatal plates between 6 and 18 months of age. Int J Pediatr Dent 2003, 13, 327–335.
  25. Korbmacher H, Limbrock J, Kahl-Nieke B: Orofacial development in children with Down’s syndrome 12 years after early intervention with a stimulating plate. J Orofac Orthop 2004, 65, 60–73.