Effects of using the stimulating palatal plate in combination with orofacial stimulation on the habitual tongue and lip posture in children with trisomy 21: an integrative literature review
Efeitos da placa palatina de memória associada à estimulação orofacial na postura habitual de língua e de lábios de crianças com Trissomia do 21: revisão integrativa da literatura
Renata Maria Moreira Moraes Furlan; Tahyna Duda Deps Almeida; Henrique Pretti
Abstract
Keywords
Resumo
Objetivo: verificar na literatura os efeitos da placa palatina de memória na postura de lábios e língua de crianças com Trissomia do 21.
Métodos: foi realizada busca nas bases de dados Medline, Lilacs, CINAHL, Embase, Scopus, Web of Science e Cochrane, com inclusão de artigos originais com delineamentos dos tipos ensaios clínicos, estudos longitudinais ou caso-controle, que abordaram a placa palatina de memória no tratamento de crianças com Trissomia do 21 e avaliaram, como desfechos, a postura habitual de língua e de lábios.
Revisão da Literatura: foram encontrados 376 estudos, dos quais dez contemplaram os critérios de seleção. Estes foram publicados entre 1996 e 2007, conduzidos principalmente na Europa, com amostras reduzidas. A idade de instalação da placa variou de um mês a cinco anos e a duração da intervenção de quatro a 58 meses, estando, na maioria, associada à estimulação da musculatura orofacial. A frequência de uso variou de dois a quatro períodos diários de 30 minutos a duas horas. Houve melhora na postura de língua e lábios das crianças na maioria das pesquisas.
Conclusão: os estudos sugerem que a placa palatina de memória, associada à estimulação da musculatura orofacial, proporciona benefícios para postura de lábios e língua de crianças com Trissomia do 21.
Palavras-chave
Referências
1. Brandão IM, Fonseca V, Madi RR. Prevalence of people with Down syndrome in Brazil. Scientia Plena. 2012;8(3):037501.
2. Kruszka P, Porras AR, Sobering AK, Ikolo FA, La Qua S, Shotelersuk V. Down syndrome in diverse populations. Am J Med Genet A. 2017;173(1):42-53.
3. World Health Organization. Human Genomics in Global Health [Homepage on the Internet] [accessed 2020 April 3]. Available at:
4. Doriguêtto PVT, Carrada CF, Scalioni FAR, Abreu LG, Devito KL, Paiva SM et al. Malocclusion in children and adolescents with Down syndrome: a systematic review and meta-analysis. Int J Paediatr Dent. 2019;29(4):524-41.
5. Kaczorowska N, Kaczorowski K, Laskowska J, Mikulewicz M. Down syndrome as a cause of abnormalities in the craniofacial region: A systematic literature review. Adv Clin Exp Med. 2019;28(11):1587-92.
6. Giacchini V, Tonial A, Bolli-Mota H. Aspects of language and oral motor observed in children treated at an early stimulation sector. Disturb Comun. 2013;25(2):253-65.
7. Pinheiro DLSA, Alves GAS, Fausto FMM, Pessoa LSF, Silva LA, Pereira SMF et al. Effects of electrostimulation associated with masticatory training in individuals with down syndrome. CoDAS. 2018;30(3):e20170074.
8. Morales RC. Terapia de regulación orofacial.São Paulo: Memnon, 2002.
9. Xepapadeas AB, Weise C, Frank K, Spintzyk S, Poets CF, Wiechers C et al. Technical note on introducing a digital workflow for newborns with craniofacial anomalies based on intraoral scans - part I: 3D printed and milled palatal stimulation plate for trisomy 21. BMC Oral Health. 2020;20(171):1-7.
10. Javed F, Akram Z, Barillas AP, Kellesarian SV, Ahmed HB, Khan J et al. Outcome of orthodontic palatal plate therapy for orofacial dysfunction in children with Down syndrome: a systematic review. Orthod Craniofac Res. 2018;21(1):20-6.
11. Furlan RMMM, Pretti H, Almeida TDD. Terapia miofuncional orofacial associada ao uso da placa palatina de memória em crianças com Síndrome de Down - discutindo uma série de casos clínicos. In: Silva HJ, Tessitore A, Motta AR, Cunha DA, Berretin-Felix G, Marchesan IQ et al., editors. Discutindo casos clínicos em Motricidade Orofacial. São José dos Campos; Pulso Editorial: 2020. p.59-65.
12. Limbrock GJ, Castillo-Morales R, Hoyer H, Stover B, Onufer CN. The Castillo-Morales approach to orofacial pathology in Down syndrome. Int J Orofacial Myology. 1993;19:30-7.
13. Limbrock GJ, Castillo-Morales REC, Hoyer H, Stover B, Onufer CCN. The Castillo-Morales therapy in 39 children with Down syndrome. J US Army Med Dep. 1994;8:6-12.
14. Mello CRS, Gugisch RC, Fraiz, FC, Lopes MN. Orofacial regulation therapy in Down Syndrome. Case Report. J Bras Odontoped Odontol Bebê.1998;1(1):34-43.
15. Carneiro VL, Sullcahuamán JAG, Fraiz FC. Utilización de la placa palatina de memoria y desarrollo orofacial en infante con Síndrome de Down. Revista Cubana Estomatología. 2012;49(4):305-11.
16. Matthews-Brzozowska T, Walasz J, Matthews-Kozanecka M, Matthews Z, Kopczynski P. The role of the orthodontist in the early simulating plate rehabilitation of children with Down syndrome. J Med Sci. 2014;2(83):145-51.
17. Walasz J, Matthews-Brzozowska T, Matthews-Kozanecka M, Cudzilo D. Types and positioning of palatal plate stimulation elements in children with down syndrome. Jour of Med Sc & Tech. 2014;3(1):1-6.
18. De la Cruz-Campos SB, Cárdenas-Flores CM. Palatine plate use for improving the closing mouth and tongue position in patients with down syndrome: clinical case report. Revista Científica Odontológica. 2016;4(1):464-70.
19. Padró SMJ, Barraza VE, Brucher SC, Concha TE, Delagado V. Efectividad del uso de placas palatinas y de la estimulación orofacial en el desarrollo oral en niños con síndrome de Down. Rev Chil Pediatr. 2010;81(1):46-52.
20. Limbrock GJ, Fischer-Brandies H, Avalle C. Castillo-Morales' orofacial therapy: treatment of 67 children with Down syndrome. Dev Med Child Neurol. 1991;33(4):296-303.
21. Andrade MER, Calvillo JN, Díaz MAS. Terapia de regulación orofacial mediante la placa Castillo-Morales modificada en el sindrome de Down. Informe preliminar. Rev ADM. 1993;50(2):85-8.
22. Hernández-Antonio A, Sánchez- Sánchez M, Azamar-Cruz E, Díaz-Arellano M, Velásquez-Paz AL, Ángeles-Castellanos M. Regulación orofacial Castillo-Morales y placa palatina modificada en niños con síndrome de Down. Avan C Salud Med. 2015;3(2):40-5.
23. Page MJ, McKenzie JE, Bossuyt PM, Boutron I, Hoffmann TC, Mulrow CD, et al. The PRISMA 2020 statement: an updated guideline for reporting systematic reviews BMJ. 2021;372(71).
24. Carlstedt K, Dahllöf G, Nilsson B, Modéer T. Effect of palatal plate therapy in children with Down syndrome. A 1-year study. Acta Odontol Scand. 1996;54(2):122-5.
25. Hohoff A, Ehmer U. Effects of the Castillo-Morales Stimulating Plate on speech development of children with Down's syndrome - a retrospective study. Orofac Orthop/Fortschr Kieferorthop. 1997;58(6):330-9.
26. Hohoff A, Ehmer U. Short-term and long-term results after early treatment with the Castillo-Morales Stimulating Plate. A longitudinal study. J Orofac Orthop/Fortschr Kieferorthop. 1999;60(1):2-12.
27. Carlstedt K, Henningsson G, McAllister A, Dahllöf G. Long-term effects of palatal plate therapy on oral motor function in children with Down syndrome evaluated by video registration. Acta Odontol Scand. 2001;59(2):63-8.
28. Schuster G, Giese R. Retrospective clinical investigation of the impact of early treatment of children with Down's syndrome according to Castillo-Morales. J Orofac Orthop/Fortschr Kieferorthop. 2001;62(4):255-63.
29. Rincón RR, Jiménez BJ, Duque EO, Chaurra MRC. Evaluation after early maxillary orthopedic stimulation in Down syndrome children. Rev Fac Odontol Univ Antioq. 2002;14(1):45-53.
30. Carlstedt K, Henningsson G, Dahllöf G. A four-year longitudinal study of palatal plate therapy in children with Down Syndrome: effects on oral motor function, articulation and communication preferences. Acta Odontol Scand. 2003;61(1):39-46.
31. Zavaglia V, Nori A, Mansour NM. 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.
32. Bäckman B, Grevér-Sjölander AC, 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;17:19-28.
33. Carlstedt K, Henningsson G, Dahllöf G. A longitudinal study of palatal plate therapy in children with Down syndrome. Effects on oral motor function. J Disabil Oral Health. 2007;8(1):13-9.
Submetido em:
01/09/2021
Aceito em:
18/02/2022
Facebook
Twitter
LinkedIn
Mendeley
Email