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https://revistacefac.org.br/article/doi/10.1590/1982-0216/20242653424
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The therapeutic effects of a modified palatal memory plate on oral motor function in children with Trisomy 21 at age 3 and 4 years: Case Reports

Natasha Ferreira Roltenver do Nascimento; Lara Aparecida Peron Lopes; Aelyzza Antonio Simas; Pedro Lima; Flávio Warol; Arkadiusz Dziedzic; Daiana Barrozo dos Reis; Márcio José da Silva Moreira; Bruna Lavinas Sayed Picciani

http://dx.doi.org/10.1590/1982-0216/20242653424 Revista CEFAC, vol.26, n5, e3424, 2024
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Abstract

People with Trisomy 21 (T21) have generalized hypotonia, also manifesting in oral structures. The palatal memory plate (PMP) is a removable appliance to improve tongue and lip posture. The evidence of research elucidates an improvement in oral motor function in children with T21 up to the age of 2 who received PMP-based therapy, with only limited, scanty reports in the literature concerning older children. Therefore, the aim of this study is to evaluate the effects of modified PMP on an oral motor function in patients over 2 years old. Two patients with T21, aged 4 and 3, with absence of lip seal and tongue malposition, were subjected to PMP-based therapy for 6 months. The patients were evaluated for an extra and intra oral exam; their parents answered a questionnaire about their children's habitual tongue and lip position. Two-minute footage to record orofacial motor functions was performed monthly, during follow-up appointments to assess the changes. The substantial improvement of tongue and lip posture was observed after 6 months of plate regular use. PMP has proved to be clinically effective in children over 2 years old, presented with T21, leading to improvement of lip and tongue posture, observed by parents and professionals.

Keywords

Down Syndrome; Muscle Hypotonia; Orthotic Devices; Myofunctional Therapy; Facial Muscles

Referências

1. Cheryl BH, Staci AS. Down syndrome: A review of key perioperative implications. AORN J. 2022;116(1):4-20. https://doi.org/210.1002/aorn.13712 PMID: 35758744.

2. Macho V, Coelho V, Areias C, Macedo P, Andrade D. Craniofacial features and specific oral characteristics of Down syndrome children. Oral Health Dent Manag. 2014;13(2):408-11. PMID: 24984656.

3. Korbmarcher HM, Limbrock JG, Kahl-Nieke B. Long-term evaluation of orofacial function in children with Down syndrome after treatment with a stimulating plate according to Castillo Morales. J Clin Pediatr Dent. 2006;30(4):325-8. https://doi.org/10.17796/jcpd.30.4.60q6841412763771 PMID: 16937860.

4. 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. https://dooi.org/10.17219/acem/112785 PMID: 31778604.

5. Castillo-Morales R, Brondo J, Hoyer H, Limbrock JG. Treatment of chewing, swallowing and speech defects in handicapped children with Castillo-Morales orofacial regulator therapy: Advice for pediatricians and dentists. Zahnarztl Mitt.1985;75(9):935-42. PMID: 2931921.

6. Matthews-Brzozowska T, Cudzilo D, Walasz J, Kawala B. Rehabilitation of the orofacial complex by means of a stimulating plate in children with Down syndrome. Adv Clin Exp Med. 2015;24(2):301-5. PMID: 25931364.

7. Furlan RM, Almeida TDD, Pretti H. 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. Rev. CEFAC. 2022;24(2):1-11. https://doi.org/10.1590/1982-0216/20222427021

8. Ferreira JEA, Almeida BRS, Deps TD, Pretti H, Furlan RMMM. Orofacial myofunctional therapy associated with the use of the stimulating palatal plate in children with trisomy 21: Case studies. CoDAS. 2023;35(5):e20210231. https://doi.org/10.1590/2317-1782/20232021231pt PMID: 37672408.

9. Javed F, Akram Z, Barillas AB, 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. https://doi.org/10.1111/ocr.12211 PMID: 29232055.

10. Gagnier JJ, Kienle G, Altman DG, Moher D, Sox H, Riley D. The CARE guidelines: consensus-based clinical case reporting guideline development. BMJ Case Rep. 2013;2013:bcr2013201554. PMID: 24155002.

11. Hashimoto M, Igari K, Hanawa S, Ito A, Takahashi A, Ishida N et al. Tongue pressure during swallowing in adults with Down syndrome and its relationship with palatal morphology. Dysphagia. 2014;29(4):509-18. https://doi.org/10.1007/s00455-014-9538-5 PMID: 24844770.

12. 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.

13. 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. 1999;60(1):2-12. https://doi.org/10.1007/BF01358711 PMID: 10028784.

14. De la Cruz Campos S, Cárdenas Flores CM. Palatine plate use for improving the closing mouth and tongue position in patients with Down syndrome: Clinical case report. Rev Cient Odonto. 2016;4(1):464-70. http://dx.doi.org/10.21142/2523-2754-0401-2016-464-470

15. Militi A, Nucera R, Chirieleison G, Fiorillo L, Cervino G, Portelli M. Down syndrome children with obstructive sleep apnea. Minerva Dent Oral Sci. 2022;71(5):287-92. https://doi.org/10.23736/S2724-6329.22.04630-7 PMID: 36321622.

16. Díaz-Quevedo AA, Castillo-Quispe HML, Atoche-Socola KJ, Arriola-Guillén LE. Evaluation of the craniofacial and oral characteristics of individuals with Down syndrome: A review of the literature. J Stomatol Oral Maxillofac Surg. 2021;122(6):583-7. https://doi.org/10.1016/j.jormas.2021.01.007 PMID: 33484855.

17. Sixou JL, Vernusset N, Daigneau A. Orofacial therapy in infants with Down syndrome. J Dentofacial Anom Orthod. 2017;20(1):108. https://doi.org/10.1051/odfen/2016038

18. 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. https://doi.org/10.1111/j.1469-8749.1991.tb14880.x

19. Hohoff A, Ehmer U. Effects of the Castillo-Morales Stimulating Plateon speech development of children with Down's Syndrome - A retrospective study. J Orofac Orthop. 1997;58:330-9. https://doi.org/10.1007/BF02682673 PMID: 9433052.

20. Vergara PV, Figueroa FR, Hidalgo GS, Flores MAP, Monti CF. Tratamiento temprano de alteraciones orofaciales con fisioterapia y placa palatina en niños con síndrome de Down. Odontoestomatologia. 2019;21(34):46-55. https://doi.org/10.22592/ode2019n34a6
 

Submetido em:
02/04/2024

Aceito em:
30/07/2024

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