Influence of age and time of use of the Stimulating Palatal Plate by children with Trisomy 21 on orofacial myofunctional changes perceived by parents, children’s adaptation, and family’s satisfaction after four months of treatment

Authors

DOI:

https://doi.org/10.23925/2176-2724.2023v35i2e55472

Keywords:

Down Syndrome, Child, Treatment Adherence and Compliance, Rehabilitation, Orthotic Devices

Abstract

Purpose: to verify if the age of children with Trisomy 21 and the time of use per day of the stimulating palatal plate influence the child’s adaptation to the plate, the orofacial myofunctional changes perceived by the parents, and the family’s satisfaction, after four months of treatment. Methods: 14 parents or legal guardians of children with Trisomy 21, aged between 3 and 20 months, participated in the study. Treatment with the stimulating palatal plate was carried out for four months. The child’s adaptation to the plate, the orofacial myofunctional changes perceived by the parents, and the families’ satisfaction with the treatment were investigated through a questionnaire prepared by the research authors and answered by the mothers after four months of treatment. Results: The mean age of the children who participated in the study was 10 months and the standard deviation was 4.9 months. The results of the questionnaire indicated an association between age and lip posture, reported by parents, during the use of the stimulating palatal plate, and all children under 10 months maintained lip closure, according to the parents, during the use of the plate. Age was also associated with satisfaction with the service, as the mothers of younger children were more satisfied. Conclusion: The study results indicate an association between age and lip posture, reported by the parents, during the use of the plate, and between age and satisfaction with the service. Thus, it suggests that early treatment with the stimulating palatal plate benefits children with Trisomy 21.

Downloads

Download data is not yet available.

Metrics

Metrics Loading ...

References

Sherman SL, Allen EG, Bean LH, Freeman SB. Epidemiology of Down syndrome. Ment Retard Dev Disabil Res Rev. 2007; 13(3): 221-7.

Brasil. Ministério da Saúde. “Não deixe ninguém para trás”: Dia Internacional da Síndrome de Down 2019. 2019. In: http://bvsms.saude.gov.br/ultimas-noticias/2916-nao-deixe-ninguem-para-tras-dia-internacional-da-sindrome-de-down-2020

Hernández-Antonio A, Manuel SS, Erick AC, Maribel DA, Luis VP, Manuel ÁC. Regulación orofacial Castillo-Morales y placa palatina modificada en niños con síndrome de Down. Avan C Salud Med. 2015; 3(2): 40-5.

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 Science. 2014; 83(2): 145-51.

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. Odontoestomatología. 2019; 21(34): 46-55.

Matthews-Brzozowska T, Cudziło 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.

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.

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.

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.

Limbrock GJ, Castillo-Morales R, Hoyer H, Stöver B, Onufer CN. The Castillo-Morales approach to orofacial pathology in Down syndrome. Int J Orofacial Myol. 1993; 19: 30-7.

Morales RC. Terapia de regulación orofacial. São Paulo: Memnon; 2002. 195 p.

Javed F, Akram Z, Barillas AP, Kellesarian SV, Ahmed HB, Khan J, Almas K. 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.

Bäckman B, Grevér-Sjolander 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(1): 19-28.

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.

Tanigute CC. Desenvolvimento das funções estomatognáticas. In: Marchesan IQ. Fundamentos em Fonoaudiologia – Aspectos clínicos da Motricidade Orofacial. Rio de Janeiro: Guanabara Koogan; 1998. p. 1-6.

Alacam A, Kolcuoğlu N. Effects of two types of appliances on orofacial dysfunctions of disabled children. Brit J Dev Disabil. 2007; 53(105): 111-23.

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. 2001; 62(4): 255-63.

Hoyer H, Limbrock GJ. Orofacial regulation therapy in children with Down syndrome, using the methods and appliances of Castillo-Morales. ASDC J Dent child. 1990; 57(6): 442-4.

Hohoff A, Ehmer U. Short-term and long-term results after early treatment with the Castillo Morales stimulating plate. J Orofac Orthop. 1999; 60(1): 2-12.

De la Cruz-Campos S, Cárdenas-Flores CM. Uso de placas palatinas para mejorar el cierre bucal y la posición lingual en pacientes con síndrome de Down: relato de caso clínico. Rev Cient Odontol. 2016; 4(1): 464-70.

Carneiro VL, Sullcahuamán JA, Fraiz FC. Utilización de la placa palatina de memoria y desarrollo orofacial en infante con Síndrome de Down. Rev Cubana Estomatol. 2012; 49(4): 305-11.

Sixou JL, Vernusset N, Daigneau A, Watine D, Marin L. Orofacial therapy in infants with Down syndrome. J Dentofac Anom Orthod. 2017; 20(1): 108

Carvalho TM, Paulin RF. A importância da ortodontia preventiva em síndrome de down. Rev Ciên Odontol. 2020 30; 4(1): 14-21.

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. 2004; 28(1): 89-93.

Rahal A. Exercícios miofuncionais orofaciais. In: Motta AR, Furlan RMMM, Tessitore A, Cunha DA, Berretin-Felix G, Silva HJ, et al. Motricidade Orofacial – a atuação nos diferentes níveis de atenção à saúde. São José dos Campos, SP: Pulso Editorial, 2017. pp. 71-5.

Published

2023-08-02

How to Cite

Almeida, B. R. S. de, Ferreira, J. E. de A., Almeida, T. D. D., Pretti , H. ., & Furlan, R. M. M. M. (2023). Influence of age and time of use of the Stimulating Palatal Plate by children with Trisomy 21 on orofacial myofunctional changes perceived by parents, children’s adaptation, and family’s satisfaction after four months of treatment. Distúrbios Da Comunicação, 35(2), e55472. https://doi.org/10.23925/2176-2724.2023v35i2e55472

Issue

Section

Artigos