The role of the orthodontist in the early simulating plate rehabilitation of children with Down syndrome

Teresa Matthews-Brzozowska, Jolanta Walasz, Maja Matthews-Kozanecka, Zofia Matthews, Przemysław Kopczyński

Abstract


Introduction. Abnormalities in the oro-facial complex in children with Down syndrome can be corrected through oro-facial therapy which makes use of a palatal plate.
Aim. The aim of this study was to present the therapeutic effects of orthodontic palatal plate therapy in children with Down syndrome.
Material and methods. The study was conducted on 50 children with Down syndrome between the ages of 3 months and 2 years who were treated by means of stimulating plate therapy a period of two years.
Results. The study found that in 50% children with Down syndrome who underwent palatal plate oro-facial rehabilitation there was a visual improvement of the mimetic muscles, tongue retraction as well as lip closure.
Conclusions. The care by orthodontist and early palatal plate therapy ought to constitute an integral part of the comprehensive multidisciplinary rehabilitation of children with Down syndrome.

Keywords


Down syndrome; oro-facial rehabilitation; stimulating palatal plate

Full Text:

PDF

References


Neuhauser M, Krackow S. Adaptive-filtering of trisomy 21: risk of Down syndrome depends on family size and age of previous child. Naturwissenschaften. 2007;2:117–21.

Pietrzak P, Kowalska E. Możliwości leczenia ortodontyczno-ortopedycznego pacjentów z zespołem Downa na podstawie piśmiennictwa i obserwacji własnych. Pediatr Pol. 2012;626–32.

Kucharczyk M, Goryluk-Kozakiewicz B, Kuguado M, Gutowska A, Borucka-Mankiewicz M, Krajewska-Walasek M. Prenatal detection using MLPA method of a de novo translocation Down syndrome in a male foetus. Fac Univ Palacky Olomouc Czech Repub. 2012;156(Supl. 2):101–16.

Roizen NJ, Patterson D. Down's syndrome. Lancet. 2003; 361:1281–9.

Hennequin M, Veyrune JL, Bourdiol P. Signitificance of oral health in person with Down syndrome. Dev Med Child Neurol. 1999;41:275–83.

Matthews-Brzozowska T, Nęcka A. Zaburzenia czynnościowe w układzie stomatognatycznym u pacjentów z zespołem Downa. Ann UMCS. 2007;62(18):408–21.

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):489–98.

Lopez-Perez RS, Borges-Yanez A, Lopez-Morales P. Anterior open bite and speech disorders in children with Down syndrome. Angle Orthod. 2008;78:221–7.

Faulks D, Mazille MN, Veyrune JL, Hennequin M. Masticatory dysfunction in persons with Down's syndrome. J Oral Rehabil. 2008;35(11):863–9.

Nęcka A, Regner A, Matthews-Brzozowska T. Ustno-twarzowa terapia regulacyjna (Uttr) według koncepcji Castillo-Moralesa. Dent Med Probl. 2004;41(3):537–42.

Castillo-Morales R. Die orofaziale Regulationstherapie. Kommunikation. Plafum Verlag Munchen. 1992;44–6.

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; 19:30–7.

Pecyna MB, Sadowska L. Ocena psychofizjologiczna dzieci z zespołem Downa stymulowanych od urodzenia metodą odruchowej lokomocji. Zdr Publ. 2000(6): 205–10.

Korbmacher H, Schwan M, Berndsen S, Bull J, Kahl-Nieke B. Evaluation of a new concept of myofunctional therapy in children. Int J Orofacial Myology. 2004;30:39–52.

Jung M, Nahm D, Yang W. Effects of upper lip closing force on craniofacial structures. Am Orthod Dentofacial Orthop. 2003;123:58–63.

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.

Jamroszczyk K, Górniak D, Lipski M, Buczkowska-Radlińska J, Trusewicz M. Postępowanie z pacjentami upośledzonymi umysłowo i dotkniętymi wrodzonymi wadami rozwojowymi w czasie leczenia ortodontycznego. Ann Acad Med Stetin. 2008;54(1):112–7.

Klotzka A, Trojnarska O. Leczenie wrodzonych wad serca u pacjentów z zespołem Downa. Pol Prz Kardiol. 2009; 11(4):292–5.

Schuster G, Giese R. Retrospective clinical investigation of the impact of early treatment of children with Down syndrome according to Castillo-Morales. J Ortofac Orthop. 2001;62(4):255–63.

Fischer-Brandies H, et al. Early treatment of orofacial pathology in Down's syndrome. Monatsschr Kindereheilkd. 1984;132:620–1.

Hohoff A, Ehmer M. Kurzzeit und Stimulationsplatte nach Castillo-Morales. J Orofac Orthop. 1999;60:2–12.

Radwańska E, Żmuda-Stawowiak D. Rehabilitacja układu stomatognatycznego u dzieci z zespołem Downa. Mag Stomat. 2000;4:58–60.

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.

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.

Fischer-Brandies H, Avalle C. Die Auswirkung der systematischen kieferortopadischen Frunhebandlung bei Trisomie 21. Fortschr Kieferort. 1988;(49):695–703.

Matthews-Brzozowska T, Walasz J, Matthews Z. Zespół Downa – Wczesna terapia płytka stymulacyjną Castillo- -Moralesa. Now Lekare. 2009;3–4(78):253–5.

Bäckman B, Grever-Sjolander AC, Holm AK, Johansson I. Children with Down syndrome: oral development and morphology after use of palatal plates between 6 and 18 months of age. Int J Pediatr Dent. 2003;13:327–35.

Sitarska-Haber A, Jędrzejowski A. Świadoma zgoda uczestnika na udział w badaniu klinicznym – co badacz wiedzieć powinien. Stand Med, Pediatr. 2012;9:233–41.


Refbacks

  • There are currently no refbacks.


Copyright (c) 2016 Journal of Medical Science

Copyright 2018 by Journal of Medical Sciences