Orofacial Development in Children with Down?s Syndrome 12 Years after Early Intervention with a Stimulating Plate

Korbmacher, Heike; Limbrock, Johannes; Kahl‐Nieke, Bärbel

doi:10.1007/s00056-004-0229-y

Cited by 22 publications

(35 citation statements)

References 17 publications

(68 reference statements)

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“…The parents reported that increased muscle tension also continued after the plate had been removed; thus they observed a visible improvement in their child's facial features. This was also confirmed by Krombacher et al [25], who conducted long-term observations of patients with DS who had undergone early orofacial therapy through the use of a palatal plate.…”

Section: Internetsupporting

confidence: 64%

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

Borysewicz−Lewicka¹,

Cudziło²,

Walasz³

et al. 2015

Adv Clin Exp Med

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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. Conclusions. Early orthodontic palatal plate therapy ought to be an integral part of the multidisciplinary rehabilitation of patients with DS (Adv Clin Exp Med 2015, 24, 2, 301-305).

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Section: Internetsupporting

confidence: 64%

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

Borysewicz−Lewicka¹,

Cudziło²,

Walasz³

et al. 2015

Adv Clin Exp Med

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“…Underdevelopment of the midface bones is common, causing a shortened palate in the anteroposterior dimension [6][7][8].…”

Section: Introductionmentioning

confidence: 99%

Comparative Study of the Prevalence of Occlusal Anomalies in Down Syndrome Children and Their Siblings

Macho

Andrade

Areias

et al. 2014

BJMMR

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Aims: The aim of this study was to characterize occlusal anomalies in a Portuguese population with Down Syndrome (DS) and to compare its distribution with that of their siblings. Study Design: A sibling-matched, population-based and cross-sectional survey was performed. Methodology: This study involved 132 children with DS and 84 of their siblings, aged 2 to 26 years. Data were gathered through the use of a complete questionnaire and clinical observation. Data analysis was performed by using SPSS® v.20.0 and any p-value <.05 was considered significant. Results: Seventy six percent of the DS children and 72% of their siblings showed class I of Angle. There were no statistically significant differences between both groups regarding class I (P=.60). Only 4% of the DS children presented class II versus 22% of the siblings (P=.001). Twenty percent of the DS children and 6% of the siblings presented class III (P=.008). The DS group presented occlusal anomalies more frequently, especially posterior crossbite (P<.001), anterior open bite (P=.005) and Original Research ArticleBritish Journal of Medicine & Medical Research, 4(35): 5604-5611, 2014 5605 anterior crossbite (P=.001). Deep overbite was only found in the siblings group (P=.001). Conclusions:The results of this study suggest that children with Down syndrome have more occlusal anomalies than general population.

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“…2,14,19,20 Muscle hypotonia associated with a reduced volume of the oral cavity and characterized by a deep, atresic palate may lead to a tendency toward habitually projecting the tongue against the teeth or outside the mouth. 5,18,21 Abnormal function and the position of the tongue can affect tooth eruption causing anterior open bite, tooth alignment, and the arch shape. 12,22 However, these variables were not assessed in the present study.…”

Section: Discussionmentioning

confidence: 99%

“…1,2,3 Patients with this syndrome exhibit cognitive impairment as well as bone growth disorders and generalized muscle hypotonia. 4,5 Moreover, oral health problems, such as inadequate oral hygiene, periodontal disease, caries, malocclusion, and tooth loss, are more prevalent in this group of individuals than in the general population. 6,7,8,9 Malocclusion, in particular, exerts a considerable negative impact on the quality of life, causing problems related to the performance of daily activities, such as speech, swallowing, and chewing, and discrimination based on physical appearance.…”

Section: Introductionmentioning

confidence: 99%

“…Many studies have failed to address certain individual, social, and behavioral aspects, such as age, birth weight, a history of premature birth, breathing pattern, and facial type. 5,14,15 Moreover, methodological limitations, including insufficient sample size, inadequate data acquisition instruments, study designs with various sources of bias, and the use of only descriptive and comparative statistical analyses, have been encountered in the past. Thus, studies that can provide evidence with greater scientific weightage are of particular importance for the development of public policies aimed at preventive strategies and oral health promotion.…”

Section: Introductionmentioning

confidence: 99%

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Down syndrome: a risk factor for malocclusion severity?

et al. 2015

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The aims of the present study were to compare aspects related to malocclusion between individuals with Down syndrome (DS) and a control group, establish malocclusion severity, and identify determinant factors. A total of 120 individuals (60 with DS and 60 with no physical or mental impairment), were included in the study. Data were collected through interviews, analyses of the medical charts, and oral examinations. The criteria of the Dental Aesthetic Index were used for the diagnosis of malocclusion. Chi-square test (p ≤ 0.05) and multivariate logistic regression were used for comparisons between the two groups and to determine the association between the dependent (malocclusion severity) and independent variables. Statistically significant differences were found between the two groups for the following variables: missing teeth, diastema, overjet, mandibular protrusion, anterior open bite, posterior crossbite, facial type, lip incompetence, and Angle classification. DS, a history of premature birth, and long face pattern were found to be associated with malocclusion severity. Individuals with DS exhibited more occlusal problems than those in the control group.

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Orofacial Development in Children with Down?s Syndrome 12 Years after Early Intervention with a Stimulating Plate

Cited by 22 publications

References 17 publications

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

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

Comparative Study of the Prevalence of Occlusal Anomalies in Down Syndrome Children and Their Siblings

Down syndrome: a risk factor for malocclusion severity?

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