Attempts and challenges: experiences with palatal memory plate utilization in children with Down Syndrome – A case report study

Palatal Memory Plate in Down Syndrome children: case report

Authors

  • Isabela Afonso Doro Faculdade de Odontologia, Universidade Federal de Juiz de Fora https://orcid.org/0009-0009-3701-1620
  • Laís Canêdo Martins Faculdade de Odontologia, Universidade Federal de Juiz de Fora https://orcid.org/0000-0002-3194-2768
  • Fernanda Campos Machado Departamento de Odontologia Social e Infantil, Universidade Federal de Juiz de Fora https://orcid.org/0000-0002-7138-2670
  • Camila Faria Carrada Faculdade de Ciências Médicas e da Saúde de Juiz de For a – SUPREMA
  • Flávia Almeida Ribeiro Scalioni Departamento de Odontologia Social e Infantil, Universidade Federal de Juiz de Fora https://orcid.org/0000-0002-0552-0414

DOI:

https://doi.org/10.34019/1982-8047.2024.v50.44408

Keywords:

Down Syndrome, Infant, Dental Care

Abstract

Down syndrome (DS) causes intellectual disability and craniofacial changes due to chromosomal alterations. The Palatal Memory Plate (PPM) is an effective preventive measure for orofacial hypotonicity in DS children. Involving dentists and speech therapists, this multidisciplinary treatment addresses issues like hypotonic tongue, diastasis, and tongue protrusion. The study evaluates PPM use in two DS children: a 3-month-old female with no erupted teeth and a 2-year-old female with erupted teeth. After receiving professional instructions on the use, benefits, and implications of the PPM, the participants underwent digital scanning for the fabrication of the device. Mothers were guided on how to place, remove, and the recommended frequency and duration for daily use of the PPM. Throughout the monitoring period, it was found that the participants were unable to fully adhere to the recommended protocol for PPM use, due to a variety of individual factors such as difficulties in adapting to the device, personal commitments of the families, children's health problems, and the absence of a multidisciplinary team involved in the treatment, which limited the achievement of effective results. Despite deviations from the prescribed protocol, the study emphasizes the need for individual adaptations and multidisciplinary teamwork. Parte superior do formulário

Tailoring interventions to unique patient need in DS orofacial management is crucial for comprehensive and effective care. Additionally, recognizing family challenges also aids healthcare professionals in devising strategies for a more positive experience.

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References

Faria FG, Lauria RA, Bittencourt MAV. Dental and skeletal characteristics of patients with Down Syndrome. Rev Gaúcha Odontol. 2013; 61(1):121-6.

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. doi: 10.22592/ode2019n34a6

Scalioni FAR, Carrada CF, Tavares MC, Abreu LG, Ribeiro RA, Paiva SM. Oral health characteristics in children and adolescents with Down syndrome. Spec Care Dentist. 2024; 44(2):542-549. doi: 10.1111/scd.12883

Mubayrik AB. The dental needs and treatment of patients with Down syndrome. Dent Clin North Am. 2016; 60(3):613-26. 10.1016/j.cden.2016.02.003

Santoro JD, Pagarkar D, Chu DT, Rosso M, Paulsen KC, Levitt P et al. Neurologic complications of Down syndrome: a systematic review. J Neurol. 2021; 268(12):4495-509. doi: 10.1007/s00415-020-10179-w

Campos DCSB, Flores C. M. 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):464-79.

Padró SMJ, Barraza VE, Brücher SC, Concha TE, Delgado 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. doi: 10.4067/S0370-41062010000100006

Furlan RMMM, 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). doi: 10.1590/1982-0216/20222427021

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. doi: 10.1007/BF01358711

Carrada CF, Scalioni FAR, Abreu LG, Ribeiro RA, Paiva SM. Impact of oral conditions of children/adolescents with Down syndrome on their families' quality of life. Spec Care Dentist. 2020; 40(2):175-83.

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):20-26.

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. doi: 10.17219/acem/40451

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(1):19-28. doi: 10.1111/j.1365-263X.2006.00781.x

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. doi: 10.1080/ode.61.1.39.46

Zavaglia V, Nori A, Mansour, N. Long term effects of the palatal plate therapy for the orofacial regulation in children with Down syndrome. Journal of Clinical Pediatric Dentistry. 2004; 28(1):89-93. doi: 10.17796/jcpd.28.1.buq243j955771h48

Carlstedt K, Henningsson G, Dahllof G. A longitudinal study of palatal plate therapy in children with down syndrome. Effects on motor function. J Disabil Oral Health. 2007; 8:13.

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. doi: 10.1590/2317-1782/20232021231pt

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

Korbmacher H, Limbrock J, Kahl-Nieke B. Orofacial development in children with Down's syndrome 12 years after early intervention with a stimulating plate. J Orofac Orthop. 2004; 65(1):60-73. doi: 10.1007/s00056-004-0229-y

Carneiro VL, Sullcahuamán JAG, 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.

Faria Carrada C, Almeida Ribeiro Scalioni F, Abreu LG, Borges-Oliveira AC, Ribeiro RA, Paiva SM. Caregivers' perception of oral health-related quality of life of individuals with Down syndrome. J Dent Child (Chic). 2020; 87(3):132-40.

Scalioni F, Carrada CF, Abreu L, Ribeiro RA, Paiva SM. Perception of parents/caregivers on the oral health of children/adolescents with Down syndrome. Spec Care Dentist. 2018; 38(6):382-390. doi: 10.1111/scd.12321

Published

2024-07-09

How to Cite

1.
Doro IA, Martins LC, Machado FC, Carrada CF, Scalioni FAR. Attempts and challenges: experiences with palatal memory plate utilization in children with Down Syndrome – A case report study: Palatal Memory Plate in Down Syndrome children: case report. HU Rev [Internet]. 2024Jul.9 [cited 2024Nov.21];50:1-5. Available from: https://periodicos.ufjf.br/index.php/hurevista/article/view/44408

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