Palatal Therapy in A Child with Down Syndrome: Case
Report
Volume 6 - Issue 1
Couto Thaynara1, Steil Vitória Maria1, Dallanora Andressa Franceschi2, De Dea Eliza Bruna3, Garrastazu, Marta4,
Dallanora Léa Maria Franceschi5, Rafaela Sofia Kandler5 and Elvis Ribeiro Junior5
- 1Undergraduate Students, Department of Dentistry, University of the West of Santa Catarina, Brazil
- 2Specialist Professor in Orthodontics, University of the West of Santa Catarina, Brazil
- 3PhD Professor in Pediatric Dentistry, Master in Dentistry and Professor of Special Patients, University of the West of Santa Catarina, Brazil
- 4PhD Professor in Pediatric Dentistry, Brazil
- 5Master Professor in Orthodontics, Specialist in Pediatric Dentistry, University of the West of Santa Catarina, Brazil
Received:April 22, 2021 Published: May 06, 2021
*Corresponding author:Dallanora Léa Maria Franceschi, Master Professor in Orthodontics, Specialist in Pediatric Dentistry, University
of the West of Santa Catarina, Brazil
DOI: 10.32474/IPDOAJ.2021.06.000230
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Abstract
Down syndrome (DS) or chromosome 21 trisomy is a genetically provided human condition, it is a more common chromosomal
alteration in humans. The presence of the extra chromosome in the genetic makeup determines specific physical characteristics in
the oral cavity, such as orofacial muscle hypotonia and lingual protrusion. The aim of this paper is to describe the clinical case of
M.S patient, 11 months old, with Down syndrome, admitted to the children’s clinic of UNOESC, accompanied by her mother. In the
clinical dental examination, the patient presents with Atresic palate, hypotonia and lingual protrusion, in addition to insufficient lip
sealing, with indication for the use of the palatal memory plate (PPM) or Castillo Morales, a device indicated for those associated
with functional diagnosis of hypotonia, with lingual protrusion, labial hypotonia, open mouth and craniofacial malformation. PPM
promotes neuromuscular balance of the face and neck, and consequently affects the movements of the head and body, has the
function of stimulating the tongue and upper lip and the development of nasal breathing. The treatment sequence followed the
molding steps, making the model and, from there, the base plate was made in acrylic resin with extension, for adaptation in the
child’s pacifier. After making the retentions on the lateral edges to stimulate the musculature of the mucosa and upper lip, the
device was polished and adapted to the baby. It is intended that the device cause lingual retraction to the oral cavity, movements of
stimulation of the lips and lip sealing. The recommended time for the child to use the device initially is five to ten minutes twice or
three times a day, and as the child adapts to the device, the time of use increases.
Keywords: Pediatric dentistry; patients with special needs; jaw orthopedics
Abbreviations: DS: Down Syndrome; PPM: Palatal Memory Plate DS: Down Syndrome; PPM: Palatal Memory Plate
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Introduction|
Case Report|
Final Considerations|
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