Palavras-chave
síndrome de down, má oclusão, modalidades fisioterapêuticas
Como Citar
Tratamiento temprano de alteraciones orofaciales con fisioterapia y placa palatina en niños con síndrome de Down. (2019). Odontoestomatología, 21(34), 46-55. https://doi.org/10.22592/ode2019n34a6
Resumo
A síndrome de Down (SD) ou a trissomia do cromossomo 21, é a anomalia congênita autossômica mais frequente, com prevalência global de 1 / 1.000, no Chile de 2.5 / 1.000 nascidos vivos. Devido aos distúrbios de crescimento, desenvolvimento e hipotonia muscular, as pessoas com SD apresentam boca aberta com grande salivação, lábio inferior evertido, elevação do lábio superior inativo e ângulo da boca mais baixo. Objetivo: Avaliar a literatura sobre o tratamento precoce dos distúrbios orofaciais em crianças com SD para prevenilas ou minimizá-las. Método: Pesquisa na base de dados PubMed e Scielo, sem discriminar ano de publicação, idioma: inglês-espanhol, selecionando 26 artigos. Resultados: Existem mudanças positivas na função motora orofacial, observando-se grandes alterações nos casos mais graves. Conclusões: Uma criança com SD se beneficia do tratamento precoce, mas faltam estudos comparáveis em termos de duração, idade e tipo de terapia.
Referências
1. Desai S. Down syndrome: A review of the literature. Oral Surg Oral Med Oral Pathol Oral Radiol Endod.1997; 84 (3): 279-285. 2. Van Marrewijk DJ, Van Stiphout MA, Reuland-Bosma W, Bronkhorst EM, Ongkosuwito EM. The relationship between craniofacial development and hypodontia in patients with Down syndrome. Eur J Orthod. 2016; 38 (2): 178-83. 3. Nazer J, Cifuentes L. Estudio epidemiológico global del síndrome de Down. Rev Chil Pediatr. 2011; 82 (2): 105-112. 4. Matthews-Brzozowska T, Cudzilo D, Walasz J. Rehabilitation of the Orofacial Complex by Means of a Stimulating Plate in Children with Down Syndrome. Adv Clin Exp Med. 2015; 24 (2): 301–305. 5. Roizen N, Patterson D. Down’s Syndrome: Seminar. Lancet. 2003; 361: 1281-89. 6. Marques LS, Alcântara CEP, Pereira LJ, Ramos-Jorge M. Down syndrome: a risk factor for malocclusion severity?. Braz Oral Res [online]. 2015; 29 (1): 1-7. 7. Shukla D, Bablani D, Chowdhry A, Thapar R, Gupta P, Mishra S. Dentofacial and Cranial Changes in Down Syndrome. Osong Public Health Res Perspect. 2014; 5 (6):339-344. 8. Morales M, Naukart Z. Prevalencia de maloclusiones en pacientes con Síndrome de Down. Oral. 2009; 10 (32): 537-539. 9. Bauer D, Evans CA, BeGole EA, Salzmann L. Severity of Occlusal Disharmonies in Down Syndrome. Int J Dent. 2012; 2012:1-6. 10. Suri S, Tompson B, Cornfoot L. Cranial base, maxillary and mandibular morphology in Down syndrome. Angle Orthod. 2010; 80 (5): 861-869. 11. Allareddy V, Ching N, Macklin EA, Voelz L, Weintraub G, Davidson E, Prock L, Rosen D, Brunn R, Skotko B. Craniofacial features as assessed by lateral cephalometric measurements in children with Down syndrome. Prog Orthod. 2016; 17 (1): 1-12. 12. Alió J, Lorenzo J, Iglesias M, Manso F, Ramírez E. Longitudinal maxillary growth in Down Syndrome patients. Angle Orthod. 2011; 81 (2): 252-259. 13. López-Pérez R, Borges-Yáñez SA, López-Morales P. Anterior Open Bite and Speech Disorders in Children with Down Syndrome. Angle Orthod. 2008; 78 (2): 221-227. 14. Oliveira AC, Paiva SM, Campos MR, Czeresnia D. Factors associated with malocclusions in children and adolescents with Down syndrome. Am J Orthod Dentofacial Orthop. 2008; 133: 489.e1-489.e8. 15. Limbrock GJ, Fischer-Brandies H. Avalle C. Castillo Morales Orofacial Therapy: Treatment of 67 Children With Down Syndrome. Dev Med Child Neurol. 1991; 33: 296-303. 16. Chad L. Critical Review: What are the effects of palatal plate therapy on orofacial features and speech in children with Down syndrome?. [M.Cl.Sc SLP Candidate]. University of Western Ontario: School of Communication Sciences and Disorders. 2013. 17. 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: 20–26. 18. Hohoff A, Ehmer U. Short-Term and LongTerm Results after Early Treatment with the Castillo Morales Stimulating Plate. J Orofac Orthop. 1999; 60 (1): 2-12. 19. 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: 255-263.
20. Carlstedt K, Henningson G, Dallöf G. A fouryear 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: 39-46. 21. Carlstedt K, Henningson G, McAllister A, Dahllöf G. Long-term effects of palatal plate therapy on oral motor function in children with Down syndrome evaluated by video registration. Acta Odontol Scand. 2001; 59 (2): 63-68. 22. Carlstedt K, Dallöf G, Nilsson B, Modeer T. Effect of palatal plate therapy in children with Down syndrome A 1-year study. Acta Odontol Scand. 1996; 54 (2): 122-125. 23. 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: 60-73. 24. 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: 19-28. 25. Padró MJ, Barraza E, Brücher C, Concha E, 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. 26. Carneiro V, Gonzales J, Fraiz F. Utilización de la placa palatina de memoria y desarrollo orofacial en infante con Síndrome de Down. Rev Cubana Estomatol. 2012; 49 (4): 305-311.
20. Carlstedt K, Henningson G, Dallöf G. A fouryear 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: 39-46. 21. Carlstedt K, Henningson G, McAllister A, Dahllöf G. Long-term effects of palatal plate therapy on oral motor function in children with Down syndrome evaluated by video registration. Acta Odontol Scand. 2001; 59 (2): 63-68. 22. Carlstedt K, Dallöf G, Nilsson B, Modeer T. Effect of palatal plate therapy in children with Down syndrome A 1-year study. Acta Odontol Scand. 1996; 54 (2): 122-125. 23. 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: 60-73. 24. 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: 19-28. 25. Padró MJ, Barraza E, Brücher C, Concha E, 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. 26. Carneiro V, Gonzales J, Fraiz F. Utilización de la placa palatina de memoria y desarrollo orofacial en infante con Síndrome de Down. Rev Cubana Estomatol. 2012; 49 (4): 305-311.