Children with Down syndrome:: oral development and morphology after use of palatal plates between 6 and 48 months of age
Children with Down syndrome:: oral development and morphology after use of palatal plates between 6 and 48 months of age
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DOI：
10.1111/j.1365-263x.2006.00781.x
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发表时间：
2007-01-01
影响因子：
3.8
通讯作者：
Johansson, Irene
中科院分区：
文献类型：
--
作者：
Backman, Birgitta;Grever-Sjolander, Ann-Christin;Johansson, Irene
目标。本研究的目的是描述48个月至6个月大的唐氏综合征(DS)患儿的萌出牙数量、吮吸习惯、舌头形态、面部表情和言语。这项研究采取了一项多中心、多学科、纵向研究的形式，对6个月大的DS儿童进行跟踪调查。共纳入37例DS儿童。一名儿童根本不能合作，被排除在评估之外。结合言语和语言治疗师提供的言语和语言干预，这些儿童从6个月大开始就使用牙医提供的腭板。在评估中，样本中的儿童(n=36)与两个年龄相近的对照组进行比较：从未使用过腭板的DS儿童组(n=31)和发育正常的儿童组(n=36)。校准后由牙科医生对口腔参数进行评估。面部表情和言语的登记由一名言语和语言治疗师完成，评估由两名言语和语言治疗师和一名语音学家进行，他们在联合讨论中进行了校准。与对照组中患有DS的儿童相比，研究对象的萌牙数量与发育正常的儿童一样多。吸吮习惯的患病率在三组之间没有差异。只有患有DS的儿童除了吮吸拇指或假人外，还会吮吸舌头、玩具或其他东西。在患有DS的研究组中，舌淀粉酶的患病率与18+/-3个月时的评估中的水平相同。57-65%的儿童使用了腭板，没有出现任何较大的问题。在研究样本中，腭板疗法可能的有益效果是较低的后牙反牙合发生率、较高的额尖牙尖关系发生率和较低的额部开放咬合发生率。面部表情和言语的评估显示，研究组儿童的面部表情得分和沟通能力高于对照组儿童。在DS儿童中，6-48个月龄的腭板疗法结合言语和语言干预，对咬合、口腔运动功能、面部表情和言语都有积极的效果。未观察到任何有害影响。尽管这是一种有价值的方法，但必须强调的是，腭板疗法对已经负担过重的儿童和他们的照顾者提出了额外的要求。
Objective. The aim of this study was to describe the number of erupted teeth, Sucking habits, tongue morphology, facial expression and speech in children with Down syndrome (DS) aged 48 6 months and treated from 6 months of age with palatal plates in combination with speech and language therapy.Methods. The research took the form of a multicentre, multidisciplinary, longitudinal study of children with DS followed from the age of 6 months. A total of 37 children with DS were included. One child could not cooperate at all and was excluded from the evaluations. In combination with speech and language intervention provided by speech and language therapists, the children used palatal plates provided by dentists from 6 months of age. in the evaluation, the children in the sample (n = 36) were compared with two similarly aged control groups: one group of children with DS who never had used palatal plates (n = 31) and one group of children with normal development (n = 36). The evaluation of oral parameters was performed by dentists after calibration. Registration of facial expression and speech was done by a speech and language therapist, and the evaluation was done by two speech and language therapists and one phonetician who were calibrated in joint discussions.Results. In contrast to the children with DS in the control group, the subjects in the Study were found to have as many erupted teeth as the children with normal development. The prevalence of sucking habits did not differ between the three groups. Only children with DS sucked their tongue, a toy or other things in addition to a thumb or dummy. The prevalence of tongue diastase in the study group with DS was of the same magnitude as in the evaluation at the age of 18 +/- 3 months. The palatal plates were used by 57-65% of the children without any larger problems. In the study sample, the possible beneficial effects of palatal plate therapy were a lower prevalence of posterior cross-bite, a higher prevalence of frontal cusp-to-cusp relation and a lower prevalence of frontal open bite. Evaluation of facial expression and speech showed a higher score for facial expression and a better communicative capacity in the children in the study group than in the control children with DS.Conclusions. In children with DS, palatal plate therapy between 6 and 48 months of age in connection with speech and language intervention had a positive effect on occlusion, oral motor function, facial expression and speech. No harmful effects were observed. Although this is a valuable method, however, it must be emphasized that palatal plate therapy puts additional demands on already burdened children and their caretakers.