Palatal Training Appliances in Children with Mild to Moderate Oral Dysfunctions
1Vantaa Health Center, Vantaa, Finland
2Oral and Maxillofacial Department, Kuopio University Hospital, Kuopio, Finland
DOI: 10.17796/jcpd.36.2.3753247813803702 Vol.36,Issue 2,March 2012 pp.149-154
Published: 01 March 2012
*Corresponding Author(s): Pahkala R E-mail: firstname.lastname@example.org
Objective: The objective of the study was to evaluate the efficacy of palatal training appliances on speech articulation and orofacial functions in children undergoing speech therapy. Study design: The material consisted of 134 boys and 34 girls who were referred by speech and language therapists to the Public Dental Health Service in Vantaa due to mild to moderate problems with speech articulation or in oral motor skills. The mean age of the children at the start of the palatal plate therapy was 6.4 years (SD 1.9). The articulation assessment was performed by five speech and language therapist while the palatal plate therapy was carried out by an experienced dentist. The mean treatment time with the oral plates was 4.4 months (SD 2.3). Results: An improvement in speech articulation was observed by the speech and language therapists in 51% of the children. Tongue movements improved in 47%, and lip closure in 38% of the participants. Drooling decreased in 54% of the cases. A multiple logistic regression model revealed that with respect to speech articulation the best improvement was found in children with /r/-disorder, and in those with a crossbite. Conclusions: Palatal training appliances during speech therapy seemed to be an efficient way to improve speech articulation and tongue movements in children with mild to moderate problems in orofacial functions.
misarticulation, orofacial function, palatal training appliance
Koskimies M,Pahkala R,Myllykangas R. Palatal Training Appliances in Children with Mild to Moderate Oral Dysfunctions. Journal of Clinical Pediatric Dentistry. 2012. 36(2);149-154.
1. Rauhala R. Lasten erityishuolto ja -opetus Suomessa. Lastensuojelun Keskusliitto, Helsinki; 87, 1991.
2. Sonninen A, Sonninen E. Logopedic-phoniatric observations on 8-year-old schoolchildren in the town of Jyväskylä. Nord Tidskr Logop Foniat, 1: 74–8, 1976.
3. Qvarnström M, Laine MT, Jaroma M. Place of articulation in articula-tory speech disorders of different sounds in a group of Finnish first-graders. Folia Phoniatr Logoped, 43: 161–70, 1991.
4. Luotonen M. Early speech development, articulation and reading abil-ity up to the age of nine. Folia Phoniatr Logop, 47: 310–7, 1995.
5. Glatz-Noll E, Berg R. Oral dysfunction in children with Down´s Syn-drome: an evaluation of treatment effects by means of video registra-tion. Eur J Orthod, 13: 446–51, 1991.
6. Carlstedt K, Henningsson G, McAllister A, Dahllöf G. Long-term effect of palatal plate therapy and oral motor function in children with Down syndrome evaluated by video registration. Acta Odontol Scand, 59: 63–8, 2001.
7. Scholz F, Chapman E, Chapman JA. Die Frühbehandlung der Zungen-und Lippendysfunction beim Morbus Down mit Stimulationsplatten. Fortshr Kieferorthop, 44: 54–6, 1983.
8. Korbmacher HM, Limbrock JG, Kahl-Nieke B. Long term evaluation of orofacial function in children with Down syndrome after treatment with stimulating plate according to Castillo Morales. J Clin Pediatr Dent, 30: 325–8, 2006.
9. Haberfellner H, Rossiwall B. Appliances for treatment of oral sensori-motor disorders. Am J Phys Med, 56: 241–48, 1977.
10. Fischer-Brandies H, Avalle C, Limbrock GJ. Therapy of orofacial dys-functions in cerebral palsy according to Castillo-Morales: first results of a new treatment concept. Eur J Orthod, 9: 139–43, 1987.
11. Limbrock GJ, Hoyer H, Scheying H. Drooling, chewing and swallow-ing dysfunctions in children with cerebral palsy: treatment according to Castillo-Morales. J Dent Children, 57: 445–51, 1990.
12. Haapanen M-L. Suunsisäisen irtokojeen käytön aiheet ja hoitovaste puhehäiriöissä. Suomen Lääkärilehti, 39: 3877–81, 2003.
13. Castillo-Morales R. Die Orofaziale Regulationstherapie. München: Pflaum Verlag; 1991.
14. Turunen P. Production of word structure. A constraint-based study of 2–6 year old Finnish children at-risk of dyslexia and their controls. Thesis. Jyväskylä studies in languages 52. Jyväskylä, 2003.
15. Sarmavuori K. Lasten kielen oppiminen. Helsinki:Gaudeamus; 1982.
16. Kunnari S, Savinainen-Makkonen T. (eds) Mistä on pienten sanat tehty. Lasten äänteellinen kehitys. WSOY; 2003.
17. Sillanpää M. (edit.) Practices in orofacial therapy. Finnish association for orofacial therapy. Turku. Painosalama Oy; 2001.
18. Laitinen J, Ranta R, Pulkkinen J, Haapanen M-L. Associations between dental occlusion and misarticulations of Finnish dental consonants in cleft lip/palate children. Eur J Oral Sci, 107: 109–13, 1999.
19. Qvarnström M, Jaroma M, Laine T. Accuracy of articulatory move-ments of speech in a group of first-graders. Folia Phoniatr, 45: 214–222, 1993.
20. Kenney KW, Prather EM, Mooney MA, Jeruzal NC. Comparison among three articulation sampling procedures with preschool children. J Speech Hear Res, 27: 226–231, 1984.
21. Beitchman JH, Nair R, Clegg M, Patel PG. Prevalence of speech and language disorders in 5-year-old kindergarten children in the Ottawa-Carleton region. J Speech Hear Disord, 51: 98–110, 1986.
22. Zarb GA, Mohl ND, MacKay HF. Deglutition, respiration, and speech. In: A textbook of occlusion. Mohl ND, Zarb GA, Carlsson GE, Rugh JD, editors. Chicago: Quintessence Publishing Co. Inc., 1988.
23. Van Dyke DC, Yeacer D, McInerney JF, Schellinger D, Fox AA. Speech and language disorders in children. Am Family Phys, 29: 257–268, 1984.
24. Fairhurst CBR, Cockerill H. Management of drooling in children. Arch Dis Child Educ Pract Ed, 96: 25–30, 2011.
25. Van de Heyning PH, Marquet JF, Creten WL. Drooling in children with cerebral palsy. Acta Otorhinolaryngol Belg, 34: 691–705, 1980.
26. Blasco PA. Management of drooling: 10 years after the Consortium on Drooling. Dev Med Child Neurol, 44: 778–781, 2002.
27. Erasmus CE, Van Hulst K, Rotteveel LJ et al. Drooling in celebral palsy: hypersalivation or dysfunctional oral motor control? Dev Med Child Neurol, 51: 454–459, 2009.
28. Pani SC, Hedge AM. Functional appliance therapy to control drooling: a case of a child with mental retardation. J Clin Pediatr Dent, 31: 284–6, 2007.
Vol., Issue , Invalid dateTable of contents
Science Citation Index Expanded (SciSearch) Created as SCI in 1964, Science Citation Index Expanded now indexes over 9,500 of the world’s most impactful journals across 178 scientific disciplines. More than 53 million records and 1.18 billion cited references date back from 1900 to present.
PubMed (MEDLINE) PubMed comprises more than 35 million citations for biomedical literature from MEDLINE, life science journals, and online books. Citations may include links to full text content from PubMed Central and publisher web sites.
Biological Abstracts Easily discover critical journal coverage of the life sciences with Biological Abstracts, produced by the Web of Science Group, with topics ranging from botany to microbiology to pharmacology. Including BIOSIS indexing and MeSH terms, specialized indexing in Biological Abstracts helps you to discover more accurate, context-sensitive results.
Google Scholar Google Scholar is a freely accessible web search engine that indexes the full text or metadata of scholarly literature across an array of publishing formats and disciplines.
JournalSeek Genamics JournalSeek is the largest completely categorized database of freely available journal information available on the internet. The database presently contains 39226 titles. Journal information includes the description (aims and scope), journal abbreviation, journal homepage link, subject category and ISSN.
Current Contents - Clinical Medicine Current Contents - Clinical Medicine provides easy access to complete tables of contents, abstracts, bibliographic information and all other significant items in recently published issues from over 1,000 leading journals in clinical medicine.
BIOSIS Previews BIOSIS Previews is an English-language, bibliographic database service, with abstracts and citation indexing. It is part of Clarivate Analytics Web of Science suite. BIOSIS Previews indexes data from 1926 to the present.
Journal Citation Reports/Science Edition Journal Citation Reports/Science Edition aims to evaluate a journal’s value from multiple perspectives including the journal impact factor, descriptive data about a journal’s open access content as well as contributing authors, and provide readers a transparent and publisher-neutral data & statistics information about the journal.