There are use of anticholinergic drug, radiotherapy, chin pressure device, oral musculature training, behavioral technique, EMG auditory feedback feedback and surgical method in treatment of children with orofacial dysfunction.
Castillo-Morales (1977) developed "orofacial regulation therapy" for treatment of children with swallowing, drinking, articulation dysfunction & drooling. This combine manual stimmulation & facilitation program and Castillo-Morales appliance,
which
induces upward & backward repositioning of tongue and lip seal.
The subjects chosen for the study were 2 children who visited department of pediatric dentistry at Yonsei Universty dental Hospital : they had orofacial dysfunction and drooling & open mouth state were their chief complaints.
Casillo-morales appliance which stimulates perioral muscles and induces repositionging of tongue was used, and the following conclusion wee drawn;
1. Mouth closure was induced as an immediate response of tongue to the palatal stimulator : however, complete mouth closure was not achieved due to incomplete stimulation of upper lip muscles.
2. Drooling, abnormal feeding, swallowing are pre requisites for the jaw stability, sealing of upper & lower lip, and voluntary swallowing action ; therefore, Castillo-Morales appliance combined with head & neck control appliance, posture
control,
and
muscle stimulation exercise therapies are recommended.
3. For the satisfactory results, long lasting therapy (for over 1~2 years) is required.
4. Further development of scientific methods to quantify drooling is needed.
|