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KMID : 1144020210170010015
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Journal of Korean Association for Disability and Oral Health
2021 Volume.17 No. 1 p.15 ~ p.20
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Castillo-Morales Appliance Therapy in a Drooling Child with Intellectual Disability
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Shin Seo-Young
Lee Ko-Eun
Kim Mi-Sun
Nam Ok-Hyung
Choi Sung-Chul
Lee Hyo-Seol
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Abstract
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The Castillo-Morales Appliance, an oral appliance similar to an orthodontic retainer, consists of labial bow, palatal wire and rotating beads. The Castillo-Morales Appliance Therapy (CMAT) has been well established for use in patients with various forms of developmental delay. The CMAT features encourage dorsal elevation of the tongue and horizontal movement of the upper lip as well as the tip of the tongue. This case report presented the treatment of a drooling child with an intellectual disability. The patient also had open bite tendency, mouth breathing, lip incompetency, and tongue thrusting habit. Along with CMAT, a gradual process in tongue and lip movement was shown. Anterior open bite decreased while normal occlusion was obtained. Regular check-ups displayed improvements in drooling and orofacial functions.
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KEYWORD
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Castillo-Morales Appliance Therapy, Drooling, Intellectual disability
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