Castillo-Morales 장치를 이용한 구강안면 기능이상 아동의 치험증례
Treatment of children with orofacial dysfunction by castillo-morales appliance: case report
서은영, 김조자, 김천숙,
소속 상세정보
서은영 ( ) - 연세대학교
김조자 ( ) - 연세대학교
김천숙 ( ) - 연세대학교
KMID : 0358919920190020431
Abstract
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.
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