{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,3,6]],"date-time":"2026-03-06T18:01:43Z","timestamp":1772820103978,"version":"3.50.1"},"reference-count":5,"publisher":"MDPI AG","issue":"1","license":[{"start":{"date-parts":[[2026,3,6]],"date-time":"2026-03-06T00:00:00Z","timestamp":1772755200000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Reports"],"abstract":"<jats:p>Pediatric ischemic stroke is rare but may result in severe oral dysfunction. Evidence for prosthetic oral rehabilitation is well established in adults, whereas pediatric data remains limited. We report a pediatric patient with persistent dysphagia and articulatory impairment following recurrent ischemic stroke who underwent stepwise palatal prosthetic intervention. Treatment began with a palatal augmentation prosthesis to establish tolerance and promote tongue\u2013palate contact, followed by a palatal lift prosthesis providing gentle velopharyngeal support. Tongue pressure measurements, oral diadochokinesis, and speech intelligibility improved during appliance use, with gains largely maintained after discontinuation, suggesting motor relearning rather than transient mechanical assistance. This case illustrates the potential value of a tolerance-oriented, stepwise prosthetic strategy in pediatric stroke rehabilitation and underscores the need for individualized adjustment and cautious interpretation of functional metrics.<\/jats:p>","DOI":"10.3390\/reports9010078","type":"journal-article","created":{"date-parts":[[2026,3,6]],"date-time":"2026-03-06T11:05:44Z","timestamp":1772795144000},"page":"78","update-policy":"https:\/\/doi.org\/10.3390\/mdpi_crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Stepwise Palatal Prosthetic Rehabilitation After Pediatric Ischemic Stroke"],"prefix":"10.3390","volume":"9","author":[{"given":"Satoru","family":"Kusaka","sequence":"first","affiliation":[{"name":"Department of Pediatric Dentistry, Hiroshima University Hospital, Hiroshima 734-8551, Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-8305-667X","authenticated-orcid":false,"given":"Yuria","family":"Asao","sequence":"additional","affiliation":[{"name":"Department of Pediatric Dentistry, Graduate School of Biomedical and Health Sciences, Hiroshima University, Hiroshima 734-8553, Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Tatsuya","family":"Akitomo","sequence":"additional","affiliation":[{"name":"Department of Pediatric Dentistry, Graduate School of Biomedical and Health Sciences, Hiroshima University, Hiroshima 734-8553, Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-9387-7746","authenticated-orcid":false,"given":"Yuko","family":"Iwamoto","sequence":"additional","affiliation":[{"name":"Department of Pediatric Dentistry, Graduate School of Biomedical and Health Sciences, Hiroshima University, Hiroshima 734-8553, Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Ryota","family":"Nomura","sequence":"additional","affiliation":[{"name":"Department of Pediatric Dentistry, Graduate School of Biomedical and Health Sciences, Hiroshima University, Hiroshima 734-8553, Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"1968","published-online":{"date-parts":[[2026,3,6]]},"reference":[{"key":"ref_1","doi-asserted-by":"crossref","first-page":"199","DOI":"10.1016\/j.jpor.2018.11.009","article-title":"Palatal augmentation prosthesis (PAP) can improve swallowing function for the patients in rehabilitation hospital","volume":"63","author":"Yoshida","year":"2019","journal-title":"J. Prosthodont. Res."},{"key":"ref_2","doi-asserted-by":"crossref","first-page":"308","DOI":"10.1016\/0022-3913(79)90222-1","article-title":"Palatal lift prostheses for treatment of palatopharyngeal incompetence","volume":"42","author":"Hardy","year":"1979","journal-title":"J. Prosthet. Dent."},{"key":"ref_3","doi-asserted-by":"crossref","first-page":"116","DOI":"10.1111\/j.1741-2358.2005.00057.x","article-title":"Collaboration of a dentist and speech-language pathologist in the rehabilitation of a stroke patient with dysarthria: A case study","volume":"22","author":"Ono","year":"2005","journal-title":"Gerodontology"},{"key":"ref_4","doi-asserted-by":"crossref","first-page":"20230006","DOI":"10.2490\/prm.20230006","article-title":"A Case of Dysphagia and Dysarthria Improved by Flexible-palatal Lift\/augmentation Combination Prosthesis","volume":"8","author":"Hirasaki","year":"2023","journal-title":"Prog. Rehabil. Med."},{"key":"ref_5","doi-asserted-by":"crossref","first-page":"506","DOI":"10.1111\/jopr.12024","article-title":"A simplified palatal lift prosthesis for neurogenic velopharyngeal incompetence","volume":"22","author":"Rilo","year":"2013","journal-title":"J. Prosthodont."}],"container-title":["Reports"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.mdpi.com\/2571-841X\/9\/1\/78\/pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,3,6]],"date-time":"2026-03-06T11:54:33Z","timestamp":1772798073000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.mdpi.com\/2571-841X\/9\/1\/78"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,3,6]]},"references-count":5,"journal-issue":{"issue":"1","published-online":{"date-parts":[[2026,3]]}},"alternative-id":["reports9010078"],"URL":"https:\/\/doi.org\/10.3390\/reports9010078","relation":{},"ISSN":["2571-841X"],"issn-type":[{"value":"2571-841X","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026,3,6]]}}}