{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,16]],"date-time":"2026-09-16T19:30:55Z","timestamp":1789587055184,"version":"build-2803163510"},"reference-count":10,"publisher":"Ovid Technologies (Wolters Kluwer Health)","issue":"1","license":[{"start":{"date-parts":[[2025,1,1]],"date-time":"2025-01-01T00:00:00Z","timestamp":1735689600000},"content-version":"unspecified","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc-sa\/4.0"}],"content-domain":{"domain":["lww.com","ovid.com"],"crossmark-restriction":true},"short-container-title":[],"published-print":{"date-parts":[[2025,1]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:p>Children with Down syndrome (DS) have oral manifestations, such as hypotonia of the perioral muscles, inadequate lip seal, and tongue posture changes, which affect the development of the stomatognathic system. The palatal memory plate (PMP) is an early proprioceptive stimulation therapy that aims to improve tongue posture, promote proper lip sealing, and contribute to oral balance. This study reports the treatment of PMP in a 2-month-old baby with DS. Early intervention with PMP exhibited satisfactory results, improving hypotonia, tongue posture, and lip seal even after 2 years of treatment. This improvement was enhanced by a multidisciplinary speech therapy approach to orofacial stimulation with the active participation of caregivers. Thus, the training of qualified professionals with knowledge of the specific characteristics of patients with DS is essential for a comprehensive and systematic approach to promoting their health.<\/jats:p>","DOI":"10.4103\/ccd.ccd_500_24","type":"journal-article","created":{"date-parts":[[2025,3,29]],"date-time":"2025-03-29T03:15:00Z","timestamp":1743218100000},"page":"69-72","update-policy":"https:\/\/doi.org\/10.1097\/lww.0000000000001000","source":"Crossref","is-referenced-by-count":1,"title":["Orofacial Proprioceptive Stimulation Therapy with a Palatal Memory Plate in a Baby with Down Syndrome \u2013 2-year Follow-up Case Report"],"prefix":"10.4103","volume":"16","author":[{"given":"F\u00e1bia Ulisses Peixoto","family":"Esmeraldo","sequence":"first","affiliation":[{"name":"Dental School Clinic, Christus University Center, Unichristus, Fortaleza, Brazil"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Natalia Victoria Del Carmen Guerra","family":"Trujillo","sequence":"additional","affiliation":[{"name":"Dental School Clinic, Christus University Center, Unichristus, Fortaleza, Brazil"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sirannara Paulino Gomes","family":"Morbeck","sequence":"additional","affiliation":[{"name":"Dental School Clinic, Christus University Center, Unichristus, Fortaleza, Brazil"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"L\u00edvia Lima","family":"Xavier","sequence":"additional","affiliation":[{"name":"Dental School Clinic, Christus University Center, Unichristus, Fortaleza, Brazil"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Rebeca Bastos Vasconcelos","family":"Marinho","sequence":"additional","affiliation":[{"name":"Dental School Clinic, Christus University Center, Unichristus, Fortaleza, Brazil"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Isabella Fernandes","family":"Carvalho","sequence":"additional","affiliation":[{"name":"Dental School Clinic, Christus University Center, Unichristus, Fortaleza, Brazil"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"276","published-online":{"date-parts":[[2025,3,25]]},"reference":[{"key":"R1-20250327","first-page":"37","article-title":"Genomic, transcriptomic and diagnostic aspects in Down syndrome","volume":"24","author":"D\u00edaz-Hern\u00e1ndez","year":"2020","journal-title":"Med Lab J"},{"key":"R2-20250327","first-page":"49","article-title":"Down syndrome:Aspects related to the stomatognathic system","volume":"9","author":"de Carvalho","year":"2010","journal-title":"Crescent J Med Biol Sci"},{"key":"R3-20250327","doi-asserted-by":"crossref","first-page":"9","DOI":"10.1038\/s41572-019-0143-7","article-title":"Down syndrome","volume":"6","author":"Antonarakis","year":"2020","journal-title":"Nat Rev Dis Primers"},{"key":"R4-20250327","doi-asserted-by":"crossref","first-page":"524","DOI":"10.1111\/ipd.12491","article-title":"Malocclusion in children and adolescents with Down syndrome:A systematic review and meta-analysis","volume":"29","author":"Dorigu\u00eatto","year":"2019","journal-title":"Int J Paediatr Dent"},{"key":"R5-20250327","article-title":"Prevention of Alterations in the Stomatognathic System of Children with Down Syndrome:A Literature Review","author":"Oliveira","year":"2021","journal-title":"UNDB Repository"},{"key":"R6-20250327","first-page":"6","article-title":"The Importance of Dentistry in the Lives of Children with Down Syndrome","volume":"4","author":"De Azevedo","year":"2022","journal-title":"Unifeso Dentistry Notebooks"},{"key":"R7-20250327","doi-asserted-by":"crossref","first-page":"19895","DOI":"10.1038\/s41598-020-76984-5","article-title":"Craniofacial morphology in down syndrome:A systematic review and meta-analysis","volume":"10","author":"Vicente","year":"2020","journal-title":"Sci Rep"},{"key":"R8-20250327"},{"key":"R9-20250327","doi-asserted-by":"crossref","first-page":"2","DOI":"10.1007\/BF01358711","article-title":"Short-term and long-term results after early treatment with the Castillo Morales stimulating plate. A longitudinal study","volume":"60","author":"Hohoff","year":"1999","journal-title":"J Orofac Orthop"},{"key":"R11-20250327","first-page":"e7021","article-title":"Effects of using the stimulating palatal plate in combination with orofacial stimulation on the habitual tongue and lip posture in children with trisomy 21:An integrative literature review","volume":"24","author":"Furlan","year":"2022","journal-title":"Rev CEFAC"}],"container-title":["Contemporary Clinical Dentistry"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.ovid.com\/10.4103\/ccd.ccd_500_24","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,8,13]],"date-time":"2026-08-13T19:41:30Z","timestamp":1786650090000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.ovid.com\/10.4103\/ccd.ccd_500_24"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2025,1]]},"references-count":10,"journal-issue":{"issue":"1","published-print":{"date-parts":[[2025]]}},"URL":"https:\/\/doi.org\/10.4103\/ccd.ccd_500_24","relation":{},"ISSN":["0976-237X","0976-2361"],"issn-type":[{"value":"0976-237X","type":"print"},{"value":"0976-2361","type":"electronic"}],"subject":[],"published":{"date-parts":[[2025,1]]},"assertion":[{"value":"2024-10-31","name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2025-02-10","name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}}]}}