Effects of Midface Hypoplasia and Facial Hypotonia at Rest and During Clenching on Drooling in Down syndrome Children
DOI:
https://doi.org/10.3889/oamjms.2022.10878Keywords:
Midface hypoplasia, Facial hypotonia, Drooling, Down syndromeAbstract
BACKGROUND: Down syndrome is a chromosome 21 disorder and the most common cause of physical abnormalities including midface hypoplasia, facial hypotonia, and also drooling. Drooling is unintentional anterior salivary flow from the mouth. The objectives of the study is to determine and analyze the effects of midfacial hypoplasia and facial hypotonia on drooling in Down syndrome children. Subject and method:
METHODS: of the research is analytic correlational. Sample retrievement using purposive sampling technique and obtained 20 samples that fulfills the inclusive criterias, consisting of 13 boys and 7 girls with an age range of 6 to 16 years old.
RESULTS AND DISCUSSION: The results were tested statistically by Kendall Coefficient of Concordance Test and Spearman Coefficient of Rank Correlation Test. The results showed that the effect of midfacial hypoplasia, facial hypotonia at rest, and during clenching on drooling is very significant (p-value 0.0002) with Kendall Coefficient of Concordance. Spearman Coefficient of Rank Correlation test results show correlation of midface hypoplasia on drooling is not significant (p-value 0,1265). Facial hypotonia at rest has a very significant correlation on drooling (p-value 0,0000) and during clenching also has a very significant correlation (p-value 0,0000).
CONCLUSION: Conclusion of the research is there are effects of midface hypoplasia, facial hypotonia at rest and facial hypotonia during clenching on drooling, also facial hypotonia at rest and facial hypotonia during clenching on drooling, but no effect of midface hypoplasia on drooling in Down syndrome children.
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Mubayrik AB. The dental needs and treatment of patients with Down syndrome. Dent Clin North Am. 2016;60(3):613-26. https://doi.org/10.1016/j.cden.2016.02.003 PMid:27264854 DOI: https://doi.org/10.1016/j.cden.2016.02.003
Sforza C, Dellavia C, Allievi C, Tommasi DG, Ferrario VF. Anthropometric indices of facial features in Down’s syndrome subjects. Dalam. In: Preedy VR, editor. Handbook of Anthropometry. New York: Springer; 2012. p. 1603-18. DOI: https://doi.org/10.1007/978-1-4419-1788-1_98
Macho V, Coelho A, Areias C, Macedo P, Andrade D. Craniofacial features and specific oral characteristics of down syndrome children. Oral Health Dent Manag. 2014;13(2):408-11. PMid:24984656
Rao D, Hegde S, Naik S, Shetty P. Malocclusion in Down syndrome-a review. SADJ. 2015;70(1):12-5.
Sujatha D, Akshita D. Dental management and orodental features of a child with Down’s syndrome. Int J Curr Res. 2016;8(7):35289-92.
Cheng RH, Yiu CK, Leung WK. Oral health in individuals with Down syndrome. Dalam. In: Dey S, editor. Prenatal Diagnosis and Screening for Down Syndrome. Rijeka: In Tech; 2011. p. 59-71.
Kowash M, Ghaith B, Halabi MA. Dental implications of Down syndrome (DS): Review of the oral and dental characteristics. JSM Dent. 2017;5(2):1-6.
Bull MJ. Clinical report-health supervision for children with Down syndrome. Pediatrics. 2011;128(2):393-406. https://doi.org/10.1542/peds.2011-1605 PMid:21788214 DOI: https://doi.org/10.1542/peds.2011-1605
Faulks D, Collado V, Mazlle MN, Veyrune JL, Hennequin M. Masticatory dysfunction in persons with Down’s syndrome. Part 1: Aetiology and incidence. J Oral Rehabil. 2008;35(11):854-62. https://doi.org/10.1111/j.1365-2842.2008.01877.x PMid:18702629 DOI: https://doi.org/10.1111/j.1365-2842.2008.01877.x
Alio J, Lorenzo J, Iglesias MC, Manso FJ, Ramireze EM. Longitudinal maxillary growth in Down syndrome patients. Angle Orthod. 2011;81(2):253-9. https://doi.org/10.2319/040510-189.1 PMid:21208077 DOI: https://doi.org/10.2319/040510-189.1
Muammer R, Muammer K. Drooling in disabled children evaluation and management. Yeditepe Med J. 2009;10:188-93. https://doi.org/10.15659/yeditepemj.15.10.231 DOI: https://doi.org/10.15659/yeditepemj.15.10.231
Silvestre-Rangil J, Silvestre FJ, Puente-Sandoval A, Requeni-Bernal J, Simo-Ruiz JM. Clinical-therapeutic management of drooling: Review and update. Med Oral Patol Oral Cir Bucal. 2011;16(6):e763-6. https://doi.org/10.4317/medoral.17260 PMid:21743406 DOI: https://doi.org/10.4317/medoral.17260
Bavikatte G, Sit PL, Hassoon A. Management of drooling of saliva. BJMP. 2012;5(1):1-6.
Hockstein NG, Samadi DS, Gendron K, Handler SD. Sialorrhea: A management challenge. Am Fam Physician. 2004;69(11):2628-34. PMid:15202698
Fairhurst CB, Cockerill H. Management of drooling in children. Arch Dis Child Educ Pract Ed. 2011;96(1):25-30. https://doi.org/10.1136/adc.2007.129478 PMid:20675519 DOI: https://doi.org/10.1136/adc.2007.129478
Daniel SJ. Multidisciplinary management of sialorrhea in children. Laryngoscope. 2012;122 Suppl 4:S67-8. https://doi.org/10.1002/lary.23803 PMid:23254608 DOI: https://doi.org/10.1002/lary.23803
Nunn JH. Drooling: Review of the literature and proposals for management. J Oral Rehabil. 2000;27(9):735-43. https://doi.org/10.1046/j.1365-2842.2000.00575.x PMid:11012847 DOI: https://doi.org/10.1046/j.1365-2842.2000.00575.x
Scott A, Johnson H. A Practical Approach to the Management of Saliva. Austin, TX: Pro-Ed; 2004. p. 168.
Reid SM, Johnson HM, Reddihough DS. The drooling impact scale: A measure of the impact of drooling in children with developmental disabilities. Dev Med Child Neurol. 2010;52(2):e23-8. https://doi.org/10.1111/j.1469-8749.2009.03519.x PMid:19843155 DOI: https://doi.org/10.1111/j.1469-8749.2009.03519.x
Bagic I, Verzak Z. Craniofacial anthropometric analysis in Down’s syndrome patients. Coll Antropol. 2003;27(2):23-30. PMid:12971167
Jayaratne YS, Zwahlen RA. Application of digital anthropometry for craniofacial assessment. Craniomaxillofac Trauma Reconstr. 2014;7(2):101-7. https://doi.org/10.1055/s-0034-1371540 PMid:25050146 DOI: https://doi.org/10.1055/s-0034-1371540
Prendergast PM. Facial proportions. Dalam. In: Erian A, Shiffman MA, editors. Advanced Surgical Facial Rejuvenation. Cambridge: Springer-Verlag Berlin Heidelberg; 2012. p. 15-21. DOI: https://doi.org/10.1007/978-3-642-17838-2_2
Al-Sebaei MO. The validity of three neo-classical facial canons in young adults originating from the Arabian Peninsula. Head Face Med. 2015;11:4. https://doi.org/10.1186/s13005-015-0064-y PMid:25889948 DOI: https://doi.org/10.1186/s13005-015-0064-y
Costa MC, Barbosa MC, Bittencourt MA. Evaluation of facial proportions in the vertical plane to investigate the relationship between skeletal and soft tissue dimensions. Dental Press J Orthod. 2011;6(1):99-106. DOI: https://doi.org/10.1590/S2176-94512011000100015
Criswell E. Cram’s Introduction to Surface Electromyography. 2nd ed. Sudbury: Jones and Bartlett Publishers; 2011.
Radke JC. The Recording and Analyzing of EMG Data using BioPAK. California: BioResearch Associates, Inc.; 2013. Available from: https://www.digitaldental.com.au/wp-content/uploads/2014/11/analyzing-emg-data-traces.pdf [Last accessed on 2018 Apr 03].
Cohen J. Statistical Power Analysis for the Behavioral Sciences. 2nd ed. New York: Lawrence Erlbaum Associates; 1988.
Ferrario VF, Dellavia C, Serrao G, Sforza C. Soft tissue facial angles in Down’s syndrome subjects: A three-dimensional noninvasive study. Eur J Orthod. 2005;27(4):355-62. https://doi.org/10.1093/ejo/cji017 PMid:16043473 DOI: https://doi.org/10.1093/ejo/cji017
Bertelli ÉC, Biselli JM, Bonfim D, Goloni-Bertollo EM. Clinical profile of children with Down Syndrome treated in a geneticss outpatient service in the southeast of Brazil. Rev Assoc Med Bras. 2009;55(5):547-52. https://doi.org/10.1590/s0104-42302009000500017 PMid:19918654 DOI: https://doi.org/10.1590/S0104-42302009000500017
Bodensteiner JB. The evaluation of the hypotonic infant. Semin Pediatr Neurol. 2008;15(1):10-20. https://doi.org/10.1016/j.spen.2008.01.003 PMid:18342256 DOI: https://doi.org/10.1016/j.spen.2008.01.003
Farkas LG, Katic MJ, Forrest CR, Litsas L. Surface anatomy of the face in Down’s syndrome: Linear and angular measurements in the craniofacial regions. J Craniofac Surg. 2001;12(4):373-9. https://doi.org/10.1097/00001665-200107000-00011 PMid:11482623 DOI: https://doi.org/10.1097/00001665-200107000-00011
Mendonca DA, Naidoo SD, Skolnick G, Skladman R, Woo AS. Comparative study of cranial anthropometric measurement by traditional calipers to computed tomography and three-dimensional photogrammetry. J Craniofac Surg. 2013;24(4):1106-10. https://doi.org/10.1097/SCS.0b013e31828dcdcb PMid:23851749 DOI: https://doi.org/10.1097/SCS.0b013e31828dcdcb
Dagklis T, Borenstei M, Peralta CF, Faro C, Nicolaides KH. Three- dimensional evaluation of mid-facial hypoplasia in fetuses with trisomy 21 at 11 + 0 to13 + 6 weeks of gestation. Ultrasound Obstet Gynecol. 2006;28(3):261-5. https://doi.org/10.1002/uog.2841 PMid:16865677 DOI: https://doi.org/10.1002/uog.2841
Dey SK, Eggermann T, Schwanitz G, Ghosh S. Genetics of Down Syndrome. Croatia: In Tech; 2011. DOI: https://doi.org/10.5772/17817
Pacheco MC, Fiorott BS, Finck NS, Araújo MT. Craniofacial changes and symptoms of sleep-disordered breathing in healthy children. Dental Press J Orthod. 2015;20(3):80-7. https://doi.org/10.1590/2176-9451.20.3.080-087.oar PMid:26154460 DOI: https://doi.org/10.1590/2176-9451.20.3.080-087.oar
Kilpatrick NM, Johnson HM, Reddihough DS. Sialorrhea: A multidisciplinary approach to the management of drooling in children. J Disabil Oral Health. 2000;1(1):3-9.
Kumar R, Varma A, Kumar V. Role of oromotor therapy in drooling child attending E.N.T department. IOSR J Dent Med Sci. 2015;14(8):9-13.
Nascimento GK, Cunha DA, Lima LM, Moraes KJ, Pernambuco LA, Régis RM, et al. Surface electromyography of the masseter muscle during chewing: A systematic review. Rev CEFAC. 2012;14(4):725-31. DOI: https://doi.org/10.1590/S1516-18462012005000042
Konrad P. The ABC of EMG. Arizona: Noraxon U.S.A, Inc.; 2005.
O’Kane L, Groher ME, Silva K, Osborn L. Normal muscular activity during swallowing as measured by surface electromyography. Ann Otol Rhinol Laryngol. 2010;119(6):398-401. https://doi.org/10.1177/000348941011900606 PMid:20583738 DOI: https://doi.org/10.1177/000348941011900606
Vianna-Lara MS, Caria PH, Tosello Dde O, Lara F, Amorim MM. Electromyographic activity of masseter and temporal muscles with different facial types. Angle Orthod. 2009;79(3):515-20. https://doi.org/10.2319/012308-41.1 PMid:19413373 DOI: https://doi.org/10.2319/012308-41.1
Jirakittayakom N, Wongsawat Y. An EMG Instrument Designed for Bruxism Detection on Masseter Muscle. In: The 2014 Biomedical Engineering International Conference (BMEiCON-2014). Thailand; 2014. p. 1-5. https://doi.org/10.1109/BMEICON.2014.7017403 DOI: https://doi.org/10.1109/BMEiCON.2014.7017403
Damasceno LN, Basting RT. Facial analysis in Down’s syndrome patients. Rev Gaúcha Odontol. 2014;62(1):7-12. https://doi.org/10.1159/000065859 DOI: https://doi.org/10.1590/1981-8637201400010000011821
Stepp CE. Surface electromyography for speech and swallowing systems: Measurement, analysis, and interpretation. J Speech Lang Hear Res. 2012;55(4):1232-46. https://doi.org/10.1044/1092-4388(2011/11-0214) PMid:22232412 DOI: https://doi.org/10.1044/1092-4388(2011/11-0214)
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Copyright (c) 2022 Ilice Collins Wijaya, Winny Yohana, Eka Chemiawan, Risti Saptarini, Irmaleni Irmaleni, Nanan Nuraeni, Willyanti Soewondo (Author)
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