Palatal Plate Therapy

Orofacial dysfunction in children with Down syndrome

Palatal plate therapy was developed and introduced by CastilloMorales  in Munich, Germany in 1978. Children with Down syndrome have common orofacial features consisting of orofacial hypotonicity, a protruding tongue, and an open mouth posture. This results in problems with sucking, swallowing, drooling and dentition.

Dr. Di Giorgio has over 15 years of experience with the Palatal Plate Therapy for patients with Down Syndrome. On a consultation appointment She can evaluate the case to see if a palatal plate therapy is indicated.

What is the palatal plate for?

The palatal plate is designed to improve orofacial function, facial appearance and prevents secondary condition as pseudo-macroglossia, open mouth habit and pseudo-prognathism in children with Down syndrome.

Most of the time, the palatal plate is used in association with orofacial therapy to achieve better results.

How the palatal plate is made?

Each palatal plate is individually designed to fit the maxilla and is formed with thin acrylic plates, knobs, a bowl like depression and a stimulating button for the tongue. It is a removable appliance, custom fit to stimulate the child’s proprioception.

How soon my child has to start the therapy?

Normally the oral therapy starts when the baby is 6 months old, in association with orofacial therapy.

Benefits from the plate:

  • Improve tongue protrusion
  • Improve mouth posture
  • Improve speech and communication
  • Prevent secondary conditions like dental diseases and malocclusions.

Orofacial Stimulation