A home‐based multidisciplinary programme for Down syndrome adults with muscular temporomandibular disorder

Background Patients with Down syndrome (DS) present functional and anatomical alterations that may negatively impact their health and quality of life. Down syndrome patients have been shown to have a high prevalence of temporomandibular disorder (TMD), but little is known about the diagnosis, treatm...

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Bibliographic Details
Published in:Journal of oral rehabilitation 2020-08, Vol.47 (8), p.939-943
Main Authors: Sena, Letícia da Silva, Palma, Luiz Felipe, Marques, Sérgio Ricardo, Sanches, Monique Lalue, Moraes, Luís Otávio Carvalho
Format: Article
Language:English
Subjects:
Adults
Dentistry
Down syndrome
Down's syndrome
feeding behaviour
habits
Mastication
Muscles
Quality of life
Statistical analysis
temporomandibular joint disorders
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Summary:Background Patients with Down syndrome (DS) present functional and anatomical alterations that may negatively impact their health and quality of life. Down syndrome patients have been shown to have a high prevalence of temporomandibular disorder (TMD), but little is known about the diagnosis, treatment and prevention in these individuals. Objective To evaluate the impact of a home‐based multidisciplinary programme on muscular TMD in DS adults. Methods After being diagnosed with TMD‐related masticatory muscle disorder, 20 adult men and 20 adult women with DS received an educational material with instructions on how to perform daily home facial self‐massage and exercises for orofacial and masticatory muscles. Participants were also provided with educational information on TMD. Those who failed to perform at least 50% of the programme (23 days) were considered non‐adherent. Oral parafunctional behaviours, facial pressure‐pain threshold and maximum mouth opening were assessed at baseline and after the intervention. Results Twenty‐five patients adhered to the programme as opposed to 15 non‐adherent patients. Statistically significant improvements in all parameters were observed among adherent patients, except for the number of parafunctions. Conclusion The proposed home‐based multidisciplinary programme seemed to be effective in improving some aspects related to muscular TMD in DS adults.
ISSN:0305-182X
1365-2842
DOI:10.1111/joor.13027