ISST Unna - Institut für Spezielle Systemische Therapie
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Oral stimulation plate therapy (OSP)

according to Dr Berndsen/Berndsen

OSP therapy is used successfully for numerous indications, such as temporomandibular joint problems, snoring and sleep apnoea, signs of paralysis, lack of mouth closure or tongue dysfunction. In practice, the OSPs used are characterized by a high level of user acceptance. The desired orofacial reactions are convincingly achieved.

Based on Dr Castillo Morales’ palatal plate concept, Dr Klaus Berndsen and Sabine Berndsen have been researching and developing OSP therapy at the ISST since 1989. To this end, more than 3000 OSPs with different stimuli and materials were produced for patients and the stimulus-reaction influences were measured. Ultimately, OSPs with 16 distinctive individual stimulus bodies were created, which are integrated into a soft plate system (tongue boxes). They cause intraoral stimulation, such as activation of the tongue, lips and velum, and influence complex functional processes: swallowing, breathing, chewing, neurological pattern formation, ventilation of the middle ear, optimisation of proprioceptive performance, etc. OSPs support the initiation, correction and automatisation of basic tensions, basic postures and functional patterns.

Therapeutin zeigt Kind die OSP

TTherapist shows child an OSP plate

Stimulus body variants, different material hardness and material thickness are decisive for the successful course of therapy! Scientific studies have proven the success of this OSP concept and demonstrated considerable advantages over other palatal plate therapies.

Auswahl typischer OSP-Plattern

Selection of typical OSP plates

The necessary quality standards for the new neurophysiological OSP therapy were defined in close cooperation with universities, dentists, orthodontists, oral surgeons, speech therapists, dental technicians and clinics. OSP manufacturers, especially laboratories, are trained and further educated and require certification for OSP production according to Berndsen/Berndsen. The production planning and final inspection are carried out by specialists from Dr Berndsen GmbH.

Indications for OSP

  • Disturbed eating/drinking behaviour
  • Conversion from tube feeding to physiological nutrition
  • Switching from oral to nasal breathing
  • Special disabilities and syndromes, e.g. Down’s syndrome
  • Cleft lip, jaw and palate
  • Lack of mouth closure
  • Strong salivation (hypersalivation)
  • Facial paralysis, e.g. after a stroke
  • Neurological disorders
  • Macroglossia
  • Tongue dysfunction
  • After tongue surgery and with tongue paralysis
  • Initiation of correct swallowing patterns
  • Preventive orthodontics
  • Temporomandibular joint problems
  • Pain in the face, shoulder and neck region
  • Snoring and sleep apnoea

Research results

Comparative clinical scientific studies on OSP according to Berndsen/Berndsen come to the following conclusion:

„After using OSP therapy (according to Berndsen/Berndsen), a significantly higher acceptance of the treatment was observed over a 6-month observation period and the desired orofacial reactions were convincingly achieved. Based on this experience, it can be assumed that the use of OSP in individual cases is not only perceived as more pleasant than other stimulation plate applications and thus compliance can be increased, but that the desired forms and functions are also activated. The various OSP systems offered according to Berndsen/Berndsen take into account the individually required stimulation intensity and direction.“

University Hamburg, Kieferorthopädie

Merkmale der OSP

Individuelle Orale-Stimulations-Platten werden aus weichem Material hergestellt, das für die Medizintechnik entwickelt und zugelassen ist. Es verursacht keine Druckstellen und keine ungewollten Irritationen im Mund. OSP trägt im Mundraum sehr gering auf (sehr dünne Materialbeschaffenheit) und beeinträchtigen die deshalb die gewohnten Raumverhältnisse im Mund nur unwesentlich.

Anwendung von OSP

OSP werden täglich drei Mal (nicht beim Essen) für etwa 30 bis 60 Minuten im Oberkiefer eingesetzt. In einigen Fällen werden sie auch nachts getragen. Die OSP haftet am Gaumen. Die Adhäsion der OSP am Gaumen kann ggf. durch mentholfreie Haftcremes unterstützt werden.

< class='av-special-heading-tag' itemprop="headline" >Application example for Down syndrome
OSP-Therapie - vorher

1. Initial situation

OSP Therapie - Einsetzen der OSP

2. Insertion of OSP

OSP-Therapie - vorher

3. Spontaneous reaction to OSP

Literature

Korbmacher H., Berndsen, K., Berndsen S., Kahl-Nieke, B.: Vorstellung eines modifizierten Stimulationsplattensystems bei Kindern mit Down Syndrom. In: Forum Logopädie, Zeitschrift des Deutschen Bundesverbandes für Logopädie, Heft 3, Mai 2003, S. 14-16

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  • ISST Unna<br /><small>Institute for Special Systemic Therapy</small>

    Wasserstr. 25
    59423 Unna
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Z-Point
  • Dr. Christoph Becker

    unnadent – Dentalzentrum in Unna

  • Dr. Peter Beckers

    Orthopädische Unfallchirurgische Praxisklinik Wassenberg

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    MundArt Ratingen

  • Dr. Dr. Lars Bonitz

    Klinikum Dortmund

  • Dr. Thomas Huth

    Fröndenberg

  • Dr. Hubertus Koch

    Charité Universitätsmedizin Berlin

  • Dr. Friedrich W. Steinweg

    Unna

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