head JofIMAB
Journal of IMAB - Annual Proceeding (Scientific Papers)
Publisher: Peytchinski Publishing
ISSN: 1312-773X (Online)
Issue: 2018, vol. 24, issue1
Subject Area: Dental Medicine
-
DOI: 10.5272/jimab.2018241.1878
Published online: 17 January 2018

Review article

J of IMAB. 2018 Jan-Mar;24(1):1878-1882
THE ROLE OF MOUTH BREATHING ON DENTITION DEVELOPMENT AND FORMATION
Zornitsa Valcheva1ORCID logo Corresponding Autoremail, Hristina Arnautska1, Mariana Dimova2ORCID logo, Gergana Ivanova1, Iliyana Atanasova1,
1) Department of Orthodontics, Faculty of Dental Medicine, Medical University - Varna, Bulgaria,
2) Department of Prosthetic Dentistry, Faculty of Dental Medicine, Medical University - Sofia, Bulgaria.

ABSTRACT:
Introduction: The influence of mouth breathing on the development of the dentition and dento-facial deformities is a problem causes concerns among the medical specialists. Mouth breathing has a major impact on the development of the maxillo-facial region, occlusion and muscle tonus.
Aim: The aim of this study is to assess the relationship between etiological factors, pathogenesis and disturbances in mastication in mouth breathing patients.
Material and methods:  For this article, data is obtained from 43 medical, literary sources.
Results: Literature review demonstrated that   mouth breathing habit affects mostly children aged 7 - 12 years. In the vast majority of studies, the authors established a relation between mouth breathing and the development of maxillo-facial region and occlusion.  The malocclusions described include a distal occlusion, anterior open bite, increase overjet, posterior crossbite, crowding and average incisors inclination disturbances. These clinical conditions become more complicated in the late-mixed and permanent dentition if mouth breathing continues to persist.
Conclusion:
The habitual mouth breathing is a great medical problem nowadays. An increasing numbers of patients with this condition although the development of technology for early diagnostic is embarrassing. This condition is strongly related with different malocclusions such as anterior open bite, overjet, distal occlusion, underdeveloped and narrow upper jaw, increased anterior facial height.

Keywords: mouth breathing, dentition development, dentition formation,

pdf - Download FULL TEXT /PDF 712 KB/
Please cite this article in PubMed Style or AMA (American Medical Association) Style:
Valcheva Z, Arnautska H, Dimova M, Ivanova G, Atanasova I. The role of mouth breathing on dentition development and formation. J of IMAB. 2018 Jan-Mar;24(1):1878-1882.
DOI: 10.5272/jimab.2018241.1878

Corresponding AutorCorrespondence to: Zornitsa Valcheva, Department of Orthodontics, Faculty of Dental Medicine, Medical University – Varna; 84, Tsar Osvoboditel Blvd., 9000 Varna, Bulgaria; E-mail: zornica.vulcheva@gmail.com

REFERENCES:
1. Wagner C. Habitual mouth-breathing: its causes, effects, and treatment. New York: GP. Putnam's Sons. 1881. p. 10-11.
2. West JB. Respiratory Physiology: The essentials. Philadelphia: Lippincott Williams & Wilkins. 2008. p. 12-24, 36-55.
3. West JB. Pulmonary Pathophysiology: The essentials. Philadelphia: Lippincott Williams & Wilkins. 2011. p. 3-34.
4. Tortora GJ, Grabowski SR. Principles of Anatomy and Physiology. 10th ed. New York: Harper Collins College Publishers. 2003. p. 252, 744, 745.
5. Barrow A, Jaideep JJ. Pandit, Lung ventilation and the physiology of breathing. Surgery. 2017 May; 35(5):227-233. [CrossRef]
6. Seeley RR, Stephens TD, Tate P. Anatomy & Physiology. International edition. McGraw-Hill Education. 2016. p. 663.
7. Berne RM, Levy MN. Principles of Physiology. 3 edition. Mosby. 2000. p. 680.
8. Rhoades RA.  Part V: Respiratory Phisiology. In: Medical Physiology: Principles for Clinical Medicine.  Editors Rhoades RA, Bell DR. Third edition. Wolters Kluwer/LWW; February 8, 2008. Chapter 18, 19, 20, 21; pp.319-390.   [Internet]
9. Van de Graaff KM, Fox SR. Human Anatomy and Physiology. 6th edition. McGraw Hill Higher Education. 2001. p. 607, 609, 614, 615.
10. Schedin U, Norman M, Gustafsson LE, Herin P, Frostell D. Endogenous nitric oxide in the upper airways of health newborn infants. Pediatr Res. 1996 Jul;40(1):148-51. [PubMed]
11. Page DC. Your Jaws - Your Life: Alternative Medicine. 2nd edition. Smilepage Pub. Jan. 2003. p.35.
12. Lundberg JO, Farkas-Szallasi T, Weitzberg E, Rinder J, Lidholm J, Anggaard A, et al. High nitric oxide production in human paranasal sinuses. Nat Med. 1995 Apr;1(4):370-3. [PubMed]
13. Arathi Rao, Principle and Practice of Pedodontics. 3rd edition. New Delhi. 2012, p.169, 170.
14. De Menezes VA, Leal RB, Pessoa RS, Pontes RM. [Prevalence and factors related to mouth breathing in school children at the Santo Amaro project-Recife,2005.] [in Portuguese] Rev Bras Otorrinolaringol. 2006 May-June;72(3): 394-9. [CrossRef]
15. Miller AJ, Vargervik K, Chierici G. Sequential neuromuscular changes in rhesus monkeys during the initial adaptation to oral respiration. Am J Orthod. 1982 Feb;81(2):99-107. [PubMed]
16. Bishara SE, (editor). Textbook of Orthodontics. Philadelphia, W B Saunders Co. 2001. p. 606.
17. Gill DS, Naini FB. Orthodontics: Principles and Practice. Wiley-Blackwell. 2011. p. 281.
18. Rao J, QRS for BDS 4th Year. Pedodontics. Elsevier India. 2014. p. 164.
19. Souki BQ, Pimenta GB, Souki M, Franco LP, Becker HM, Pinto JA. Prevalence of malocclusion among mouth breathing children: do expectations meet reality? Int J Pediatr Otorhinolaryngol. 2009 May; 73(5):767-73. [PubMed]
20. Mocellin M, Fugmann EA, Gavazzoni FB, [A cephalometric and otorhinolaryngological study correlated with the degree of nasal obstruction and the pattern of facial growth in orthodontically untreated patients.] [in Portuguese] Rev Bras Otorrinolaringol. 2000; 66:116-120.
21. Linder-Aronson S. Effects of adenoidectomy on dentition and nasopharynx. Am J Orthod. 1974 Jan; 65(1):1-15.
22. Linder-Aronson S, Woodside DG, Lindstrom A. Mandibular growth direction following adenoidectomy. Am J Orthod. 1986 Apr;89(4):273-84. [PubMed]
23. Costa JG, Costa GS, Costa C, Vilella OV, Mattos CT, Cury-Saramago AA. Clinical recognition of mouth breathers by orthodontists: A preliminary study. Am J Orthod Dentofacial Orthop. 2017 Nov;152(5):646-653. [PubMed] [CrossRef]
24. Chambi-Rocha A, Cabrera-Domнnguez ME, Domнnguez-Reyes A. Breathing mode influence on craniofacial development and head posture. J Pediatr (Rio J). 2017 Aug 14. pii:S0021-7557(17)30011-6. [Epub ahead of print] [PubMed] [CrossRef]
25. Galievskya M, Lambert A, Sleep respiratory problems in children: Diagnosis and contribution of the orthodontist Int Orthodontics. 2017 Sep;15(3):405-23. [CrossRef]
26. Rossi RC, Rossi NJ, Rossi NJ, Yamashita HK, Pignatari SS. Dentofacial characteristics of oral breathers in different ages: a retrospective case-control study. Prog Orthod. 2015;16:23. [PubMed] [CrossRef]
27. El Aouame A, Daoui A, El Quars F. Nasal breathing and the vertical dimension: A cephalometric study. Int Orthod. 2016 Dec;14(4):491-502. [PubMed] [CrossRef]
28. Osiatuma VI, Otuyemi OD, Kolawole KA, Ogunbanjo BO, Amusa YB, Occlusal characteristics of children with hypertrophied adenoids in Nigeria. Int Orthod. 2015 Mar;13(1):26-42. [PubMed] [CrossRef]
29. Pacheco MC, Fiorott BS, Finck NS, Araújo MT, Craniofacial changes and symptoms of sleep-disordered breathing in healthy children. Dental Press J Orthod. 2015 May-Jun;20(3):80-7. [PubMed] [CrossRef]
30. Malhotra S, Gupta V, Pandey RK, Singh SK, Nagar A, Dental consequences of mouth breathing in the pediatric age group. Int J< Oral Health Sci. 2013, Jun-Dec;3(2):79-83. [CrossRef]
31. Zalzal GH, Cotton RT. Chapter 68: Pharyngitis and Adenotonsillar Disease. [Internet]
32. Harvold EP, Tomer BS, Vargervik K, Chierici G, Primate experiments on oral respiration. Am J Orthod. 1981 Apr; 79(4):359–72. [PubMed]
33. Solow B, Kreiborhg S. Soft tissue stretching: a possible control factor in craniofacial morphogenesis. J Dent Res. 1977 Sep; 86(6):505–7.
34. Rubin RM. Mode of respiration and facial growth. Am J Orthod. 1980 Nov;78(5):504-10. [PubMed]
35. Harari D, Redlich M, Miri S, Hamud T, Gross M, The effect of mouth breathing versus nasal breathing on dentofacial and craniofacial development in orthodontic patients. Laryngoscope. 2010 Oct;120(10):2089–93. [PubMed]
36. Vig KW. Nasal obstruction and facial growth: the strength of evidence for clinical assumptions. Am J Orthod Dentofacial Orthop. 1998 June; 113(6):603-11. [PubMed]
37. Wagaiyu EG, Ashley FP. Mouth breathing, lip seal and upper lip coverage and their relationship with gingival inflammation in 11-14 year-old schoolchildren. J Clin Periodontol. 1991 Oct; 18(9):698–702.
38. Joshi MR, Study of dental occlusion in nasal and pro-nasal breathers in Maharashtrian children. J All India D.A. 1964; 36:219-39, 247-49
39. McNamara JA, Influence of respiratory pattern on craniofacial growth. Angle Orthod. 1981 Oct; 51(4):269-300
40. Huber RE, Reynolds JW. A dentofacial study of male students at the University of Michigan in the physical hardening program. Am J Orthodont Oral Surg. 1946. Jan;32:(1)1-21, 91.
41. Rakosi T, Schilli W. Class III anomalies: a coordinated approach to skeletal, dental, and soft tissue problems. J Oral Surg. 1981 Nov;39(11):860–70.
42. Pacheco MC, Casagrande CF, Teixeira LP, Finck NS, de Araújo MT, Guidelines proposal for clinical recognition of mouth breathing children. Dental Press J Orthod. 2015 Jul-Aug;20(4):39–44. [PubMed] [CrossRef]
43. Friedman M, Tanyeri H, La Rosa M, Landsberg R, Vaidyanathan K, Pieri S, et al. Clinical predictors of obstructive sleep apnea. Laryngoscope. 1999 Dec;109(12):1901-7. [PubMed] [CrossRef].

Received: 27 June 2017
Published online: 17 January 2018

back to Online Journal