📚 JIDAM — Open Access Dental Journal|ISSN: 2582-0559|IDA Madras
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Home›Archives›Vol 6, Issue 4 (Oct–Dec 2019)›Article 004
JIDAM · Vol 6, Issue 4 · October–December 2019
Review Article

Mouth Breathing "A Habit Or Anomaly" – A Review

Dr. B.N. Rangeeth, Dr. Priyaa Rangeeth
Thai Moogambigai Dental College, Chennai / Gums to Crowns Laser and Implant Dental Clinic, Chennai, Tamilnadu, India.
Vol 6 · Issue 4 · 2019 DOI: 10.37841/jidam_2019_V6_I4_04 🔓 Open Access 📅 2019
2
Authors
49
References
2019
Year Published
📝Abstract

Mouth breathing has been discussed for quite some time but there is a need to increase the awareness about its effects on the dentofacial structures. The review focuses on the systemic and local effects of Mouth Breathing that includes the effects on psychological development including classification based on systemic influences. Though the dentofacial effects are discussed commonly the article aims to summate the systemic effects such as ADHD and sleep apnea that have an effect on the overall development for children. Management strategies such as nasal patches shows the importance of a parallel ENT therapy to be incorporated for better success.

KEYWORDS: Airway Obstruction, Mouth Breathing, Hypoxia, Sleep Apnea Syndrome, Respiratory insufficiency.

🔖How to Cite
Rangeeth BN, Rangeeth P. Mouth Breathing "A Habit Or Anomaly" – A Review. J Indian Dent Assoc Madras. 2019;6(4):137-143. DOI: 10.37841/jidam_2019_V6_I4_04
Rangeeth, B. N., & Rangeeth, P. (2019). Mouth Breathing "A Habit Or Anomaly" – A Review. Journal of Indian Dental Association Madras, 6(4), 137-143. https://doi.org/10.37841/jidam_2019_V6_I4_04
Rangeeth, B. N., and Priyaa Rangeeth. "Mouth Breathing 'A Habit Or Anomaly' – A Review." Journal of Indian Dental Association Madras, vol. 6, no. 4, 2019, pp. 137-143. DOI: 10.37841/jidam_2019_V6_I4_04.
Rangeeth BN, Rangeeth P. Mouth Breathing "A Habit Or Anomaly" – A Review. J Indian Dent Assoc Madras. 2019;6(4):137-143. doi:10.37841/jidam_2019_V6_I4_04
Rangeeth, B. N., and Priyaa Rangeeth. "Mouth Breathing 'A Habit Or Anomaly' – A Review." Journal of Indian Dental Association Madras 6, no. 4 (2019): 137-143. https://doi.org/10.37841/jidam_2019_V6_I4_04.
📚References
  1. Rao A. Principles and Practice of Pedodontics. 3 ed. Rao A, editor. New Delhi: Jaypee Brothers Medical Publishers; 2012. 169, 70 p.
  2. Gardner B. Habit as automaticity, not frequency. The European Health Psychologist. 2012;14(2):32-6.
  3. Kuroishi RC, Garcia RB, Valera FC, AnselmoLima WT, Fukuda MT. Deficits in working memory, reading comprehension and arithmetic skills in children with mouth breathing syndrome: analytical cross-sectional study. Sao Paulo medical journal = Revista paulista de medicina. 2015 Mar-Apr;133(2):78-83.
  4. Abreu RR, Rocha RL, Lamounier JA, Guerra AF. Etiology, clinical manifestations and concurrent findings in mouth-breathing children. Jornal de pediatria. 2008 Nov-Dec;84(6):529-35.
  5. Leboulanger N. [Nasal obstruction and mouth breathing: the ENT’s point of view]. L’ Orthodontie francaise. 2013 Jun;84(2):185-90.
  6. de Castilho LS, Abreu MH, de Oliveira RB, Souza ESME, Resende VL. Factors associated with mouth breathing in children with -developmental -disabilities. Special care in dentistry : official publication of the American Association of Hospital Dentists, the Academy of Dentistry for the Handicapped, and the American Society for Geriatric Dentistry. 2016 Mar-Apr;36(2):75-9.
  7. Sivasankar MP, Erickson-Levendoski E. Influence of obligatory mouth breathing, during realistic activities, on voice measures. Journal of voice : official journal of the Voice Foundation. 2012 Nov;26(6):813 e9-13.
  8. Meir R, Zhao GG, Zhou S, Beavers R, Davie A. The acute effect of mouth only breathing on time to completion, heart rate, rate of perceived exertion, blood lactate, and ventilatory measures during a high-intensity shuttle run sequence. Journal of strength and conditioning research. 2014 Apr;28(4):950-7.
  9. Flutter J. The negative effect of mouth breathing on the body and development of the child. International journal of orthodontics. 2006 Summer;17(2):31-7.
  10. Jefferson Y. Mouth breathing: adverse effects on facial growth, health, academics, and behavior. General dentistry. 2010 Jan-Feb;58(1):18-25; quiz 6-7, 79-80.
  11. Izuhara Y, Matsumoto H, Nagasaki T, Kanemitsu Y, Murase K, Ito I, et al. Mouth breathing, another risk factor for asthma: the Nagahama Study. Allergy. 2016 Jul;71(7):1031-6.
  12. Yamaguchi H, Tada S, Nakanishi Y, Kawaminami S, Shin T, Tabata R, et al. Association between Mouth Breathing and Atopic Dermatitis in Japanese Children 2-6 years Old: A PopulationBased Cross-Sectional Study. PloS one. 2015;10(4):e0125916.
  13. Sano M, Sano S, Oka N, Yoshino K, Kato T. Increased oxygen load in the prefrontal cortex from mouth breathing: a vector-based nearinfrared spectroscopy study. Neuroreport. 2013 Dec 4;24(17):935-40.
  14. Izu SC, Itamoto CH, Pradella-Hallinan M, Pizarro GU, Tufik S, Pignatari S, et al. Obstructive sleep apnea syndrome (OSAS) in mouth breathing children. Brazilian journal of otorhinolaryngology. 2010 Sep-Oct;76(5):552-6.
  15. Lee SH, Choi JH, Shin C, Lee HM, Kwon SY, Lee SH. How does open-mouth breathing influence upper airway anatomy? The Laryngoscope. 2007 Jun;117(6):1102-6.
  16. Kim EJ, Choi JH, Kim KW, Kim TH, Lee SH, Lee HM, et al. The impacts of open-mouth breathing on upper airway space in obstructive sleep apnea: 3-D MDCT analysis. European archives of oto-rhino-laryngology : official journal of the European Federation of Oto-RhinoLaryngological Societies. 2011 Apr;268(4):533- 9.
  17. Okuro RT, Morcillo AM, Ribeiro MÂGO, Sakano E, Conti PBM, Ribeiro JD. Respiração bucal e anteriorização da cabeça: efeitos na biomecânica respiratória e na capacidade de exercício em crianças. Jornal Brasileiro de Pneumologia. 2011;37:471-9.
  18. Yi LC, Jardim JR, Inoue DP, Pignatari SS. The relationship between excursion of the diaphragm and curvatures of the spinal column in mouth breathing children. Jornal de pediatria. 2008 Mar-Apr;84(2):171-7.
  19. Hallani M, Wheatley JR, Amis TC. Enforced mouth breathing decreases lung function in mild asthmatics. Respirology. 2008 Jun;13(4):553-8.
  20. Mancini F, Sousa FS, Hummel AD, Falcao AE, Yi LC, Ortolani CF, et al. Classification of postural profiles among mouth-breathing children by learning vector quantization. Methods of information in medicine. 2011;50(4):349-57.
  21. Haytac MC, Oz IA. Atypical streptococcal infection of gingiva associated with chronic mouth breathing. Quintessence international. 2007 Nov-Dec;38(10):E577-82.
  22. Bakor SF, Pereira JC, Frascino S, Ladalardo TC, Pignatari SS, Weckx LL. Demineralization of teeth in mouth-breathing patients undergoing maxillary expansion. Brazilian journal of otorhinolaryngology. 2010 NovDec;76(6):709-12.
  23. Motta LJ, Bachiega JC, Guedes CC, Laranja LT, Bussadori SK. Association between halitosis and mouth breathing in children. Clinics. 2011;66(6):939-42. PubMed PMID: 21808855.
  24. Choi JE, Waddell JN, Lyons KM, Kieser JA. Intraoral pH and temperature during sleep with and without mouth breathing. Journal of oral rehabilitation. 2016 May;43(5):356-63.
  25. Lione R, Franchi L, Huanca Ghislanzoni LT, Primozic J, Buongiorno M, Cozza P. Palatal surface and volume in mouth-breathing subjects evaluated with three-dimensional analysis of digital dental casts-a controlled study. European journal of orthodontics. 2015 Feb;37(1):101-4.
  26. Lione R, Buongiorno M, Franchi L, Cozza P. Evaluation of maxillary arch dimensions and palatal morphology in mouth-breathing children by using digital dental casts. International journal of pediatric otorhinolaryngology. 2014 Jan;78(1):91-5.
  27. Nagaiwa M, Gunjigake K, Yamaguchi K. The effect of mouth breathing on chewing efficiency. The Angle orthodontist. 2016 Mar;86(2):227-34.
  28. Souki BQ, Lopes PB, Veloso NC, Avelino RA, Pereira TB, Souza PE, et al. Facial soft tissues of mouth-breathing children: do expectations meet reality? International journal of pediatric otorhinolaryngology. 2014 Jul;78(7):1074-9.
  29. Basheer B, Hegde KS, Bhat SS, Umar D, Baroudi K. Influence of Mouth Breathing on the Dentofacial Growth of Children: A Cephalometric Study. Journal of international oral health : JIOH. 2014 Nov-Dec05/25/received08/10/ accepted;6(6):50-5.
  30. Chung Leng Munoz I, Beltri Orta P. Comparison of cephalometric patterns in mouth breathing and nose breathing children. International journal of pediatric otorhinolaryngology. 2014 Jul;78(7):1167-72.
  31. Chaves TC, de Andrade e Silva TS, Monteiro SA, Watanabe PC, Oliveira AS, Grossi DB. Craniocervical posture and hyoid bone position in children with mild and moderate asthma and mouth breathing. International journal of pediatric otorhinolaryngology. 2010 Sep;74(9):1021-7.
  32. Melo Dde L, Santos RV, Perilo TV, Becker HM, Motta AR. Mouth breathing evaluation: use of Glatzel mirror and peak nasal inspiratory flow. CoDAS. 2013;25(3):236-41.
  33. Niaki EA, Chalipa J, Taghipoor E. Evaluation of oxygen saturation by pulse-oximetry in mouth breathing patients. Acta medica Iranica. 2010 Jan-Feb;48(1):9-11.
  34. Fujimoto S, Yamaguchi K, Gunjigake K. Clinical estimation of mouth breathing. American journal of orthodontics and dentofacial orthopedics : official publication of the American Association of Orthodontists, its constituent societies, and the American Board of Orthodontics. 2009 Nov;136(5):630 e1-7.
  35. kumar TA, kuriakose S. Ultrasonographic evaluation of effectiveness of circumoral muscle exercises in adenotonsillectomized children. Journal of Clinical Pediatric Dentistry. 2005;29(1):49-55.
  36. Franco LP, Souki BQ, Cheib PL, Abrao M, Pereira TB, Becker HM, et al. Are distinct etiologies of upper airway obstruction in mouth-breathing children associated with different cephalometric patterns? International journal of pediatric otorhinolaryngology. 2015 Feb;79(2):223-8.
  37. Ferla A, Silva AM, Correa EC. Electrical activity of the anterior temporal and masseter muscles in mouth and nasal breathing children. Brazilian journal of otorhinolaryngology. 2008 JulAug;74(4):588-95.
  38. Dutra EH, Maruo H, Vianna-Lara MS. Electromyographic activity evaluation and comparison of the orbicularis oris (lower fascicle) and mentalis muscles in predominantly nose- or mouth-breathing subjects. American journal of orthodontics and dentofacial orthopedics : official publication of the American Association of Orthodontists, its constituent societies, and the American Board of Orthodontics. 2006 Jun;129(6):722 e1-9.
  39. Busanello-Stella AR, Blanco-Dutra AP, Correa EC, Silva AM. Electromyographic fatigue of orbicular oris muscles during exercises in mouth and nasal breathing children. CoDAS. 2015 JanFeb;27(1):80-8.
  40. Cattoni DM, Fernandes FD, Di Francesco RC, De Latorre Mdo R. Quantitative evaluation of the orofacial morphology: anthropometric measurements in healthy and mouth-breathing children. The International journal of orofacial myology : official publication of the International Association of Orofacial Myology. 2009 Nov;35:44-54.
  41. Das UM, Beena JP. Effectiveness of circumoral muscle exercises in the developing dentofacial morphology in adenotonsillectomized children: an ultrasonographic evaluation. Journal of the Indian Society of Pedodontics and Preventive Dentistry. 2009 Apr-Jun;27(2):94-103.
  42. Campanha SM, Fontes MJ, Camargos PA, Freire LM. The impact of speech therapy on asthma and allergic rhinitis control in mouth breathing children and adolescents. Jornal de pediatria. 2010 May-Jun;86(3):202-8.
  43. Huang TW, Young TH. Novel porous oral patches for patients with mild obstructive sleep apnea and mouth breathing: a pilot study. Otolaryngology- -head and neck surgery : official journal of American Academy of Otolaryngology-Head and Neck Surgery. 2015 Feb;152(2):369-73.
  44. Gardner B. A review and analysis of the use of ‘habit’ in understanding, predicting and influencing health-related behaviour. Health psychology review. 2015;9(3):277-95. PubMed PMID: 25207647.
  45. Munshi A, Shetty S. Oral habits in children--a prevalence study. Journal of Indian Society of Pedodontics and Preventive Dentistry. 1998 June 1, 1998;16(2):61-6.
  46. Shukla D, Sundaram K, Kharbanda O, Sidhu S. Oral habits in school going children of Delhi : a prevalence study. Journal of Indian Society of Pedodontics and Preventive Dentistry. 2003 September 1, 2003;21(3):120-4.
  47. Lee SY, Guilleminault C, Chiu HY, Sullivan SS. Mouth breathing, “nasal disuse,” and pediatric sleep-disordered breathing. Sleep & breathing = Schlaf & Atmung. 2015 Dec;19(4):1257-64.
  48. Mattar SE, Matsumoto MA, Valera FC, AnselmoLima WT, Faria G. The effect of adenoidectomy or adenotonsillectomy on occlusal features in mouth-breathing preschoolers. Pediatric dentistry. 2012 Mar-Apr;34(2):108-12.
  49. Turkalj M, Zivkovic J, Lipej M, Bulat Lokas S, Erceg D, Anzic SA, et al. The effect of mouth breathing on exercise induced fall in lung function in children with allergic asthma and rhinitis. International journal of pediatric otorhinolaryngology. 2016 Jul;86:53-6.