Related Experiment Video
Updated: Aug 13, 2026

Analyzing Craniofacial Morphogenesis in Zebrafish Using 4D Confocal Microscopy
Published on: January 30, 2014
Breathing mode influence in craniofacial development
Fernanda Campos Rosetti Lessa1, Carla Enoki, Murilo Fernandes Neuppmann Feres
1School of Dental Sciences, Ribeirão Preto-USP.
Insights
Mouth breathing in children is linked to increased mandibular inclination and vertical facial growth, impacting craniofacial development. This study analyzed facial proportions in children using cephalometric analysis.
Area of Science:
- Dentistry and Orthodontics
- Pediatric Health
- Craniofacial Development
Background:
- Mouth breathing is a common condition in children.
- Breathing patterns can influence craniofacial morphology.
- Cephalometric analysis is a key tool for evaluating facial proportions.
Purpose of the Study:
- To compare facial proportions between children who mouth breathe and those who are nasal breathers.
- To investigate the relationship between breathing mode and craniofacial development using cephalometric analysis.
Main Methods:
- A transversal cohort study involving 60 children aged 6-10 years.
- Patients were classified into mouth-breathing and nasal-breathing groups based on otorhinolaryngological evaluation.
- Standard lateral cephalometric radiographs were analyzed for specific facial proportion measurements and indexes.
Main Results:
- Mouth breathers exhibited a statistically significant higher mandibular plane inclination (SN.GoGn) compared to nasal breathers.
- Mouth breathers showed a smaller posterior facial height relative to anterior facial height (PFH-AFH ratio).
- The upper facial height was found to be smaller than the lower facial height (UFH-LFH ratio) in mouth-breathing children.
Conclusions:
- Mouth breathing in children is associated with increased mandibular inclination and a tendency towards vertical facial growth.
- These craniofacial changes underscore the significant influence of breathing patterns on development.
- Findings support the hypothesis that mouth breathing impacts craniofacial structure in pediatric patients.
Aim:
The aim of this study was to evaluate the differences in facial proportions of nose and mouth breathing children using cephalometric analysis.
Study Design:
Transversal cohort.
Material And Method:
Sixty cephalometric radiographs from pediatric patients aged 6 to 10 years were used. After otorhinolaryngological evaluation, patients were divided into two groups: Group I, with mouth breathing children and group II, with nose breathers. Standard lateral cephalometric radiographs were obtained to evaluate facial proportions using the following measures: SN.GoGn, ArGo.GoMe, N-Me, N-ANS, ANS-Me and S-Go; and the following indexes: PFH-AFH ratio: S-Go/N-Me; LFH-AFH ratio: ANS-Me/N-Me and UFH-LFH ratio: N-ANS/ANS-Me.
Results:
It was observed that the measurements for the inclination of the mandibular plane (SN.GoGn) in mouth breathing children were statistically higher than those in nasal breathing children. The posterior facial height was statistically smaller than the anterior one in mouth breathing children (PFH-AFH ratio). Thus, the upper anterior facial height was statistically smaller than the lower facial height (UFH-LFH ratio).
Conclusion:
We concluded that mouth breathing children tend to have higher mandibular inclination and more vertical growth. These findings support the influence of the breathing mode in craniofacial development.
More Related Videos
08:03Midface Hypoplasia and Cranial Base Morphology in Syndromic Craniosynostosis: A Comparative Analysis Study Using a Predictive Regression Model
Published on: November 4, 2025
09:38Assessing Species-specific Contributions To Craniofacial Development Using Quail-duck Chimeras
Published on: May 31, 2014
Related Concept Videos
Other Factors Affecting Respiration Centers
However, the ability to hold one's breath voluntarily is not limitless. When the CO2 concentration in the blood reaches a critical level,...
Alterations in Respiration II
In Biot's breathing, the respiratory rate and depth are irregular, alternating between periods of deep gasping and apnea. Common causes include...
Neural Control of Respiration
Respiratory Centers in the Brainstem
Two primary areas comprise the respiratory center: the medullary respiratory center in the medulla oblongata and the pontine respiratory group in the pons. The...
Chemical Factors Affecting Respiration Centers
CO2 has a potent influence on respiration and is strictly regulated. Under...
Mechanism of Breathing I: Inspiration
The respiratory system, an essential network for breathing, comprises the conducting and respiratory zones, each playing a crucial role in the overall process of respiration. Let us explore the detailed mechanism of inspiration, or inhalation, which is the first phase of the respiratory cycle.
Pathway of Air during Inspiration
During inspiration, air enters our body through the nose or mouth and moves through the conducting zone,...
Mechanism of Breathing III: The Accessory Muscles
The respiratory system is a complex network that relies on primary respiratory muscles like the diaphragm, but also involves accessory muscles to enhance lung expansion and airflow during both inhalation and exhalation.
Enhancing Inhalation with Accessory Muscles:
Accessory muscles such as the sternocleidomastoid, scalene, intercostal, and abdominal muscles are crucial when additional respiratory effort is required, such as during deep...