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Oral breathing and dental malocclusions
A M Zicari1, F Albani, P Ntrekou
1La Sapienza University of Rome, Allergology and Immunology Department, Rome, Italy.
Oral breathing in children is strongly linked to dental malocclusions, causing dentoskeletal and functional issues. This creates a self-perpetuating cycle requiring multidisciplinary intervention for resolution.
Area of Science:
- Pediatric Dentistry
- Orthodontics
- Allergology
- Otolaryngology
Background:
- Oral breathing is a common pediatric condition.
- Potential links between oral breathing and dental malocclusions require further investigation.
Purpose of the Study:
- To evaluate the correlation between oral breathing and dental malocclusions in children.
- To identify specific dentoskeletal and functional alterations associated with oral breathing.
Main Methods:
- A cohort of 71 pediatric oral breathers (aged 6-12) was compared to 71 nasal breathers.
- Diagnostic procedures included cephalometric analysis, spirometry, rhinomanometry, and detailed intraoral examinations.
- Study casts were evaluated for arch perimeter, transpalatal width, and space analysis.
Main Results:
- A significant correlation was found between oral breathing and malocclusions.
- Oral breathing is associated with both dentoskeletal and functional alterations.
- A dysfunctional malocclusive pattern was observed in oral breathers.
Conclusions:
- The association between oral breathing and malocclusions forms a self-perpetuating cycle.
- Determining the primary cause (respiratory or maxillofacial) is challenging.
- Integrated care involving pediatricians, ENTs, allergologists, and orthodontists is crucial.
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