Every mom and dad
I want my children to be healthy and beautiful
However, there are many parents in the clinic who complain
"My kids looked pretty good when they were kids
The eyes are big and the nose is high
It's so cute to laugh at
I don't know why it's getting uglier the older it gets in the last few years."
Teeth protrude on the outside
The lips are thick and turned outward
The face is getting longer and longer
Laughing gums are also exposed
What's going on?
It turns out that it affects the child's appearance
The culprit is —
Breathe with your mouth open for a long time!
What is oral breathing?
Human breathing patterns are divided into 3 types, nasal breathing, mixed breathing (mouth and nose breathing), oral breathing; normal breathing mode is nasal breathing, nasal breathing has moistening, warming and filtering and sterilization effects on the inhaled air, and has a promoting effect on facial development.
When breathing nasally, the lips are closed, the tongue is raised, and the facial development is beautifully coordinated.
When air enters the lungs from the mouth without passing through the nasal cavity for various reasons, oral breathing is formed, and oral breathing is an abnormal state.
When the child has an obstructed upper airway and is forced to take the open mouth breathing method to obtain sufficient oxygen, it is called obstructive open mouth breathing;
Oral breathing patterns and unconscious oral breathing behaviors that remain after the cause of upper airway obstruction have been removed are called habitual mouth breathing.
Nasal breathing
Mouth breathing
What is the cause of oral breathing?
Normally, children do not breathe through the mouth, but when the child suffers from certain diseases, he often begins to breathe.
The etiology of oral breathing is divided into congenital and acquired, and congenital factors include posterior nostril atresia, nasal septum deviation and other reasons;
Acquired factors mainly include: nasal fractures, rhinitis, allergic rhinitis, nasal polyps, chronic sinusitis, adenoidal hypertrophy, tonsil hypertrophy, turbinate hypertrophy and other causes. Colds can also cause nasal congestion, and severe nasal congestion can also cause mouth breathing, but once the cold is better, the nasal congestion is relieved and the mouth breathing will be corrected. Short-term oral breathing will not affect the face, but in order to avoid habitual oral breathing caused by frequent cold nasal congestion, colds should be actively prevented and treated.
Among them, adenoid and tonsillar hypertrophy are the most common causes of open mouth breathing in children.
Why open mouth breathing is causing it
The older the child, the uglier it gets?
Long-term open-mouth breathing will have many adverse effects on the growth and development of the craniomaxillofacial surface and the function of the oral and maxillofacial system. Specific manifestations are open lip teeth, lip valgus, lip thickness, nasal wing atrophy, high arch of palate cap, mismatch between upper and lower dental arches, anterior protrusion of the front teeth, crowded dentition, and long face, known as "adenoidal face".
In another part of patients with enlarged tonsils, long-term oral breathing may form a "ground-wrapped" face shape with a mandibular protrusion, anterior teeth inverted, and a depression in the middle of the face.
Under normal circumstances, the dynamic balance of the lips, cheeks, tongue and masticatory muscles maintains a normal arch shape, and abnormal and uncoordinated strength of any group of muscles can cause misalignment. The mechanism of misalignment caused by oral breathing is not only the direct effect of changes in the respiratory tract, but also the impact of changes in the position and posture of the tongue.
Effects of oral breathing on the nasolabial region
Oral breathing has no airflow through the nasal cavity, the walls are underdeveloped due to lack of functional stimulation, and the connected faces are also affected to lead to insufficient development in the face; oral breathing can also lead to insufficient development of the nose forward, inverted nasal roots, nasal wing atrophy, and small nose, forming a depression in the middle of the face; oral breathing can also lead to insufficient development of the nose downwards, because the air flow passes through the mouth, so that the normally developing palatal apical ceiling descending mechanism is blocked, resulting in high arch of the palate cover.
Effects of oral breathing on dentition
During oral breathing, the tongue leaves the upper palate, the tongue position decreases, the tongue is pulled downwards, the vertical height of the face increases, the muscle tension in the cheek part increases, the tongue cannot be placed on the upper palate, the support of the tongue is lost inside the palate arch, the normal muscle balance inside and outside the arch is destroyed, the outside of the arch is oppressed by abnormal buccal muscle strength, and the medial side lacks the support of the strength of the tongue muscle, resulting in narrow deformation of the upper arch, a higher arch of the palate, a disorderly and crowded tooth arrangement, and even a reverse of the external protrusion and posterior teeth of the anterior and posterior teeth.
Effects of oral breathing on jaw development
When the tonsils are hypertrophied, the tongue is extended forward to maintain airway patency and reduce compression stimulation. When the jaw position is stopped, the tongue is extended forward between the upper and lower teeth, the mouth is slightly open, and the tongue is extended forward to drive the lower jaw forward, and over time, it leads to excessive growth of the lower jaw, forming a mandibular protrusion and anterior teeth reversed.
In fact, long-term oral breathing will not only lead to a decline in children's appearance, but also affect the child's intelligence and physical growth and development, long-term oral breathing, easy to cause brain hypoxia, affecting intellectual development, while the quality of sleep at night is not good, but also affects the height development of children.
How is oral breathing treated?
Oral respiratory diagnosis and treatment in children adopts a multidisciplinary collaborative model
At present, a multidisciplinary collaborative model is adopted for the diagnosis and treatment of oral breathing in children, including otolaryngology, pediatrics and pediatric stomatology, orthodontics, etc.
First of all, the otolaryngologist will evaluate the upper airway of the child, treat nasal airway abnormalities, treat acute and chronic respiratory diseases, and if necessary, remove hypertrophic adenoids and tonsils to relieve airway obstruction.
Oral intervention is then carried out to correct oral breathing habits and maxillofacial deformities; for children whose oral breathing has not yet caused obvious misalignment, patients can be forced to use nasal breathing through educational, vestibular shield and other measures to correct oral breathing habits.
Patients who have developed misalignment should strengthen muscle function training, train lip closure and masticatory muscle strength, and use appropriate methods to correct according to the type of misfit deformity.
Brought about by long-term oral breathing habits
The harms and complications really should not be underestimated
Moms and Dads
If you find yourself
Your child has abnormal oral breathing habits
Early medical treatment is recommended
Visit the Department of Otolaryngology and the Department of Stomatology in regular hospitals
Follow the doctor's professional guidance
Medical guidance for this issue
Zeng Sujuan
Stomatological Hospital Affiliated to Guangzhou Medical University
Director of the Department of Pediatric Dentistry
Chief physician
Professional expertise: treatment of children's oral diseases under general anesthesia, comprehensive prevention and treatment of infant caries, diagnosis and treatment of pulp apical periapical disease of deciduous teeth and young permanent teeth, diagnosis and treatment of children's dental trauma, early correction of children's misalignment.
Send 10 expert numbers
1. Pay attention to the "Guangdong Release" WeChat public account.
(Long press to identify the QR code)
2. Enter the public account, the dialog box replies "mouth breathing + full name + mobile phone number", Guangzai will draw 10 messagers in the background, and each person will get a free expert number.
3. The selected netizens and the specific welfare collection method will be notified by the staff of the Affiliated Stomatological Hospital of Guangzhou Medical University by telephone.
Tips: Applicants must fill in the same information as the person enjoying the benefits, and please fill in the full name that matches the medical card or identity card (please do not fill in the nickname or "Miss X" or "Mr. X").
News
Planning | Guangdong Publishing, Affiliated Stomatological Hospital of Guangzhou Medical University
Edit | Zhang Junwei
Proofreading | Ju Weiqiang