PEDIATRICS Vol. 73 No. 5 May 1984, pp. 622-625
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Facial Characteristics of Children Who Breathe Through the Mouth

Dante Bresolin DDS1, Gail G. Shapiro MD1, Peter A. Shapiro DDS1, Steven W. Dassel MD1, Clifton T. Furukawa MD1, William E. Pierson MD1, Michael Chapko PhD1, and C. Warren Bierman MD1

1 From the Department of Orthodontics, University of Washington School of Dentistry; Department of Pediatrics, University of Washington School of Medicine; and Division of Allergy, Children's Orthopedic Hospital and Medical Center, Seattle

There are many claims that abnormal breathing patterns alter facial growth; however, there are limited controlled data to confirm these claims. Thirty children with allergy, aged 6 to 12 years, who had moderate-to-severe nasal mucosal edema on physical examination and who appeared to breathe predominantly through the mouth and 15 children without allergy who had normal findings from nasal examination and who appeared to breathe predominantly through the nose were evaluated. All subjects received an intraoral clinical examination and cephalometric radiograph analysis. In comparison with children who breathed through the nose, children who breathed through the mouth had longer faces with narrower maxillae and retruded jaws. This supports the hypothesis that children with nasal obstruction and who appear to breathe through the mouth have distinctive facial characteristics.

Key Words: mouth breathing • nose breathing • allergy • facial development

Accepted on July 22, 1983


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