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Objectives: This study aimed to examine the clinical effects of myofunctional treatment on children with functional mouth breathing by cephalometric radiographs and study models.
Methods: A total of 224 children (6-10 years old; 114 males and 110 females; SNA°: 82.24 ± 1.67°; ANB°: 2.79 ± 0.80°, 28° < SN-GoGn° < 37°) formed three groups: MB-M group (mouth breathers with myofunctional treatment,n = 75); MB-N group (mouth breathers with no treatment,n = 70); NB group (nasal breathers with no treatment, n = 79). A blind evaluation of cephalometric radiographs and study models was conducted at T1(pre-study) and T2 (post-study), respectively.
Results: Two hundred four children (MB-M:66, MB-N:68, NB:70) completed the present study. At T1, MB-M and MB-N groups, compared to their NB counterpart, had greater anterior lower facial height(P < 0.01) and overjet(P < 0.001) but shorter overbite and maxillary canines width (P < 0.001). At T2, the MB-N group exhibited a higher ANB angle, anterior lower facial height, and overjet, but shorter overbite and maxillary canines width (P < 0.001). From T1 to T2, the anterior lower facial height increased, overbite and the maxillary canines width further decreased in the MB-N group (P < 0.001). However, in the MB-M group, the incisors were retracted, overbite increased (P < 0.001), anterior lower facial height increased insignificantly (P > 0.05), and maxillary canines width increased slightly (P < 0.05). In the NB and MB-M groups, the mandible showed a normal tendency to grow forward, whereas, in the MB-N group, the mandible showed a tendency to grow downward (P < 0.001).
Conclusions: Mouth breathers demonstrated increased anterior facial height and overjet but reduced overbite and maxillary arch width, which improved significantly following myofunctional treatment.
Trial Registration: TCTR: TCTR20220401001 . Registered 1April 2022-Retrospectively registered.
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http://www.ncbi.nlm.nih.gov/pmc/articles/PMC9413933 | PMC |
http://dx.doi.org/10.1186/s12887-022-03559-w | DOI Listing |
Clin Oral Investig
September 2025
Speech-language Pathology Department, Bauru Dental School, University of São Paulo, Bauru, Brazil.
Children (Basel)
August 2025
Department of Orthodontics, University Hospital Carl Gustav Carus Dresden, Technische Universität Dresden, Fetscherstrasse 74, D-01307 Dresden, Germany.
Pediatric obstructive sleep apnea (OSA) is a highly prevalent, multifactorial, and often underdiagnosed condition with significant consequences for cognitive and behavioral development. Early detection and timely multidisciplinary interventions are essential, particularly in children with craniofacial anomalies or syndromes associated with increased OSA risks, to prevent long-term complications. This narrative review explores the orthodontists' role in the interdisciplinary management of pediatric OSA, focusing on early screening for craniofacial risk factors and implementing interceptive orthodontic interventions that support favorable airway development and growth modulation.
View Article and Find Full Text PDFCureus
August 2025
Department of Orthodontics, Mathrusri Ramabai Ambedkar Dental College and Hospital, Bangalore, IND.
Introduction Skeletal Class II malocclusion, commonly resulting from mandibular retrognathism, poses both functional and aesthetic challenges in growing patients. Functional orthopaedic appliances, such as the Twin Block, aim to correct this by stimulating mandibular growth through forward positioning. This biomechanical stimulus is believed to trigger adaptive remodelling at the condylar cartilage level, influencing bone formation pathways and playing a crucial role in the release of salivary biomarkers such as osteocalcin, osteonectin, and collagen type 1, which can be non-invasively detected.
View Article and Find Full Text PDFClin Oral Investig
August 2025
Speech-language Pathology Department, Bauru Dental School, University of São Paulo, Bauru, Brazil.
Objectives: To compare changes in tongue pressure during anterior open bite (AOB) treatment using a fixed palatal crib (PC) alone versus PC combined with brief orofacial myofunctional therapy (OMT), and to determine whether these changes predict overbite correction.
Materials And Methods: Thirty-two patients were divided into two groups: the PC group received a fixed palatal crib alone, while the PC-OMT group received PC plus weekly OMT sessions for the first two months. Lateral cephalometric radiographs and tongue pressure measurements using the Iowa Oral Performance Instrument (IOPI) were collected at baseline (T1) and after open bite correction or 12 months later when the appliance was removed (T2).
Acta Otolaryngol
September 2025
Department of Oto-Rhino-Laryngology, Head and Neck Surgery, University Hospital Wuerzburg, Germany.
Background: Snoring often limits sleep quality and quality of life of the affected person. Effective therapies for snoring are scarce.
Aims/objectives: This prospective, randomized, controlled study aims to investigate the efficacy of an orolingual myofunctional therapy for the treatment of snoring.