Abordagem multidisciplinar no diagnóstico da respiração bucal / Multidisciplinary approach in the diagnosis of mouth breathing

A respiração bucal se caracteriza por uma obstrução das vias aéreas superiores que leva o paciente ao hábitode respirar pela boca. Como consequência, ocorre uma adaptação postural seguida por modificações nasarcadas dentárias e no crescimento facial, além de infecções e má oxigenação cerebral. O objetivo desse artigo foi apresentar os aspectos relacionados ao diagnóstico da respiração bucal e as competências da equipe multidisciplinar, com enfoque na odontologia/ortodontia. A revisão de literatura foi feita em resenhas e artigospublicados entre 1936 a 2015, livros e nos sítios eletrônicos Lilacs, Scielo, Cochrane, Medline, Pubmed e Bireme. Pôde-se concluir que é uma síndrome multifatorial e, para o êxito no seu diagnóstico, há necessidadede interação e atuação de profissionais especializados em diversas áreas, por isso o grande interesse das áreasmédica, odontológica e fonoaudiológica

Mouth breathing is characterized by an obstruction of the upper airway that leads the patient to the habit ofbreathing through the mouth. As a result, there is a postural adjustment, which is followed by changes indental arches and then the facial growth, infections and poor brain oxygenation. The purpose of this paper wasto present aspects related to the diagnosis of mouth breathing and the skills of a multidisciplinary team, with afocus on dentistry / orthodontics. The literature review was made in reviews and articles published between1936-2015, books and electronic sites Lilacs, SciELO, Cochrane, Medline, Pubmed and Bireme. It was concludedthat it is a multifactorial syndrome and for the successful diagnosis, it is necessary the interaction andproceeding of professionals specialized in different areas, therfore the great interest of the medical, dental andspeech areas

Open-mouth posture and maxillary arch width in young children: a three-year evaluation.

A large biracial sample of children were assessed for open mouth posture and maxillary arch width once a year for 3 years. Analyses revealed that although the youngsters exhibited open-mouth posture at high levels, over time, there was a significant decrease in this behavior. Racial and gender differences, as well as a race-by-time interaction, were also evidenced. The children displayed a significant increase in maxillary arch width across time, with gender and racial differences seen in this growth pattern. Finally, when the youngsters were classified as exhibiting primarily open-mouth or closed-mouth posture, it was observed that children with open-mouth posture displayed a significantly slower pattern of maxillary growth compared with children who display anterior lip seal posture. The implications of the findings were discussed.