2016, Número 2
<< Anterior Siguiente >>
Revista Habanera de Ciencias Médicas 2016; 15 (2)
Respiración bucal y su relación con algunas afecciones bucales y médicas: mecanismos fisiopatológicos involucrados
García TBE, Hibatulla AA, Grau LIB
Idioma: Ingles.
Referencias bibliográficas: 46
Paginas: 200-212
Archivo PDF: 209.16 Kb.
RESUMEN
Introducción: La respiración bucal excesiva puede relacionarse con diferentes
afecciones bucales y médicas, pero los mecanismos involucrados en tan complejas
interacciones no son comprendidos totalmente.
Objetivo: Explorar los posibles mecanismos fisiopatológicos involucrados en la
relación entre la respiración bucal y algunas afecciones bucales y médicas.
Material y Métodos: Se realizó una revisión de la literatura a través de PubMed, Scielo y Hinari. Se seleccionaron artículos relevantes y actualizados sobre el tema.
Resultados: La respiración bucal se ha relacionado con afecciones bucales como:
boca y labios secos, caries dental, enfermedad periodontal, halitosis secundaria,
deformidad craneofacial y mal oclusión, así como deglución anormal. También se
relaciona con afecciones médicas como: alteración de la postura corporal, de la
cabeza y el cuello, apnea obstructiva del sueño, pobre desempeño físico y del
aprendizaje y asma. Entre los mecanismos fisiopatológicos involucrados en esa
relación están: hipoxemia crónica con hipercapnia, incremento de la pérdida de agua
y energía, disminución de la liberación de hormona del crecimiento, liberación de
mediadores inflamatorios y oxidativos, sobrecarga en la espalda alta y músculos del
cuello, deformidad en la vía aérea y deformidades craneofaciales.
Conclusiones: Los mecanismos fisiopatológicos involucrados en la relación entre la respiración bucal y algunas afecciones bucales y médicas incluyen deficiencias
bioquímicas, fisiológicas, e inmunológicas, así como efectos anatómicos.Se requiere
realizar más estudios para explorar una relación causal.
REFERENCIAS (EN ESTE ARTÍCULO)
Podadera Valdés ZR, Flores Podadera L, Rezk Díaz A. Repercusión de la respiración bucal en el sistema estomatognático en niños de 9 a 12 años [Internet]. 2013, Ago [cited 2015 Jul 24]; 17(4): 126-137. Available from: http://scielo.sld.cu/scielo.php?script=sci_arttext&pid=S1561- 31942013000400014&lng=es
Bonuck KA, Chervin RD, Cole TJ, Emond A, Henderson J, Xu L, et al. Prevalence and persistence of sleep disordered breathing symptoms in young children: a 6-year population-based cohort study. Sleep. 2011; 34(7):875-84.
Farid MM, Metwalli N. Computed tomographic evaluation of mouth breathers among paediatric patients. DentomaxillofacRadiol. 2010; 39(1): 1-10.
Milanesi JM, Weber P, Berwig LC, Ritzel RA, da Silva AMT, Rodrigues Corrêa EC. Childhood mouth-breathing consequences at adult age: ventilatory function and quality of life. FisioterMov. [Internet]. 2014 Jun [cited 2015 July 24]; 27(2):211-8. Available from: http://www.scielo.br/scielo.php?script=sci_arttext&pid=S0103- 51502014000200211&lng=en
Al-Awadi RN, Al-Casey M. Oral health status, salivary physical properties and salivary Mutans Streptococci among a group of mouth breathing patients in comparison to nose breathing. J Bagh College Dentistry. 2013 Jun; 25 (Special Issue 1):152-9.
Motta LJ, Bachiega JC, Guedes CC, Laranja LT, Bussadori SK. Association between halitosis and mouth breathing in children. Clinics (Sao Paulo). Jun 2011; 66(6): 939– 42.
Chung Leng Muñoz I, BeltriOrta P. Comparison of cephalometric patterns in mouth breathing and nose breathing children. Int J PediatrOtorhinolaryngol. 2014 Jul; 78(7):1167-72.
Lione R, Buongiorno M, Franchi L, Cozza P. Evaluation of maxillary arch dimensions and palatal morphology in mouth-breathing children by using digital dental casts. Int J PediatrOtorhinolaryngol. 2014 Jan; 78(1):91-5.
Wang MW, Li HF, Wang QR, Xu H, HE JN. [Relationship between abnormal swallowing and mouth breathing]. Zhonghua Kou Qiang Yi XueZaZhi. 2013 Dec; 48(12):750-1. Chinese
Margosian Conti PB, Sakano E, Gonçalves de Oliveira MA, Santos Schivinski CI, DirceuRibeiro J. Assessment of the body posture of mouth-breathing children and adolescents. J Pediat. 2011; 87(4): 357-63.
SadakoKuroishiI RC, Basso Garcia R, Pereira Valera FC, Anselmo-Lima WT, Hebihara Fukuda MT. Deficits in working memory, reading comprehension and arithmetic skills in children with mouth breathing syndrome: analytical cross-sectional study. Sao Paulo Med J. 2014 Sep 26;
Hallani M, Wheatley JR, Amis TC. Enforced mouth breathing decreases lung function in mild asthmatics. Respirology. 2008 Jun; 13(4):553-8.
Leboulanger N. Nasal obstruction and mouth breathing: the ENT's point of view. Orthod Fr. 2013 Jun; 84(2):185-90.
Barros JRC, Becker HMG, Pinto JA. Evaluation of atopy among mouth-breathing pediatric patients referred for treatment to a tertiary care center. J Pediatr (Rio J). 2006; 82(6):458-64.
Svensson S. Increased net water loss by oral compared to nasal expiration in healthy subjects. Rhinology. 2006 Mar; 44(1):74-7.
Peltomäki T. The effect of mode of breathing on craniofacial growth—revisited. Eur J Orthod. 2007 Oct; 29(5):426-9.
Kent DT, Soose RJ. Environmental factors that can affect sleep and breathing: allergies. ClinChest Med. 2014 Sep; 35(3):589-601.
Souki BQ, Lopes PB, Veloso NC, Avelino RA, Pereira TB, Souza PE, et al. Facial soft tissues of mouth-breathing children: do expectations meet reality? Int J PediatrOtorhinolaryngol. 2014 Jul; 78(7):1074-9.
Bolzan Gde P, Souza JA, BotonLde M, Silva AM, Corrêa EC. Facial type and head posture of nasal and mouth-breathing children. J Soc Bras Fonoaudiol. 2011 Dec; 23(4):315-20.
Scully C, Felix DH. Oral medicine - update for the dental practitioner: dry mouth and disorders of salivation. Br Dent J. 2005; 199(7):423-7.
GarcíaTriana BE, Delfín Soto O, LavanderoEspina AM, SaldañaBernabeu A. Salivary proteins: structure, function and mechanisms of action. Rev HabanCiencMéd [Internet]. 2012 Dic [cited 2015 Jul 24]; 11(4):450-6. Available in: http://scielo.sld.cu/scielo.php?script=sci_arttext&pid=S1729- 519X2012000400004&lng=es
Koga-Ito CY, Unterkircher CS, Watanabe H, Martins CA, Vidotto V, Jorge AO. Caries risk tests and salivary levels of immunoglobulins to Streptococcus mutans and Candida albicans in mouthbreathing syndrome patients. Caries Res. 2003; 37(1):38- 43.
Weiler RM, Fisberg M, Barroso AS, Nicolau J, Simi R, Siqueira WL. A study of the influence of mouth-breathing in some parameters of unstimulated and stimulated whole saliva of adolescents. Int J PediatrOtorhinolaryngol. 2006; 70(5):799-805.
Wu L, Chang R, Mu Y, Deng X, Wu F, Zhang S, Zhou D. Association between obesity and dental caries in Chinese children. Caries Res. 2013; 47(2):171-6.
Altshuler A, Madison WI. Early childhood caries: new knowledge has implications for breastfeeding families. LEAVEN. 2006 Apr-May-Jun; 42(2):27-31.
Haralur SB, Al-Qahtani AS. Replacement of missing anterior teeth in a patient with chronic mouth breathing and tongue thrusting. Case Rep Dent. 2013; 2013: 759162.
Ahmad NE, Sanders AE, Sheats R, Brame JL, Essick GK. Obstructive sleep apnea in association with periodontitis: a case-control study. J Dent Hyg. 2013 Aug; 87(4):188-99.
Keller JJ, Wu CS, Chen YH, Lin HC. Association between obstructive sleep apnoea and chronic periodontitis: a population-based study. J ClinPeriodontol. 2013 Feb; 40(2):111-7.
FuerteBakor S, Motta Pereira JC, S Frascino, Cellos Gonçalves TC, Shirley Shizue Nagata Pignatari, Maurice Weckx LL. Demineralization of teeth in mouth-breathing patients undergoing maxillary expansion. Braz J Otorhinolaryngol. 2010; 76(6):709- 12.
American Dental Association. Bad breath. Causes and tips for controlling it. JADA. 2012; 143(9): 1053.
Hsu HY, Yamaguchi K. Decreased chewing activity during mouth breathing. J Oral Rehabil. 2012 Aug; 39(8):559-67.
Ikenaga N, Yamaguchi K, Daimon S. Effect of mouth breathing on masticatory muscle activity during chewing food. J Oral Rehabil. 2013 Jun; 40(6):429-35.
Malhotra S, Pandey R K, Nagar A, Agarwal S P, Gupta V K. The effect of mouth breathing on dentofacial morphology of growing child. J Indian SocPedodPrev Dent. 2012; 30:27-31.
Mattar SE, Valera FC, Faria G, Matsumoto MA, Anselmo-Lima WT. Changes in facial morphology after adenotonsillectomy in mouth-breathing children. Int J Paediatr Dent. 2011 Sep; 21(5):389-96.
Mattar SE, Matsumoto MA, Valera FC, Anselmo-Lima WT, Faria G. The effect of adenoidectomy or adenotonsillectomy on occlusal features in mouthbreathing preschoolers. Pediatr Dent. 2012 Mar-Apr; 34(2):108-12.
Knösel M, Klein S, Bleckmann A, Engelke W. Coordination of tongue activity during swallowing in mouth-breathing children. Dysphagia. Sep 2012; 27(3): 401– 407.
FuerteBakor S, Enlow DH, Pontes P, Grigoletto de Biase N. Craniofacial growth variations in nasal-breathing, oral-breathing, and tracheotomized children. DentofacOrthop. 2011 Oct; 140(4):486–92.
Milanesi JM, Borin G, Corrêa EC, da Silva AM, Bortoluzzi DC, Souza JA. Impact of the mouth breathing occurred during childhood in the adult age: biophotogrammetric postural analysis. Int J Pediatr Otorhinolaryngol. 2011 Aug; 75(8):999-1004.
Haddad FL, Vidigal TA, Mello-Fujita L, Cintra FD, Gregório LC, Tufik S, et al. The influence of nasal abnormalities in adherence to continuous positive airway pressure device therapy in obstructive sleep apnea patients. Sleep Breath. 2013 Dec;17(4):1201-7.
Enoz M. Effects of nasal pathologies on obstructive sleep apnea. ActaMedica (Hradec Kralove). 2007; 50(3):167-70.
Li AM, Chan MH, Yin J, So HK, Ng SK, Chan IH, Lam CW, Wing YK, Ng PC. Creactive protein in children with obstructive sleep apnea and the effects of treatment. Pediatr Pulmonol. 2008 Jan; 43(1):34-40.
Sano M, Sano S, Oka N, Yoshino K, T Kato. Increased oxygen load in the prefrontal cortex from mouth breathing: a vector-based near-infrared spectroscopy study. Neuroreport. Dec 4, 2013; 24(17): 935–40.
Serrao G, Fensterseifer GS, Carpes O, Weckx LL, Martha VF. Mouth breathing in children with learning disorders. Braz J Otorhinolaryngol. 2013 Sep-Oct; 79(5):620-4.
Boas AP, Marson FA, Ribeiro MA, Sakano E, Conti PB, Toro AD, et al. Walk test and school performance in mouth-breathing children. Braz J Otorhinolaryngol. 2013 Mar-Apr; 79(2):212-8.
Niaki SE, Shafaroodi H, Ghasemi M, Shakiba B, Fakhimi A, Dehpour AR. Mouth breathing increases the pentylenetetrazole-induced seizure threshold in mice: A role for ATP-sensitive potassium channels. Epilepsy Behav. 2008 May 26.
Steinsvåg SK, Skadberg B, Bredesen K. Nasal symptoms and signs in children suffering from asthma. Int J PediatrOtorhinolaryngol. 2007 Apr; 71(4):615-21.