2016, Number 2
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Revista Habanera de Ciencias Médicas 2016; 15 (2)
Mouth breathing and its relationship to some oral and medical conditions: physiopathological mechanisms involved
García TBE, Hibatulla AA, Grau LIB
Language: English
References: 46
Page: 200-212
PDF size: 209.16 Kb.
ABSTRACT
Introduction: Excessive mouth breathing may be related to different oral and
medical conditions, but the underlying mechanisms for these complex interactions are
not fully understood.
Objective: To explore the possible physiopathological mechanisms involved in the
relationship between mouth breathing and some oral and medical conditions.
Material and Methods: A review of the literature was performed by using PubMed,
Scielo and Hinari. Relevant and updated articles were selected.
Results: Mouth breathing has been linked to oral conditions such as dry mouth and
lips, dental caries, periodontal disease, secondary halitosis, craniofacialdeformity and
malocclusion, as well as abnormal swallowing. It is also related to medical conditions
such as altered head, neck and body posture, obstructive sleep apnea, poor physical
and learning performance,and asthma. Among the physiopathological mechanisms that may explain that relationship are chronic hypoxemia with hypercapnia, increased
water and energy lose, decreased growth hormone release, inflammatory and
oxidative mediators release, large load on the upper back and neck muscles,
deformity in the airway passage and craniofacial deformities.
Conclusions: Physiopathological mechanisms underpinning the relationship between
mouth breathing and oral and medical diseases vary from biochemical, physiological
and immunological deficiencies to anatomical effects. More studies are needed to
explore a causal relationship.
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