Kandasamy Sanjivan
Center for Advanced Dental Education, Saint Louis University, St Louis, Mo; Dental School, The University of Western Australia, Nedlands, Western Australia, Australia; Private practice, West Australian Orthodontics, Midland, Western Australia, Australia.
Am J Orthod Dentofacial Orthop. 2025 Jun;167(6):629-634. doi: 10.1016/j.ajodo.2025.02.005. Epub 2025 Mar 6.
It is believed that mouth breathing, particularly during early childhood, is associated with the development of various unfavorable craniofacial characteristics such as mandibular retrognathia, narrow high arch palates and alar bases, lip incompetence, increased vertical facial height, and mandibular plane angles. Today, there is significant debate and confusion pertaining to the role of orthodontists in identifying and managing mouth breathing, especially for young patients as early as 3 years old. Using the historical and contemporary evidence-based literature along with an ethical and pragmatic clinical perspective, the role of mouth breathing and early orthodontic intervention is put into perspective in this paper.
人们认为，口呼吸，尤其是在儿童早期，与各种不利的颅面特征的发展有关，如下颌后缩、高拱窄腭和鼻翼基底、唇部功能不全、面部垂直高度增加以及下颌平面角增大。如今，关于正畸医生在识别和处理口呼吸方面的作用，尤其是对于年仅3岁的年轻患者，存在重大的争论和困惑。本文结合历史和当代循证文献以及伦理和务实的临床观点，对口呼吸和早期正畸干预的作用进行了阐述。
