Etiologia, manifestações clínicas e alterações presentes nas crianças respiradoras orais

Abstract

Objective: To investigate the etiology, main clinical manifestations and other concurrent findings in mouth-breathing children aged 3 to 9 years and resident in the urban area of Abaeté (MG), Brazil. Methods:This study was based on a representative random sample of the town population, of 23,596 inhabitants.Clinical diagnosis of mouth-breathing was defined as a combination of snoring, sleeping with mouth open, drooling on the pillow and frequent or intermittent nasal obstruction. Children with a clinical diagnosis of mouth-breathing underwent nasal endoscopy, allergy skin tests and X ray of the rhinopharynx, full blood tests, eosinophil counts, total IgE assay and fecal parasitology. Data were analyzed using SPSS ® version 10.5. Results:The main causes of mouth-breathing were: allergic rhinitis (81.4%), enlarged adenoids (79.2%), enlarged tonsils (12.6%), and obstructive deviation of the nasal septum (1.0%). The main clinical manifestations of mouth breathers were: sleeping with mouth open (86%), snoring (79%), itchy nose (77%), drooling on the pillow (62%), nocturnal sleep problems or agitated sleep (62%), nasal obstruction (49%), and irritability during the day (43%). Conclusion:Certain clinical manifestations are very common among mouth-breathing children. These manifestations must be recognized and considered in the clinical diagnosis of mouth-breathing.J Pediatr (Rio J). 2008;84(6):529-535: Prevalence, mouth-breathing, allergic rhinitis, hypertrophic adenoids, hypertrophic tonsils, deviated nasal septum.

Avaliação da associação entre os indicadores de saúde bucal, os aspectos socioeconômicos e crianças com sinais clínicos orofaciais indicativos de respiração oral crônica

“…The prevalence of oral breathing in this study was 29.9%, which is lower than that of 53.35% and 55% reported in the literature (2,5) . Regarding clinical oral health information, 61.8% of the children had at least one DMFT/dmft of the deciduous and/or permanent type.…”

“…Chronic mouth breathing is a common symptom in childhood, and its prevalence has been demonstrated in different studies to range from 53.3% to 55.0% (2,5,18) in schoolchildren. The high prevalence of this condition patients indicates the need for better observation of signs and symptoms among dentists, speech therapists, and other health professionals because the lack of an early diagnosis can lead to worsening of the sequelae and a decrease in the quality of life of children.…”

“…This change in the breathing pattern may be associated with several causes that generally have a physical obstructive origin. One of the most common causes of mouth breathing is allergic rhinitis, followed by hypertrophy of the adenoids (5,6) . The prevalence of mouth breathing is high in children, ranging between 53.35% and 55% (2,5) .…”

“…One of the most common causes of mouth breathing is allergic rhinitis, followed by hypertrophy of the adenoids (5,6) . The prevalence of mouth breathing is high in children, ranging between 53.35% and 55% (2,5) . Dentists should become more aware of this condition, because it can cause various intra and extraoral changes, such as maxillary atresia, protrusion of the upper dental arch, cross bite, poor lip seal, a long face, and other general changes (7,8) .…”

Eficiência mastigatória em crianças respiradoras bucais com e sem alterações na oclusão

“…Grande parcela dos responsáveis pelas crianças respiradoras bucais não relata espontaneamente os distúrbios, tais como roncos, dormir com a boca aberta, babar no travesseiro e coceira no nariz, por acreditarem que não têm importância ou que sejam normais 27 . Entretanto, a avaliação clínica pode revelar uma situação diferente da história trazida pela família, por isso todos os sujeitos da pesquisa foram submetidos à avaliação clínica otorrinolaringológica e a exames objetivos 28,29,30,31,32 .…”