Good breathing for children can stop future woes
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By George Malkemus  January 10, 2014 12:00 am

Mouth breathing in adults creates health issues, some of which are snoring, bad breath and obstructive sleep apnea. A healthy adult normally breathes through the nose while resting or doing light exercise. 

Excessive mouth breathing dries out the mouth and is problematic because air is not filtered and warmed as much as when inhaled through the nose. 

Mouth breathing in children poses special problems. Mouth breathing can result in oral and facial damage that will affect a child his or her entire lifetime unless it is diagnosed and treated as early as possible. If diagnosed before a child is 5 years old, the effects can usually be completely corrected or avoided.

You may not have thought that it matters very much whether your child breathes through the mouth, but it does. The inability to breathe through the nose leads to mouth breathing, which may be caused by allergies, swollen tonsils or adenoids. 

These conditions can result in changes in the facial structure, a smaller mouth, or crooked teeth.

Having a frequent runny nose, ongoing colds, recurring earaches and sore throats are not part of a normal childhood. You might dismiss them as signs of allergies. However, they might be a result of mouth breathing.  There is cause for concern when a child, or anyone, is forced to breathe through the mouth.


Problems resulting from 

mouth breathing in children

• A deformed jaw can be the result of mouth breathing.  Jaws don't grow together correctly, so problems with the bite may develop, usually crowded teeth and a severe overbite.


• The child's head may tend to pull forward to compensate for breathing problems, resulting in a “chicken neck” appearance.


• A child might develop a long, narrow face and narrow nasal passages.


• The shoulders or collarbones may roll forward.


• Tongue thrusting may result in problems with swallowing, talking, or the position of teeth.


• Headaches, earaches and jaw pain may result.


• Children who breathe through their mouth may be smaller in height or weight than others in their age group.


• Mouth breathing can cause the tonsils and adenoids to enlarge, which constricts airflow and can result in OSA (obstructive sleep apnea) and/or SIDS (sudden infant death syndrome).


• The child may become more self-conscious or lose self-esteem because of these changes in the appearance. Mouth breathing in public is sometimes considered to be less socially acceptable or attractive than nose breathing, as mouth breathers can appear to have a somewhat “slack jawed” look.


• Mouth breathing can cause dry mouth and exacerbate bad breath.


• A child who has trouble breathing may not do well in school and also may shy away from physical activity.


Because upper airway obstruction is an obstacle to normal facial development, a mouth-breathing child deserves prompt attention before growth has proceeded irreversibly. If these problems are not corrected, a child will usually need orthodontic treatment.


Mouth breathing symptoms

According to the Academy of General Dentistry, children who are mouth breathers may show any of these symptoms: face that is long or narrow; eyes that often form tears or dark circles; nose that is difficult to breathe through; mouth that is smaller than usual; teeth that are crowded; lips that are large or dry; chin that appears small or weak; jaw that juts forward.

Sometimes a child has an unusual head, neck and body posture because he or she is trying to overcome the lack of air. 

If you notice signs such as the ones described, schedule an appointment for your child with his physician and dentist.

To prevent, identify and correct potential problems with mouth breathing, children should be evaluated for orthodontic treatment between the ages of 5 and 11. At this stage, the jaw and teeth are still growing, so they will be easier to treat. 

The earlier this condition is addressed, the more likely that the effects can be reversed. A thorough evaluation and a treatment plan can be established.

The results? Your child may have less pain, easier oxygen intake, and a better night's sleep, along with a more natural profile, and a beautiful, healthy smile. Help your child catch a breath of fresh air.

Enjoy life and keep smiling.


George Malkemus has a Family and Cosmetic Dental Practice in Rohnert Park at 2 Padre Parkway, Suite 200. Call 585-8595, or email info@ Go to Dr. Malkemus’ website at

Post Your Comments:
Debi Smith
January 18, 2014
I have been a mouth breather since i remember,I have crooked extreme overbite teeth,I am now 57,I did not know all this thank u for the info!
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