{"title":"10-12岁口鼻呼吸儿童上颌横向尺寸和上呼吸道形态:一项基于cbct的研究","authors":"Rani Satiti , Hendri Susanto , Anrizandy Narwidina","doi":"10.1016/j.jobcr.2025.07.009","DOIUrl":null,"url":null,"abstract":"<div><h3>Introduction</h3><div>Mouth breathing (MB) is a dysfunctional respiratory pattern that may affect craniofacial development by altering maxillary arch width and upper pharyngeal airway morphology. Early identification is critical to prevent long-term dentofacial and airway complications. This study aimed to compare maxillary arch width and upper airway morphology between mouth- and nasal-breathing children aged 10–12 years using Cone Beam Computed Tomography (CBCT).</div></div><div><h3>Materials and methods</h3><div>In this cross-sectional study, 30 children (15 mouth breathers and 15 nasal breathers) underwent CBCT imaging. Transverse maxillary arch dimensions were measured at four points: maxillary width at molars (MWM), intermolar width (IMW), maxillary width at canines (MWC), and intercanine width (ICW). Upper airway morphology was assessed using volumetric (nasopharyngeal volume [NPV], oropharyngeal volume [OPV]) and cross-sectional area (nasopharyngeal area [NPA], oropharyngeal area [OPA]) measurements. Independent <em>t</em>-tests were used to compare group differences with 95 % confidence level.</div></div><div><h3>Results</h3><div>The MB group showed significantly reduced maxillary arch widths (MWM, IMW, MWC, ICW) and diminished upper airway volume and area (NPV, OPV, NPA, OPA) compared to nasal breathers (<em>p</em> < 0.001 for all parameters).</div></div><div><h3>Conclusion</h3><div>Mouth breathing in school-aged children is associated with measurable reductions in maxillary arch width and upper pharyngeal airway dimensions.</div></div>","PeriodicalId":16609,"journal":{"name":"Journal of oral biology and craniofacial research","volume":"15 5","pages":"Pages 1064-1070"},"PeriodicalIF":0.0000,"publicationDate":"2025-07-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":"{\"title\":\"Transverse maxillary dimensions and upper airway morphology in mouth- and nasal-breathing children aged 10–12 years: A CBCT-based study\",\"authors\":\"Rani Satiti , Hendri Susanto , Anrizandy Narwidina\",\"doi\":\"10.1016/j.jobcr.2025.07.009\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<div><h3>Introduction</h3><div>Mouth breathing (MB) is a dysfunctional respiratory pattern that may affect craniofacial development by altering maxillary arch width and upper pharyngeal airway morphology. Early identification is critical to prevent long-term dentofacial and airway complications. This study aimed to compare maxillary arch width and upper airway morphology between mouth- and nasal-breathing children aged 10–12 years using Cone Beam Computed Tomography (CBCT).</div></div><div><h3>Materials and methods</h3><div>In this cross-sectional study, 30 children (15 mouth breathers and 15 nasal breathers) underwent CBCT imaging. Transverse maxillary arch dimensions were measured at four points: maxillary width at molars (MWM), intermolar width (IMW), maxillary width at canines (MWC), and intercanine width (ICW). Upper airway morphology was assessed using volumetric (nasopharyngeal volume [NPV], oropharyngeal volume [OPV]) and cross-sectional area (nasopharyngeal area [NPA], oropharyngeal area [OPA]) measurements. Independent <em>t</em>-tests were used to compare group differences with 95 % confidence level.</div></div><div><h3>Results</h3><div>The MB group showed significantly reduced maxillary arch widths (MWM, IMW, MWC, ICW) and diminished upper airway volume and area (NPV, OPV, NPA, OPA) compared to nasal breathers (<em>p</em> < 0.001 for all parameters).</div></div><div><h3>Conclusion</h3><div>Mouth breathing in school-aged children is associated with measurable reductions in maxillary arch width and upper pharyngeal airway dimensions.</div></div>\",\"PeriodicalId\":16609,\"journal\":{\"name\":\"Journal of oral biology and craniofacial research\",\"volume\":\"15 5\",\"pages\":\"Pages 1064-1070\"},\"PeriodicalIF\":0.0000,\"publicationDate\":\"2025-07-22\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"\",\"citationCount\":\"0\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"Journal of oral biology and craniofacial research\",\"FirstCategoryId\":\"1085\",\"ListUrlMain\":\"https://www.sciencedirect.com/science/article/pii/S2212426825001538\",\"RegionNum\":0,\"RegionCategory\":null,\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"\",\"PubModel\":\"\",\"JCR\":\"Q1\",\"JCRName\":\"Medicine\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"Journal of oral biology and craniofacial research","FirstCategoryId":"1085","ListUrlMain":"https://www.sciencedirect.com/science/article/pii/S2212426825001538","RegionNum":0,"RegionCategory":null,"ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q1","JCRName":"Medicine","Score":null,"Total":0}
Transverse maxillary dimensions and upper airway morphology in mouth- and nasal-breathing children aged 10–12 years: A CBCT-based study
Introduction
Mouth breathing (MB) is a dysfunctional respiratory pattern that may affect craniofacial development by altering maxillary arch width and upper pharyngeal airway morphology. Early identification is critical to prevent long-term dentofacial and airway complications. This study aimed to compare maxillary arch width and upper airway morphology between mouth- and nasal-breathing children aged 10–12 years using Cone Beam Computed Tomography (CBCT).
Materials and methods
In this cross-sectional study, 30 children (15 mouth breathers and 15 nasal breathers) underwent CBCT imaging. Transverse maxillary arch dimensions were measured at four points: maxillary width at molars (MWM), intermolar width (IMW), maxillary width at canines (MWC), and intercanine width (ICW). Upper airway morphology was assessed using volumetric (nasopharyngeal volume [NPV], oropharyngeal volume [OPV]) and cross-sectional area (nasopharyngeal area [NPA], oropharyngeal area [OPA]) measurements. Independent t-tests were used to compare group differences with 95 % confidence level.
Results
The MB group showed significantly reduced maxillary arch widths (MWM, IMW, MWC, ICW) and diminished upper airway volume and area (NPV, OPV, NPA, OPA) compared to nasal breathers (p < 0.001 for all parameters).
Conclusion
Mouth breathing in school-aged children is associated with measurable reductions in maxillary arch width and upper pharyngeal airway dimensions.
期刊介绍:
Journal of Oral Biology and Craniofacial Research (JOBCR)is the official journal of the Craniofacial Research Foundation (CRF). The journal aims to provide a common platform for both clinical and translational research and to promote interdisciplinary sciences in craniofacial region. JOBCR publishes content that includes diseases, injuries and defects in the head, neck, face, jaws and the hard and soft tissues of the mouth and jaws and face region; diagnosis and medical management of diseases specific to the orofacial tissues and of oral manifestations of systemic diseases; studies on identifying populations at risk of oral disease or in need of specific care, and comparing regional, environmental, social, and access similarities and differences in dental care between populations; diseases of the mouth and related structures like salivary glands, temporomandibular joints, facial muscles and perioral skin; biomedical engineering, tissue engineering and stem cells. The journal publishes reviews, commentaries, peer-reviewed original research articles, short communication, and case reports.