Healthy Breathing, ’Round the Clock

Archambault, Nicole

doi:10.1044/leader.ftr1.23022018.48

Cited by 3 publications

(5 citation statements)

References 45 publications

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“…‘The ability to breathe effortlessly and quietly through the nose with the tongue suctioned up and the lips gently closed is essential to optimal craniofacial growth and development.’ Muscular pressure on facial bones, or the lack thereof, can influence directional growth over time. Open lip posture can encourage upper incisor flaring .…”

Section: Impact Of Oral Resting Posturesmentioning

confidence: 99%

“…The relationship between SDB and increased risk for academic and social failure is also well documented . By the time a child reaches their teens, their dysmorphic facial structure may put them at permanent risk for a lifetime of airway function disorders . A study of facial measurements of over 4000 teens concluded, ‘the combination of a long face, reduced nose prominence and width, and a retrognathic mandible may be diagnostic facial features of SDB that may warrant a referral to specialists for the evaluation of other clinical symptoms of SDB …”

Section: Impact Of Omd Over Timementioning

confidence: 99%

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Oral dysfunction as a cause of malocclusion

D'Onofrio

2019

Orthod Craniofacial Res

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Structured AbstractThis narrative review surveys current research demonstrating how oral dysfunction can escalate into malocclusion, acquired craniofacial disorder and contribute to generational dysfunction, disorder and disease.IntroductionBaseline orthodontic consultations are generally recommended beginning age seven. However, the dysmorphic changes that result in malocclusion are often evident years earlier. Similarly, following orthodontic treatment, patients require permanent retention when the bite is not stable, and without such retention, the malocclusion can return.Setting and PopulationNarrative review article including research on infants, children and adults.Materials and MethodsThis review is a brief survey of the symptomology of orofacial myofunctional disorder and outlines 10 areas of oral function that impact occlusal and facial development: breastfeeding, airway obstruction, soft tissue restriction, mouth breathing, oral resting posture, oral habits, swallowing, chewing, the impact of orofacial myofunctional disorder (OMD) over time and maternal oral dysfunction on the developing foetus.ConclusionMalocclusions and their acquired craniofacial dysmorphology are the result of chronic oral dysfunction and OMD. In order to achieve long‐term stability of the face, it is critical to understand the underlying pathologies contributing to malocclusion, open bite and hard palate collapse.

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Section: Impact Of Oral Resting Posturesmentioning

confidence: 99%

Section: Impact Of Omd Over Timementioning

confidence: 99%

Oral dysfunction as a cause of malocclusion

D'Onofrio

2019

Orthod Craniofacial Res

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“…autism) attribute the sleep problem to the DD itself (McLay et al, 2020). Thus, SLPs are in a unique position to expand surveillance of sleep problems in young children—problems which themselves may increase risk for communication difficulties (Archambault, 2018). This is especially true for the majority of young children who receive SLP services in the absence of diagnosed conditions that are highly co-morbid with sleep problems (e.g.…”

Section: Introductionmentioning

confidence: 99%

Sleep problem screening of young children by speech-language pathologists: A mixed-methods feasibility study

Bonuck

Battino

Barresi

et al. 2021

Autism & Developmental Language Impairments

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Background & Aims Poor sleep in young children imperils language learning and use. Both sleep and language problems are prevalent in early childhood. Speech-language pathologists are in a unique position to expand surveillance of sleep problems, which in turn may contribute to communication difficulties. We conducted a feasibility study of speech-language pathologist screening for behavioral sleep problems and sleep-disordered breathing symptoms at a multidisciplinary evaluation and treatment center. Methods Speech-language pathologists administered screeners to parents of 2–6-year-olds: the Short Form-Children's Sleep Habits Questionnaire (for behavioral sleep problems) which includes an item asking if the child has a sleep problem (yes/no), and the pediatric sleep questionnaire (for sleep-disordered breathing). Speech-language pathologists participated in pre- and post-screening focus groups. Pre-screening topics included professional preparation and clinical experience regarding pediatric sleep issues. Post-screening, speech-language pathologists provided feedback about the screening experience and feasibility of incorporating such screening into practice. Results Among 51 children, 31% (16/51) screened positive for sleep-disordered breathing, 78% for behavioral sleep problems (40/51), and 43% (12/28) per parent report. Parent-reported problems were associated with sleep-disordered breathing ( p = 0.00) but not behavioral sleep problems ( p = 0.24). During focus groups, speech-language pathologists reported no formal pediatric sleep training, high parent concern about sleep, and agreed that screening fit their professional mandate. Speech-language pathologists affirmed that the ≤15 min screenings integrated seamlessly into practice but that additional training, particularly for sleep-disordered breathing, was needed. Conclusions The prevalence of sleep problems in 2–6-year-olds presenting to speech-language pathologists was higher than in community samples, but consistent with data from young children with developmental disabilities. Speech-language pathologists endorsed the utility and feasibility of sleep problem screening and education in their clinical practice. Implications Integrating sleep problem screening and education into speech-language pathologist practice is feasible and could widen surveillance of both sleep problems and risk factors for developmental language disorders. Further research should include larger samples and other settings, e.g. home or school.

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“…Mouth breathing for more than 10% of the total sleep time is considered pathologic [3, 4]. Patients who mouth breathe often exhibit signs of daytime sleepiness, lower rates of brain oxygenation, and immature auditory processing, which can increase their likelihood of having a learning disability [5–10]. Studies have shown that mouth breathing can adversely affect craniofacial growth patterns and can restrict the growth of the hard palate, leading to problems including airway instability and airway collapse [1, 3, 11].…”

Section: Introductionmentioning

confidence: 99%

“…Studies have shown that mouth breathing can adversely affect craniofacial growth patterns and can restrict the growth of the hard palate, leading to problems including airway instability and airway collapse [1, 3, 11]. Patients with mouth breathing have been observed to have lower academic achievement rates and poorer phonological working memory than controls [5, 12]. Mouth breathing has also been associated with a short lingual frenulum, which has been linked to obstructive sleep apnea (OSA) [13].…”

Section: Introductionmentioning

confidence: 99%

Lingual and Maxillary Labial Frenuloplasty with Myofunctional Therapy as a Treatment for Mouth Breathing and Snoring

Govardhan¹,

Murdock

Norouz-Knutsen³

et al. 2019

Case Reports in Otolaryngology

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Chronic mouth breathing may adversely affect craniofacial development in children and may result in anatomical changes that directly impact the stability and collapsibility of the upper airway during sleep. Mouth breathing is a multifactorial problem that can be attributed to structural, functional, and neurological etiologies, which are not all mutually exclusive. While therapeutic interventions (myofunctional, speech and swallowing, occupational, and craniosacral therapy) may address the functional and behavioral factors that contribute to mouth breathing, progress may sometimes be limited by restrictive lingual and labial frenum that interfere with tongue and lip mobility. This case report explores the case of a three-year-old girl with mouth breathing, snoring, noisy breathing, and oral phase dysphagia that was successfully treated with lingual and labial frenuloplasty as an adjunct to myofunctional therapy. Within four days of the procedure, the patient had stopped snoring and demonstrated complete resolution of open mouth breathing. The patient was also observed to have increased compliance with myofunctional therapy exercises. This report highlights the effectiveness of surgical interventions to improve the efficacy of myofunctional therapy in addressing open mouth posture and low tongue resting position.

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Healthy Breathing, ’Round the Clock

Cited by 3 publications

References 45 publications

Oral dysfunction as a cause of malocclusion

Oral dysfunction as a cause of malocclusion

Sleep problem screening of young children by speech-language pathologists: A mixed-methods feasibility study

Lingual and Maxillary Labial Frenuloplasty with Myofunctional Therapy as a Treatment for Mouth Breathing and Snoring

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