Skeletal class II malocclusion caused by mouth breathing in a pediatric patient undergoing treatment by interceptive guidance of occlusion.

Abstract

A 7-year 10-month-old boy was evaluated for mouth breathing and snoring habits. Examination revealed soft convex tissues, maxillary protrusion, mandibular retrusion, and a class II sagittal osteofascial pattern. The patient failed a water holding test. He was clinically diagnosed with skeletal class II malocclusion caused by mouth breathing. Under interceptive guidance of occlusion (iGo), the malocclusion improved with fixed maxillary expansion using functional appliances and interventional treatment of mouth breathing by lip closure exercises. These treatments enabled the patient to gradually return to nasal breathing and guided him to develop physiological occlusion for a coordinated jaw-to-jaw relation. At the 5-year 2-month post-correction follow-up visit (at the age of 13 years), the patient had stable occlusion, a coordinated osteofascial pattern, and normal dentition, periodontium, and temporomandibular joints.

• Authors: Lihua Lyu, Zheshan Zhao, Qianwei Tang, Jingjing Zhao, Hua Huang
• Journal: The Journal of international medical research (J Int Med Res) Vol. 49 Issue 6 Pg. 3000605211021037 (Jun 2021) ISSN: 1473-2300 [Electronic] England
• PMID: 34098781 (Publication Type: Journal Article)

Topics

• Adolescent
• Cephalometry
• Child
• Humans
• Infant
• Male
• Malocclusion
• Malocclusion, Angle Class II (diagnostic imaging, therapy)
• Maxilla (diagnostic imaging, surgery)
• Mouth Breathing (etiology)