Interrelation between orthodontics and phonoaudiology in the clinical decision-making of individuals with mouth breathing

Rúbia Vezaro Vanz,Angela Vezaro Vanz,Lilian Rigo,Lincoln Issamu Nojima,Anamaria Estacia

doi:10.1590/s2176-94512012000300010

Rúbia Vezaro Vanz, Angela Vezaro Vanz + Show 3 more

Open Access

https://doi.org/10.1590/s2176-94512012000300010

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Abstract

OBJECTIVE: The purpose of this study was to investigate the decision making of orthodontists of Passo Fundo district - Rio Grande do Sul (RS, Brazil), in the Orthodontics/Speech Therapy interdisciplinary treatment of mouth breathing individuals. METHODS: The present study is a quantitative approach and the design is descriptive, using as instrument data collection of a questionnaire sent to 22 orthodontists practicing in the above-mentioned district. The project was approved the the Ethics in Research Committee and all individuals signed a free informed consent. RESULTS: All professionals considered the inter-relation between Orthodontics and Speech Therapy necessary, but divergences were found in situations where a associated therapy may exist, considering that 54.5% trust the inter-relation to develop aspects associated to language, orofacial motricity and habits. In cases of associated treatment, the results obtained were considered satisfactory by 73.7% of professionals, even though they consider that only 6 to 20% of their patients collaborate with treatment. CONCLUSION: In relation to decision-making in treatment of mouth breathing individuals, the orthodontists in Passo Fundo/RS agree that there is need for speech therapy. The full vision of the individual in a multidisciplinary team is of fundamental importance in the treatment of patients with mouth breathing syndrome.

Highlights

Chronic mouth breathing is the set of signs and symptoms of those who breathe fully or partially through their mouth.[1,2,3,4] The individual replaces the correct pattern of nasal breathing by an inadequate standard.[5]Mouth breathing is characterized by a deviation in the nasal breathing, being a disorder that affects growth and development of the whole orofacial system
All professionals considered the inter-relation between Orthodontics and Speech Therapy necessary, but divergences were found in situations where a associated therapy may exist, considering that 54.5% trust the interrelation to develop aspects associated to language, orofacial motricity and habits
The full vision of the individual in a multidisciplinary team is of fundamental importance in the treatment of patients with mouth breathing syndrome

Summary

Introduction

Chronic mouth breathing is the set of signs and symptoms of those who breathe fully or partially through their mouth.[1,2,3,4] The individual replaces the correct pattern of nasal breathing by an inadequate standard.[5]Mouth breathing is characterized by a deviation in the nasal breathing, being a disorder that affects growth and development of the whole orofacial system. Chronic mouth breathing is the set of signs and symptoms of those who breathe fully or partially through their mouth.[1,2,3,4] The individual replaces the correct pattern of nasal breathing by an inadequate standard.[5]. This study highlights the close relationship between bone and dental condition, muscles, and functions of the stomatognathic system.[6] When continued, triggers a chain of events that affect child development and even adults in their everyday activities.[7]. To do this, understanding the factors that produce the characteristic changes of mouth breathing is essential, and this situation goes beyond the mere detection of these changes.[10]

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