Ceren İLİSULU, Kübra DOĞAN, Ceren CARLI, Figen SEYMEN

Çocuklarda Ağız Solunumu Sendromuna Bağlı Faktörlerin Değerlendirilmesi

Amaç: Bu çalışmanın amacı, çocuklarda ağız solunumu sendromunu etkileyen faktörler ile bu faktörler arasındaki ilişkinin değerlendirilmesidir. Gereç ve Yöntem: Çalışmaya Ekim 2019 - Nisan 2020 tarihleri arasında çocuk diş hekimliği kliniğine başvurmuş sağlıklı 6-14 yaş grubu arasındaki 60 ağız solunumu ve 60 burun solunumu yapan 120 çocuk dahil edilmiştir. Araştırmaya katılmayı kabul eden bireylerin 4 faktöre ayrılmış 18 soruluk anketi eksiksiz bir şekilde cevaplandırmaları sağlanmış ve ağız içi muayeneleri yapılarak dmft ve DMTF değerleri kaydedilmiştir. İstatistiksel olarak Student t testi, Mann Whitney U testi, Shapiro-Wilk testi kullanılarak değerlendirilmiştir. Bulgular: Ağız solunumu yapan çocukların dmft değerleri, burun solunumu yapan çocuklardan anlamlı derecede daha yüksektir (p<0.05). Ağız solunumu yapan çocukların Faktör 1, Faktör 2 ve Faktör 4 değerleri, burun solunumu yapanlara göre istatistiksel olarak anlamlı derecede daha yüksektir (p<0.05). Ağız solunumu yapan çocuklarda; burun tıkanıklığı, burun akıntısı, horlama, ağız kuruluğu, yumuşak yemek tercihi burun solunumu yapanlara göre anlamlı derecede daha yüksektir (p<0.05). Sonuç: Ağız solunumu yüz, burun ve çene morfolojisinde önemli değişiklikler meydana getiren, çocukların genel sağlık durumunu, yeme alışkanlıklarını, uyku düzenini ve sosyal yaşantısını etkileyebilen bir durumdur. Bu sebeple ağız solunumunun erken teşhis edilmesi olası problemlerin oluşmasının önüne geçecektir.

Anahtar Kelimeler:

ağız solunum sendromu, burun solunumu, çocuk

Evaluation of Factors Related to Mouth Breathing Syndrome in Children

Objective: The purpose of this study is to state the factors affecting mouth breathing syndrome in children and to evaluate the relation between these factors. Materials and Methods: A total of 120 healthy children aged 6-14 years, 60 mouth breathing and 60 nasal breathing who applied to pediatric dentistry clinic between October 2019 and April 2020 were included in the study. Individuals who agreed to participate in the study were provided with a complete answer to the questionnaire which consist of 18 questions, divided into 4 factors, and their dmf and DMF values were recorded by performing an intraoral examination. Student's t test, Mann Whitney U test and Shapiro-Wilk test were used for analyzes. Results: The dmft values of children with mouth breathing were significantly higher than those with nasal breathing (p<0.05). The Factor 1, Factor 2 and Factor 4 values of the children with mouth breathing were statistically significantly higher than those with nasal breathing (p<0.05). In children with mouth breathing; nasal congestion, runny nose, snoring, dry mouth, soft food preference were significantly higher than those with nasal breathing (p<0.05). Conclusion: Since mouth breathing can cause significant changes in the morphology of the face, nose and jaw and affect the general health status, eating habits, sleep patterns and social life of children, therefore, early diagnosis of mouth breathing will prevent possible problems.

Keywords:

mouth breathing syndrome, nasal breathing, child,

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Referans1. Kluemper, G.T. (2004). A fairly severe mouth breathing habit. Am. J. Orthop. 125(1):18A-19A.
Referans2. Inada, E., Saitoh, I., Kaihara, Y., & Yamasaki, Y. (2021). Factors related to mouth-breathing syndrome and the influence of an incompetent lip seal on facial soft tissue form in children. Pediatric Dental Journal, 31(1), 1-10.
Referans3. Harari, D., Redlich, M., Miri, S., Hamud, T., & Gross, M. (2010).The effect of mouth breathing versus nasal breathing on dentofacial and craniofacial development in orthodontic patients. The Laryngoscope, 120(10), 2089-2093.
Referans4. Souki, B. Q., Pimenta, G. B., Souki, M. Q., Franco, L. P., Becker, H. M., & Pinto, J. A. (2009). Prevalence of malocclusion among mouth breathing children: do expectations meet reality?. International journal of pediatric otorhinolaryngology, 73(5), 767-773.
Referans5. Nascimento Filho, E., Mayer, M. P. A., Pontes, P., Pignatari, A. C. C., & Weckx, L. L. M. (2004). Caries prevalence, levels of mutans streptococci, and gingival and plaque indices in 3.0-to 5.0-year-old mouth breathing children. Caries research, 38(6), 572.
Referans6. Okuro, R. T., Morcillo, A. M., Oliveira Ribeiro, M. Â. G., Sakano, E., Margosian Conti, P. B., & Ribeiro, J. D. (2011). Mouth breathing and forward head posture: effects on respiratory biomechanics and exercise capacity in children. Jornal Brasileiro de Pneumologia, 37(4).
Referans7. Chervin, R. D., Ruzicka, D. L., Archbold, K. H., Dillon, J. E. (2005). Snoring predicts hyperactivity four years later. Sleep, 28(7), 885-890.
Referans8. Huynh, N. T., Morton, P. D., Rompre, P. H., Papadakis, A., & Remise, C. (2011). Associations between sleep-disordered breathing symptoms and facial and dental morphometry, assessed with screening examinations. American journal of orthodontics and dentofacial orthopedics, 140(6), 762-770.
Referans9. Kukwa, W., Guilleminault, C., Tomaszewska, M., Kukwa, A., Krzeski, A., & Migacz, E. (2018). Prevalence of upper respiratory tract infections in habitually snoring and mouth breathing children. International journal of pediatric otorhinolaryngology, 107, 37-41.
Referans10. Stensson, M., Wendt, L. K., Koch, G., Nilsson, M., Oldaeus, G., & Birkhed, D. (2010). Oral health in pre‐school children with asthma–followed from 3 to 6 years. International journal of paediatric dentistry, 20(3), 165-172.
Referans11. Saitoh, I., Inada, E., Kaihara, Y., Nogami, Y., Murakami, D., Kubota, N., ... & Yamasaki, Y. (2018). An exploratory study of the factors related to mouth breathing syndrome in primary school children. Archives of oral biology, 92, 57-61.
Referans12. Motta, L. J., Bachiega, J. C., Guedes, C. C., Laranja, L. T., & Bussadori, S. K. (2011). Association between halitosis and mouth breathing in children. Clinics, 66(6), 939-942.
Referans13. Alqutami, J., Elger, W., Grafe, N., Hiemisch, A., Kiess, W., & Hirsch, C. (2019). Dental health, halitosis and mouth breathing in 10-to-15 year old children: A potential connection. European Journal of Paediatric Dentistry, 20(4), 274.
Referans14. Cabrera, L. D. C., Retamoso, L. B., Mei, R. M. S., & Tanaka, O. (2013). Sagittal and vertical aspects of Class II division 1 subjects according to the respiratory pattern. Dental Press Journal of Orthodontics, 18(2), 30-35.
Referans15. Felcar, J. M., Bueno, I. R., Massan, A. C. S., Torezan, R. P., & Cardoso, J. R. (2010). Prevalence of mouth breathing in children from an elementary school. Ciencia & saude coletiva, 15(2), 427.
Referans16. Ikenaga, N., Yamaguchi, K., & Daimon, S. (2013). Effect of mouth breathing on masticatory muscle activity during chewing food. Journal of oral rehabilitation, 40(6), 429-435.
Referans17. Hsu, H. Y., & Yamaguchi, K. (2012). Decreased chewing activity during mouth breathing. Journal of oral rehabilitation, 39(8), 559-567.