Children's medicine of the North-West

An integrated approach to malocclusion treatment in children with breathing problems

  • Diana A. Kuzmina Saint Petersburg State Pediatric Medical University, 2 Lithuania, Saint Petersburg 194100, Russian Federation
  • Natalya P. Petrova Saint Petersburg State University. 7–9 Universitetskaya emb., Saint Petersburg 199034 Russian Federation https://orcid.org/0000-0003-2496-9679
  • Valeria P. Novikova Saint Petersburg State Pediatric Medical University, 2 Lithuania, Saint Petersburg 194100, Russian Federation
  • Valentina A. Varicheva Dental Clinic No. 15. 48 Zagorodny ave., Saint Petersburg 190013 Russian Federation
  • Anna N. Sapiga Dental Clinic No. 6. 5 Izhorskaya str., Saint Petersburg 197198 Russian Federation
  • Daniil D. Platonov Stomatology “Stomaestet”. 57, bldg. 1, Komendantsky ave., Saint Petersburg 197350 Russian Federation
Keywords:
нарушение дыхания у детей патология окклюзии аппарат для быстрого расширения нёба миофункциональные ОТ-корректоры respiratory disorders in children malocclusion apparatus for rapid palate expansion myofunctional OT-correctors

Abstract

Orthodontic treatment of children with malocclusion and respiratory disorders is a serious problem, as the existing narrowing of the upper jaw in such patients exacerbates their somatic pathology. They have impaired muscle tone in the maxillofacial region and are diagnosed with dysphagia. In this study, we evaluated the effectiveness of the simultaneous use of fixed appliances for expanding the upper jaw and myofunctional Ortho-Tain correctors (OT) in patients aged 10–13 years with narrowing of the upper jaw and respiratory disorders. The research methods included the analysis of the dynamics of changes in the transversal dimensions of the jaw, and the data from the tomograms. The assessment of changes in the tone and strength of the muscles of the maxillofacial region was carried out using the Borg CR-10 and MRC scales. The use of non-removable expanders allowed for an increase in the width of the alveolar process of the upper jaw in the anterior region by 2–4 mm, and in the area of the molars by 5–8 mm. OT correctors improved the tone of the submental-lingual and circular muscles of the mouth, normalized swallowing and breathing patterns, thereby affecting the stabilization of the acquired occlusion and changing the position of the tongue, which ultimately increased the volume of the upper respiratory tract. Thus, orthodontic intervention using combined appliances allows for the achievement of skeletal effects during rapid expansion of the upper jaw and the correction of myofunctional disorders. Joint protocols "Pediatrician-ENT-Orthodontist" are recommended for children at risk (allergies, obesity). A promising area is digital treatment planning (3D-modeling). The proposed approach, when combined with fixed appliances for maxillary expansion and myofunctional therapy, provides stable results by correcting occlusion and breathing.

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How to Cite
An integrated approach to malocclusion treatment in children with breathing problems. (2025). Children’s Medicine of the North-West, 13(2), 191-202. https://doi.org/10.56871/CmN-W.2025.99.22.017
Issue
Vol. 13 No. 2 (2025)
Section
Original papers
Published
2025-09-16

How to Cite

An integrated approach to malocclusion treatment in children with breathing problems. (2025). Children’s Medicine of the North-West, 13(2), 191-202. https://doi.org/10.56871/CmN-W.2025.99.22.017