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Mouth Breathing

"The way you breathe is the way you live."

-Heidi M. Morrison

Mouth breathing is one of the most unhealthy habits there is.

When you are open mouth breathing, you are:

The Vicious Cycle of Mouth Breathing: A Synopsis

For many, the habit begins out of necessity.  Illness, allergies, or structural limitations cause nasal congestion and the next-best-thing is to breathe through our mouths.

  • Inhaled nitric oxide is a vasodilator that helps to improve oxygenation by relaxing the muscles surrounding our blood vessels in our lungs, allowing them to widen.

  • Nitric oxide (NO) production takes place in the sinuses and is stimulated by air flowing in and out of the nose.  When we are unable to stimulate adequate NO production via nasal breathing, gas exchange and efficiency in the lungs decreases.

  • This increases the amount of CO2 we are expelling in a short amount of time. 

    • CO2 and Oxygen drive the gas exchange in our lungs through a process called diffusion, where gases move from areas of high concentration to low concentration.  When we overbreathe, our blood becomes the area of low concentration.  This state is referred to hyperventilation and presents with symptoms such as dizziness, tinging or numbness in our extremities, rapid heart rate, etc...

    • In more mild cases, such as with mouth breathing, this leads to chronic oxygen deprivation at a cellular level.  It's not hard to understand why this is a bad thing.

  • When our body realizes that something has changed, it attempts to remedy the problem by slowing the amount of CO2 that is lost.  One way of doing this is to stimulate the goblet or mucous cells in our sinuses to overproduce, causing congestion.

  • The air inhaled is not warmed, humidified, or filtered by the sinuses and irritates other tissue in the airway, such as the tonsils and adenoid, further restricting the space.

  • Congestion and inflammation fuel the fire, and the cycle continues.

diagram: the vicious cycle of mouth breathing

Signs of Mouth Breathing

Chronic mouth breathing can lead to noticeable changes in facial structure and appearance, particularly in developing children.

Facial changes:

  • long, narrow face

  • recessed chin and jaw

  • narrow palate

  • droopy eyes

  • less defined cheek bones

  • gummy smiles

  • forward head posture

  • significant overbite

Other signs:

  • dry/chapped lips and mouth

  • dark circles under the eyes

  • difficulty sealing lips

  • enlarged tonsils/adenoid

  • crowded teeth

  • inflamed oral tissues

  • cavities

  • bad breath

nose breather vs mouth breather facial features

Takeaway:

Food goes in your mouth, air goes in your nose.

Chronic mouth breathing is a toxic oral habit that contributes to a wide range of health problems.  The only time mouth breathing should happen is during intense physical exercise (like running from a mountain lion), or when your nasal passages are blocked from allergies or sickness.   Even then, steps should be taken to minimize the severity.

The Role of an Orofacial Myologist in Eliminating Mouth Breathing

Orofacial myofunctional therapy addresses this habit by retraining and strengthening the muscles of the face and mouth to promote proper nasal breathing and oral postures.

***To be successful in therapy, clients must have patent nasal passages.  If there is any resistance or difficulty breathing nasally, then a consult is needed with an allergist or ENT.

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