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What to Know About Mouth Breathing In Babies

Medically Reviewed by Dan Brennan, MD on June 11, 2021

The usual way for your newborn baby to breathe is through their nose. This is unless their nasal passage has some blockage, which can lead to mouth breathing.

Young babies don't develop the reflex to breathe through their mouths until they are 3 or 4 months old. Studies show that mouth breathing while the baby sleeps may be due to some blockage in the upper airway, including the throat and nose. The blockage could be due to a stuffy nose, an allergic reaction, or a more complex condition, resulting in mouth breathing. 

Mouth breathing can result in long-term health consequences if left untreated. In many cases, it’s a symptom that indicates airway restriction. Your baby will resort to mouth breathing as an adaptation to help them get enough oxygen.

Causes of Mouth Breathing in Babies

You’re more likely to notice mouth breathing in your child while they sleep. In other cases, it could be a regular habit even when they’re awake. Regardless of when it happens, mouth breathing is a risk for young and developing brains.

The primary reason why mouth breathing happens has to do with the jaw. Ideally, your child’s jaw should be U-shaped and wide. However, it’s now a common occurrence for jaws to be smaller, leading to overcrowding of the teeth and crooked smiles. They also lead to slack-mouth overbites, and bites that seem to be out of position. The result is V-shaped jaws that cause a high and narrow palate. Such jaws also lead to obstructed nasal passages, which can lead to:

  • Sleep apnea. If your child snores while sleeping, it's not because snoring is normal. Sleep apnea means that your baby’s upper airway is blocked in some way. This could be because of adenoids or enlarged tonsils. Other symptoms that accompany snoring include: coughing, pauses in breathing, choking, and restlessness.
  • Mucus. When your child’s nose is stuffy or blocked with mucus, they may breathe through their mouth out of necessity.
  • Anatomical problems. One of the most common anatomical problems that lead to mouth breathing is a significantly deviated septum. This means that the cartilage and bone separating your baby's nostrils from one another are in abnormal positions. The result is breathing difficulties that cause your child to breathe through their mouth instead.

Your child is also at risk of mouth breathing if:

  • They stop breastfeeding before they are three months old. There are many instances when babies stop breastfeeding early or they self-wean. However, even a single feed a day can help your child reduce the risk of regularly breathing through their mouth. Breastfeeding promotes nose breathing and makes the child’s mouth and tongue muscles engage. The pressure on the child’s palate also enhances bone growth of the jaw, causing it to widen. This leads to a more open airway.
  • They have a tongue-tie. If your child’s tongue frenulum is tight, they’ll have trouble latching and breastfeeding properly. In the long-term, this can also lead to problems with eating, swallowing, and speech in some cases. A tongue-tie also prevents orofacial development, which can potentially lead to partial airway blockage at night.
  • Thumb-sucking and prolonged use of pacifiers. The pressure your child causes on the palate when sucking their thumb or pacifiers forces the jaw to stay narrow.
  • Enlarged tonsils. Inflamed and swollen tonsils can partly block the airways. This will cause your child to breathe through the mouth when sleeping.
  • Allergies. Undiagnosed allergies can create breathing difficulties for your child, causing them to breathe through the mouth.

Signs That Your Child Breathes Through the Mouth

When your child is repeatedly breathing through the mouth while they sleep, it is a sign that they have this condition. Additional signs include:

Health Complications of Mouth Breathing

Everyone should breathe through their nose for good health. As air passes through the nasal path, it is filtered to remove toxins. It also reaches the lungs at optimal pressure, a factor that helps in oxygen extraction and nitric acid release for proper circulation.

When your child breathes through their mouth, fewer toxins are filtered, which can inhibit circulation. This affects the transfer of oxygen throughout the body, impacting your child's wellbeing by causing:

  • Oral health problems such as dry mouth, which reduces saliva and causes bacteria to stay longer on the teeth. This increases the risk of gingivitis and tooth decay.
  • General health problems like high blood pressure, sleep disorders, and allergies
  • Orthodontic problems due to poor jaw development, leading to teeth crowding
  • Poor facial development
  • Speech problems because of the forward thrusting of the tongue
  • Sleep disorders like apnea and snoring.

Treating Mouth Breathing

If you notice mouth breathing symptoms in your child, make an appointment with their pediatric dentist. You will get a referral to another professional for proper diagnosis and treatment. The options include:

  • Breathing retraining and proper tongue posture to teach your child to breathe through their nose
  • Management of allergies, thumb sucking, and infections
  • Orthodontic treatment that involves fitting braces to guide jaw and teeth movement
  • Surgery to remove the physical obstruction like adenoids, deviated septum, tongue-tie, or enlarged tonsils
WebMD Medical Reference

Sources

SOURCES:

ACTA SCIENTIFIC DENTAL SCIENCES: “Mouth Breathing- Its Consequences, Diagnosis, & Treatment.”

American Journal of Orthodontics: “Mouth breathing in allergic children: Its relationship to dentofacial development.”

ARC Journals of Forensic Science: “Mouth Breathing- A Harmful Habit in a Young Child.”

BIOINFORMATION: “Impact of airway dysfunction on dental health.”

Brazilian Journal of Otorhinolaryngology: “A Study on the relationship between mouth breathing and facial morphological pattern.”

Dental Press Journal of ORTHODONTICS: “Guidelines proposal for clinical recognition of mouth breathing children.”

EUROPEAN RESPIRATORY journal: “Effect of nasal or oral breathing route on upper airway resistance during sleep,” “Obstructive sleep apnea and oral breathing in patients free of nasal obstruction.”

International Journal of Pediatrics: “It Takes a Mouth to Eat and a Nose to Breathe: Abnormal Oral Respiration Affects Neonates’ Oral Competence and Systemic Adaptation.”

The Journal of the American Dental Association: “Mouth Breathing: I. Etiology and Effects (a Review).”

Journal of Pediatrics: “Association between breastfeeding and breathing pattern in children: a sectional study.”

The Journal of Pediatrics: “Oral breathing in newborn infants.”

Medical Journal, Armed Forces India: “AIRWAY OBSTRUCTION IN CHILDREN.”

Nature Public Health Emergency Collection: “Strategies for Addressing Mouth-Breathing Treatment with an “Adequate” Nose.”

Plastic Surgery International: “Nasal Septal Deviations: A Systematic Review of Classification Systems.”

Progress in Orthodontics: “Skeletal and dental characteristics in subjects with ankyloglossia.”

The Scientific World Journal: “Age Changes of Jaws and Soft Tissue Profile.”

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