Shanghai Journal of Stomatology ›› 2024, Vol. 33 ›› Issue (6): 617-621.doi: 10.19439/j.sjos.2024.06.008

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Effects of vestibular shield appliances on lip morphological changes in mouth breathing patients

DING Qin-feng1, NIE Ping1, YOU Qing-ling2, XIA Yun-hui1   

  1. 1. Department of Oral and Craniomaxillofacial Surgery, 2. Department of Orthodontics, Shanghai Ninth People's Hospital, Shanghai Jiao Tong University School of Medicine; College of Stomatology, Shanghai Jiao Tong University; National Center for Stomatology; National Clinical Research Center for Oral Diseases; Shanghai Key Laboratory of Stomatology; Shanghai Research Institute of Stomatology. Shanghai 200011, China
  • Received:2023-05-12 Revised:2023-07-15 Online:2024-12-25 Published:2025-01-07

Abstract: PURPOSE: To evaluate the soft tissue position changes in the lower 1/3 of face after application of the vestibular shield for correction of mouth dyspnea. METHODS: A total of 32 pediatric patients wearing vestibular shield appliances for mouth breathing correction were reviewed, and the changes of upper and lower lip positions as well as chin position before and after appliance treatment were compared and analysed. GraphPad Prism 6.0 software package was used for data analysis. RESULTS: The values of lateral protrusion N'-Sn-Pog' (facial convexity), nasolabial angle (Cm-Sn-Ls) lower lip protrusion (LL-EP) and upper lip prominence (UL-EP) were significantly reduced, of which UL-EP changes were the most obviously changed parameter. In addition, the chin morphology associated parameters Si-LiPg' and Sn-Gn'-C were significantly improved after treatment as well. No significant differences were observed within gender. CONCLUSIONS: Vestibular shield treatment for patients with mouth breathing can effectively improve the lip morphology.

Key words: Mouth breathing, Vestibular shield, Lip muscle training, Lip morphology, Functional correction

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