BreatheWorks

Mouth Breathing in Children: Developmental Risks and Warning Signs

Reviewed by Corinne Jarvis
Written by Corinne Jarvis Published 11/16/2020 Updated 08/12/2023

Introduction: A Silent Disruption in Childhood Development

Mouth breathing in children is more than just a phase. It’s a sign of underlying dysfunction that can affect the child’s physical development, emotional regulation, and academic performance.

At BreatheWorks, we help parents, pediatricians, and educators recognize the early signs of mouth breathing and intervene before it creates lasting structural or behavioral changes.

Why Children Breathe Through Their Mouths

Mouth breathing is common in kids, but not normal. It often stems from:

  • Allergies, nasal congestion, or chronic colds
  • Enlarged tonsils or adenoids
  • Tongue tie (ankyloglossia) restricting palate contact
  • Bottle feeding or prolonged pacifier use
  • Sleep-disordered breathing or upper airway resistance syndrome (UARS)
  • Poor posture or improper chewing habits

Most children don’t outgrow mouth breathing—they adapt to it, reinforcing harmful patterns.

The Consequences of Mouth Breathing in Children

Mouth breathing changes the development of the face, jaw, and airway. Over time, it may lead to:

  • Narrow, elongated facial structure
  • Poor tongue posture and weak lips
  • Open bite, dental crowding, or underdeveloped jaws
  • Speech delays or unclear articulation
  • Daytime fatigue, brain fog, and ADHD symptoms
  • Snoring, grinding, and restless sleep
  • Emotional dysregulation and irritability
  • Poor chewing and swallowing coordination

These issues are frequently misdiagnosed as behavioral, neurological, or dental—when in fact the root cause is functional.

Real-World Case: A 6-Year-Old With Snoring and Attention Issues

This Child Was Referred for Behavioral Concerns but Also Presented With:

  • Persistent open-mouth posture
  • Snoring and teeth grinding at night
  • Irritability and distractibility in class
  • Delayed speech sounds and messy eating

Our Evaluation Found:

  • Low resting tongue posture and poor nasal airflow
  • Tight labial frenulum and possible tongue tie
  • Weak oral coordination and forward head posture
  • Enlarged tonsils identified during ENT consult

Treatment Included:

  • Myofunctional therapy for tongue and lip strengthening
  • Nasal hygiene training and environmental allergy reduction
  • ENT follow-up and pediatric dental collaboration
  • Parent coaching and habit correction at home

Results:

  • Restful sleep within 4 weeks
  • Clearer speech and improved chewing
  • Better mood and focus reported by teachers
  • Transition to nasal breathing and more upright posture

Signs of Mouth Breathing Parents Should Watch For

  • Open-mouth posture at rest or during sleep
  • Snoring or teeth grinding
  • Dry lips, bad breath, or drooling
  • Dark circles under eyes (“allergic shiners”)
  • Forward head or slouched sitting posture
  • Speech articulation problems
  • Slow eating, gagging, or food aversions
  • Chronic nasal congestion or sinus infections
  • Daytime fatigue or ADHD-like symptoms

How BreatheWorks Supports Children and Families

✅ Early screening by speech-language pathologists near you
Myofunctional therapy for oral-facial balance
✅ Multidisciplinary collaboration with ENTs, dentists, pediatricians
✅ Parent education on breathing, posture, and sleep habits
✅ Customized home programs for reinforcement

Key Takeaways

  • Mouth breathing in children signals deeper airway or structural issues
  • Left unaddressed, it impacts growth, sleep, speech, and behavior
  • Early intervention prevents orthodontic relapse, speech delays, and fatigue
  • BreatheWorks offers whole-child therapy that gets to the root cause

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