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Airway-Focused Orthodontics · One Smile Orthodontics

How to Help a Child Stop Mouth Breathing

What Dr. Namgu Kim, DMD, MS, an orthodontist in West Covina, tells patients who ask.

What we tell patients who ask, at One Smile Orthodontics in West Covina, California.

The most important step is to find out why, because you can't simply tell a child to keep their mouth closed. Chronic mouth breathing in a child is usually a sign that something is making comfortable nose breathing hard: allergies, frequent congestion, or enlarged tonsils or adenoids, and sometimes a narrow upper jaw. The fix is treating the cause. A good starting point is your pediatrician or an ENT to check the nose and airway, and an orthodontist can evaluate whether the jaws have enough room, part of why the AAO recommends that all children be screened by an orthodontist at age 7.

Why kids mouth-breathe

The common causes are physical, not behavioral: seasonal or year-round allergies, congestion that never fully clears, enlarged tonsils or adenoids blocking the nasal airway, or a narrow palate that crowds the nasal passage above it. Occasionally it is a lingering habit after the original cause is gone. Knowing which one you are dealing with is the whole game, because it decides what actually helps.

Why it matters

It is worth addressing because, during a child's growing years, how they breathe is associated with how the jaws and face develop. Research has found that mouth-breathing children, on average, showed jaws rotated backward and downward and a steeper bite (BMC Oral Health, 2021). Comfortable nasal breathing also supports better sleep. None of this is cause for panic. It is a reason to find the cause sooner rather than later.

What actually helps

It depends on the cause. Allergy management can reopen the nose. An ENT may evaluate tonsils and adenoids. If a narrow upper jaw is part of the picture, an orthodontist can sometimes widen it during growth, which makes more room for the tongue and nasal airway. In some cases, myofunctional therapy, exercises that retrain tongue and lip posture, is recommended alongside treating the cause. The right combination is what an evaluation determines.

What doesn't help

Nagging a child to close their mouth does not fix a blocked nose. And please do not try mouth-taping a child at night based on internet advice. In kids especially, that should only happen, if ever, under professional guidance after the airway has been evaluated. Forcing the symptom without addressing the cause can mask a real problem.

Who to see first

Either your pediatrician or ENT, or an orthodontist, is a reasonable first stop, and they often work as a team. If snoring or restless sleep is also present, mention it. That points toward checking the airway, not just the teeth.

Common related questions

Will my child just grow out of mouth breathing?

Sometimes, once the cause such as enlarged adenoids resolves. But chronic mouth breathing during growth is worth evaluating rather than assuming it will pass, because of its link to jaw and facial development.

Can braces or an expander stop mouth breathing?

They can help if a narrow upper jaw is part of the cause, since widening it makes more room for the tongue and nasal airway. They are not a standalone cure when the cause is allergies or enlarged tonsils.

Is mouth taping safe for kids?

It is not something to try on a child based on social media. Any airway intervention in children should follow a professional evaluation, not precede one.

When should I be concerned?

If mouth breathing is constant, or comes with loud snoring, restless sleep, or daytime tiredness and irritability, it is worth bringing to your pediatrician and having the airway and jaw development checked.

Dr. Namgu Kim
Reviewed by Dr. Namgu Kim, DMD, MS, Orthodontist, One Smile Orthodontics, West Covina, CA.
This page is general education and was clinically reviewed. It is not a diagnosis. Treatment should be based on an in-person evaluation.
This page is general education from One Smile Orthodontics, West Covina, CA. It is not a diagnosis. Treatment should be based on an in-person evaluation.
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