3. Mouthbreathing
Mouthbreathing is a condition where a patient breathes through their mouth and not their nose. This usually occurs at night. Mouthbreathing dries the gum tissues and reduces their resistance to disease. Nasal or adenoid problems may be the reason that that these patients mouthbreathe. A special mouthguard (NMA - Nocturnal Moisture Appliance) may need to be worn at night once the surgery has been completed. This mouthguard traps moisture around the gums and reduces the tendency for mouthbreathing to be a problem.


Case 3a This 17 year old male has very red gum tissues as a result of his mouthbreathing. As a result of the gums losing their moisture when the mouthbreathing dries up the saliva, the gums will become reddened in color and overgrow. Surgery can make the gums look better, but the patient must perform excellent oral hygiene.
Pre-Treatment
The "red-rimmed" border of the gum tissues is the gum inflammation which results from dryness.
Post-Surgical
Following the surgical removal of the excess tissue, new gum tissue contours allow for a much more attractive smile.
Case 3b A 15 year old boy who has overgrown gums which are the result of his mouthbreathing habit. While his orthodontist has done a great job of straightening his teeth, the gum tissue covers the beauty of his teeth.


mouthbreathing pre-op mouthbreathing post-op biteguard
Pre-Treatment

The gum tissue changes are due to mouthbreathing and its drying effects on gum health. The gums will usually appear glossy and very red. When the patients smile, they may frequently have a "high lip line" which shows a lot of teeth and gums.

Post-Surgical

The gum tissue contours have been surgically corrected and allow for the maintenance of good health and a very attractive appearance.

The Soft Biteguard - NMA - Nocturnal Moisture Appliance

This biteguard is extended over the junction of the white tooth and the red gum tissue for 4-5 millimeters. It is designed to retain moisture in the gum tissues when the patient wears it at night.