Acta Scientific Dental Sciences (ASDS)(ISSN: 2581-4893)

Review Article Volume 6 Issue 4

Atypical Swallowing, Open Bite and Musculo-Postural Consequences

Timothy DJ da Costa*

M.Sc in Posturology, Italy

*Corresponding Author: Timothy DJ da Costa, M.Sc in Posturology, Italy.

Received: February 16, 2022; Published: March 22, 2022


In this review, the author wants to highlight the possible musculopostural consequences in people who have atypical swallowing. Altered swallowing is often related to dental malocclusion, specifically to open bite. This combination of atypical swallowing with open bite leads to hypotonia of the masticatory muscles, which is confirmed by various authors by EMG examination. This muscular hypotonia has consequences both at the level of the temporomandibular joint and at the postural level. It is common that the individual suffers from specific symptoms that must make the practitioner reflect on the possible cause at the level of the swallowing mechanism.

Keywords:Atypical Swallowing; Posture; Postural Dysfunction; Open Bite


  1. Giannì E. “La nuova ortognatodonzia”. Padua: Piccin (1980).
  2. Ramfjord SP and Ash MM. “Occlusion”. Philadelphia-London: Saunders Co (1966).
  3. Farronato G., et al. “Correlations between malocclusions and dyslalias”. European Journal of Paediatric Dentistry 13 (2012): 13-8.
  4. Farronato GP., et al. “Relation between skeletal open bite and atypical deglutition”. Archivio Stomatologico (Napoli) 23 (1982): 53-74.
  5. Farronato G. “Ortognatodonzia Vol I”. Milan: Ediermes (2013).
  6. Stormer K and Pancherz H. “Electromyography of the perioral and masticatory muscles in orthodontic patients with atypical swallowing”. Journal of Orofacial Orthopedics 60 (1999): 13-23.
  7. Proffit W. “Ortodonzia moderna”. Second edition. Milan: Elsevier Masson (2001).
  8. Dahan J. “Tongue Disorders and jaw deformities. Nosological aspects and therapeutic concepts”. Mondo Ortodontico 14 (1989): 777-789.
  9. Ciavarella D., et al. “Effect of the Enveloppe Linguale Nocturne on atypical swallowing: surface electromyography and computerised postural test evaluation”. European Journal of Paediatric Dentistry 11.3 (2010): 141-145.
  10. Scoppa F and Pirino A. “Is there a relationship between body posture and tongue posture? Glosso-postural syndrome between myth and reality”. Acta Medica Mediterranea 35 (2019): 1897-1907.
  11. Graber TM., et al. “Dentofacial orthopedics with functional appliances” (1985): 139-160.
  12. Ovsenik M., et al. “Follow-up study of functional and morphological malocclusion trait changes from 3 to 12 years of age”. European Journal of Orthodontics 29 (2007): 523-529.
  13. Bertolini MM., et al. “Cephalometric evaluation in children presenting adapted swallowing during mixed dentition”. International Journal of Orofacial Myology 29 (2003): 29-41.
  14. Profitt W. “Ortodonzia moderna, Second Edition”.Milan: ElsevierMasson (2001).
  15. Cayley AS., et al. “Electropalatographic and cephalometric assessment of myofunctional therapy in open bite subjects”. Australian Orthodontics Journal 16 (2000): 23-33.
  16. Ierardo G., et al. “Aspetti clinici e terapeutici della deglutizione atipica”. DentalCadmos 17 (1999): 55-83.
  17. Stepovich ML. “A cephalometric positional study of the hyoid blone”. American Journal of Orthodontics 51 (1965): 882-890.
  18. Bibby RE. “The hyoid bone position in mouth breathers and tonguethrusters”. American Journal of Orthodontics 8 (1984): 431-433.
  19. Rocabado SM. “Biomechanical relationship of the cranial cervical and hyoid regions”. Journal of Craniomandibular Practice 3 (1983): 61-66.
  20. Galvao CAAN. “Hyoid bone’s cephalometric positional study in normal and malocclusion patients”. Revista de Odontologia da UNESP 12 (1983): 143-152.
  21. Muto T and Kanazawa M. “Positional change of the hyoid boneat maximal mouth opening”. Oral Surgery, Oral Medicine and Oral Pathology 77 (1994): 451-455.
  22. Mays KA., et al. “Influence of craniofacial morphology on hyoid movement: a preliminary correlational study”. Dysphagia 24 (2009): 71-76.
  23. Malkoc S., et al. “Reproducibility of airway dimensions and tongue and hyoid positions on lateral cephalograms”. American Journal of Orthodontics and Dentofacial Orthopedics 128 (2005): 513-516.
  24. Ferraz MJPC., et al. “Cephalometric Assessment of the hyoid bone position in oral breathing children”. Brazilian Journal of Otorynolaryngology 73 (2007): 47-52.
  25. Riley R., et al. “Cephalometric analyses and flow-volume loops in obstructive sleep apnoea patients”. Sleep 6 (1983): 303-311.
  26. Tsaia HH., et al. “Cephalometric analysis of nonobese snorers either with or without obstructive sleep apnea syndrome”. Angle Orthodontis 77 (2007): 1054-1061.
  27. Campitiello G. “Appunti, Fondazione Peppino Scoppa, Villa San Giovanni Angri (SA)” C.R.O.M.O.N., scuola di osteopatia
  28. Maspero C., et al. “Deglutizione atipica: revisione della letteratura”. Minerva Stomatologica 63 (2014): :217-227.
  29. Quinzi V., et al. “Short-Term Effects of a Myofunctional Appliance on Atypical Swallowing and Lip Strength: A Prospective Study”. Journal of Clinical Medicine 9 (2020): 2652.
  30. Schmid KM., et al. “The effect of pacifier sucking on orofacial structures: A systematic literature review”. Progress in Orthodontics 19 (2018): 8.
  31. Caruso S., et al. “Poor oral habits and malocclusions after usage of orthodontic pacifiers: An observational study on 3-5 years old children”. BMC Pediatrics 19 (2019): 294.
  32. Neri E.
  33. Rodrigues HO., et al. “Occurrence of mouth breathing and orofacial myology disorders in patients on orthodontic treatment”. Revista CEFAC 7 (2005): 356-362.
  34. Zicari AM., et al. “Oral breathing and dental malocclusions”. European Archives of Paediatric Dentistry 10.2 (2009): 59-64.
  35. Saccomanno S., et al. “A specific protocol of myo-functional therapy in children with Down syndrome. A pilot study”. European Archives of Paediatric Dentistry 19.3 (2018): 243-246.
  36. Branco A., et al. “Orofacial alterations in allergic diseases of the airways”. Revista Paulista de Pediatria 25 (2007): 266-270.
  37. Hitos SF and Weckx LM. “Oral breathing and speech disorders in children”. Journal de Pediatria 89.4 (2013): 361-365.
  38. Grippaudo C., et al. “Association between oral habits, mouth breathing and malocclusion”. Acta Otorhinolaryngologica Italica 36.5 (2016): 386.
  39. Bernkopf F., et al. “Malocclusioni e patologie respiratorie ostruttive”. RIS 10.10 (1994): 501-508.
  40. Levrini A. “Terapia miofunzionale. Rieducazione neuromuscolare integrata. Masson, Milano (1997).
  41. Rix RF. “Deglutition and teeth”. Dental Record 66 (1946): 103-108.
  42. Rogers JH. “Swallowing patterns of a normal population sample compared to those of patients from an orthodontic practice”. American Journal of Orthodontics 17 (1961): 674-679.
  43. Ferrante A. “La Fisiopatologia della Deglutizione in Pediatria, Un aiuto al lavoro di quanti si interessano della salute del bambino, GLM Edizioni Marrapese (2005): 38.
  44. Schindler O. “Manuale operative di fisiopatologia della deglutizione”. Omega, Torino (1990).
  45. Guaglio G. “Importanza della lingua nella diagnosi e terapia della postura laterale in Kinesiologia Applicata”. Atti congresso ICAK, Montecarlo (1995).
  46. Marchesi A., et al. “The correlation between temporomandibular disorders, atypical swallowing and dyslalia”. International Journal of Oral and Craniofacial Science 5.1 (2019): 010-014.
  47. Tohru I., et al. “Long-term follow-up of clinical symptoms in TMD patients who underwent occlusal reconstruction by orthodontic treatment”. European Journal of Orthodontics 22.1 (2000): 61-67.
  48. Masato K., et al. “Correction of skeletal class II severe open bite with temporomandibular joint disorder treated by miniscrew anchorage and molar extraction: a case report”. Journal of Medical Case Reports 13 (2019): 207.
  49. Alstergren P., et al. “Interleukin-1β in synovial fluid from the arthritic temporomandibular joint and its relation to pain, mobility, and anterior open bite”. Journal of Oral and Maxillofacial Surgery 56.9 (1998): 1059-1065.
  50. Hoppenreijs TJM., et al. “Condylar remodeling and resorption after Le Fort I and bimaxillary osteotomies in patrients with anterior open bite. A clinical and radiological study”. International Journal of Oral Maxillofacial Surgery 27.2 (1998): 81-91.
  51. Kurt H., et al. “An adult case of temporomandibular joint osteoarthritis treated with splint therapy and the subsequent orthodontic occlusal reconstruction”. Contemporary Clinical Dentistry 2.4 (2011): 364.
  52. Ooiab K., et al. “Relations between anterior disc displacement and maxillomandibular morphology in skeletal anterior open bite with changes to the mandibular condyle”. British Journal of Oral and Maxillofacial Surgery 58.9 (2020): 1084-1090.
  53. Wajid MA., et al. “Open bite malocclusion: An overview”. Journal of Oral Health and Craniofacial Science 3 (2018): 011-020.
  54. Pedrazzi ME. “Treating the open bite”. Journal of General Orthodontics 8.1 (1997): 5-16.
  55. Aggarwal P., et al. “Muscle response to the twin-block appliance: an electromyographic study of the masseter and anterior temporal muscles”. American Journal of Orthodontics and Dentofacial Orthopedics 116.4 (1999): 405-414.
  56. Stõrmer K and Pancherz H. “Electromyography of the perioral and masticatory muscles in orthodontic patients with atypical swallowing”. Journal of Orofacial Orthopedics 60.1 (1999): 13-23.
  57. Lopez-Soto LM., et al. “Muscle Activity and Muscle Strength in Atypical Swallowing”. Revista Científica Salud Uninorte 33.3 (2017): 273-284.
  58. Ferla A., et al. “Electrical Activity of the Anterior Temporal and Masseter Muscles in Mouth and nasal breathing children”. Brazilian journal of otorhinolaryngology 74.4 (2008): 588-595.
  59. da Costa C and da Costa T. “A Review of Brodie’s Theory and a Reinterpretation of the Muscular Relationship between the Stomatognathic System and Posture". Acta Scientific Dental Sciences 5.8 (2021): 09-17.
  60. Moya H., et al. “Influence of Stabilization Occlusal Splint on Craniocervical Relationships. Part I: Cephalometric Analysis”. Journal of Craniomandibular Practice 12.1 (1994): 47-51.
  61. Julià‐Sánchez S., et al. “Dental occlusion and body balance: A question of environmental constraints?” Journal of Oral Rehabilitation 46.4 (2019): 388-397.
  62. Ferracioli Batista D and Bagarollo MF. “Surface electromyography in orofacial and cervical musculature in mouth breathing children: an integrative literature review”. Revista CEFAC 22.1 (2019): e19318.
  63. Posnick and Agnihotri. “Consequences and management of nasal airway obstruction in the dentofacial deformity patient”. Current Opinion in Otolaryngology and Head and Neck Surgery 18.4 (2010): 323-331.
  64. Da Costa T. “Sistema Gnato-Posturale”. Maggioli Editore (2020). 
  65. Giuca MR., et al. “Longitudinal study on rehabilitative model for correction of atypical swallowing”. European Journal of Paediatric Dentistry 9 (2008): 4:171.
  66. Machado AJ., et al. “A Lateral cephalometric x-ray study of selected vertical dimensions in children with Atypical Deglutition”. International Journal of Orofacial Myology 36 (2010): 17-26.
  67. Bernkopf., et al. “Occlusal treatment for Obstructive Sleep Apnea Syndrome (OSAS)”. XXII Congresso Nazionale SIOP (2013).
  68. Broberg K., et al. “Anterior Bite Opening in Adulthood”. Open Dentistry Journal 11 (2017): 628-635.
  69. Raggi D. “Deglutizione scorretta e dolori”. Spazio salute 2 (2008): 47-51.


Citation: Timothy DJ da Costa. “Atypical Swallowing, Open Bite and Musculo-Postural Consequences".Acta Scientific Dental Sciences 6.4 (2022): 104-111.


Copyright: © 2022 Timothy DJ da Costa. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.


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