Relation between Mouth Breather Patients and Their Sexual Activities, Pilot Study

The importance of mouth breathing to sexual activities was tested statistically.120 patients attending QAF clinics were selected who have approved mouth breathing habits. Simple direct questioner was made to be asked orally to the selected patients about their sexual activities. It was found that there is a direct relation between them.

Keywords: Mouth breather; Sex activity

As dentist, we are facing a lot of patients who are mouth breather patients. They came with many symptoms such as; maxillofacial discrepancies or ear, nose and throat (ENT) problems leading to mouth breathing habits. Their dental symptoms are associated with gingivitis (at different levels), teeth proportions and setting (occlusion) and finally associated with dry mouth and its complications [1-3].

Sexual activities are always related to good balanced (sympathetically and para- sympathetically) breathing which is very essential in reducing inner stresses therefore enhance sexual activities measures [4-6]. Mouth breathing will act to higher the sympathetic actions (alerting), while the nose breathing acts to higher the parasympathetic actions, leading to lower stresses. It was well stated that men who can control their breathing can control their bodies in all manuvers [7-10].

Erectile dysfunction, premature ejaculations, reduced libido, are all associated with stresses and hyperactivity of parasympathetic part of nervous system and their effects on penis and clitoris as well for female sex drive, hormones and menstrual cycle [8-11].

Nose breathing is better for lungs, because it is warmed, humidified and fairly cleaned. On the contrary; mouth breathing causes constricted airways, irritated air passages with high phlegm to excrete. Nitrogen oxide (NO) liberated by sinuses in the nose and inhaled with air down to lung. It acts on widening airways and blood vessels, leading to better breathing and oxygen usage. It was found that nitro glycerine medicament was the main drug used to enhance (NO gas) liberation [12-30]. Keeping in mind that Viagra drug was firstly invented to replace nitroglycerine. These (NO) and (CO2) gases have relaxing effects on the straight muscle surrounding penis [10]. It was stated that mouth breather breathe (inhalation and exhalation) nearly 2-3 times more than normal that will reduce the level of (CO2). Corrections of the ENT problems relieve mouth breathing effects and enhance the liberation of (NO). It was found that from 29 male examined with nasal polyp and suffered from reduced sexual activities. After treatment of their ENT problems and start of nasal breathing; 34 per cent of them improved sexually [4].

Orofacially; Breathing through nose will initiates the face to grow downwords and backwords. While breathing through mouth will initiates the grow of the face forwards making the face look long and narrower at the same time the nose will look larger and the chin is narrower. The presence of deep palate (v shaped mostly) is found as well as crooked teeth, smile with gum exposure. Mouth breathers will place their tongue downwords to allow air to pass in and out through the mouth, this will affect badly on the development of the maxillary teeth [1-3]. This study was made to highlight the importance of nose breathing and fasten the treatment of mouth breathing. Our main goal of this study to find the extent of this problem in Qatar.

A direct survey was made at the period (14-1-2018 till 15-9-2018). 120 married males were chosen, their age ranged 20-65 years.The survey was carried in confident and seriously precautions were taken to protect the information’s received. The survey had the following questions:

i) Do you have one of the approved\said (felt) conditions such as; erectile dysfunction, premature ejaculations, reduced libido.
ii) Do you suffer from any sexual problems from the physical fitness point of view?
iii) Do you have breathing difficulties (excluding asthma) such as; sleeping dispenea, snoring, uneasiness to breath during exercise.
iv) If he had any document for his illness or he is willing to be sending for investigations.

According to the verbal survey, most of the patients were cooperative in questions 1, 2, 3 only; they were unwilling to provide any documents so they refused question number 4. So it was cancelled from the study although it was very essential.

Orofacial analysis and examinations were carried by one dentist to standardise the study. The examiner were asked to identify the following; patency of the nasal air ways, breathing, nose clearance, form of palate, teeth position using dental mirror and ENT scope.

All data were tabulated and classified according to age groups and a simple statistical analysis was made to identify the relation between the presence of any of the sexual incompetency and mouth breathing using simple percentage of the means of the groups studied.

It was found that mouth breather patients with sexual difficulties such as Erectile dysfunction, premature ejaculations, reduced lipido was (67.5 percentage), while mouth breather without sexual difficulties was (32.5 percentage) (Table 1). This was found in most of the age groups patients. Therefore a direct positive relation can be drawn between them. This is confirming the studies been made for the reasons mentioned previously [20-33].

Further studies should be required a higher scale bases and fully liberated medically and laboratory and dentally to widening this pilot study which is based on verbal-dento-nasal simple examinations. People living in the gulf have higher incidence of nose and throat problems due to desert surroundings, hot climate and the use of air conditioners the presence of hot climate, therefore cautions should be taken.

An inference can be drawn from this study guiding dentists to identify the importance of nasal breathing and trying to correct it at the earliest, as correcting help improve patients future. This will cure patients socially, physically, psychologically and maintain their future families.