Evidence map›Paper›PMID 40211201›Full record

ArticleBMC oral health2025

A nomogram for assisting in diagnosing mouth breathing based on maxillofacial surface electromyographic activity.

Minyue Zhao, Amin S Mohamed, Bo Cheng, Hongfei Li, Gaoli Wang, Lingling Ji, Rui Zou, Fei Wang

Abstract read
In one paragraph

Article in BMC oral health, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

3 citing papers in PubMed.

  1. Article
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

8 authors.

Minyue ZhaoKey Laboratory of Shaanxi Province for Craniofacial Precision Medicine Research, Clinical Research Center of Shaanxi Province for Dental and Maxillofacial Diseases, College of Stomatology, Xi'an Jiaotong University, Xi'an, Shaanxi, 710004, People's Republic of China.
Amin S MohamedKey Laboratory of Shaanxi Province for Craniofacial Precision Medicine Research, Clinical Research Center of Shaanxi Province for Dental and Maxillofacial Diseases, College of Stomatology, Xi'an Jiaotong University, Xi'an, Shaanxi, 710004, People's Republic of China.
Bo ChengKey Laboratory of Shaanxi Province for Craniofacial Precision Medicine Research, Clinical Research Center of Shaanxi Province for Dental and Maxillofacial Diseases, College of Stomatology, Xi'an Jiaotong University, Xi'an, Shaanxi, 710004, People's Republic of China.
Hongfei LiKey Laboratory of Shaanxi Province for Craniofacial Precision Medicine Research, Clinical Research Center of Shaanxi Province for Dental and Maxillofacial Diseases, College of Stomatology, Xi'an Jiaotong University, Xi'an, Shaanxi, 710004, People's Republic of China.
Gaoli WangKey Laboratory of Shaanxi Province for Craniofacial Precision Medicine Research, Clinical Research Center of Shaanxi Province for Dental and Maxillofacial Diseases, College of Stomatology, Xi'an Jiaotong University, Xi'an, Shaanxi, 710004, People's Republic of China.
Lingling JiKey Laboratory of Shaanxi Province for Craniofacial Precision Medicine Research, Clinical Research Center of Shaanxi Province for Dental and Maxillofacial Diseases, College of Stomatology, Xi'an Jiaotong University, Xi'an, Shaanxi, 710004, People's Republic of China.
Rui ZouKey Laboratory of Shaanxi Province for Craniofacial Precision Medicine Research, Clinical Research Center of Shaanxi Province for Dental and Maxillofacial Diseases, College of Stomatology, Xi'an Jiaotong University, Xi'an, Shaanxi, 710004, People's Republic of China.
Fei WangKey Laboratory of Shaanxi Province for Craniofacial Precision Medicine Research, Clinical Research Center of Shaanxi Province for Dental and Maxillofacial Diseases, College of Stomatology, Xi'an Jiaotong University, Xi'an, Shaanxi, 710004, People's Republic of China. wf751022@mail.xjtu.edu.cn.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveA nomogram based on maxillofacial surface electromyographic (sEMG) activities was developed to assist in diagnosing mouth breathing (MB).

methodsDifferences in maxillofacial sEMG activities between MB and nasal breathing (NB) subjects were compared across a sample of 250 participants to identify MB diagnostic factors, a nomogram was developed to assist in diagnosing MB.

resultsIn the univariate analysis, there were significant differences in sEMG activity of masseter muscle with the lips closed lightly, orbicularis oris superior during rest, orbicularis oris superior with the lips closed lightly (OOS3), orbicularis oris superior during swallowing, mentalis muscle during rest, mentalis muscle during maximal intercuspation (MT2), mentalis muscle with the lips closed lightly (MT3) and mentalis muscle during swallowing between the MB and NB groups. Multivariate analysis revealed that OOS3 and MT3 were independent risk factors for MB, while MT2 might be a protective factor against MB. The nomogram exhibited a good clinical application value with an area under the ROC curve of 0.774 (95% CI 0.713-0.834) and fitted calibration curves.

conclusionMB could affect maxillofacial sEMG activities. We developed a nomogram to assist in diagnosing MB in the clinic. CLINICAL SIGNIFICANCE: The nomogram can help clinicians diagnose MB quickly and easily, providing a more effective way to diagnose children with MB early so that they can receive timely treatment and block abnormal neuromuscular reflexes early, thereby avoiding the harmful effects of MB.

Indexed as

ElectromyographyFacial MusclesMouth BreathingNomogramsAdolescentAdultDeglutitionFemaleHumansMaleMasseter MuscleYoung AdultDiagnosisElectromyographic activitiesMouth breathing

Identifiers

PMID40211201
PMCPMC11987270

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LicenceCC BY-NC-ND
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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.