Airway Orthodontics for Better Breathing

Orthodontics isn’t just about straight teeth and beautiful smiles—it’s about helping you or your child live better, sleep better, and thrive. At Marshall Orthodontics, we understand that oral health is directly connected to long-term systemic health. That’s why we evaluate airway function as part of our diagnostic process. Certain oral habits and jaw development issues can contribute to Obstructive Sleep Apnea (OSA) and Sleep Disordered Breathing (SDB)—conditions that affect your health and quality of life.

What Is Airway Orthodontics?

Airway orthodontics refers to a type of orthodontic care that focuses on improving breathing and overall health, not just aligning the teeth. Using treatment methods like jaw expansion or jaw advancement, Dr. Robert Marshall can help open the airway to treat or reduce the effects of OSA and SDB.

What Are Obstructive Sleep Apnea (OSA) and Sleep Disordered Breathing (SDB)?

Obstructive Sleep Apnea (OSA) is a common condition where the muscles of the throat—like the soft palate and tongue—relax during sleep and block the airway. This results in repeated pauses in breathing, often accompanied by snoring, choking, or gasping for air. These interruptions:

  • Lower oxygen levels in the blood

  • Increase carbon dioxide buildup

  • Trigger the release of cortisol, the body’s stress hormone

  • Raise heart rate and blood pressure

Though you may not fully wake up, your body reacts like it’s running a marathon all night. This chronic sleep disruption leads to the following:

  • Daytime exhaustion

  • Mood changes, irritability, or depression

  • Memory issues and difficulty concentrating

  • Weight gain and increased appetite

  • Higher risk of hypertension, heart disease, and diabetes

In children, these sleep disorders can lead to:

  • Learning difficulties or poor academic performance

  • Behavioral problems (often mistaken for ADHD)

  • Bedwetting, night terrors, and poor growth

Common Symptoms of OSA and SDB

  • Loud snoring

  • Pauses in breathing during sleep

  • Mouth breathing

  • Hyperactivity, short attention span, or ADHD-like symptoms

  • Restless sleep or frequent waking

  • Daytime drowsiness

  • Nighttime coughing, choking, or snorting

  • Night sweats or bedwetting

  • Sleep terrors or nightmares

  • Difficulty gaining weight

Common Causes of OSA and SDB

  • Enlarged tonsils or adenoids

  • Small or narrow jaws

  • Tongue-tie (restricted tongue movement)

  • Recessive upper or lower jaw

  • Obesity (more common in adults)

Treatment Options

Growth-Oriented Orthodontics

We use growth modification techniques to promote proper jaw development and increase airway volume. This may involve:

  • Jaw expansion

  • Advancement of the upper or lower jaw

  • Increasing tongue space and nasal airflow

Removal of Obstructive Tissues

In some cases, removing enlarged tonsils or adenoids may be necessary to restore proper airflow and allow for nasal breathing.

When Should Airway Issues Be Treated?

As early as possible. The ideal time for airway assessment and growth modification is around ages 6 or 7. Early intervention allows us to guide proper jaw and facial development and reduce the long-term risks of sleep-related breathing issues.

Schedule a Complimentary Consultation

Think your child may be affected by sleep-disordered breathing? Concerned about your own sleep quality and jaw alignment? Contact our office today to schedule your free consultation. We’re here to help you breathe easier, sleep better, and live healthier.