What Is Airway Orthodontics?

Airway orthodontics is a specialized branch of orthodontics that focuses on improving breathing and airway function while also addressing tooth alignment and jaw development. This approach recognizes the interconnectedness of the mouth, jaw, and airway, and how these structures impact overall health and well-being. By addressing airway issues during orthodontic treatment, practitioners aim to not only improve dental aesthetics but also enhance breathing, sleep quality, and general health.

How Does Airway Orthodontics Work?

Airway orthodontics involves a comprehensive evaluation of the patient’s dental structure, jaw development, and airway function. This assessment may include 3D imaging, such as cone beam computed tomography (CBCT), to visualize the airway and identify any obstructions or abnormalities. Based on this evaluation, the orthodontist develops a customized treatment plan that may include a combination of techniques, such as:

  • Palatal expansion: This involves widening the upper jaw to create more space for the tongue and improve nasal breathing.
  • Mandibular advancement: Repositioning the lower jaw forward can help open the airway and reduce the risk of obstruction during sleep.
  • Myofunctional therapy: This therapy employs exercises and techniques to strengthen and retrain the muscles of the mouth, tongue, and face in order to improve breathing and swallowing patterns.
  • Orthodontic appliances: Specialized devices, such as the Herbst appliance or the Biobloc appliance, can be used to guide jaw growth and encourage proper tongue positioning.

Which Health Conditions Can Airway Orthodontics Help With?

Airway orthodontics can be beneficial for a wide range of health conditions related to breathing and sleep, including:

  • Obstructive Sleep Apnea (OSA): By improving jaw development and airway function, airway orthodontics can reduce the severity of OSA and alleviate associated symptoms, such as snoring, daytime fatigue, and cognitive impairment.
  • Attention Deficit Hyperactivity Disorder (ADHD): Studies have shown that children with untreated sleep-disordered breathing are more likely to exhibit symptoms of ADHD (see Sources & References, below). Addressing airway issues through orthodontic treatment may improve focus, behavior, and overall cognitive function.
  • TemporoMandibular joint Disorders (TMD): Proper jaw alignment and function can help alleviate pain and discomfort associated with TMD, as well as improve breathing and sleep quality.
  • Chronic mouth breathing: Airway orthodontics can help promote nasal breathing, which is essential for proper craniofacial development, dental health, and overall well-being.

Research Supporting the Use of Airway Orthodontics

A growing body of research supports the effectiveness of airway orthodontics in improving breathing, sleep, and related health outcomes. For example:

What to Expect from Airway Orthodontics

Patients undergoing airway orthodontics can expect a comprehensive, multidisciplinary approach to treatment that addresses both dental alignment and airway function. The duration of treatment may vary depending on the individual’s needs and the specific techniques employed, but it typically ranges from several months to a few years.

Throughout the treatment process, patients may experience improvements in breathing, sleep quality, and overall health, in addition to the aesthetic benefits of a well-aligned smile. After completing treatment, ongoing maintenance and monitoring may be necessary to ensure long-term success and prevent relapse.

In conclusion, airway orthodontics represents a paradigm shift in the field of orthodontics, emphasizing the importance of optimal breathing and airway function for overall health and well-being. By addressing the root causes of various health conditions related to breathing and sleep, airway orthodontics offers a promising approach to improving quality of life for patients of all ages.

About Maria Rickert Hong CHHC

Maria Rickert Hong is a Co-Founder of, and the Education and Media Director for, Documenting Hope.

She is a former sell-side Wall Street equity research analyst who covered the oil services sector at Salomon Smith Barney and Lehman Brothers under Institutional Investor #1 ranked analysts.

Later, she covered the gaming, lodging & leisure sector at Jefferies & Co. and Calyon Securities. She quit working on Wall Street when her first son was born.

Prior to working on Wall Street, she was a marketing specialist for Halliburton in New Orleans, where she also received her MBA in Finance & Strategy from Tulane University.

She is the author of the bestselling book Almost Autism: Recovering Children from Sensory Processing Disorder and the co-author of Brain Under Attack: A Resource for Parents and Caregivers of Children with PANS, PANDAS, and Autoimmune Encephalitis. She is a co-author of Reversal of Autism Symptoms among Dizygotic Twins through a Personalized Lifestyle and Environmental Modification Approach: A Case Report and Review of the Literature, J. Pers. Med. 2024, 14(6), 641.

Maria is also a Certified Holistic Health Counselor. Her work can be found on DocumentingHope.com, Healing.DocumentingHope.com, Conference.DocumentingHope.com and MariaRickertHong.com

Still Looking for Answers?

Visit the Documenting Hope Practitioner Directory to find a practitioner near you.

Join us inside our online membership community for parents, Healing Together, where you’ll find even more healing resources, expert guidance, and a community to support you every step of your child’s healing journey.

Sources & References

Amdo, T., et al. Somatic syndromes, insomnia, anxiety, and stress among sleep disordered breathing patients. Sleep Breath. 2016 May;20(2):759-68.

Bussi, M.T., et al. Is ankyloglossia associated with obstructive sleep apnea? Braz J Otorhinolaryngol. 2021 Nov 5;S1808-8694(21)00181-6.

de Godoy, L.B., et al. Upper Airway Resistance Syndrome Patients Have Worse Sleep Quality Compared to Mild Obstructive Sleep Apnea. PLoS One. 2016; 11(5): e0156244.

Dieltjens, M., et al. Treatment of obstructive sleep apnea using a custom-made titratable duobloc oral appliance: a prospective clinical study. Sleep Breath. 2013 May;17(2):565-72.

Doff, M.H., et al. Oral Appliance Versus Continuous Positive Airway Pressure in Obstructive Sleep Apnea Syndrome: A 2-year Follow-Up. Sleep. 2013 Sep 1;36(9):1289-96.

Harari, D., et al. The effect of mouth breathing versus nasal breathing on dentofacial and craniofacial development in orthodontic patients. Laryngoscope. 2010 Oct;120(10):2089-93.

Hesselbacher, S., et al. A Study to Assess the Relationship between Attention Deficit Hyperactivity Disorder and Obstructive Sleep Apnea in Adults. Cureus. 2019 Oct 24;11(10):e5979.

Hsu, B., et al. Effects of respiratory muscle therapy on obstructive sleep apnea: a systematic review and meta-analysis. J Clin Sleep Med. 2020 May 15;16(5):785-801.

Huang, Y.S., et al. Attention-deficit/hyperactivity disorder with obstructive sleep apnea: a treatment outcome study. Sleep Med. 2007 Jan;8(1):18-30.

Huang, Y.S., et al. Short Lingual Frenulum and Obstructive Sleep Apnea in Children. Intl Journal of Clinical Pediatrics. 2015,1(1):1-4.

Hvolby, A. Associations of sleep disturbance with ADHD: implications for treatment. Atten Defic Hyperact Disord. 2015 Mar;7(1):1-18.

Kamata, S., et al. Assessment of Obstructive Apnea by Using Polysomnography and Surgical Treatment in Patients With Beckwith-Wiedemann Syndrome. J Pediatr Surg. 2005 Mar;40(3):E17-9.

Martel, J., et al. Could nasal nitric oxide help to mitigate the severity of COVID-19? Microbes Infect. 2020 May-June; 22(4): 168–171.

Felippe, N.L.O., et al. Relationship between rapid maxillary expansion and nasal cavity size and airway resistance: short- and long-term effects. Am J Orthod Dentofacial Orthop. 2008 Sep;134(3):370-82.

Reyes-Zúñiga, M., et al. Anxiety and depression symptoms in patients with sleep-disordered breathing. Open Respir Med J. 2012;6:97-103.

Sedky, K., et al. Attention deficit hyperactivity disorder and sleep disordered breathing in pediatric populations: a meta-analysis. Sleep Med Rev. 2014 Aug;18(4):349-56.

Urbano, G.L., et al. The Link between Pediatric Obstructive Sleep Apnea (OSA) and Attention Deficit Hyperactivity Disorder (ADHD). Children (Basel). 2021 Sep 19;8(9):824.

White, David P., et al. Mandibular Advancement Device vs. CPAP in the Treatment of Obstructive Sleep Apnea: Are They Equally Effective in Short Term Health Outcomes? J Clin Sleep Med. 2013 Sep 15;9(9):971-2.

Xiangming, L., et al. The relationship between inflammation and neurocognitive dysfunction in obstructive sleep apnea syndrome. J Neuroinflammation. 2020 Aug 1;17(1):229.

Yeghiazarians, Y., et al. Obstructive Sleep Apnea and Cardiovascular Disease: A Scientific Statement From the American Heart Association. Circulation. 2021 Jul 20;144(3):e56-e67.

Youssef, N.A., et al. Is obstructive sleep apnea associated with ADHD? Ann Clin Psychiatry. 2011 Aug;23(3):213-24.

Join Healing Together

The official science-backed healing program from Documenting Hope!

Latest Articles