We interviewed Elizabeth Walker DMD, MSD to discuss the relationship of obstructive sleep apnea and ADD/ADHD. At least 70% of children who snore have obstructive sleep apnea (OSA). Please note that you will be asked to enter your email address at the 30-minute mark to finish viewing the video.
What Is Obstructive Sleep Apnea?
Many of these children are frequently diagnosed as having ADD or ADHD and are typically placed on medication when in fact their problems may be caused by sleep deprivation. Children with OSA may exhibit the following symptoms:
- Poor concentration
- Hyperactivity
- Speech delays
- Sleep disturbances
- Facial formation
- Chronic headaches
- Feeding issues
- Irritability
As can be seen from the symptoms above, there is a lot of overlap between Obstructive Sleep Apnea and ADD/ADHD.
In This Webinar
Orthodontics centered around breathing, also known as airway orthodontics, addresses the root cause for children who snore or have apnea and can prevent it in children who don’t. In addition, airway orthodontics can improve symptoms of ADD or ADHD and thus preclude the need for pharmaceutical intervention.
Key Discussions
Anatomical Obstructions and Breathing
Anatomical obstructions such as nasal passages, tonsils, and adenoids can significantly impact breathing and posture. Evaluating and addressing these obstructions early, and using minimally invasive techniques where possible, is crucial for improving breathing and preventing long-term health issues.
Impact on Child Development
Obstructive Sleep Apnea can affect a child’s facial growth, posture, and overall health. These issues can lead to dental problems, attention disorders like ADD or ADHD, and broader developmental challenges. Early intervention by an airway orthodontist is recommended to address these issues effectively.
Role of Orthodontics in Airway Management
Orthodontic treatment can play a significant role in managing airway obstructions. Procedures like palate expansion can create more space for the tongue and improve the airway, potentially reducing symptoms associated with Obstructive Aleep Apnea and improving overall health. Avoiding tooth extractions and focusing on bone remodeling can lead to better outcomes.
Importance of Nasal Breathing and Myofunctional Therapy
Proper nasal breathing is essential for overall health and can prevent a variety of issues ranging from neurological disorders to compromised lung function. Myofunctional therapy, which involves exercises for the tongue, lips, and cheeks, can support proper breathing and orthodontic development.
Connection Between Breathing Struggles and Cognitive/Behavioral Issues
Struggles to breathe, especially during sleep, can lead to cognitive and behavioral issues such as ADD or ADHD. Addressing the root causes of these breathing issues through proper diagnosis and treatment can lead to significant improvements in attention, behavior, and overall well-being.
Timestamped Overview
00:00 Introduction.
09:02 Nasal nitric oxide is vital for immunity.
14:10 Hypertonic movements during sleep relate to breathing.
17:25 Proper sleep posture ensures open airway.
22:57 Collaboration with ENT for airway and orthodontics.
30:18 Wisdom teeth, nose breathing, and future generations.
33:34 Evaluate airway anatomy awake, upright, prone positions.
41:27 Tongue tie affects latching, speech, and facial development.
47:30 New technology 3D imaging reveals airway patterns.
51:13 Tonsils and adenoids removal: necessary in some cases?
56:36 Lip tethering affects dental health and breathing.
01:02:02 Ideal child profile, evaluation at age 7.
01:05:07 Reflex test diagnoses breathing-related structural issues.
01:09:37 Orthodontic correction improves airway, reduces health issues.
01:17:52 Orthodontics and ENT link via airway discovery.
01:27:50 Improper orthotic sleep devices can harm breathing.
01:32:00 Myofunctional therapy: exercising muscles for oral function.
01:36:01 Patients can sometimes visit ENT without thorough examination.
About Elizabeth Walker DMD, MSD
Committed to her patients and continuing education, Dr. Walker has extensive experience diagnosing and treating TMJ disorders and craniofacial pain. She integrates the evaluation of awake and sleep-disordered breathing into her patient care.
Dr. Walker’s mission is to provide her patients with the latest diagnostic technologies to identify the ORIGIN of symptoms to resolve pain, skeletal, dental and breathing challenges.
She graduated from the Goldman School of Dental Medicine at Boston University in 2006.

Dr. Walker received her certificate in the Specialty of Orthodontics and Dentofacial Orthopedics from Goldman School of Dental Medicine at Boston University in 2010.
She has completed an extensive Mini-Residency from TMJ and Sleep Therapy Research earning a graduate certificate in Sleep-Related Breathing Disorders & Craniofacial Pain in 2013. In 2015, she completed her Masters of Science in Dentistry at Goldman School of Dental Medicine at Boston University.
You can find out more about her and her practice at www.tmjvt.com
Disclaimer
This webinar is not a substitute for medical advice, treatment, diagnosis, or consultation with a medical professional. It is intended for general informational purposes only and should not be relied on to make determinations related to treatment of a medical condition. Documenting Hope has not verified and does not guaranty the accuracy of the information provided in this webinar.
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