orthodontics and obstructive sleep apnea

In the 1980's, I was fortunate enough to attend dental courses around the country that were introducing new ideas about orthodontics. There was more of an emphasis on extracting fewer teeth, expanding palatal arches, and functionally improving occlusions. It was at this time I began recognizing how this method of orthodontics could possibly improve the airways for children that might be carried over into their adulthood. It was so controversial at that time. Surprisingly to many of us, it is still debated to this day. So it was refreshing to see this insight in a publication from the dental school where I graduated.  Greg Osborne, DDS
Orthodontics: More than meets the eye
Posted on November 7, 2024 at 12:37 pm. Shared by Kristen Zapata

UT Health San Antonio
Newsroom
Orthodontics is often associated with straight, beautiful teeth, but its benefits go far beyond mere aesthetics. 
According to Maria Karakousoglou, BDS, MS, assistant professor and director of the Orthodontic Residency Program at UT Health San Antonio School of Dentistry, proper orthodontic care plays a critical role in overall oral and systemic health. It improves speech, aids in proper breathing and even prevents headaches, contributing to a person’s well-being in ways many might not expect. 
Breathing issues, like sleep apnea, can sometimes be associated with orthodontic problems. Sleep apnea is a condition that causes people to stop breathing or breathe very shallowly while sleeping. A narrow jaw can sometimes play a part in sleep apnea and its symptoms, such as snoring. "This is a major topic in orthodontics today, as the relationship between breathing and the space available in the mouth has been linked to sleep apnea,” Karakousoglou said.
She explained that there has been much debate as to the connection between the sleep disorder and orthodontic issues. While she said it’s true that a severely misaligned jaw has been linked to the condition, and a combination of orthodontic treatment and surgery can sometimes help, the overall connection is still being studied.
A narrow upper jaw can limit space for the tongue, potentially blocking airways during sleep. While orthodontic treatment alone is not a cure for sleep apnea, correcting the jaw’s alignment can help improve airflow and alleviate related breathing difficulties.