Airways and Orthodontics

Aligning The Bite For Proper Breathing And Sleep

Orthodontics is all about straightening teeth—but it is so much more than that! When the top and bottom jaws do not fit together properly, a variety of adverse health effects can occur. Patients with a misaligned jaw can have uneven wear on the teeth, TMJ disorders and jaw pain, and in some cases, sleep disorders such as sleep apnea. By ensuring that the teeth are straight and the top and bottom arches fit together properly, patients can have a more aesthetically pleasing smile and face shape, along with improved oral health and open airways.

Airways and Orthodontics: Long-Term Effects Of Jaw Misalignment

Jaw misalignment occurs when the top and bottom jaws do not fit together properly, and can manifest in several different ways, including:

When the upper top teeth protrude over the bottom teeth

When the upper bottom teeth protrude over the top teeth

When the top teeth fit behind the bottom teeth

When there is space between the upper and lower teeth

Left untreated, jaw misalignment can not only affect facial symmetry and appearance, but can have adverse effects on your dental and overall health. These include:

When the top and bottom teeth do not fit together, force is unevenly distributed across the teeth when biting and chewing. Over time, this can lead to tooth wear and damage.

Uneven pressure can put strain on the temporomandibular joint (TMJ). This can lead to a TMJ disorder, which causes pain, popping and cracking, and locking of the jaw.

Jaw position has a significant impact on the airways. Improper mouth position during sleep can block the airways and lead to sleep disorders such as sleep apnea. Sleep problems prevent you from getting a good night’s sleep, and affect your ability to focus during the day.

Sleep Apnea and Airways

Sleep apnea occurs when the airways are partially or completely blocked during sleep. Patients with sleep apnea temporarily stop breathing during sleep, and wake frequently during the night. Symptoms of sleep apnea can occur both at night and in the morning.

Nighttime symptoms of sleep apnea:

  • Snoring

  • Choking or gasping

  • Waking frequently throughout the night

  • Restless legs

  • Night sweats

During the day, sleep apnea can cause:

  • Difficulty focusing

  • Irritability

  • Fatigue

  • Morning headaches

  • Waking with dry mouth

  • Depression and anxiety

In children, improper sleep can negatively impact their behavior, learning comprehension and overall growth and development. Airways and orthodontics play a crucial role in your child’s development.

Custom Mouth Guards and Night Guards Available at All Three Locations

As part of our comprehensive approach to airway health and orthodontics, Clemente Orthodontics offers custom GuardLab mouth guards and night guards at all three locations. These devices not only protect teeth during sports but can also help manage nighttime grinding and clenching that may affect your airway and overall oral health. Using advanced 3D technology, we create perfectly fitted devices tailored to your specific needs.

New City Location

Visit our New City office at (845) 638-6646 for custom GuardLab devices that address both athletic protection and nighttime grinding concerns. Our digital scanning technology creates precise-fitting guards that can help protect your teeth while supporting better airway function during sleep.

Woodcliff Lake Location

Our Woodcliff Lake location at (201) 484-0600 specializes in creating custom protective devices that complement your airway-focused orthodontic treatment. Whether you need a sports mouth guard or a night guard to prevent grinding that may impact breathing, we’ll design the perfect solution.

Ridgewood Location

Contact our Ridgewood practice at (201) 447-2888 to learn how custom GuardLab guards can support your airway health and orthodontic treatment. Our experienced team will help determine whether you need protection for sports, nighttime grinding, or both, ensuring optimal oral health and breathing function.

Frequently Asked Questions About Airways and Orthodontics

At Clemente Orthodontics, we understand the important relationship between proper breathing and orthodontic health. Our airways and orthodontics approach addresses both aesthetics and functional breathing concerns. Here are answers to common questions about this critical connection.

How does orthodontic treatment affect breathing and airways?

Orthodontic treatment can significantly impact breathing by addressing structural issues that may restrict airflow. Properly aligned teeth and jaws create more space for the tongue and can open the airway passage. When the upper and lower jaws are in optimal position, the airway remains more open during sleep and daily activities. Our orthodontists consider airway implications in all treatment plans, recognizing that proper jaw development and alignment are essential for both breathing function and facial aesthetics.

What signs might indicate my child has airway issues that orthodontics could help?

Several signs may suggest your child has breathing difficulties that could benefit from orthodontic intervention:

  • Mouth breathing instead of nasal breathing
  • Snoring or noisy breathing during sleep
  • Frequent throat clearing or dry mouth upon waking
  • Forward head posture
  • Dark circles under the eyes
  • Daytime sleepiness or attention problems
  • Teeth grinding or clenching
  • Chronic allergies or congestion

If you notice these symptoms, a consultation with our orthodontists can help determine if airway-focused orthodontic treatment might be beneficial. Early intervention through early orthodontics often produces the best long-term results for children with airway concerns.

Can orthodontic treatment help with sleep-disordered breathing?

Yes, orthodontic treatment can play a significant role in addressing certain types of sleep-disordered breathing, including some cases of sleep apnea and upper airway resistance syndrome. By improving jaw position and creating more space for the tongue, orthodontic interventions can help maintain a more open airway during sleep. This approach is particularly effective when the underlying cause of breathing difficulties relates to jaw structure or position. Our orthodontists work collaboratively with sleep specialists and ENT physicians to provide comprehensive care for patients with sleep-breathing disorders.

What is the connection between mouth breathing and orthodontic problems?

Mouth breathing and orthodontic problems are closely connected in a cycle that can worsen over time. When children breathe through their mouths instead of their noses, it often leads to:

  • Forward tongue position that can push teeth out of alignment
  • Narrow upper jaw development due to lack of proper tongue pressure
  • Altered facial growth patterns that may result in longer, narrower faces
  • Greater likelihood of developing an overbite or open bite

Conversely, certain orthodontic issues like a narrow palate can make nasal breathing more difficult, encouraging mouth breathing. Our comprehensive approach addresses both the structural orthodontic concerns and the breathing patterns that may have contributed to them.

At what age should airways be evaluated in relation to orthodontic needs?

We recommend airway evaluation as part of an orthodontic screening around age 7, which aligns with the American Association of Orthodontists’ recommendation for a child’s first orthodontic check-up. Early evaluation allows us to identify potential airway and breathing issues when treatment can be most effective. Children’s bones are still growing and developing at this stage, making it an ideal time to guide proper jaw development that supports healthy airways. However, airways can be evaluated at any age, and adults with breathing concerns can also benefit from orthodontic assessment.

How does jaw alignment impact breathing disorders?

Jaw alignment has a direct impact on the size and patency of the airway. When the lower jaw (mandible) is positioned too far back, it can narrow the space at the back of the throat where air passes. Similarly, a narrow upper jaw (maxilla) can restrict nasal breathing and crowd the tongue, pushing it back toward the throat. Through orthodontic treatment that addresses these alignment issues, we can create more favorable conditions for proper breathing during both wakefulness and sleep. Our article on how jaw alignment impacts breathing disorders provides more detailed information on this important connection.

What orthodontic treatments help improve airway function?

Several orthodontic approaches can help improve airway function:

  • Palatal expansion to widen the upper jaw and create more nasal breathing space
  • Mandibular advancement to bring the lower jaw forward and open the airway at the back of the throat
  • Proper alignment of teeth to create adequate space for the tongue
  • Correction of tongue-tie (when present) to allow proper tongue position
  • Treatment to encourage nasal breathing and proper tongue posture

Each treatment plan is customized based on the patient’s specific airway concerns and orthodontic needs. Our orthodontists use advanced diagnostic tools to evaluate airway dimensions and develop targeted treatment strategies.

Can Invisalign® treatment address airway concerns?

Yes, Invisalign® can be an effective treatment option for addressing certain airway concerns, particularly in teens and adults. As the number one Invisalign® provider in New York and New Jersey, our orthodontists have extensive experience using this system to improve both dental alignment and functional concerns. Invisalign® can expand arches, create space for proper tongue positioning, and in some cases, help advance the mandible to open the airway. For complex airway cases, we may recommend combining Invisalign® with other specialized appliances for optimal results.

How do you determine if my breathing issues are related to my orthodontic needs?

During your complimentary consultation, our orthodontists conduct a thorough evaluation that includes:

  • Assessment of your breathing patterns and habits
  • Examination of your facial structure, jaw position, and dental alignment
  • Review of your medical history, including any sleep or breathing concerns
  • Analysis of diagnostic records such as specialized X-rays that show airway dimensions
  • Discussion of symptoms that might indicate breathing difficulties

This comprehensive approach allows us to determine whether your breathing concerns have an orthodontic component and to develop an appropriate treatment plan that addresses both functional and aesthetic aspects.

Will my child outgrow breathing problems, or is treatment necessary?

Children rarely outgrow significant breathing problems without intervention. In fact, untreated breathing issues often worsen over time as facial growth continues along an unfavorable pattern. Early intervention is key to guiding proper development and establishing healthy breathing patterns. When airway issues are addressed during childhood, the results tend to be more stable and comprehensive. Our family-centered approach ensures that children receive appropriate care at the optimal time for their development, setting the foundation for lifetime breathing and orthodontic health.

For more information about airways and orthodontics or to schedule a complimentary airway evaluation, contact us today. Visit our offices in Ridgewood, Woodcliff Lake, or New City to learn how our comprehensive approach to orthodontics can help improve both your smile and your breathing function.

How Can Orthodontics Correct Airway Issues?

Airways and orthodontics go hand in hand. By correcting the bite and the position of the jaw during sleep, the airways open up, facilitating breathing. At Clemente Orthodontics, our team offers several orthodontic appliances to open the airways and help patients of all ages get restful, more high-quality sleep. If you or your child are experiencing jaw misalignment or symptoms of sleep apnea, request a complimentary consultation at one of our three locations: Ridgewood, NJ, Woodcliff Lake, NJ and New City, NY and see the many services we have to offer.

Airways and Orthodontics