Bad bites come in all shapes and sizes. A crossbite is a specific malocclusion where the relationship between the upper and lower teeth are reversed. The upper teeth are supposed to be out and overlapping the lower teeth. In the case of a crossbite, the lower teeth are out ahead of the upper teeth. Overbites not only look bad but they are associated with mouth breathing, TMJ pain, sleep problems and bad posture.
How to Fix Crossbites
A crossbite is usually created when the upper jaw does not grow to be large enough. Orthodontic expanders are dental appliances used to stimulate the jaws to grow larger. There are many different kinds of expanders available for adults and kids depending on the specific kind of crossbite.
Crossbites and other bad bites are usually caused by developmental issues related to poor tongue function, tied tongues and lips and a soft diet.
There are so many different kinds of Clear Aligners to straighten teeth and Invisalign is by far the most dependable and popular. The cost of Invisalign is a big factor in moving forward with the expensive orthodontic treatment. So how much is it? In this article we go over all the different kinds of Invisalign and the Cost for the different kinds of Invisalign services.
Invisalign Costs-How Much are Clear Aligners?
On average, the cost of Invisalign clear aligner treatment ranges from about $3,500 to $8,000. But that is just an estimate and the actual cost can be higher or lower. The average cost of Invisalign treatment can vary quite a bit depending on a variety of factors, such as the severity of the bite problem, the length of the treatment, the experience of the orthodontist and the location of the dental practice.
It’s important to note that some dental insurance plans may cover a portion of the cost of Invisalign treatment. It’s a good idea to check with your insurance provider to see what your coverage options are. Additionally, many dental practices offer payment plans and financing options to help make the cost of treatment more affordable. Because some insurance plans pay for part of Invisalign, it is impossible to know the true cost of Invisalign without finding out what dental insurance will pay.
Invisalign Cost for Teens
The usual price for Invisalign Teens is $5000 – $7500 depending on the length of treatment and the difficulty of the case. For example, cross bite corrections with Invisalign cost more than simple teeth crowding cases. For teens who have already received a dental expander at Maryland Holistic Dentist, the cost of Invisalign is – 20% of our usual and customary fee unless more advanced Invisalign expansion for mouth breathing is used.
Invisalign can treat mouth breathing in kids and adults. There are new programs in the Invisalign clear aligner system that can straighten teeth and expand the mouth and jaws at the same time. Expanders create more room in the mouth and nose so the airway spaces are more open for breathing. This naturally helps with nasal breathing and decreases airway resistance and the need for mouth breathing.
Cost of Invisalign for Adults
Invisalign cost for adults is $6000 – $8500. Adult cases are usually more challenging. Usually there are underlying causes as to why the teeth and bite are bad. For example there can be teeth clenching and grinding and TMJ problems. Many adults are mouth breathing and have tongue and lip ties. All these issues require careful consideration because case success also depends on fixing some of these underlying problems.
Invisalign for Adolescents and Pediatric cases
Yes, Invisalign can be used for adolescent and pediatric cases. It is a great choice for younger kids and teens who want an alternative to traditional metal braces. Invisalign for Teen/Adolescents is a specific type of Invisalign treatment that is designed to address the unique needs of younger kids.
It works in the same way as standard Invisalign, using a series of clear, removable aligners to gradually move the teeth into a final straight position. However, Invisalign for kids includes several features that are specially designed for the adolescent patient:
Compliance indicators: Invisalign Teen aligners have small blue dots that fade over time as the aligners are worn. This helps parents and orthodontists monitor compliance with the recommended wear time of 22 hours per day.
Eruption spacer tabs: Invisalign Teen aligners have small tabs/spacers that can be used to accommodate the eruption of second molars or other teeth that have not fully grown into the mouth.
Replacement clear aligners: Invisalign Teen includes up to six free replacement aligners in case any are lost or broken.
The cost of Invisalign teen/adolescent is $4000 – $6000 depending on the kind of bite problem.
Zirconia Implants have gotten quite popular because they are tooth colored and do not contain any metals such as nickel or mercury. Zirconia dental implants are also called “Ceramic” Implants.
Top Reasons Not to Get Zirconia Dental Implants
Even though zirconia is popular, there are many reasons why not to get Zirconia dental implants. Some of the reasons are more practical such as cost. Some reasons are cosmetic, while others are health related reasons.
Zirconia implants are too expensive
Replacing teeth with zirconia implants is generally more expensive than titanium implant teeth. Replacing a tooth with zirconia can cost as much as $2000 more titanium.
Zirconia Implants are not as Strong as Titanium
Titanium implants are more flexible and bend before breaking. Zirconia is brittle and it does not bend but at a certain point it will break. It take a lot of force to break zirconia, so it does not break easily. Titanium is a more suitable material for molars and teeth in the back. This is because titanium is better able to hold up to heavy chewing forces. If someone clenches their teeth, titanium is a better choice. Titanium better mimics the structure of teeth than zirconia. Because natural teeth are flexible and they bend, but eventually break. A material that is not flexible, transfers all the biting forces to the surrounding gum and bone.
Zirconia Implants have limited availability
Not all dentists offer zirconia implants. Not all implant manufacturers make them. Many dentists do not even know how to work with zirconia. Zirconia implant procedures are different than titanium. For example, if a person who has a zirconia implant needs the assistance, it may be difficult to locate a zirconia implant dentist. Even the instruments to work with zirconia implants is different. Locating parts can be difficult to locate also.
Zirconia Implants have Longer Healing Times
Zirconia implants take 4-6 months to heal whereas their titanium counterparts take 2.5 – 6 months. If you are in a hurry to get your teeth replaced, this may be an issue. Especially if you are going without a front tooth.
Full Mouth Implants do not work well with Zirconia Implants
Titanium implants can be used to replace a single tooth or a full arch of teeth. Zirconia works great when replacing a single tooth or a bridge of 3-4 teeth. But zirconia does not work well to replace a full arch of teeth. The connection system used to connect teeth to the implants works much better for titanium than zirconia when replacing multiple teeth.
It’s important to discuss all of your options with a qualified dental professional before making a decision about which type of dental implant is right for you.
Titanium Implants can be more Biocompatible Sometimes
Zirconia has been hyped as being more biocompatible than titanium. But some people have rejected zirconia implants, but later had a titanium implant heal perfectly. Everyone is different. There is nothing organic or natural about zirconia or titanium implants. Both have high success rates with healing, integration and acceptance. For most people both zirconia and titanium are suitable materials.
Titanium and Zirconia both have Advantages and Disadvantages
Titanium and zirconia are entirely different materials. Neither material is better than they other. They are different and have different advantages and disadvantages. Zirconia is better for people who have metal allergies. Zirconia is better in the visible part of the mouth because it is tooth colored. Titanium may be better for people who clench their teeth and for molars and other back teeth.
Why Titanium Implants are more popular than Zirconia
In most cases braces will not be necessary after DNA and Homeoblock devices. There are many things to consider before getting braces or Invisalign after adult expanders. It is best to wait 6 to 12 months and not jump into another appliance for cosmetic reasons about spaces in between teeth. This time allows the jaws, facial bones and the bite to settle into a final stable and comfortable position. During appliance therapy the jaws grow wider, more forward and achieve better facial balance. At the end of treatment there can be small spaces between the teeth (mostly in the back). Once time is allowed for everything to settle, the spaces normally close and there will no longer be a need for orthodontics. The exception is when there are rotated teeth prior to treatment. The DNA and Homeoblock will create enough space for all the teeth to fit, but orthodontics will be needed after treatment if there are teeth rotated more than 15-20 degrees. Or if there is a high cosmetic expectation, orthodontics should be assumed.
Why Braces are not needed after DNA Appliances
When the jaws get bigger during expansion, it only makes sense that there is more space between the teeth. Space is a good thing. Most people with small mouths and airways have crowded and crooked teeth. More room can be used for the teeth to fit better and be straighter. But are the spaces going to get large and unsightly? Usually, the spaces are very small and focused between the back teeth as the palate expands. The additional space will make it easier to floss, but the spaces will rarely get large enough to create a cosmetic problem. The round retainer-like wire in the front of most adult appliances (called a labial bow) does a nice job keeping the front teeth aligned and prevents spaces from developing between the front teeth. The Homeoblock and Vivos appliances are tailor-made for adults who have already had braces.
The Bite will Settle and Stabilize automatically after DNA Appliance
Vivos and Homeoblock appliances grow bone in three dimensions. During the appliance phase of treatment (when the appliances are worn daily) bone growth is directed wider and forward. Then the appliances are worn for 30 days as a retainer and usually removed forever. But the treatment is not finished. The vertical growth phase of the treatment needs to complete. And the overall fit of the teeth top to bottom needs to settle to a point of stability. This phase of treatment can last 3 months to 1 year depending on the case.
Teeth Spaces Close automatically 3-6 Months After Adult Expanders
Teeth have a self-leveling and closing biomechanism. What keeps a tooth in a stable position is the tooth above due to biting pressure. If the biting pressure is not present, the tooth will move till it makes contact with another tooth. Or till it finds a position of stability. If there are spaces in between teeth, they will shift towards the front of the mouth (medially) until they are up against other teeth. It is very important not to initiate orthodontics immediately after using a Homeoblock or Vivos device. In fact, after any expansion device, it is better to wait 3-12 months after the expanders have been removed. Most of the time orthodontics is not necessary after adult expanders because the small horizontal and vertical spaces will close on their own without the need for braces.
Closing these spaces prematurely with braces and Invisalign can be detrimental. The small spaces generated during treatment need to close naturally. Allowing spaces to close naturally completes the final phase of vertical bony jaw growth. If the spaces are closed too early with orthodontics, much needed vertical growth will be compromised.
Vivos DNA Device
Braces or Invisalign after Adult Palatal Expansion Treatment
There is nothing wrong with having orthodontic treatment 6-12 months after expanders and forward growth appliances. Cranial and jaw bone will not un grow. Teeth positions after expansion can still be adjusted with clear aligners or braces. And if teeth are not in a stable position, they can shift. Most of the time teeth will shift and naturally settle into a stable position 6-12 months after adult expansion.
We prefer clear aligners such as Invisalign because they are more gentle on the jaw and cranial bones. Sometimes teeth that are severely crooked will require conventional braces. Braces can sometimes cause TMJ and teeth clenching. The most important thing is to allow time for vertical and horizontal growth and settling after Vivos DNA appliances. Dr. Adams is usually good at projecting what cases will need orthodontics after adult expansion appliances.
We strongly advise against removing teeth for braces. Extraction retraction orthodontics decreases the size of the mouth and increases the risk of sleep and airway problems.
The MSE expander is a surgical device formally called a “maxillary skeletal expander.” The MSE device is gaining popularity among orthodontists and other airway focused dental professionals. The MSE is effective at expanding the palate, but it does have some draw backs. MSE is just the start of other necessary subsequent treatments. Braces, other expanders and sometimes additional surgery usually follow MSE. It is very important to know your treatment plan from start to finish. Most cases including MSE expanders take 3-5 years to complete and involve 2-4 phases of treatment and cost $30,000 to $50,000. Re-read that.
MSE Palate Expander
MSE Homeoblock and DNA Appliance in Palate Expansion Video
MSE is a Jaw Surgery Procedure
The first thing to know about maxillary skeletal expansion is that it is a surgical procedure that involves rapidly expanding the palate bone. Secondly, most undersized mouths need three dimensional growth, not just to get wider. The lower jaw is usually too small and sometimes sits back too far. And there can by some asymmetries and TMJ problems. Needless to say, growing an upper jaw is just the start and orthodontics and other expander appliances are always necessary after MSE expanders.
60% of adults have crowded teeth, narrow palates and very small tongue spaces. Adults who have small jaws and facial profile may suffer from TMJ pain, sleep apnea, bad posture and head and neck pain. All of these problems are linked and related which is why you are reading this page. The root cause of these problems is not having enough space in the mouth and nose. Not enough room for the teeth to fit and bite properly. Not enough space for proper breathing. Not enough room for the tongue to fit and function well.
Who Should get an MSE Expander Video
Alternatives to MSE Maxillary Skeletal Expanders
The DNA appliance and Homeoblock device are adult expanders that can grow adult jaw and facial structure without surgery. The DNA and Homeoblock usually do not involve braces, surgery or other appliances afterwards. The DNA and Homeoblock can grow the mouth and jaw structure three dimensionally and correct facial asymmetries. The entire treatment usually takes 12-24 months and costs between $8000 – $12,000. This treatment has some obvious advantages over MSE, but the appliances do not always get as much expansion as MSE. Some people get a some expansion and others get a lot. The nice thing about the DNA and Homeoblock is they both can do palatal expansion, forward growth and move the lower jaw forward. Basically they can grow everything 3 dimensionally and finish your case.
MSE Expander Results Vs Homeoblock and DNA Appliances
The most logical approach is do DNA or Homeoblock therapy and if they do not get enough growth, then a more aggressive treatment such as MSE can be used. The The treatment is technique sensitive and requires a skilled provider. The DNA and Homeoblock have received some criticism for causing gum recession and just tipping teeth. This only happens if the appliance is not worn long enough and it is expanded too quickly. We usually recommend expanding the appliances every 2-3 weeks for adults. And the appliance needs to be worn 10-12 hours per day (usually after dinner and through the night).
How Does MSE Expansion Work?
Both maxillary skeletal expansion (MSE) and surgically assisted rapid palatal expansion (SARPE) are surgical procedures used to increase the width of the upper jaw bones. Increasing the space in your mouth helps correct sleep apnea and airway resistance.
MSE and SARPE are very good at surgically expanding the width of the upper jaw. Most people undergo these procedures to get more space for the tongue to fit in the palate. And also to correct teeth crowding and cross bites. These treatments only grow the upper jaw wider. Most people who have small mouths need all their jaw bones to grow wider, more forward and taller. Not just the maxilla. The jaws and facial bones consist of many other bones that need to change size, shape and re-orient if treatment goals are to be accomplished.
Homeoblock and DNA Expanders
The Homeoblock and the Vivos DNA appliances are non-surgical facial growth devices. They look like retainers and are worn at night only. The appliances are custom designed per the patient to change the size and shape of the mouth and jaws. The DNA appliance uses light pressure, biting and tongue forces to grow the jaw bone. Depending on how the appliances are designed, they are capable of growing the jaws in all 3 dimensions. There is an upper and lower appliance to control the growth of the upper a lower jaws. The appliances are worn at night and the treatment usually lasts 12-18 months.
What is MSE?
MSE stands for maxillary skeletal expansion. The MSE device is screwed into the palate bone with titanium screws. The expansion mechanism is radidly widened over time by the patient or a helper. It is surgically installed into the palatal bone after numbing the patient with local anesthesia. The same numbing process as used during filling procedures. The MSE is also called a “bone borne” expander. Or the action of the appliance is at the level of the bone. This is in contrast to braces that are connected to the teeth or are “teeth borne.”
What is Surgically Assisted Rapid Palatal Expansion (SARPE)?
SARPE is basically a procedure where an oral surgeon cuts various facial bones to separate them. Once the bones are cut, the SARPE expander is placed and the jaws will expand very quickly. The SARPE Video above clearly shows how this works minus the unpleasant visual details of the bone cutting.
DNA or Homeoblock Appliance can be used with MSE
The orthodontic appliances are more comprehensive treatment appliances. The DNA and Homeoblock can grow jaw bone in all 3 dimensions whereas MSE and SARPE only increase the width of the palate. Cases only start with MSE and SARPE. Other treatment modalities such as braces and forward growth appliances will be necessary. Notice the large space that was opened between the front teeth in the after MSE treatment photo above. MSE only expands the palate, so a forward growth appliance such as the AGGA (Anterior Growth Guidance Appliance) will be necessary. The bite is very important. A problem with expanding the palate is now the upper jaw is wider than the lower jaw. Something will need to be done to correct the difference in size between the upper and lower jaws after MSE therapy. The best course of treatment is to use the non-surgical expander first and if the palate growth is inadequate, the case can be finished with MSE.
Adult Orthodontic Expansion Appliances Video
DNA compared to Homeoblock Appliance
As you can see, the DNA and Homeoblock look very similar. They are both capable of growing the mouth in all three dimensions. Using these devices is a matter of training and experience, but the appliances have comparable growth potential when in the hands of a knowledgable doctor. One major benefit of these appliances is they rarely need to be followed by other treatments such as braces or other growth appliances. Unless they are followed by MSE, in which case braces or Invisalign will be necessary.
Vivos DNA Device
What is the Goal of Maxillary Palate Expansion?
To grow the maxilla wider of course? Unfortunately this goal does not solve the root cause of sleep apnea, TMJ pain and teeth clenching. Maxillary palatal expansion is only one piece of the puzzle. The root cause of these conditions is inadequate space in the jaws for the teeth to fit and bite. The mouth and nasal passageways need to grow to be three dimensionally larger and more voluminous. That creates more room for air to pass during breathing. And the teeth have more room to fit and bite better too.
The Goal is to Correct Sleep Apnea and TMJ Pain
DNA appliance therapy increases the size of the entire upper airway including the mouth and nose. And by creating space, the teeth can straighten and the bite can be better balanced. The result is less airway resistance, improved breathing patterns during sleep and less teeth clenching. And yes, you can retire the graveyard of dental appliances and CPAP. You will not need them anymore in most cases.
Why do People Clench Their Teeth at Night?
Because there is not enough room for the tongue to fit properly in the mouth and the airway collapses. Basically what happens is when someone goes from light sleep into deep sleep the tongue muscle relaxes and the tongue falls back into the throat. This happens because there is not enough room for the tongue to fit passively in the mouth. The tongue goes into the throat where there is more room. Teeth clenching will wake you up into a lighter sleep and your tongue will come out of your throat, so you can breath better. Teeth clenching is really a way for the body to defend your ability to breathe while you sleep. The tongue is literally choking you.
Daytime teeth clenching is caused by an uncomfortable bite. More space so the teeth can fit better, will correct a bad bite.
Palatal Expansion Increases Nose Breathing
All of these problems have the same root cause. The strategy is to grow the jaw spaces 3 dimensionally forward, wider and taller. That creates more space for improved breathing and airflow. It improves nasal breathing volume by creating a larger nasal base. Did you know the palate is the base of the nose? Yes. A wider palate means larger nasal base and better nasal breathing. Palatal expansion is a great treatment for chronic allergic rhinitis and sinusitis.
What causes Mouth Breather Face? Why do people sleep with their mouth open? People who mouth breathe during the day and night almost always develop a mouth breather face. Mouth Breather Face is characterized by poor facial profile and reverse lower jaw position. Proper nasal breathing is one of the most important things for overall health. People who breathe through their nose instead of their mouth are much less likely to suffer from poor mouth breather face, sleep apnea, teeth clenching, poor posture, thyroid problems and bad facial profile. That is just to name a few.
Facial muscle exert pressure on jaw bones during breathing, chewing and swallowing. When people mouth breathe it puts reverse pressure on the mouth and face. Reverse pressure on the jaws in growing kids and adults can cause mouth breather face.
We use a variety of orthodontic expanders to open the nasal passageways and help with better nasal breathing. The tongue is involved in breathing and needs to be trained (with myofunctional therapy) to rest properly on the palate and not be in the bottom part of the mouth and throat. Tongue tie can worsen this condition.
Mouth Breather Face
Our Protocol to Correct Mouth Breather Face
Orthodontic expanders to enlarge the palate and nasal passageways
Myofunctional therapy to train palatal tongue posture. Diagnose and release tongue and lip ties when necessary
Breathe retraining to break the habit of mouth breathing
orthodontic palatal expander
What Does Mouth Breather Face Look Like?
Reverse lower jaw position compared to upper jaw position
Head posture forward of the shoulders (dowager’s syndrome)
Forehead large in comparison to the lower part of the face
Long face that is narrow
How to Fix Mouth Breather Face Video
The way to cure mouth breather face is to start nose breathing. But it is more complicated than that. If you are a mouth breather, we can do a lot to help you begin to breath through your nose and stop mouth breathing once and for all. And correct many other problems such as tongue tie, bruxism and sleep and posture problems. The first step in discovering how to stop mouth breathing is to understand what causes people to become a mouth breather to begin with.
Mouth breathing is caused by a deficiency in size of the nasal passageways and poor performance of the tongue and airway. If there is not enough space for air to flow through the nose, than people will need to open the mouth to meet basic oxygen demands. The nose issue is really a matter of space in the nose. It is a structural problem. Orthodontic expanders widen the palate and dramatically improve nose breathing efficiency. The palatal bone (maxilla) is the same as the base of the nose, so palatal expanders is a way to increase the space available for nasal breathing. Sometimes surgery such as nasal turbinate ablation can be necessary. Better surgical results are achieved after the use of expanders. And often surgery is not necessary after maxillary palate expansion.
How to Correct Mouth Breathing
Expanding the palate is not enough to correct mouth breathing. The tongue needs to be strengthened and it’s posture improved into the palate with suction. The muscle tissue in the throat needs to be improved so it is not so “collapsible.” The diaphragm and rib cage muscles need to be strengthened. So to summarize, four areas need to be improved:
Structures of the jaws and mouth need to be expanded. This can be done with mouth expanders including Vivos devices or Homeoblock appliances.
The Airway needs to become less collapsible
diaphragm and rib cage muscles need to be strengthened with breathing exercises
Tongue needs to be strengthened and it’s posture improved (myofunctional therapy)
Can Invisalign be used to Treat Mouth Breathing?
Invisalign can be used to improve mouth breathing and that is what this page is all about. Invisalign is the orthodontists best friend in straightening teeth, but, Invisalign can also be used by a knowledgeable dentist to treat mouth breathing, TMJ and some cases of sleep apnea. There are new programs in the Invisalign clear aligner system that can straighten teeth and expand the mouth and jaws at the same time. Expanders create more room in the mouth and nose so the airway spaces are more open for breathing. This naturally helps with nasal breathing and decreases airway resistance and the need for mouth breathing.
Tongue Function is Linked to Mouth Breathing
Mouth breathing is also a consequence of airway obstruction and resistance. This is a bit more complicated to think about. Long-story-short, when the mouth is small and the tongue, tonsils and adenoids are large, there is a tendency for the tongue to fall back into the throat during sleep and get in the way of airflow. Many people only mouth breath at night and not during the day. When the tongue and other tissue gets in the way of airflow during breathing, it creates resistance and makes it more difficult to breathe. This usually happens during deep sleep. During these episodes of sleep disordered breathing, people will open their mouth to breath. The solution to this problem is to create more space in the mouth and again orthodontic expanders are very helpful in stimulating the mouth to grow wider and more forward.
Breathing Exercises and Mouth Taping
Strengthening the muscle tissue in the mouth and airway is also critical. Introducing tongue exercises to strengthen the tongue and improve it’s posture will help it stay up in the palate and not collapse into the throat. Dr. John Mew has a lot of exercises he calls “mewing.” Additionally releasing tongue ties is often necessary to allow it to function better. Breathing exercises and mouth taping will help to break the mouth breathing habit and improve the tone of the muscle in the airway.
Dr. Adams has a protocol to help people learn to breathe through their nose again. It all starts with an evaluation of your mouth, nasal passageways and tongue. Dr. Adams uses a combination of orthodontic expanders, tongue function correction (myofunctional therapy) and breathing exercises. There are also expanders that work for adults including the Vivos DNA and Homeoblock appliances.
Symptoms of a Mouth Breather:
Nasal Stuffiness
Snoring
Sleep Problems
Mouth open while sleeping
Lack of concentration or ADD in kids
Sinus infections
Chronic sickness
large tonsils and adenoids
Dark circles under the eyes
Mouth breather face
Mouth Breathing Compared to Nasal Breathing Video
The Nose Filters Heats and Humidifies Air
As air is inhaled through the nasal membranes dust and dirt are filtered and removed. The air is also heated up and humidified. Air that is hot, clean and humidified is quickly absorbed by the lungs. Nasal breathing also oxygenates the nasal membranes and sinuses. Oxygen kills anaerobic bacteria that cause sinus and nose infections. Oxygen promotes growth of healthy bacteria in the nose and sinuses. In people who nose breathe their immune system works better and they get less bacterial and viral infections.
Mouth Breather Face and Posture
Mouth breather face is basically the effect of what excessive mouth breathing pressure does to the face. People who mouth breath have poor facial profile, small lower jaws and dwarfed looking mouths and droopy lips. Nasal breathing promotes healthy growth and development starting at a very young age. Nose breathing variably uses muscle groups in the ribs, shoulders, neck and face. Healthy coordinated muscle patterns during breathing support good upright comfortable posture.
How Mouth Breathing Impacts Posture
Mouth breathing uses a different muscle pattern than nasal breathing. Mouth breathing causes people to slouch and have forward head posture. People who mouth breath end up with crooked smiles, poor airways, bad posture, sleep problems and bruxism. This is because muscle patterns used during mouth breathing cause the bones in the face, chest, back and neck to grow to be the wrong size and shape. Muscle pressure stimulates our bones to grow to a certain size and shape.
How to Correct Mouth Breathing Face Video
What is the Root Cause of Mouth Breathing Face?
Poor tongue function at a young age is what creates a mouth breather. The tongue during growth and development applies pressure on the hard palate and the upper teeth. Tongue pressure literally grows the palate wider by pressing on it during swallowing and speech. The palate, a part of the maxillary bone, is the bottom of the nose. When the palate grows wider, people can fit more air through the bigger nasal spaces. If people can get enough oxygen through their nose, they will not open their mouth to breathe. If the nasal passageways are too small people will not get enough oxygen through their nose. They will be forced to open their mouth to get more air. The mouth is a large space.
Link Between Mouth Breathing and Tied Tongue
Poor tongue function is most often caused by tied tongue or a condition called ankyloglossia. Tongue tie causes loss of range of motion of the tongue. A tied tongue does not extend our as far and cannot elevate into the palate as easily. Tied tongues often do not spread out as wide and they get pointy and curl down when they are pushed out of the mouth. There is a sequential cause and effect relationship in the following order:
Tongue Tie
Poor Tongue Function
Under Development of the Palate and Nasal Passageways
Poor Nasal Breathing
Mouth Breathing
Untying the Tongue Assists in Nose Breathing
People who do not have tongue and lip ties and who have healthy tongue function will not be mouth breathers. Reread that again. If you have proper tongue function, you will not be a mouth breather. Ultimately tongue and lip ties cause all upper airway problems during infant and child growth and development. There is a cause and effect relationship between tongue tie, poor tongue function and mouth breathing.
How to Treat Tongue Tie
Tongues can be easily untied with the use of a laser and a knowledgeable dentist. It is important to have a tongue untied and proper function verified at the time of the procedure. The dentist should note how the tongue function is deficient. Untie the tongue. And finally verify proper function has been restored. This is called a “functional untie.”
Myofunctional Therapy
Myofunctional therapy is basically physical therapy for tongues. Tongue training and exercises to achieve proper function. Don’t expect the tongue to automatically function perfectly after being untied. When myofunctional therapy is done with a functional untie the rate of reattachment is less than 20%. When tongue untie procedures are not performed in conjunction with the therapy, the reattachment rate is closer to 80%.
Price Guide to Different Kinds of Dentures and False Teeth?
The following is a resource for all different kinds of denture costs. The cost of replacement false teeth can vary drastically. When you begin researching the cost of different denture designs, you will quickly find that the cost for a traditional dentures can range from $1,500 – $6,000.
Implant dentures ( implant retained) can cost from $7,500 to more than $35,000. It depends on if teeth need to be removed and if there is one implant denture of a full mouth of snap on dentures getting made.
The price for oral surgery can be quite high if teeth need to be removed. And the price for even a single implant can knock your socks off. Some patients question if the cost is realistic or if the dentist is trying to take advantage of them. This article will explore the prices for different kinds of dentures. This can help you have a better understanding of the expected costs and why the results are worth the expense.
Dentures by definition are “removable” and fit to the shape of gums where teeth used to be. If someone wants teeth that are not removable, they will need permanent implant teeth.
What are Dentures?
Most people know what regular false teeth are. Dentures either replace some of the teeth or a full set of teeth. Dentists usually call dentures that replace all your teeth, “complete dentures.” In order to get a complete denture, all existing teeth need to be removed if they are not already removed. Often called, full dentures, the replacement set of teeth stays in the mouth like a suction cup. Complete dentures cost $2000 – $5000 per arch.
How Dentures Work
Complete dentures have a tendency to be quite unstable and can come dislodged during eating or talking. Some people will use denture glue called Fixodent to help hold the teeth in the mouth better. Upper complete dentures usually fit better than lower ones. That is because the lower jaw is smaller and there is not as much surface area for suction. The tongue also is in the bottom jaw and it moves around and pushes on the lower denture.
What are Partial Dentures?
Partial dentures stay in the mouth by clipping onto existing teeth. Partial dentures are false teeth that replace some but not all the teeth. The advantage of partial false teeth is that the partial teeth can clip on to the remaining natural teeth for stabilization. Sometimes partial dentures have some suction like complete denture plates. Partial dentures are either rigid or flexible. Traditional partials are usually rigid and are made of metal and acrylic. Flexible dentures also called “Valplast” and are made of a flexible plastic. Rigid partials last longer, but flexible dentures do not have any metal and look better. Rigid dentures usually cost $2000 – $4000 per arch. Flexible denture prices range from $1500 – $3500. Partial dentures are usually more stable than complete dentures because they attach to teeth and the gum tissue. People usually prefer the feel of partials because they still have some of their own teeth and the feel of natural chewing and sensations.
Immediate Same Day Dentures
“Immediate” describes a technique more than a type of denture. Immediate dentures are ones that are put into the patients mouth the same day other teeth are removed. Usually immediate dentures are worn for a short period of time while the gums heal after teeth extractions. After a healing period, people will typically start the process of having a permanent denture made. The permanent denture usually fits a lot better because the gums have healed and a good fitting denture can be made. Immediate dentures can be either for partial or complete dentures. Immediate dentures usually cost $1000 – $2000. Immediate dentures are usually used as temporary teeth while the gums are healing “immediately” after oral surgery.
Snap in Denture Teeth
Snap on dentures can be either complete or partial. Snap ons teeth are also called “over dentures.” Complete replaces all the teeth and partial replaces some of the teeth. Implant dentures have attachments that help the denture to stay in the mouth. The attachments are also called locator attachments. They are made by Zest Anchors. The denture still fits the gums and teeth just like traditional complete and partial dentures. The dental implants and snap-in attachments help keep the denture in the mouth and secure during chewing and talking. Generally implant dentures have 2-4 implants. Implant dentures usually cost $7500 – $20,000 per arch. The costs go up when there are more teeth extractions and implants necessary. Often there is a discount when the upper and lower dentures are made at the same time.
What are Snap In Dentures Video
How to Clean Dentures
Dentures should be professionally cleaned every 6 months. The patients gums and the fit of the denture should be checked also. If the denture is a snap-in denture, the plastic inserts also need to be replaced. And the implants need to be cleaned around and evaluated. Most dentures will maintain a good fit for 1-5 years depending on patient health status and when all the natural teeth were removed. If the fit of the denture to the gums stops fitting a procedure called a “re-line” can be done. The procedure is usually done at the lab, but it can also be done in the dental office while the patient waits.
How Long do Dentures Last?
Longevity of dentures is highly variable on how the patient takes care of the denture. Also what the patient eats and how hard ad what they chew. It is very important to perform maintenance when necessary. If necessary relines are not performed , for example, the denture can break and need to be replaced. Replacement is much more expensive than a reline. Denture relines usually cost $500 – $800. Dentures that are well maintained can last 5-15 years.
Snap-on is basically a high quality standard denture that uses a simple attachment system to securely connect to implants in the mouth. Like other dentures, Snap-on teeth are removable, but they have many of the benefits of more expensive full mouth implants without the huge price tag. No more denture glue. And Snap-on dentures also do not cover the palate with acrylic and they are quite a bit less bulky than traditional false teeth. But, again, Snap-on teeth are removable and many people are still going to demand permanent full mouth dental implants.
Snap On Dentures Video
Snap on dentures have many of the advantages of fancy full mouth permanent implants without the big price tag. For example, snap on teeth are very stable in the mouth when eating hard foods such as apples and steak. Snap-on implants do not cover the palate with plastic like bulky conventional dentures. The disadvantages of Snap-on is they are dentures made of a plastic material. And they do need to be taken in and out of the mouth to clean. Denture material feels relatively cheap and does wear and discolor more than higher quality permanent implant teeth.
How do Snap on Teeth Work
Snap on teeth are specially made implant dentures that snap very tightly down onto the gums. The snap-on system consists of a male and female attachment that come together when the denture is literally snapped into the mouth. The male sits on top of the implant and the female is built into the denture teeth. The system avoids the use of messy denture glue. Snap-on attachments can convert poor-fitting dentures into teeth that can bite into an apples and corn on the cob. Where most dentures can slide and dislodge, Snap-in holds the teeth firmly in place to prevent an embarrassing moment. Most people missing teeth find value and think snap-on dentures are worth the extra expense.
Snap on dentures is an attachment system manufactured by Zest Anchors. Snap-on consists of a male and a female pair that snap dentures firmly down onto the gums. The male is also called a locator abutment and is gold in color. The female is a dish-shaped piece that houses a plastic insert. The female lives in the under side of the denture. The male lives permanently in the mouth on top of the implant. The attachment system enables the denture to “snap” into place when the male and female engage firmly as the denture implant is put in the mouth.
How Snap On Dentures Snap into Place Video
The Snap On system has different strength Snaps
The snap on system includes different female inserts. The strength of the snap can be varied depending on the color insert used. In the picture, the gold piece is the male abutment, the blue and red pieces are the plastic inserts. And the metal piece houses the plastic insert as the female side.
Snap On Stabilizes Loose Dentures
If you are tired of loose dentures the snap-in attachment system is for you. How about the best of both worlds with dentures and implants? Trash-can the Fixodent denture glue. End teeth that slip and fall out during eating and talking forever. Snap-in is the most inexpensive way to replace all your teeth with implants. Denture implants will improve your health with snaps that have 150% more chewing power than traditional false teeth. Proper chewing ensures proper nutrition when eating. Swallowing food that is not chewed leads to constipation and indigestion.
Myobraces can be an alternative to traditional braces depending on the situation and treatment goals. Expanders are an essential part of getting a healthier smile and straight teeth. Expanders stimulate the jaws to grow bigger, so there is more space for all the teeth to fit better. In contrast braces move teeth around the jaws into a different position but they do not increase the size and space in the mouth. If the jaws are too small, there will not be enough room for all the teeth to fit. That is when expanders become necessary.
Caution needs to be exercised when doing braces because teeth can be moved further back into the mouth. Other things need to happen in the mouth such as the tongue needs room to move. Moving the teeth back displaces the tongue further back into the throat. Braces obviously connects the teeth and holds the teeth in place and can even retract them. Restricting outward growth of the face is rarely a good idea.
Expanders create space for the tongue and teeth alignment
If our jaws grow large enough naturally, the teeth will erupt into good alignment since there will be enough space for them to fit. If natural facial growth is inadequate, expanders are necessary to stimulate more development so there is enough space for the teeth to align. There are also many other important things that are improved with orthodontics and expanders. Breathing, chewing, tongue function, posture and the bite, just to name a few.
Dr. Adams uses a holistic approach to orthodontics called “holistic orthodontics.” The approach uses a combination of expanders and orthodontics to create healthy smiles with good esthetics and biological function. Myobrace is one example of several expanders available.
Dr. Adams uses several different kinds of expanders for kids. In addition to the Myobrace system, we use Schwarz, Twin Block, ALF and Crozat appliances for children. There is no specific “best” appliance. Dr. Adams will select the best appliance and treatment depending on your child’s developmental needs. Each appliance has a purpose and may be the proper growth appliance for your case.
What is the Average Age for Braces and Orthodontics
As a parent, you want the best for your kids, especially when it comes to their health and appearance. Parents are often confused about what age kids should get braces. Many orthodontists recommend braces at an early age and then again when they become teens. Some dentists advise waiting for all the baby teeth to fall out prior to getting braces. Besides the dollar signs that nearly blind most parents, some orthodontic treatments are ineffective as teeth move and get crooked only months after braces. Why? Because orthodontic treatments need to respect the biological function and when it does not, things are not stable.
What is Holistic Orthodontics?
Holistic orthodontics focuses on straight teeth and correcting poor function such as tongue thrust, tongue tie and mouth breathing. Holistic orthodontics stimulates proper jaw and facial growth and optimizes the bite and airway. Crooked teeth happen when jaw structures do not grow optimally. Poor jaw structure development is seen with tongue tie and airway obstruction. When the mouth does not grow to be large enough, teeth become crooked because there is not enough room for all of them to fit. This is when Myobraces can be beneficial.
How to Correct Mouth Breathing in Kids
Holistic and functional dental treatment seeks to treat the underlying cause of a medical problem. And holistic orthodontics is just one example of this same treatment philosophy. When the underlying cause is corrected, rarely do the problems happen again. One key to straight teeth and optimal health is proper growth and development of the mouth so the teeth and tongue have enough room to fit and function properly.
Kids Expanders and Growth Appliances by Dr. Adams
Can Myobrace be Done Instead of Braces?
Sometimes expanders can not only grow the jaws but also straighten teeth. There are cases where Myobrace alone can create space and align teeth. But usually expanders and braces will be necessary to get a healthy and cosmetic result.
Understanding the causes of crooked teeth can help explain the latest advancements in orthodontics. While many people believe crowded teeth and incorrect jaw development are caused by big teeth in small jaws and hereditary factors, those are not the causes. Orthodontic problems are really caused by mouth breathing, tongue thrusting, tongue tie, reverse swallowing and thumb sucking. In addition to those habits, children who suffer from allergies and asthma, or have open mouth posture are even more at risk for incorrect dental and facial development. Also eating only soft foods can contribute to small jaw growth and crowded teeth.
You Should Not Remove Adult Teeth for Braces
When orthodontists extract teeth and install braces, the underlying issues for what they are correcting – the teeth and jaw – aren’t being addressed. Extractions and traditional braces simply bandaid the problem. Tooth removal for braces is one of the biggest risk factors for TMJ dysfunction and sleep apnea. When the braces are removed, teeth move back unless children wear a retainer for the rest of their life. The retainer simply pushes the teeth back if they move, and keep the teeth from moving. The movement is caused by tongue pressure. Extractions cause the mouth space to be smaller and there is no longer enough room for the tongue to function properly.
A possible unfortunate consequence of traditional braces and other orthodontic treatments besides poor oral development is the heightened risk of suffering from sleep-disordered breathing, such as obstructive sleep apnea. It is very important to diagnose and treat tongue tie and habits and use expanders if necessary. Expanders assist in facial and jaw development. They create proper space for the teeth, tongue and airway. Proper care needs to be taken when doing orthodontics. Some new orthodontic techniques are called “airway orthodontics.”
Sleep-disordered breathing references conditions that cause a person to partially or completely stop breathing several times a night. Due to restless sleep, people who suffer from sleep-disordered breathing suffer from daytime sleepiness or fatigue.
If you’re thinking, “There has to be a better solution.”, you’re right.
What is Airway Centered Orthodontics?
Airway Orthodontics is a type of holistic dentistry that not only takes into account patients’ teeth but their mouth and body. So, in the case of correcting crooked teeth by extractions and braces, the orthodontist is only focused on straightening the teeth. With a more holistic approach, the orthodontist focuses on the causes of the crooked teeth when straightening them, so the results will last without having to use retainers for a lifetime.
Airway orthodontics seeks to not only straighten crooked teeth but also improve airways for better breathing and overall health. When patients can breathe better, they can sleep better, which leads to better health and development for children. Many children have pediatric sleep apnea. Sleep problems in kids has different symptoms than adults. Kids may act like they have ADHD and have very short attention spans. Kids may even wet the bed.
Introducing the Myobrace System
The Myobrace System focuses on the underlying issues that have led to crooked teeth. Children as young as three years old can use the system, but teens up to 15 are also good candidates for it.
Myobrace treatment is a pre-orthodontic system that promotes the healthy development of the jaw and mouth, which is why it’s beneficial for children. The applications are removable and only need to be utilized one to two hours a day, and overnight while sleeping. Healthy start is another pediatric expansion system much like the Myobrace with some very distinct differences.
Myobrace Compared to Healthy Start:
corrects poor oral habits.
Develop and align the jaws.
Straightens teeth.
Improves facial development and overall health.
Promotes healthy eating.
Myobrace vs Healthy Start is a decision for the dentist to determine. Due to the way the appliances fit into the mouth, it forces users to breathe through their nose and keep the tongue in the correct resting position. It also helps users swallow correctly and keep their lips together.
Besides helping users breathe correctly, it also gently widens the jaw to make room for the teeth. Since the teeth won’t be crowded because of a small jaw, they end up growing in much straighter decreasing the need for orthodontic treatment.
Myobrace and Healthy Start Activities
The Myobrace® system also includes activities or exercises that can optimize the work of intra-oral appliances. The exercises should be performed twice a day and focus on breathing, lip and tongue position, cheek movement, and swallowing.
Myobrace Treatment Stages:
Habit Correction – first Myobrace
Arch Development – second Myobrace
Dental Alignment – third Myobrace
Retention – Myobrace retainer
In the first stage of the treatment, the patient learns to breathe through the nose. Breathing through the nose may not be comfortable for the patient, but over time with practice, it will feel natural. The habit correction stage also helps patients get used to keeping their lips together when they are not eating or speaking.
The arch development stage involved widening the upper jaw to allow for enough room for growing teeth and the tongue. Children under the age of 7 may have an underdeveloped jaw, so they may need to use the Myobrace System with the Biobloc or Farrell Bent Wire System to maximize the size of the jaw. For very young children, the Myolay may be recommended.
The dental alignment stage happens when the last of the permanent teeth erupt, usually around adolescence. The Myobrace for Teens helps align the teeth, so they end up in their natural position.
The last stage of the system is retention. The stage helps users maintain the good oral habits they learned, which can prevent them from having to wear a permanent retainer or wire.
Myobrace Compliance is Critical
One of the biggest challenges of the Myobrace system is compliance. The intra-oral appliances must be worn a minimum of one hour during the day and all night for it to be effective.
Parents can help greatly with the compliance part of the system. Ensuring children wear it at the same time each day and every night will help them grow accustomed to them, making them second nature to use.
It may take a few weeks for the system to become a habit to use, but once it does become one, parents report it becomes somewhat of a comfort to their children. In other words, they have a hard time sleeping without it.
Braces After The Myobrace
The Myobrace system does not guarantee users will not need braces. It simply promotes good oral habits and health, which can reduce the chances of needing braces. Children and adolescents who need braces after using The Myobraces usually do not need them for as long as those who did not use the system. They also do not need to wear a retainer for as long to keep their teeth in position.
Advantages of Myobraces
In addition to the intra-oral appliances and the exercises, The Myobrace System provides a video series that teach children about proper nutrition to prevent tooth decay and improve jaw development. The videos are animated, making them highly entertaining for children.
Myobrace Reviews
Myobrace has been used worldwide in 100 countries over the past three decades. The Myofunctional Research Co. continues to study the effects of the system to ensure it is effective for patients.
Case Study #1:
Myobrace was used on a three-year-old girl who had an open bite. The patient was found to have mouth breathing linked to crooked teeth. Her parents wanted to know what could be done about it and decided to give The Myobrace System a try. In just 12 months, the open bite was gone.
Case Study #2:
A ten-year-old boy exhibited overcrowded teeth on the upper and lower jaws. While an orthodontist may have recommended waiting until the adult teeth came in and then use braces to correct the crowding, the parents decided on Myobrace treatment. In 24 months, his teeth were straight and the jaw had widened to resolve the crowding of the teeth.
Case Study #3:
An 11-year-old had an open bite and overjet. The Myobrace System was able to correct both in just seven months.
Case Study #4:
A 21-year-old didn’t get braces as a teenager and thought she was too old to use the Myobrace system. Fortunately, she wasn’t, and the system along with braces helped her achieve a healthy, beautiful smile.
Research on Early Interceptive Treatment
Early interceptive treatment in the orthodontics field has been growing in popularity thanks to the research conducted on it. After identifying the causes of crooked teeth (mouth breathing, tongue thrusting, reverse swallowing, and thumb sucking), the researchers were able to identify what could stop them.
Researchers Akira Kanao, Masanori Mashiko, and Kosho Kanao found that a mouth-breathing habit has a negative impact on the morphology of the jaws and dental arches in growing children. A maxillary protrusion is caused by infancy and early childhood myofunctional habits, such as thumb or finger sucking, using a pacifier, or breastfeeding.
A study by Serdar Usumez, et. al. found, “Preorthodontic train application induces basically dentoalveolar changes that result in a significant reduction of overjet and can be used with appropriate patient selection.”
In a research paper using a clinical case, the trainer appliance may stimulate mandibular growth and increase the vertical dimension of it. The results of using the appliance include faster treatment time and more stable results.
A 2007 study by Ramirez-Yanez G et. al. shows “a prefabricated functional appliance is a valid alternative to treat malocclusions at an early age, as it clinically significantly stimulates transverse development of the dental arches.”
How to Know Your Child Needs Expanders
The best way to know if Myobrace is right for your child is to find a holistic orthodontist or dentist who understands the system and has used it on patients. After a thorough examination, he will know whether or not your child would benefit from the Myobrace treatment.
Besides making an appointment with a Myobrace provider, you can pay attention to your child’s oral habits, such as breathing through the mouth, grinding teeth at night, and teeth coming in crowded or crooked. These are all signs Myobrace may be a good option.
Myobrace Treatment Costs Depends On:
Age
Teeth misalignment
Jaw development
Compliance
Typically, most people pay $3200 to $5400 for the entire treatment, including consultation fees and x-rays.
Myobrace for Adults
Adults can benefit from the Myobrace system. The system of adults consists of a three-stage appliance system that can correct poor oral habits while treating upper and lower jaw developmental problems. The soft and flexible material for the A1 appliance adapts to a wide range of arches and poorly aligned teeth. This makes it more comfortable for those who are just starting with the treatment.
Following the initial stage of The Myobrace for Adults, the next appliance is used. It is referred to as A2. It is much firmer, which exerts more aligning force to the anterior teeth. This helps move the teeth and jaw closer to proper positioning.
Myobrace A3 is the last stage for adults. The appliance is made from hard polyurethane. It’s effective for mild malocclusion and promotes proper alignment and retention.
Myobrace Treatment Results
Myobrace has been used in Australia for quite some time and it is just gaining popularity in the United States now. On an Australian kid-related forum called EssentialKids, some parents have reported positive results from the treatment.
My 11 yr old daughter is just finishing hers now. She’s had it for a 3 years. It has been brilliant, her teeth are perfect now. It has cost us about $3000 I think. It’s cheaper the younger you start. We are on the Gold Coast.
Generally, they have to wear them for an hr. a day and at night when they sleep. You have to make sure they wear them, which can be the hardest part. I know of 4 other kids that have used them, all with very positive results. – Jellygems
DD finished 4 years of orthodontic work last year and her teeth are amazing. No extractions needed and less than a year of actual braces. – Coffeegirl
My son used the T4K Stage 1 and had remarkable improvement. His teeth that were extremely overcrowded ended up almost straight and that was without him being very vigilant in using it. – BlindedByTheLight
Learn More About Myobraces
Dr. Gary Adams is a holistic dentist in Burtonsville. His biological practice focuses on providing a safe, clean, and healthy environment for patients. The practice is a metal-free, mercury-free and fluoride-free dental office. All of our holistic dental services seek to not only improve the health and beauty of our patients’ teeth but also improve overall health.
There is no reason to watch your child struggle and mouth breath during sleep. Loud breathing, mouth breathing, snoring and bad behavior during the day are signs of pediatric sleep apnea problems. And you should not accept band-aid treatments such as CPAP when treatments that cure kids sleep apnea do exist. Dr. Adams has oral appliances that can fix kids sleep apnea, mouth breathing and sleep disordered breathing. Stop mouth breathing and breathing problems once and for all.
Best way to fix Pediatric Sleep Apnea an Mouth Breathing
The best way to fix kids sleep apnea is to improve airflow through the nose and create more space in the mouth for the tongue. This can be done with palatal expanders and myofunctional therapy. The tongue is supposed to suction up onto the palate at rest. But if the palate is too small, the tongue will fall back into the throat and block the airway. At this point, the mouth will open because more air can pass through the mouth than the nose. And it is going to take a lot of air to get past an airway blocked by the tongue.
The upper jaw bone is the bottom of the nose where nasal breathing happens. If your child has a deep narrow palate, the chances are their nasal breathing is poor. Most children with poor nasal breathing are kids who are mouth breathers.
Chronic Dry Chapped Lips
Kids who mouth breath will air-out and dry their lips.
An open mouth at rest. Child’s usual resting posture includes an open mouth position at rest. For example, if while reading or watching a movie, the mouth is open most of the time.
Tall Narrow Face and Reverse Chin position
Look at your kid’s profile from the side and see if the chin position is in towards the throat and set back. This position is called a “retrognathic” jaw position. Retrognathic jaws are closer to the airway. Since the jaw is closer to the airway, so is the tongue. Tongues are known to be the most likely structure in the mouth and throat to obstruct the airway.
Bags Under the Eyes
Bags under the eyes are a tell tale sign of poor sleep and sometimes poor blood supply to the facial structures. When facial and jaw structures are poorly developed, blood supply may not be as good and baggy, bluish skin may be observed.
Crowding of Teeth and a Bad Bite
There should be generous spacing between baby teeth to accommodate larger adult teeth. Crowding and crooked teeth are a big sign of jaw and facial under development. Baby teeth are supposed to have spacing to allow for larger adult teeth to fit.
Tongue Tie
The tongue stimulates growth of the jaw and facial structures by putting pressure on growing children’s mouths. When the tongue is tied down, it cannot promote growth (expand the jaws). This leads to poor nasal breathing and mouth breathing in kids.
Snoring and Loud Mouth Breathing at Night
Snoring and mouth breathing is proof of a pediatric airway obstruction. Loud breathing is a sign of a small or obstructed airway.
Can push the teeth and jaw structures and deform them to be the shape of whatever is going into their mouths. We clearly do not want a mouth to be the shape of a thumb or small baby bottle.
Nightmares, Bedwetting, Poor Sleep
Airway problems produce sleep disordered breathing, sleep problems. And bad dreams and nightmares. Kids can get so stressed that they pee and wet the bed.
Daytime Tiredness or ADHD-like Behavior
If your child does not get sleep, of course they will be tired during the day. They may do things like fall asleep in the car or watching exciting movies. Sometimes kids will go the other way and just act super crazy due to sleeplessness.
Drooling and Loud Eating
Let the competition begin between food and air going through the mouth. And the lips, cheeks and tongue will be slapping and slurping.
And, of course, Crowded, Crooked Teeth
The DNA design of every child is to have mouth and jaw structure large enough to teeth and tongues to fit properly. When tongues are tied, the mouth breathing and teeth/jaw problems start. It is that simple. Luckily, with proper diagnosis and treatment with sleep apnea appliances, people can live their lives in a better and healthier way. That is there is a cure for sleep apnea for those who have it. And with early identification of risk factors, most pediatric sleep apnea cases can be prevented.
Many appliances exist for treating cooked and crowded teeth in kids. ALF appliance and Schwarz appliance are two examples that are alternatives to braces. The DNA and Homeoblock appliance is a very common appliance for the treatment of adult sleep apnea and temporomandibular joint disorder.
Who Can Treat Sleep Apnea?
Dentists do not diagnose sleep apnea. Dentists can improve the size of the upper airway and improve the function of the tongue. Optimizing the upper airway can in many cases correct airway obstructions and improve or correct sleep apnea and airway resistance. Seeing a dentist for treatment with any oral appliance is not a substitute for being examined and diagnosed by a sleep apnea physician. Many health problems such as heart, kidney, and thyroid disease. Dentists do not diagnose or treat any of these diseases. Sleep apnea can involve problems with the central nervous system and collapse of the muscle tissue that is in the airway. Diagnosing sleep apnea involves:
Oximetry. A home test that if failed will lead to more testing.
Polysomnogram. Or an overnight sleep evaluation. This test looks at brain activity, breathing, snoring, oxygen levels, heart rate and muscle activity during sleep.
Electrocardiogram. Tests how the heart is performing while kids are sleeping
Symptoms of Pediatric Sleep Apnea
Common symptoms of sleep apnea in children include:
Loud snoring
Pauses in breathing during sleep
Restless sleep
Gasping or choking during sleep
Night sweats
Morning headaches
Bedwetting
Teeth grinding
Difficulty waking up in the morning
Daytime sleepiness
Behavioral issues or difficulty concentrating, which may be mistaken for ADHD
Causes of Pediatric Sleep Apnea
The main cause of sleep apnea in children is an obstruction in the airway, often due to enlarged tonsils or adenoids. Other factors that can contribute to pediatric sleep apnea include obesity, family history of sleep apnea, certain medical conditions such as Down syndrome, and craniofacial abnormalities. The ultimate cause of pediatric sleep apnea is the tongue falling back into the throat and blocking airflow during breathing. Yes enlarged adenoids and tonsils make things worse, but if the tongue didn’t fall back and block the airway, there would be no obstruction or airway collapse.
Diagnosis and Treatment Options for Pediatric Sleep Apnea
If you suspect your child has sleep apnea, it’s crucial to consult with a pediatric sleep specialist. They may recommend a sleep study to confirm the diagnosis and determine the severity of the condition. Based on the results, the specialist will recommend the most appropriate treatment, which may include:
Lifestyle changes, such as weight loss or management of allergies
Oral appliances to reposition the jaw and tongue during sleep
Positional therapy or sleep positioning devices
Frequently Asked Questions
How do I know if my child has sleep apnea?
Observe your child’s sleep patterns and look for symptoms such as snoring, gasping, or pauses in breathing. If you notice any of these signs, consult with a pediatric sleep specialist for further evaluation.
How serious is sleep apnea in children?
Sleep apnea in children can lead to various health issues, including growth problems, behavioral issues, learning difficulties, and heart problems. Early diagnosis and treatment are essential to prevent these complications.
Can kids grow out of sleep apnea?
Some children may outgrow sleep apnea, especially if it’s related to enlarged tonsils or adenoids that shrink as they age. However, it’s important to monitor your child’s sleep and follow up with a specialist if symptoms persist or worsen.
What is the best sleep position for a child with sleep apnea?
Sleeping on the side or with the head elevated can help reduce the symptoms of sleep apnea in some children. However, the ideal sleep position may vary depending on the underlying cause of the condition. Consult with a pediatric sleep specialist for personalized recommendations.
Is sleep apnea related to ADHD?
Sleep apnea and ADHD share some common symptoms, such as difficulty concentrating and behavioral issues. Sleep apnea can be mistaken for ADHD or exacerbate existing ADHD symptoms. It’s important to address sleep apnea if present, as proper treatment may improve a child’s behavior and academic performance.
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