Teeth Straightening and Sleep Apnea: Can Orthodontic Treatment Help?

Woman using CPAP for sleep apnea
Published Date:
January 8, 2025
Updated Date:
January 8, 2025
Reading Time: 7:min
Published Date:
January 8, 2025
Updated Date:
January 8, 2025
Reading Time: 7:min

Orthodontic treatment is often associated with achieving a straighter, more attractive smile. But did you know it can also impact your overall health? One surprising benefit of teeth straightening is its potential to help with sleep apnea which is a condition that affects millions of people worldwide.

Sleep apnea is more than just loud snoring. It disrupts your sleep, impacts your breathing, and can lead to serious health complications if left untreated. People with sleep apnea experience pauses in breathing during sleep, which can reduce oxygen flow to the brain and body.

In this blog, we’ll explore how teeth straightening treatments, such as braces and clear aligners, may help reduce sleep apnea symptoms. We’ll also look at the connection between misaligned teeth and airway obstruction and how orthodontic care can play a role in better breathing.

What is Sleep Apnea?

Sleep apnea is a sleep disorder where breathing repeatedly stops and starts during sleep. These interruptions can last from a few seconds to minutes, and they often happen multiple times throughout the night. One of the most common forms of this condition is obstructive sleep apnea (OSA), which occurs when the muscles at the back of the throat relax too much, causing a partial or complete blockage of the airway.

Symptoms of sleep apnea may include:

  • Loud snoring: Persistent snoring is a classic sign of sleep apnea.
  • Gasping or choking: Sudden gasping or choking sounds may occur when the airway is blocked.
  • Excessive daytime sleepiness: Sleep disruptions cause fatigue during the day.
  • Morning headaches: Poor oxygen flow at night can lead to morning headaches.
  • Difficulty concentrating: Interrupted sleep can affect mental clarity and focus.

Sleep apnea can be caused by several factors, including genetics, obesity, and physical structure issues with the jaw, teeth, or throat. If left untreated, it can lead to serious health problems such as heart disease, stroke, and high blood pressure.

While CPAP (Continuous Positive Airway Pressure) machines are a common treatment, many people explore alternative solutions. Teeth straightening through orthodontic treatment is one of these lesser-known but potentially effective options.

How Do Misaligned Teeth Cause Sleep Apnea?

The connection between misaligned teeth and sleep apnea is more significant than many people realize. Misaligned teeth, also known as malocclusion, can affect the alignment of the jaw, which directly impacts the size and openness of the airway.

When the teeth and jaw are not properly aligned, the airway can become partially blocked during sleep. This narrowing of the airway restricts airflow, leading to snoring, choking, or pauses in breathing. Over time, these issues can develop into sleep apnea.

Misalignment can result from several dental issues, such as:

  • Crowded teeth: When teeth are too close together, they can push the jaw out of alignment.
  • Overbite or underbite: A misaligned bite can push the jaw forward or backward, affecting the airway.
  • Narrow dental arches: A narrow upper or lower jaw reduces space for the tongue, potentially blocking airflow.

Studies have shown that people with severe obstructive sleep apnea often have smaller upper jaws and crowded teeth. The misalignment of the teeth directly impacts how the jaw rests during sleep, which can block the airway and disrupt breathing.

Addressing malocclusion through orthodontic treatment can help realign the teeth and jaw, creating a more open airway. This is why teeth straightening is seen as a potential solution for people with sleep apnea.

How Orthodontic Treatment Can Help Sleep Apnea

Orthodontic treatment is primarily known for straightening teeth, but it can also have a positive impact on sleep apnea. By improving the alignment of the teeth and jaw, orthodontic treatment can increase the size of the airway, making it easier to breathe during sleep.

There are several ways orthodontic treatment can support better breathing and reduce sleep apnea symptoms.

Braces and Clear Aligners

A person wearing traditional metal braces

Traditional braces and clear aligners, from any reputable brand like Caspersmile or Invisalign, work by slowly shifting teeth into their proper positions. As the teeth move, the jaw alignment is also adjusted. This correction can increase the space in the oral cavity and reduce the chance of airway obstruction.

Clear aligners are a discreet and removable option for teeth straightening. They are worn throughout the day but can be removed during meals. The gradual alignment of teeth can improve jaw structure and support a healthier, more open airway.

Unlike other sleep apnea treatments like CPAP machines, orthodontic treatment provides a long-term solution. Once the teeth and jaw are aligned, the improved breathing pathway remains stable, even after treatment is complete.

A woman wearing clear aligners for teeth straightening

Mandibular Advancement Devices (MADs)

Another dental intervention that can help treat sleep apnea is the use of mandibular advancement devices (MADs). These are custom-made devices that fit in the mouth like a mouth guard.

MADs work by holding the lower jaw in a slightly forward position while you sleep. This position keeps the airway open, preventing the collapse of tissues that cause airway blockages. While MADs don’t straighten teeth like braces, they do work to improve jaw position, which addresses the root cause of obstructive sleep apnea.

For people with mild to moderate sleep apnea, MADs can be a practical alternative to CPAP therapy. Since they are custom-made, they fit snugly in the mouth and are often more comfortable than a CPAP mask.

Orthognathic Surgery

For patients with severe jaw misalignment or skeletal abnormalities, orthodontic treatment may be combined with orthognathic surgery. This type of surgery moves the upper or lower jaw into a new position to create more space for the airway.

Orthognathic surgery is typically recommended for people with significant jaw deformities that can’t be corrected with braces or aligners alone. The procedure adjusts the jaw's position, widening the airway and promoting better breathing.

While surgery is a more invasive option, it is highly effective in reducing sleep apnea symptoms, especially for people with severe cases. It’s often used as a last resort when other treatments have failed.

How Long Does Orthodontic Treatment Take?

The timeline for orthodontic treatment depends on the type of treatment and the severity of the alignment issues. Here’s a general guide for treatment times:

  • Braces: Typically require 12 to 24 months of treatment.
  • Clear Aligners: Treatment usually lasts 6 to 18 months, depending on the complexity of the case.
  • Mandibular Advancement Devices (MADs): These devices can provide immediate relief but are used as long-term support devices.
  • Orthognathic Surgery: Recovery from jaw surgery takes several weeks, but the results are permanent.

For people undergoing orthodontic treatment to address sleep apnea, the treatment plan may involve a combination of these options. Your orthodontist will assess your condition and recommend the most appropriate course of action.

Other Orthodontic Options for Sleep Apnea

While braces and aligners are commonly discussed concerning teeth straightening, other orthodontic treatments can assist with sleep apnea. These methods aim to improve the structure of the jaw and airway, creating a more open breathing path during sleep.

Palatal Expanders

Palatal Expanders for upper jaw

A palatal expander is a device that widens the upper jaw. It is most commonly used in children but can also be effective for adults in certain cases. By increasing the size of the upper jaw, the nasal passages become wider, improving airflow.

When the roof of the mouth (palate) is too narrow, it can crowd the airway and contribute to sleep apnea. By expanding this space, there is more room for airflow, making breathing easier. Palatal expanders are placed on the roof of the mouth and gradually adjusted over time to widen the jaw.

Unlike braces, palatal expanders do not focus on moving teeth. Instead, they focus on altering the structure of the upper jaw, which has a direct impact on breathing. They are especially useful for people with narrow palates who experience snoring or breathing issues during sleep.

Tongue Retaining Devices (TRDs)

Tongue-retaining devices (TRDs) are another option for those seeking sleep apnea relief. These devices work by holding the tongue in place, preventing it from falling back and blocking the airway during sleep.

The tongue is one of the main contributors to airway blockage in obstructive sleep apnea. When the muscles of the tongue relax during sleep, it can slip backward and obstruct breathing. TRDs create a slight suction that holds the tongue forward, allowing air to flow freely.

Unlike mandibular advancement devices (MADs), which move the jaw, TRDs specifically target tongue position. This makes them a suitable option for people whose sleep apnea is caused by tongue obstruction rather than jaw misalignment.

Oral Surgery

For severe sleep apnea cases caused by jaw abnormalities or skeletal issues, oral surgery may be recommended. Orthognathic surgery involves adjusting the position of the upper or lower jaw to create a larger airway.

This surgery is more invasive than braces, aligners, or oral appliances, but it provides long-term results. By repositioning the jaw, surgeons can create a wider breathing passage, which significantly reduces the symptoms of sleep apnea.

Surgery is typically used as a last resort when other orthodontic treatments haven’t produced the desired results. The procedure requires recovery time, but the outcome can be life-changing for those with severe obstructive sleep apnea.

Benefits of Orthodontic Treatment for Sleep Apnea

Orthodontic treatment isn't just about improving your smile as it can have a lasting impact on your health as well. Addressing sleep apnea through orthodontic care offers a range of benefits that go beyond breathing better at night.

Better Sleep Quality

Sleep apnea causes repeated interruptions in breathing, which leads to restless sleep. By addressing the root cause like an obstructed airway, orthodontic treatment can reduce these interruptions. As a result, people experience deeper, more restorative sleep.

Better sleep quality has a positive ripple effect on mental clarity, energy levels, and overall well-being. People who undergo orthodontic treatment for sleep apnea often report feeling more alert and focused during the day.

Reduced Risk of Health Issues

Sleep apnea has been linked to a variety of health problems, including high blood pressure, heart disease, and stroke. The interruptions in breathing reduce oxygen levels, placing strain on the heart and cardiovascular system.

By widening the airway and promoting proper breathing, orthodontic treatment helps lower the risk of these serious health issues. Proper oxygen flow during sleep keeps the body in a healthier state, reducing the chances of developing chronic health problems.

No Need for CPAP Machines

CPAP machine for sleep apnea

Many people with sleep apnea are prescribed continuous positive airway pressure (CPAP) machines, which deliver a constant stream of air to keep the airway open. While effective, CPAP machines can be uncomfortable, noisy, and inconvenient.

Orthodontic treatment offers a more natural, long-term solution. By realigning the jaw or widening the palate, orthodontic appliances eliminate the need for bulky CPAP machines. Patients can achieve lasting results without having to rely on nightly equipment.

Boosted Confidence

In addition to improved sleep, orthodontic treatment can enhance a person’s appearance. Braces and clear aligners straighten the teeth, while jaw surgery or palate expansion improves facial symmetry.

Many people feel more confident after orthodontic treatment because it enhances both their smile and their overall appearance. Knowing that you’re breathing better and looking better at the same time can have a positive impact on your mental well-being.

When Should You Consider Orthodontic Treatment for Sleep Apnea?

If you’ve been diagnosed with sleep apnea, you may wonder if orthodontic treatment is the right option for you. While braces and aligners can help in some cases, not everyone with sleep apnea is a candidate for this type of treatment.

Here are some signs that orthodontic treatment may be beneficial:

  • You have a narrow jaw or crowded teeth: These issues can contribute to airway obstruction and may require teeth straightening or palate expansion.
  • You snore or gasp during sleep: If your snoring is caused by jaw misalignment, orthodontic treatment can create more space in the airway.
  • You want an alternative to CPAP therapy: If you dislike using CPAP machines, orthodontic treatment may provide a more permanent solution.
  • Your orthodontist recommends it: If your dentist or orthodontist identifies misalignment as a potential cause of your sleep apnea, they may suggest braces, aligners, or other orthodontic solutions.

It’s important to note that orthodontic treatment isn’t the only option for treating sleep apnea. Other treatments, like CPAP therapy, weight loss, or positional therapy, may also be recommended depending on the cause and severity of the condition.

Final Thoughts

Sleep apnea can have a major impact on your health and well-being, but orthodontic treatment offers a potential path to relief. From braces and aligners to oral appliances and jaw surgery, there are several ways to improve airflow and reduce sleep apnea symptoms.

Teeth straightening can play an essential role in creating more space for breathing, especially for those with crowded teeth, narrow jaws, or misaligned bites. While orthodontic treatment isn’t a guaranteed solution for everyone, it has shown success in reducing sleep apnea for many people.

If you’re struggling with sleep apnea and have misaligned teeth or jaw issues, consider speaking with your orthodontist. They can assess your condition and recommend the best treatment plan for you.

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