A member asked:

Removal of enlarged tonsils, 20 lb wt loss cured severe osa. debating orthodontic braces but need teeth extracted. can teeth removals reintroduce osa?

12 doctors weighed in across 7 answers

Needs professional e: Your question requires further analysis. Adenoid removal can help you opening airways but extraction is done to correct crowding then purpose of crowding is different. There are cases where extraction may increase loss of space for tongue and less space along with abnormal jaw growth, high bmi , deep overbite all together increases index of probability for osa.Good luck. I agree. If upper jaw can.

Answered 5/21/2015

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Ask orthodontist: It is hard to say how braces will effect your sleep apnea and you need to talk to your orthodontist about this. If your dental arch is expanded it can help apnea by giving your tongue more space, but if because of the extractions there is a decrease in space for the tongue it may be an issue. There are orthodontists in your area that are knowledgable and can help you. Talk to them.

Answered 3/16/2015

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Probably not: Straightening teeth usually has little effect on tongue position, although it often provides for improved tongue function. Enlarged tonsils take up a lot of airway room. Crooked teeth do not. Have an orthodontic evaluation and discuss this with the orthodontist. He may want you to have a cone beam cat scan to evaluate airway.

Answered 3/16/2015

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Usually not: The only way the could even be possible is if upper teeth were extracted and excessivley retracted causing the mandible to be push posteriorly. Fairly hypothetical, possible, but highly unlikely. Just let ur ortho know about the osa so he/she is cognizant during treatment! best wishes!

Answered 3/16/2015

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Possibly: Your orthodontist needs to develope a treatment plan that if extractions are necessary, your teeth are not overly retracted to compromise your tongue position regards your airway. If there is any way possible not to have to have extractions that would be the best direction moving forward.

Answered 3/16/2015

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NO: But, correcting a bad bite will make your life more comfortable. If you have 12 cars and 10 parking spaces the cars will not fit. The same is true with the teeth. The orthodontist can push the teeth out of the parking lot (tip them off the bone which is not healthy) or extract teeth and utilize the space to align them, you are better off to do nothing if you decline extractions.

Answered 12/10/2015

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Likely unrelated: Typically, the contribution of an orthodontic problem (malocclusion) to osa is related to jaw position, not tooth position. Specifically, a retruded lower jaw can result in the tongue being positioned further back in the mouth/throat, so when sleeping can interfere with breathing. Removing teeth has little if any effect on lower jaw position.

Answered 3/16/2015

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Related Questions

A member asked:

I have a small mouth can I still get braces to make more room for may teeth?

5 doctors weighed in across 5 answers