13 doctors weighed in:

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

13 doctors weighed in
Dr. Robert Stoner
Dentistry - Orthodontics
3 doctors agree

In brief: 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.

In brief: 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.
Thank
1 comment
Dr. Brian Langenfeld
Consult with your orthodontist, they are very much into airway and tongue position. Not likely that correcting malocclusion will cause any obstruction.
Dr. Richard Black
Dentistry - Orthodontics
2 doctors agree

In brief: 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.

In brief: 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.
Thank
1 comment
Dr. Robert Stoner
There are no scientific studies published in any refereed journal supporting your position
Dr. Randy Feldman
Dentistry - Orthodontics
2 doctors agree

In brief: 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!

In brief: 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!
Thank
1 comment
Dr. Robert Stoner
There are no scientific studies published in any refereed journal supporting or suggesting your position
Dr. Jayang Vora
Dentistry
1 doctor agrees

In brief: 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.

In brief: 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.
Thank
Dr. John Feola
Internal Medicine

In brief: UNLIKELY TO FLARE OSA

PROVIGIL AND NUVIGIL helps with fatigue and brain fog.
Also get labs checked especially TFTS. adderal/Ritalin/Starttera may also be of use .Start a gluten free diet gutbliss.com .Wholeapproach.Hyoid suspension may help if symptoms recur. Braces to approve your dental alignment are unlikely to cause an issue. But discuss with the ENT AND ORTHODONTIST.

In brief: UNLIKELY TO FLARE OSA

PROVIGIL AND NUVIGIL helps with fatigue and brain fog.
Also get labs checked especially TFTS. adderal/Ritalin/Starttera may also be of use .Start a gluten free diet gutbliss.com .Wholeapproach.Hyoid suspension may help if symptoms recur. Braces to approve your dental alignment are unlikely to cause an issue. But discuss with the ENT AND ORTHODONTIST.
Thank
Dr. Andrew Sonis
Dentistry - Orthodontics

In brief: 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.

In brief: 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.
Thank
Dr. Arnold Malerman
Dentistry - Orthodontics

In brief: 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.

In brief: 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.
Thank
Dr. Sandra Eleczko
Dentistry

In brief: 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.

In brief: 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.
Thank
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