Many adults are living with an undiagnosed airway issue and they don’t even know it. Snoring, mouth breathing, chronic fatigue, and difficulty concentrating are often dismissed as simply part of life, when in reality they may be signs of a compromised airway.
If nasal obstruction plays a role in your airway issues, we work to find ways to improve your nasal breathing. If your jaws are impeding your airway or limiting tongue space, we focus on creating the structural room your tongue needs — so it stays out of the back of your throat.
Orthodontically, our solutions to resolve an airway problem include improving nasal breathing and repositioning the tongue through jaw expansion and alignment. We incorporate both dental and skeletal expansion in our treatment plans, tailored to your individual anatomy and needs.
At our practice, we work closely with Sleep Medicine Physicians, ENTs, and Oral Surgeons to ensure you receive complete, coordinated care. When appropriate, we coordinate with oral surgeons to help provide a more permanent structural solution to your airway concerns.
While oral appliances and other devices can be helpful tools, our primary goal is to help you breathe better without long-term dependence on external devices. We look for lasting, structural solutions that address the underlying cause not just the symptoms.
A comprehensive airway evaluation at Avelle Orthodontics includes a detailed health history, clinical examination, and advanced 3D imaging. This allows us to trace and measure your airway, identify any areas of constriction, and assess the size and position of your jaws in relation to your airway.
From there, we develop a customized treatment plan. For adults, this may include maxillary expansion to widen the upper jaw and improve nasal airway volume, skeletal or dental repositioning to create more space for the tongue, and coordination with other specialists when needed.
These treatments can significantly enlarge the airway, improving breathing during sleep, exercise, and daily activities. Better breathing supports better rest, better health, and a better quality of life.
One of the most effective tools we use for adult airway expansion is MARPE – Miniscrew-Assisted Rapid Palatal Expansion. Unlike traditional palatal expanders used in growing children, MARPE is specifically designed for adults whose midpalatal suture has already fused, making conventional expansion difficult or impossible.
MARPE uses small titanium miniscrews placed in the palate to anchor an expander appliance. This allows us to apply controlled, targeted forces that gradually separate the midpalatal suture — widening the upper jaw, increasing nasal airway volume, and creating more room for the tongue.
The benefits of MARPE for adult airway health include improved nasal breathing, reduced mouth breathing, better tongue posture, and a wider, more open airway during sleep. Many patients also notice improvements in their facial profile and smile.
Because MARPE works at the skeletal level, the results are stable and long-lasting. It is a minimally invasive, non-surgical option that can achieve meaningful airway improvements in adults who previously may have been told expansion wasn’t possible for them.
At Avelle Orthodontics, we use 3D imaging to carefully plan each MARPE case, ensuring precise placement and optimal outcomes. If you have been told your jaws are too narrow or that expansion isn’t an option, we encourage you to come in for an evaluation — MARPE may be the solution you’ve been looking for.
While early intervention during childhood offers the greatest opportunity for guiding jaw growth, adults can still achieve meaningful, lasting improvement. With modern orthodontic techniques and 3D imaging technology, we are able to identify and address airway concerns at any stage of life.
Many of our adult patients tell us they wish they had known when they were younger, that there was an orthodontic solution to the symptoms they had been experiencing their whole life. The good news is that no matter where you are starting from, taking that first step toward better breathing is always worthwhile.
If you’ve been experiencing any of the signs above or simply want peace of mind we encourage you to reach out. Our team at Avelle Orthodontics is here to guide you every step of the way.
When we talk about airway health, a common question adults ask is, “How do I know if I might have an airway issue?”
The first step is simple: start by asking the right questions. Sometimes it’s as easy as going through a quick questionnaire that highlights the most common signs we see in adults with airway concerns.
At Avelle Orthodontics, there are a few key indicators we want adults to be aware of. Consistent snoring or labored breathing during sleep — just to be clear, snoring in adults is not normal. Mouth breathing is another important sign. You might also notice teeth grinding at night, asthma, dark circles under the eyes, or chronic fatigue.
Some adults may also show signs like difficulty focusing, mood disturbances, or frequent nighttime waking.
The important thing to understand is that airway issues can show up in many different ways, and they’re not always obvious. That’s why the first step is simply asking — “Could this be affecting me?”
If you notice any of these signs, or if something doesn’t feel quite right, our team at Avelle Orthodontics is here to help guide you through the next steps. One of the most informative and simplest steps to do is to fill out the Adult Sleep Questionnaire and then see how you score on that assessment.
One of the most unexpected — and truly rewarding — parts of what we do at Avelle Orthodontics is hearing from patients during treatment about the quality of life changes they experience.
Sometimes, patients will say things like, “I wish I would have known this sooner.” As we continue to talk more, what they typically share is a sense of surprise on how much better they are doing overall.
They’ll tell us, “I didn’t realize I could sleep this well,” or “I’m finally sleeping through the night.” There’s no more tossing and turning, no more restless sleep. Sometimes they mention that they are performing much better at work, feeling more energized, and experiencing improvements in their overall health.
And often, it impacts the whole household. Spouses are sleeping better too, especially when one spouse’s snoring or frequent waking has been disrupting their other person’s rest.
Of course, we love seeing improved smiles and healthier bites — but what’s even more meaningful is the impact on how a person feels every day. Orthodontics is not just about straight teeth, it is about much more! It is about getting the structures of the jaw and soft tissue in the correct relationship with each other and the face so that we have a healthier patient and a stable result!
Sleeping better, breathing better, having a beautiful smile and truly thriving. That’s what makes this so rewarding for us, where we are truly impacting how people live their lives!
When an adult’s airway is compromised, it can affect their overall health and well-being in ways that may be very difficult to correct if left untreated.
What’s even more concerning is that many adults may never realize there is an airway issue to begin with. When a person isn’t breathing properly or getting adequate oxygen, it can impact how they function day to day, how they sleep, and even their long-term health. In some cases, adults may simply not thrive the way they should, because they are not breathing the way they were meant to. However, we believe every adult deserves the opportunity to reach their full potential — with optimal health, proper jaw function, and quality sleep.
We have a simple airway questionnaire as a screening tool to help identify whether you may be experiencing an airway issue — and how it could be affecting you. We’ve included a link below, and it only takes a few minutes to complete.
If you have any concerns after taking it, our team at Avelle Orthodontics is here to help guide you every step of the way.
The factors that lead to airway insufficiency in adults typically fall into two categories: genetic and environmental.
Genetically, you may have a naturally narrow jaw, smaller airway passages, or a predisposition to enlarged tonsils or adenoids — issues that may have been present since childhood and carried into adulthood.
On the environmental side, factors like allergies, asthma, or long-standing habits such as mouth breathing or improper tongue posture can play a significant role. These patterns, especially if they were present during childhood, can influence how the jaw developed over time, how you chew, and even how you breathe during sleep.
The key is understanding that it’s usually not just one cause — it’s a combination of factors.
At Avelle Orthodontics, we take a comprehensive approach. Through a detailed questionnaire and medical history, we’re able to identify these contributing factors and better understand how they may be affecting you. From there, we can make an accurate diagnosis and guide you toward the most appropriate treatment.
While early intervention in childhood offers unique advantages, it is never too late for adults to benefit from an airway evaluation.
Whether you’ve noticed concerns for years or are just becoming aware of potential airway issues, seeking an evaluation now allows us to identify problems and begin improving your quality of life.
There are certain things that are more straightforward to address at a younger age, but adults can still achieve meaningful improvements. For example, while the upper jaw has finished growing, expansion is still possible through specialized techniques, though the process may be more involved.
Another common concern in adults is teeth grinding. It can be easy to overlook because the wear happens gradually. You may not notice it day to day, but over time the effects accumulate — leading to worn enamel, jaw pain, headaches, and damaged teeth.
If grinding is related to an airway issue, addressing the root cause early — before more significant damage occurs — can protect your teeth and prevent costly restorations down the road, such as crowns, veneers, or implants.
At Avelle Orthodontics, our goal is to be proactive, not reactive.
At Avelle Orthodontics, we have been using maxillary expansion for many years in patients of various ages — including adults — and the results can be truly remarkable.
This treatment was originally developed to correct deficient jaw structures, helping patients achieve a full set of well-aligned teeth, broader smiles, fuller lips, and more aesthetic facial profiles. It can even contribute to healthier soft tissue development and reduced facial tension.
Current research shows that maxillary expansion not only supports proper jaw structure, but also improves nasal airway ventilation, enlarges the nasal airway, and encourages better tongue posture. We see these improvements regularly — and now we can measure them.
Orthodontic expansion is one of the primary ways we address airway issues, especially when the size of the jaws is limiting a person’s ability to breathe properly. Using 3D imaging, we can trace the airway, identify any constrictions, and develop a targeted treatment plan.
Another way we support airway health is by creating sufficient room in the mouth for important structures, like the tongue. If your jaw is constricted then the teeth are also constricted and there isn’t enough space for the tongue, which can push back into the airway. By expanding the jaws and aligning the teeth, we give the tongue and other tissues the room they need — opening the airway for better breathing during sleep, exercise, and daily activities.
If you notice any signs or have concerns, our team at Avelle Orthodontics is here to guide you every step of the way.
When an adult has airway issues, it can affect quality of life in ways that may not be immediately apparent.
From persistent fatigue and difficulty concentrating, to more complex challenges that affect relationships and daily performance, the effects can show up in many ways. Adults going through this know exactly what we mean.
Adults who aren’t breathing or sleeping well may struggle to function at their best. Poor sleep, low energy, or reduced oxygen intake can affect mood, productivity, and long-term health.
These issues often ripple into other areas of life in unexpected ways. That’s why evaluation and early treatment are so important.
At Avelle Orthodontics, we’re here to help you understand if you may be experiencing airway issues and how they could be affecting your sleep, health, and overall well-being.
If you notice any signs, our team is ready to guide you and provide support every step of the way. We recommend that you start by taking the sleep questionnaire provided. It is a simple way to evaluate common breathing and sleeping problems.
Our orthodontic treatments for adults are designed to improve deficient jaw structures and support healthier function of the face, jaws, temporomandibular joints, teeth, and airway.
Twenty years ago, we didn’t have precise ways to evaluate individual jaw sizes or see how the upper and lower jaws compared. We could estimate with 2D imaging and assess crowding, but that only told part of the story.
Now, with advanced 3D CBCT imaging, we can accurately assess jaw size and structure. From an orthodontic standpoint, we can expand jaws that are too narrow — especially the upper jaw — creating more space where it’s needed.
These treatments can routinely increase the size of the airway, significantly improving breathing. Better breathing, especially during sleep, allows the body to rest and recover, giving you the greatest chance to feel and function your best.
Supporting proper jaw and airway function can positively affect physical, mental, and emotional well-being — it truly can change a person’s world.
At Avelle Orthodontics, we’re here to guide you toward healthy function and lifelong well-being.
With any airway concern, the sooner it’s addressed, the greater the benefit.
While airway issues are most easily corrected during childhood growth stages, now with advanced technologies and techniques, adult treatment is possible and can still provide significant, meaningful improvements. If we delay, an insufficient airway may continue to affect your health, sleep, and quality of life — and the longer it goes unaddressed, the more complex treatment may become.
Early evaluation and timely intervention give you the best chance for improved airway function, better sleep, and overall health. At Avelle Orthodontics, we’re here to guide you and support you every step of the way.
The duration of Airway Orthodontic treatment varies depending on individual needs and the age of the patient. For adults, treatment typically ranges from 18 to 24 months. The process is tailored to each patient, ensuring the most effective and efficient treatment plan. Regular check-ins and adjustments are part of the journey, ensuring progress toward improved airway function and optimal alignment.
Take this simple Adult Sleep Questionnaire and see how you score on the assessment.
After your evaluation, our team will guide you through the most appropriate course of action. Possible next steps may include:
If we diagnose and address airway concerns, we can help change the structures, function and esthetics — supporting healthier living, better sleep, and a lifetime of easier breathing along with a more beautiful smile. Our goal is always to address all the issues going on and not only focusing on a straighter teeth, but getting the structures aligned for greater stability, function and a healthier life.
At Avelle Orthodontics, we are here to guide you every step of the way.