How Airway Orthodontics and Myofunctional Therapy Work Together for Optimal Oral Health
- Tracey Coulter
- 7 days ago
- 3 min read

Orthodontics has evolved beyond just straightening teeth. Today, airway orthodontics (also known as orthotropic orthodontics) and myofunctional therapy are recognized as complementary approaches that not only improve dental alignment but also enhance breathing, facial development, and overall health. But how do these two methods work together, and what are their individual focuses? Let’s explore.
What is Airway Orthodontics (Orthotropic Orthodontics)?
Airway orthodontics, or orthotropic orthodontics, is a specialized branch of orthodontics that prioritizes proper facial growth and airway development over just straightening teeth. The primary focus is to correct the underlying skeletal and muscular issues that may be causing improper jaw positioning, restricted airways, or poor facial growth patterns.
Key Focus Areas of Airway Orthodontics:
Encouraging natural and optimal facial development in children
Expanding the upper jaw to improve airway space
Correcting improper tongue posture and oral habits
Enhancing nasal breathing and reducing mouth breathing
Addressing conditions like sleep apnea and chronic snoring
Identifying and managing enlarged tonsils and adenoids that may obstruct breathing
Rather than extracting teeth or relying heavily on braces, airway orthodontics often uses functional appliances (such as expanders or myofunctional devices) to guide jaw development in a way that optimizes breathing and function.

What is Myofunctional Therapy?
Myofunctional therapy is a specialized form of therapy that focuses on retraining the muscles of the face, tongue, and mouth to function correctly. It involves a series of exercises designed to promote proper breathing, swallowing, and tongue posture.

Key Focus Areas of Myofunctional Therapy:
Strengthening the tongue and orofacial muscles
Encouraging proper tongue posture (resting on the roof of the mouth)
Eliminating harmful oral habits like mouth breathing, tongue thrusting, and thumb sucking
Correcting swallowing patterns to prevent orthodontic relapse
Reducing tension in the jaw to alleviate TMJ pain
Assisting in tongue and orofacial muscle coordination to compensate for enlarged tonsils
How Airway Orthodontics and Myofunctional Therapy Benefit Each Other
While airway orthodontics focuses on structural development, myofunctional therapy works on the functional aspects of oral posture and muscle coordination. When combined, they create a powerful synergy that enhances both treatment effectiveness and long-term stability.

1. Expanding the Airway & Supporting Proper Muscle Function
Airway orthodontics helps widen the palate and improve airway space, making it easier to breathe through the nose.
Myofunctional therapy reinforces proper nasal breathing and tongue posture, ensuring the airway remains open.
Addressing enlarged tonsils and adenoids can further improve airflow and reduce nasal obstruction.

2. Correcting Oral Habits for Lasting Orthodontic Results
Poor oral habits like mouth breathing and tongue thrusting can reverse orthodontic progress.
Myofunctional therapy retrains these habits, preventing relapse after orthodontic treatment.
3. Encouraging Proper Swallowing & Facial Growth
Myofunctional therapy ensures a proper swallowing pattern, which reduces unnecessary pressure on the teeth and jaws.
Airway orthodontics aligns the facial structure to create balanced growth and development.
Enlarged tonsils can contribute to improper swallowing mechanics, which myofunctional therapy can help address.
4. Reducing TMJ Pain and Jaw Dysfunction
Many TMJ issues stem from improper oral posture and muscle imbalances.
Myofunctional therapy strengthens the orofacial muscles, while airway orthodontics optimizes jaw positioning.
5. Enhancing Sleep Quality & Overall Health
Airway orthodontics helps alleviate airway restrictions that may contribute to sleep-disordered breathing (e.g., sleep apnea, snoring).
Myofunctional therapy reinforces proper breathing patterns, leading to better oxygen intake and sleep quality.
Enlarged tonsils and adenoids can contribute to sleep-disordered breathing; recognizing and treating them is crucial for long-term airway health.

Conclusion
Airway orthodontics and myofunctional therapy are two powerful approaches that complement each other beautifully. While airway orthodontics focuses on structural development, myofunctional therapy ensures proper function and muscle coordination. When used together, they provide a comprehensive solution for improving breathing, facial growth, dental alignment, and overall health.
Additionally, recognizing the role of enlarged tonsils and adenoids in airway obstruction is essential. Addressing these issues through collaboration with an ENT specialist can further enhance the benefits of airway orthodontics and myofunctional therapy.
If you or your child are struggling with mouth breathing, improper tongue posture, sleep issues, or orthodontic concerns, consulting a specialist in both airway orthodontics and myofunctional therapy could be a game-changer. By addressing both structure and function, as well as evaluating tonsil size and airway obstructions, you can achieve not only a beautiful smile but also a healthier, more functional airway for a lifetime of better breathing and well-being.
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