CASE STUDY Fig. 9 Fig. 10 References 1. Kawashima S, Peltomaki T, Laine J, Ronning O. Cephalo-metric evaluation of facial types in preschool children without sleep-related breathing disorder. Int J Pediatric Otorhinolaryngol. 2002 Apr 25; 63(2): 119-27 2. Carapezza L., Airways –The Key to Early Facial Growth and Malocclusions 3. Saitoh K. Long-term changes in pharyngeal airway morphology after mandibular setback surgery. Am J Orthod Dentofacial Orthop 2004;125:556-61. 4. Gao H, Xiao D, Zhao Z. Effects of Frankel II appliance on sagittal dimensions of upper airway in children. Hua Xi Kou Qiang Yi Xue Za Zhi. 2003 Apr 20; 2 116-7. 5. Gray LP. Results of 310 cases of rapid maxillary expansion selected for medical reasons. J Laryngol Otol. 1975 Jun; 89(6): 601-14. 6. Hershey HG, Stewart BL, Warren DW. Changes in nasal airway resistance associated with rapid maxillary expan-sion. Am J Orthod. 1976 Mar; 69(3): 274-84. After widening the palate and allowing the mandible to come forward, K.E.’s physician at a Colorado hospi-tal said to the mother “this early treatment for K.E.’s palate has greatly improved K.E’s outcome for his asthma and breathing problems.” The treatment had led to fewer visits to the hospital. The parents, grand-mother, K.E. as well as his physician were all very happy with the outcome of the treatment. Fig 6. – 10. Early diagnosis with early orthodontic treatment can open up and develop the airway of a growing child by expanding the upper palate, bringing the upper and lower jaws forward and allowing the airway to widen. It is vital to not only address the underlying causes of both SDB and dental malocclusion, but to also ensure that the causative issues do not recur. Proper oxygenation through correct breathing, a healthy airway, and a full night’s sleep in turn can lead to an improved immune and hormonal system, better school and sports performance and an overall healthier and happier child. Beautiful straight teeth are the icing on the dental cake. Other References 1. Kristina Lopatien , Antanas Šidlauskas, Ar nas Vasiliauskas, Lina e yt , Vilma Švalkauskien , Mantas Šidlauskas. Rela-tionship between malocclusion, soft tissue profile, and pharyngeal airways: A cephalometric study 2. Kristina Lopatien , Algis Babarskas. Malocclusion and upper airway obstruction. MEDICINA (2002) Vol. 38, No. 3 -Received 29 October 2001, accepted 28 January 2002 3. Steve Galella, DDS, IBO; Daniel Chow, BDS, DDS, MAGD, FIAO, FIADFE; Earl Jones, DDS; 4. Donald Enlow, MS, PhD; Ari Masters, BDSc. Guiding Atypi-cal Facial Growth Back to Normal Part 2: Causative Factors, Patient Assessment, and Treatment Planning 40 Fall 2018 JAOS