EDITOR’S WELCOME Greg Cannizzo, DDS, CDE, JAOS Editor 3617 Municipal Drive, McHenry, IL 60050 Phone: (815) 344-2282 • Fax: (815) 344-5815 Email: drgrc@joltmail.com ASSOCIATION STAFF Adam Griswold AGpO Executive Director Academy of Gp Orthodontics 509 E. Boydston St. Rockwall, TX 75087-3956 (800) 634-2027 E-mail: agriswold@academygportho.com Nate Porter AOS Executive Director American Orthodontic Society 2451 West Grapevine Mills Circle Suite 510 Grapevine, TX 76051 E-mail: support@orthodontics.com The Beginning is Always Today Over the past 20 years, I have written a few times on the importance of early treatment in orthodontics. It’s still impor-tant to remember that as dental professionals who do orthodon-tics, we create better smiles and better lives. We provide much more of a service than just straightening teeth for our developing young patients. We have opportunities and an obli-gation to recognize and stop oral facial deformities before they become worse. We have opportunities to change with what a child is living. We are more than just tooth fixers and straighteners. We possess the skill and knowledge to both change the lives and effect the future health of our adult and young patients. Early treatment and recognizing sleep apnea and airway management in children is the tool to create better smiles and lives. Multiple factors affect the growth and development of human faces. The major factor contributing to the develop-ment of a balanced face is the airway. Environmental condi-tions, nutrition, exercise, habits and family history all play a role in the development of a beautiful face and body. Evidence indicates that an open airway has a primary and perhaps the ultimate responsi-bility for proper development of the face. Donald Enlow published his first research on how bone was formed in 1962. For the next 40 years, he devoted his life to understand-ing facial growth. He showed the development of the face is a complex event that takes place over the entire lifetime of a person, and he indicated that genetics has a lesser role in its growth and development. Enlow said, “Everything that develops, develops around the airway. The airway is the central hub of development, any event that alters the free flow of air passing over the airway causes dysplasia.” 1 In this issue, be sure to read through the very through and well documented article by Dr. Mark Cannon and Dr. Rachelle Beattie to discover how sleep apnea can affect a child even before they are born and the importance of the oral micro-biome for maternal oral health and Pregnancy Onset Sleep Apnea. Read how the develop-ment of the face is affected by the oral health of the expect-ing mother. Airway obstruction can be defined as a lack of patency of the airway. Tonsils, adenoids, a small narrow palate, and other obstructions located within the airway alter the free flow of air through the nose over the turbinates’ and in and out of the lungs. In this issue of the Journal , we are also fortunate to have a Case Report from Dr. Leonard Cara-pezza, “The Godfather of Early Treatment.” This piece chroni-cles the etiology of a Class III deformity resulting from airway EDITORIAL STAFF Greg Cannizzo, DDS ............. AGpO/AOS Editor Lisa A. Wright ......................... AOS/AGpO Managing Editor Email: jaos@wrightgrp.com EDITORIAL REVIEW BOARD Robert Allen, DDS.................................AGpO Ron Austin, DDS...................................AGpO Chris Baker, RN, DMD .............................AOS Kauser Bari, DDS ...................................AGpO Jeff Dahm, DDS........................................AOS Fred Der, DDS .......................................AGpO Elsa Echeverri, DDS..................................AOS Drew Ellenwood, DDS ..........................AGpO Debra Ettle-Resnick, DDS.........................AOS Twana Farley-Duncan, DDS.....................AOS Majid Feshresti, DDS.............................AGpO Edward Gonzalez, Jr., DMD .....................AOS Thomas Jacobsen, DDS.........................AGpO Gregory T. Jeneary, DDS ..........................AOS Amanda Larsh, DMD ............................AGpO Brian Machart, DDS..............................AGpO Kyle McCrea, DDS ................................AGpO Sherman Menser, DDS..........................AGpO Randy Newby, DDS..................................AOS Minh-Khol Nguyen, DDS .....................AGpO Milton Ntragatakis, DDS.......................AGpO Humberto Nunez-Gil, DMD .................AGpO Ann Mary Orr, DDS .................................AOS Jennifer Rand, DDS...............................AGpO Raphael Santore, DDS...........................AGpO Joseph R. Schmidbauer, DDS ...................AOS Gary Schulman, DDS ...............................AOS Robert Shirley, DDS ..............................AGpO Kimberly Suter, DDS ................................AOS Susan Tiede, DDS .....................................AOS Walter Tippen, DDS ..............................AGpO Jose E. Turcios, DDS .................................AOS Saskia Vaughn, DDS.................................AOS Bradford R. Williams, DDS ......................AOS William Wyatt, Sr., DDS ..........................AOS 4 Spring 2024 JAOS