Figure 11 Figure 13 Figure 12 Figure 14 transverse dimension and adding sagittal dimensions is possible, even in individuals over age 50. Practitioners today still follow treatment plans that remove permanent teeth to facilitate quick resolution of dental crowding. Doctors engaging in the practice, however, may have visits from patients years later with an array of symptoms from continuous apneas. The tongue is rarely tied out of the airway; it is nearly always tied into the airway. The hope of myofunctional therapy practitioners is that all dental crowding patients be assessed for a tongue tie and have a sleep study performed before continuing with an extraction-focused treatment plan. In Figs. 13 and 14, the young woman had traditional orthodontics with extractions 20 years previously. Her sleep was highly affected, and she has neck and shoul-der pain that she attempts to manage with yoga. The tongue is under-toned and rests low or between the dental arches. The photo tells the story of a wide tongue and narrow arches, giving the tongue no suit-able space to rest. www.orthodontics.com Figure 15 Summer 2025 17
Journal of the American Orthodontic Society Summer 2025: Page 17
