Many adult patients wonder: Will having teeth extracted for braces compromise my breathing? A compelling study published in the American Journal of Orthodontics and Dentofacial Orthopedics (2016) may ease those concerns.
What Did the Research Find?
Researchers analyzed pre‑ and post‑treatment CBCT scans of 74 adult orthodontic patients—some with premolar extractions and others without. They measured overall airway volume and minimal cross-sectional area in regions like the nasopharynx, retropalatal, and retroglossal zones. Then they compared changes between both groups.
The result? No statistically significant differences. In other words, extraction-based orthodontic treatment did not cause any clinically meaningful reduction in airway size or the tightest points of the airway (P values all > 0.05).
What Makes This Study Stand Out
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Reliable measurements from CBCT imaging with high reproducibility
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Both extraction and non-extraction groups showed similar airway changes—even when teeth were removed
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Reinforces that airway health isn’t adversely impacted during properly planned orthodontic care
Why This Matters to Miami Designer Smiles Patients
Orthodontics is more than straightening teeth—it impacts airway health, facial structure, and overall wellbeing. Extraction decisions are made carefully, based on functional needs and facial harmony, not fear of breathing issues.
Other recent studies and meta-analyses have echoed similar findings: premolar extractions do not significantly alter airway dimensions in adults or adolescents when performed thoughtfully.
Key Takeaways
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Tooth extractions do not automatically reduce airway space in adults
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Decisions are driven by clinical need—not panic over breathing risk
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Monitoring airway function during orthodontics remains standard practice
Our Approach at Miami Designer Smiles
If you’re considering braces or orthodontic treatment and concerned about how extraction might affect your breathing, Drs. Garcia and Sanchez‑Garcia provide comprehensive evaluations, including:
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Thorough analysis of jaw and facial anatomy
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CBCT imaging when needed to assess airway structure
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A functional, light-guided orthodontic approach that prioritizes stability and health
That way, your treatment plan feels secure—balancing both aesthetics and long-term well-being.
Frequently Asked Questions
Q: Should I avoid Extractions because of Airway Concerns?
A: No—if teeth are extracted under precise planning and diagnostics, there’s no evidence of negative impact on airway volume.
Q: Can orthodontics improve breathing?
A: Sometimes—especially when combined with techniques like expansion or airway-centered therapy.
Q: Are children the same as adults?
A: While this study focused on adults, similar findings have been observed in teenagers when growth is accounted for.
Ready to Learn More?
Visit Miami Designer Smiles for a personalized consultation. Whether you’re curious about functional orthodontics, airway health, or myofunctional therapy, Drs. Garcia and Sanchez‑Garcia design treatment plans that support both the look and the function of your smile.
Call us at 305-520-7591
Visit us at MiamiDesignerSmiles.com