AI Summary: At age 7, Dr. Neal evaluates more than just crooked teeth—she assesses the “Airway Foundation.” By identifying mouth breathing or narrow palates early, we can thoughtfully guide jaw growth to improve a child’s breathing and sleep quality without unnecessary over-expansion.

Beyond the Smile: The Airway Connection


“Airway Orthodontics” is a major buzzword today, but at Neal Smiles, we treat it with specialized clinical care rather than just following a trend. When a child is mouth breathing or snoring, it’s often a sign that their jaw structure isn’t supporting their breathing.

Why Age 7 is the “Magic Number”


The American Association of Orthodontists recommends a screening at age 7 because the jaw is still malleable. During this window, Dr. Neal can:

  • Encourage Nasal Breathing: Widening a narrow palate can open the nasal floor, making it easier for your child to breathe through their nose.
  • Identify “Red Flags”: We look for signs like restless sleep, dark circles under the eyes, or difficulty focusing—often linked to sleep-disordered breathing.

The “Thoughtful Specialist” Difference


You may hear about “airway dentists” who recommend expansion for every single patient. We take a different approach. Dr. Neal uses advanced 3D imaging to determine if intervention is actually necessary.

  • Targeted Recommendations: We only recommend appliances (like palatal expanders) when there is a clear clinical benefit for the airway and bite.
  • The Foundation for Life: Catching these structural issues at age 7 can prevent invasive jaw surgeries and chronic sleep issues in adulthood.
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Dr. Neal

Dr. Neal

  • 25+ Years Experience
  • Elite Invisalign Provider

Born and raised near New Orleans, Louisiana, Dr. Neal brings Southern warmth and exceptional orthodontic expertise to the Pacific Northwest.

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