Airway, Sleep and Good Health with Dr. Hana Khan
Sometimes the clue we are looking for during the day starts with what is happening while a child sleeps. My guest this week is Dr. Hana Khan, an airway-focused dentist and myofunctional therapist, and we are talking about breathing. Which sounds straightforward. We all breathe. Moving on. Except, as Hana explains, the way a child breathes can intersect with sleep, oral development, swallowing, orthodontics, and some of the things parents may be noticing during the day. Hana came to this work through her own daughter. She was already a dentist when she attended a lecture on airway dentistry and started recognizing things she had been seeing in her child for years. That experience changed the direction of her work and eventually led her to start looking beyond the teeth at the muscles, jaws, nose, mouth, and airway as parts of the same system. And there is A LOT here. At one point I actually stop the conversation and say exactly that because airway is one of those topics where you start pulling one thread and suddenly you are talking about sleep, behavior, feeding, swallowing, hearing, teeth, and nervous system regulation. One of the biggest pieces of our conversation is sleep. Hana explains that when breathing is disrupted during sleep, the body may repeatedly come out of deeper, more restorative stages of sleep. A child may technically spend plenty of hours in bed and still wake up without feeling rested. And what does an exhausted nervous system sometimes look like during the day? Difficulty focusing. Trouble organizing. Big emotions. Restlessness. Irritability. Those symptoms can have many causes, and Hana is very clear that she is not diagnosing or ruling out ADHD. Her point is that breathing and sleep are pieces worth evaluating when they are part of the picture. We also talk about some of the things parents can notice at night: mouth breathing, snoring, very restless sleep, sleeping in unusual positions, night sweats, and other signs that may be worth bringing to a qualified provider. Then we get into the mouth itself. Hana explains how tongue position, swallowing patterns, oral muscles, jaw development, and breathing interact. This is where myofunctional therapy comes in. The goal is not simply to move teeth. It is to address the muscle patterns and function underneath what we are seeing. That leads us into orthodontics, because of course it does. Hana describes a different way of thinking about crowded teeth. Instead of asking only, "How do we make these teeth straight?" an airway-focused approach also asks what may be happening with the muscles, oral development, and breathing. We also spend time talking about enlarged tonsils and adenoids and why Hana looks for the larger airway picture rather than assuming that one finding automatically tells us what treatment should look like. And this is important: not every child has the same constellation of symptoms. A kid can have an airway issue without checking every box we mention in this episode. And hearing one symptom does not mean you have found the explanation for everything going on with your child. The point is not to diagnose your kid from a podcast. The point is to know that breathing is another piece of the developmental picture that may be worth looking at. Because when something about our child is not making sense, more information can help us ask better questions. Key Takeaways Airway-focused dentistry looks beyond the teeth to consider breathing, oral muscles, jaw development, and how those systems function together. Mouth breathing, snoring, and very restless sleep can be useful information to share with a qualified health professional when you have concerns about your child's sleep or breathing. Poor-quality sleep may show up during the day as difficulties with attention, regulation, energy, or organization, even when a child appears to spend enough hours asleep. Symptoms that resemble ADHD can have more than one contributor, which is why Dr. Khan emphasizes evaluating breathing and sleep without assuming they explain every symptom. Orofacial myofunctional therapy focuses on patterns involving the tongue, lips, cheeks, swallowing, and other muscles involved in oral function. Children with airway concerns do not all present the same way, so looking at a constellation of symptoms and the individual child matters. Dr. Khan's airway evaluations may include information about nasal airflow, oral development, sleep-related breathing, tonsils and adenoids, and other possible contributors. Treatment is individualized and may involve myofunctional therapy, dental appliances, collaboration with other medical professionals, or a combination of approaches. An airway-focused approach to orthodontics considers not only whether the teeth are straight but also the oral muscle patterns, jaw development, and breathing associated with them. Parents do not need to diagnose an airway problem themselves. Recognizing patterns such as mouth breathing, snoring, or disrupted sleep can help them know what questions to bring to an appropriately trained provider. About Dr. Hana Khan Dr. Hana Khan is an airway-focused dentist and myofunctional therapist in Torrance, California. After beginning her career in general dentistry, her own family's experience led her into airway dentistry and a broader approach to oral development, breathing, and myofunctional health. In her work, Dr. Khan looks beyond straight teeth to consider breathing, oral muscle function, sleep-related concerns, jaw development, and other symptoms that may be part of a larger airway picture. Her goal is to help families better understand the connections between oral development and overall function and find appropriate treatment for the individual child. About Your Host, Gabriele Nicolet I'm Gabriele Nicolet, toddler whisperer, speech therapist, parenting life coach, and host of Complicated Kids. Each week, I share practical, relationship-based strategies for raising kids with big feelings, big needs, and beautifully different brains. My goal is to help families move from surviving to thriving by building connection, confidence, and clarity at home. 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