Editor’s note: This article discusses the problem of obstructive sleep apnea relative to orthodontic patients of all ages. Practical solutions are presented so that the clinician can help guide patients from the most conservative measures to currently successful surgical procedures. A better understanding of this confounding problem and the effect on the nasopharyngeal airway of OSA, as well as the potential for producing or enhancing certain types of dentofacial abnormalities, should enhance the understanding of respiratory abnormalities and methods of coping with them, both during the developmental years and in adulthood. Dentistry has a role to play in these cases, which has been largely ignored, due to lack of exposure to information in this field. Too often, the orthodontic challenges are viewed as problems of dysplasias of teeth and bone, the hard tissues. However, the role of neuromusculature function should likewise be considered. Abnormal respiration at any age can produce problems that jeopardize attainment of orthodontic goals and stability of treatment results. From the viewpoint of an otolaryngologist who has devoted considerable time and energy to the concept of airway and dentofacial development, this succinct article and the following list of pertinent literature are of significant value for both the patients and the attending orthodontist. —T. M. Graber