Airway Centric Orthodontics is a philosophy which trumps everything else in contemporary Orthodontics. The philosophy focuses on practice of clinical orthodontics aimed at achieving ideal jaw relationship, establish normal oral function and performance, optimal proximal and occlusal contact of teeth. The central aspect of function and performance is airway and breathing which in fact is hierarchically the most important function for humans. Ideal health and ideal facial development is dependent on correct tongue posture and nasal breathing. Therefore contemporary protocols be it Preventive, interceptive or corrective orthodontics should factor upper airway improvement in addition to improving smile and facial appearance. Today Orthodontic profession is crucial and integral part of the interdisciplinary team in the management of upper airway sleep disorders, thus well poised to become a part of mainstream health profession. The paper would revisit the decision making process in orthodontics and discuss orthodontic strategies to improve the vital human airway which is essential for good health, longevity, and well-being.
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