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Obstructive Sleep Apnea (OSA) is caused by an airway blockage (obstruction) during sleep. During the day, muscles in the airway region keep the throat and airway passage open but when a patient has obstructive sleep apnea, the throat collapses during sleep, blocking the airway and preventing air from getting to the lungs. The site of obstruction in most patients is the soft palate, extending to the region at the base of the tongue.

There are no rigid structures, such as cartilage or bone, in this area to hold the airway open. So as a person with OSA falls asleep, these muscles relax to a point where the airway collapses and becomes obstructed. Although OSA is typically considered an ‘adult’ condition, there is no age boundary and apnea can affect otherwise healthy children. OSA is actually common in children and may, in fact, be the root cause of childhood behavior and attention problems, which are commonly misdiagnosed by other doctors as ADD/ADHD. This misdiagnosis leads to your child being put on unnecessary medications, which may have damaging side effects, and does NOT treat the core cause and/or other symptoms associated. Enlarged tonsils and small structural features of the maxilla/nose, mouth and throat may contribute to childhood OSA. Proper evaluation and testing by Dr. VanDyke is needed for an accurate diagnosis.


  • Snoring
  • Mouth Breathing
  • Tooth Grinding
  • Jaw Clenching
  • Orthodontic Issues
    • Top of mouth being in more of a V shape vs. a natural wider U shape
  • Frequent Infections, esp. in the Ear, Sinuses or Tonsils
  • Mood Changes
    • Irritability
    • Anxiety
    • Depression
  • Headaches
  • Bed Wetting
  • Poor Concentration
  • Hyperactivity
  • Night Sweats
  • Frequent Nightmares/ Night Terrors
  • Odd Sleeping Positions
  • Poor or Rapid Breathing during sleep or periods of Not Breathing
If left untreated, it can have SEVERE complications including but not limited to:
  • Impaired Intelligence
  • Delayed Development
  • Dysfunction of the Nervous System
  • Memory Loss
  • Depression
  • Weight Gain and Obesity
  • Behavioral Issues Including
    • Hyperactivity
    • Aggressiveness
    • Social Isolation or Withdrawal
    • Decreased Performance in School
    • Learning Difficulties



TMD, commonly called TMJ, is a real condition caused by disturbances in the action of the jaw. Often jaw problems are only a symptom, secondary to a greater problem affection the body, much like a fever is secondary of the common flu. In the absence of an acute injury to the head or face, the primary cause of jaw problems can sometimes be an unidentified sleep breathing issue, Sleep Apnea or Obstructive Sleep Apnea (OSA). Proper diagnosis and emphasis on origin rather than symptoms is key to successfully treating the disorder.

Signs and Symptoms most notably include Jaw Clenching and Teeth Grinding, also known as Bruxism. THIS IS NOT NORMAL! Bruxism is a medical term for grinding or clenching of the teeth and is actually classified as a Sleep Movement Disorder. Although once commonly thought, Children do NOT grow out of this! This is a hallmark sign of Obstructive Sleep Apnea (OSA) and can begin the grueling path of a lifetime of TMD and Orthopedic Development Problems.

TMJ/TMD in Children and Adults has several side effects including but not limited to:
  • Headaches
  • Pain in the Jaw
  • Facial, Neck or Back Pain
  • Jaw Popping or Clicking
  • Restricted Opening
  • Catching or Locking of the Jaw
  • Pain when Chewing
  • Ear Pain or Ringing in the Ears
Although, TMD is not life threatening, it can affect quality of life. If left untreated the symptoms listed above typically get worse. To help restore quality of life, it is important to get the proper treatment. Dr. VanDyke and the TMJ Sleep Therapy Centre of Montana Team are dedicated to diagnosing, treating, and relieving pain caused by TMD.


Before an initial exam, you will fill out comprehensive forms which include a health questionnaire. These forms help Dr. VanDyke better understand and diagnose the underlying issues. Each Diagnosis and the Care which follows is uniquely designed FOR EACH INDIVIDUAL! Treatment may vary from patient to patient.



1. Snore more than half the time?
2. Snore Loudly
3. Grind teeth and/or Clench jaw?
4. Have Heavy or Loud Breathing?
5. Have Trouble Breathing or Struggle to Breathe?
6. Have you ever seen your child Stop Breathing during the night?


1. Tend to Breathe through their mouth during the day?
2. Have a Dry Mouth upon waking in the Morning?
3. Occasionally Wet the Bed?
4. Wake feeling Unrefreshed or Tired in the Morning?
5. Have a Problem with Sleeping during the Day?
6. Have Teachers or Caregivers commented that your Child falls asleep during the Day?
7. Is your Child hard to Wake in the Morning?
8. Does your Child have headaches in the Morning or throughout the Day?
9. Did your Child Stop Growing at a Normal Rate at Any time since Birth?
10. Is your Child considered Overweight for their Age/Height?


1. Not Seem to Listen when spoken to Directly?
2. Have Difficulty Organizing Tasks and/or Activities?
3. Easily Distracted?
4. Fidget with Hands/Feet or Squirm when Seated?
5. Seem to be "On the Go" or described as a "Busy" Child?
6. Interrupt or Intrude on Others? (Butting into Conversations, Games/Activities)
If you Answered ‘Yes’ to 3 or more of the Above Questions, your Child may be at risk for Sleep Apnea.

If you Answered ‘Yes’ to 6 or more of the Above Questions, your Child may be at HIGH risk of Sleep Apnea.

We recommend you call our office at (406)952-0154. Please fill out the form below to send a copy of this quiz to us for further help.

Thank you!

We will be in touch shortly!