Airway dentistry · Duluth, MN

Airway Dentistry in Duluth, MN

We treat tongue ties, mouth breathing, narrow jaws, and snoring for babies, kids, and adults in one office on Woodland Avenue.

Dr. Camille Zelen, RN, DDS, AAACD, leads our airway care, and our two in-house myofunctional therapists work alongside every case.

Dr. Camille Zelen with Mount Royal Dental's orofacial myofunctional therapist
Duluth's first myofunctional therapy programLaser tongue and lip tie releaseMARPE for adultsDuluth News Tribune Best of the Best, Best Dental Office Duluth's first myofunctional therapy programLaser tongue and lip tie releaseMARPE for adultsDuluth News Tribune Best of the Best, Best Dental Office Duluth's first myofunctional therapy programLaser tongue and lip tie releaseMARPE for adultsDuluth News Tribune Best of the Best, Best Dental Office
Request an appointmentThe front desk calls back the same business day.

Key highlights

  • Airway dentistry treats the mouth, jaw, and tongue problems that affect breathing, sleep, and growth.
  • We release tongue and lip ties with a laser, and many families come to us through midwives, doulas, and lactation consultants.
  • Our hygienists, Naomi VonRueden, RDH, and Janelle Soukkala, RDH, run Duluth's first myofunctional therapy program, in our office since 2020.
  • We widen narrow upper jaws in kids with expanders and in adults with MARPE.
  • Mouth breathing, snoring, and clenching are all good reasons to book a screening.

What is airway dentistry?

Airway dentistry is dental care that looks at how the mouth, jaw, and tongue affect breathing and sleep, and treats the causes of mouth breathing, snoring, and a narrow palate.

In kids, dark circles, restless sleep, and trouble focusing often show up together with mouth breathing. Adults feel it as snoring, morning headaches, and a jaw that never relaxes. We look for the cause in the mouth and treat it there.

How the mouth affects breathing

Three things in the mouth shape how well you breathe.

WhatWhen it works wellWhen it doesn't
TongueRests against the roof of the mouthRests low, often because of a tie or weak muscles
Upper jawWide enough for the teeth and tongueNarrow and high, crowding teeth and the tongue
LipsClosed at rest, breathing through the noseOpen at rest, breathing through the mouth

These three affect each other. A low tongue gives the upper jaw less support as it grows, and a narrow jaw leaves less room for the tongue. That's why we treat them together.

Signs your child or you may need an airway visit

Red flags in babies

  • Trouble latching or clicking while feeding
  • Painful nursing for mom
  • Long, frequent feeds with slow weight gain

Red flags in kids

  • Breathing through the mouth, day or night
  • Snoring or restless sleep
  • Crowded teeth or a narrow, high palate
  • Grinding teeth at night

Red flags in adults

  • Snoring or waking up tired
  • Clenching, jaw pain, or morning headaches
  • A narrow upper jaw with crowding

If you checked one or two, book a screening. We'll tell you plainly whether anything needs treatment.

Airway care by age

AgeCommon signsWhat we offer
InfantsLatch trouble, clicking, painful nursingLaser tongue and lip tie release
KidsMouth breathing, snoring, crowding, narrow palateMyofunctional therapy, expanders, Invisalign First
Teens and adultsSnoring, clenching, narrow upper jawMyofunctional therapy, MARPE, oral sleep appliances, Solea Sleep

Does your family need an airway visit?

Three quick questions, about 30 seconds. You'll see what we usually offer for the signs you notice.

This is not a diagnosis. Your exam sets the real plan.

Question 1 of 3

Who are you asking about?

How we treat the airway

Mount Royal Dental team members holding Ninni Co. pacifiers
01

Tongue and lip tie release

A tongue or lip tie is a tight band of tissue that limits how the tongue or lip moves.

We release ties with a laser for babies, kids, and adults, and only when the tie limits function. Dr. Zelen trained in tie release through The Breathe Institute, Tongue-Tied Academy, and the Infant Frenectomy Protocol.

Ninni Co. pacifiers and brochure used by the airway team
02

Myofunctional therapy

Orofacial myofunctional therapy uses exercises to retrain how the tongue, lips, and face rest, swallow, and breathe.

We were the first practice in Duluth to offer myofunctional therapy, and we've run it in office since 2020. Our therapists start with a detailed questionnaire and an exam, check for ties, and build an exercise plan for your child or for you.

Much of the therapy happens by video after the first visit. We also run a 12-session group camp for kids, part in person and part online, which the Duluth News Tribune and Fox21 have featured.

03

Palatal expansion and MARPE

A narrow upper jaw crowds the teeth and leaves less room for the tongue.

For growing kids, we use the removable Invisalign Palatal Expander or a traditional bonded expander. For adults, whose growth plates have closed, we use MARPE, an expander anchored with small mini-implants in the palate.

We now expand adults at a slower rate, an approach often called MASPE, because we've found it to be a safer approach.

04

Snoring and sleep apnea

We make custom oral appliances that hold the lower jaw forward during sleep to keep the airway open.

For snoring, we also offer Solea Sleep, a laser treatment that firms the soft tissue at the back of the mouth.

Sleep apnea needs a diagnosis from a sleep study. If you snore and wake up tired, we'll screen you and coordinate with your physician.

How an airway visit works

  1. 01
    Questionnaire.You tell us about sleep, breathing, feeding, or jaw pain.
  2. 02
    Exam.We look at the tongue, lips, palate, teeth, and bite, and check for ties.
  3. 03
    Plan.You hear what we found and which steps make sense, in plain words.
  4. 04
    Treatment.Therapy, release, expansion, or an appliance, often in that order.
  5. 05
    Follow-up.We check progress and adjust the plan.
Reviewing an airway questionnaire on a laptop

Who treats you

Dr. Camille Zelen, RN, DDS, AAACDPerforms tie releases, plans expansion, and leads every airway case.
Naomi VonRueden, RDH, and Janelle Soukkala, RDHRegistered dental hygienists and orofacial myofunctional therapists. They run individual therapy and the kids' camp through OMT Duluth.
Dr. Danielle Johnson, DDS, and Dr. Kianna Bechard, DDSScreen for airway signs at routine visits, so families often hear about this care at a regular cleaning.
The Mount Royal Dental hygiene team, including its myofunctional therapists

Airway dentistry FAQ

At what age should a child see an airway dentist?

We see babies in their first weeks for feeding and tie concerns. For older kids, book a screening as soon as you notice mouth breathing, snoring, or grinding.

Is mouth breathing bad for kids?

Breathing through the mouth at rest can be a sign of a low tongue, a narrow palate, or blocked nasal breathing. It's worth a screening, especially with snoring or restless sleep.

Can myofunctional therapy happen online?

Yes. After an in-person assessment, most sessions can happen by video. Kids can also join our in-person and online group camp.

Is snoring a dental problem?

It can be. Jaw position, tongue posture, and a narrow palate all affect the airway, and a custom oral appliance helps many people who snore.

Do you work with my child's pediatrician or ENT?

Yes. Airway problems often need more than one provider, and we share findings and coordinate care.

Airway dentistry on Woodland Avenue

Mount Royal Dental sits at 1624 Woodland Avenue, Duluth, MN 55803, at the corner of Woodland and St. Marie, next to the Mount Royal Shopping Center near UMD. Families come to us from Hermantown, Superior, Two Harbors, Cloquet, and across the Northland.

Monday 8 to 3, Tuesday through Thursday 8 to 4:30, Friday closed. Call (218) 464-5222.

The Mount Royal Dental team in black scrubs, laughing together in the studio

Request an appointment

Two fields and a tap. The front desk calls back the same business day.

Mount Royal Dental · 1624 Woodland Avenue, Duluth, MN 55803 · (218) 464-5222 · Mon 8 to 3, Tue to Thu 8 to 4:30, Fri closed

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