Orthodontists move teeth. ENTs treat tonsils. Speech therapists train muscles. None of it works if the bone isn’t corrected — and no single specialty is trained to see the whole picture. APOM trains you to see it.
Three specialists. Three partial views. One child who needs all three at once.
Every specialist in this room is trained to treat their own piece of the airway. Almost none are trained to recognise when the case in front of them needs the other two.
01 — ENT
Beyond tonsils and adenoids
Paediatric OSA is still framed around adenotonsillar hypertrophy alone. Airway capacity depends on the whole orofacial skeleton — nasal cavity, septum, naso-maxillary growth — not soft-tissue volume in isolation.
“The absence of apnoea doesn’t mean the absence of obstruction.”
02 — Orthodontics
Orthopedics is not orthodontics
Airway orthopedics — the specialty built to guide skeletal growth — has been absorbed into a tooth-focused discipline with little interest in treating very young children.
“Orthodontics moves teeth. Orthopedics guides the whole facial skeleton.”
03 — Myofunctional Therapist
Muscle work fails before the bone is fixed
Tongue posture and swallowing can’t be corrected in isolation. Without skeletal correction first, myofunctional therapy treats a symptom that keeps regenerating.
“Muscles and tongue are essential — but can’t be treated until the bone is corrected.”
Founded by Dr. Marisa Santos & Dr. Patrícia Cubells-Ricart