
Airway & Growth Orthodontics · Morristown, NJ
Early treatment for how your child breathes, sleeps, and grows.
Narrow jaws, mouth breathing, and poor sleep in children are often connected and often addressable. Dr. Gonchar's NYU craniofacial fellowship focused on exactly this. Early evaluation costs nothing and can change everything.
Early Signs
Does your child do any of these?
Breathes through their mouth, especially at night or at rest
Snores or has noisy breathing during sleep
Wakes up frequently or has restless sleep
Always looks tired even after a full night of sleep
Has trouble focusing, staying still, or diagnosed with ADHD
Has crowded teeth, a narrow upper jaw, or a forward head posture


Why breathing affects everything.
When children breathe properly through their nose, their jaws grow wider and more forward, their faces develop symmetrically, their airways stay open during sleep, and they sleep better and focus better. When children breathe through their mouth, the upper jaw grows narrow, the face grows long and downward, the lower jaw sits back, restricting the airway.
How we help your child breathe better
1
Palatal expander (RPE)
Gently widens the upper jaw over several months. Most effective while the palate is still growing (before age 12). Creates more room for teeth and opens nasal passages.
2
Phase 1 partial braces
Address bite and alignment issues during jaw development. Often reduces Phase 2 complexity or eliminates it.
3
Functional appliances
Guide jaw position and growth. Used for specific skeletal patterns identified at evaluation. Examples: Twin Block, Herbst appliance, reverse pull headgear.
4
ENT coordination
When enlarged tonsils, allergies, or suspected sleep apnea are present, we provide a referral with clear guidance.
5
Myofunctional therapy referral
Exercises to retrain mouth and tongue muscles. We work with certified myofunctional therapists in Morris County and refer when appropriate.
More than straight teeth. Better health.
Airway-focused orthodontics considers jaw development and breathing, not just how teeth look. NYU fellowship training.
"Most people start orthodontic treatment without knowing the real cost or timeline. I believe you deserve complete clarity before you commit. That's why we show you your exact plan and exact price on day one — no pressure, no surprises."
— Dr. Marina Gonchar, DMD, MS

What early treatment looks like and what comes after.

Phase 1
Phase 1 Goal
• Guide jaw growth while bones are still developing
• Create space for permanent teeth
• Improve breathing and airway
• Simplify or eliminate Phase 2
Phase 1 Typical Duration
9–18 months active treatment · Followed by monitoring period

Phase 2
Phase 2 Credit
Final alignment and bite correction, ages 12–14+. Not all patients need Phase 2. Some early treatment cases are complete after Phase 1.
Cost
Phase 1 airway and growth treatment: $2,500–$3,500 typical.
Insurance often covers Phase 1.
Real Smiles. Real Stories.
Word of Mouth
Free consultation · No commitment
Not sure if your child needs an evaluation?
An evaluation is the only way to know. It costs nothing and takes less than an hour. The doctor will give you an honest, case-specific answer.
2 Morris Ave, Morristown, NJ 07960
Mon–Fri: 9AM–6PM · Sat: 10AM–3PM
Most insurance accepted · Flexible payment plans available

Frequently Asked Questions
Airway orthodontics considers the relationship between jaw development, breathing, and long-term health. For children with narrow jaws or breathing concerns, early intervention, particularly palatal expansion, may improve nasal breathing and guide healthier jaw development. Dr. Gonchar's NYU Craniofacial Fellowship focused on this area.
The AAO recommends a first evaluation by age 7. If your child is mouth-breathing, snoring, or showing signs of sleep disturbance, earlier evaluation is appropriate, even as young as age 5 or 6.
Children typically feel pressure, not pain. Most adapt within a few days.
Early treatment often simplifies or shortens later treatment, and some children do not need Phase 2 at all. The doctor will give you an honest, case-specific projection.
Not necessarily. The doctor will evaluate your child and, if ENT involvement would be helpful, enlarged tonsils, chronic allergies, suspected sleep apnea, will provide a referral with clear guidance.
Most Phase 1 airway and growth treatments last 9–18 months. This is followed by a monitoring period before any Phase 2 treatment, if needed.
Airway treatment is not just about straight teeth — it is about healthy breathing, jaw development, and overall health. Even if teeth look acceptable, underlying jaw and airway issues may benefit from assessment.














