Enjoy that straight smile feeling
Specialist orthodontics for all
Specialist orthodontics for all
Your trusted orthodontist in Amersham
If you’re looking for a 5* rated highly experienced specialist orthodontist near you in Amersham, our world renowned team offer stunning results at competitive prices.
Our orthodontic and dental team has a wealth of knowledge and have helped transform the smiles, lives and confidence for thousands of children, teens and adults from Amersham, Buckinghamshire and beyond.
Courses or Mentoring by Dr Decker
If you are interested in our courses on 1 to 1 mentoring with Dr Decker, please write to Emily at courses@theorthodonticspecialist.co.uk.
Shortly: Because aligners only work while they’re in.
They apply gentle, constant pressure to move teeth step by step.
If you don’t wear them enough:
→ the movement stops
→ teeth can shift back
→ treatment takes longer (or doesn’t track properly)
👉 Consistency is what makes the biology work.
Simple rule:
~20–22 hours a day = predictable results
Less wear = unpredictable movement
🎹 Comment CHECKLIST to get access to our airway checklist
🧠 Dentists & Orthos — comment ACADEMY to learn more
📥 Save this post to refer back to
✅ Tag a parent who needs to see this
Dr Steffen decker and team 🙌✌️
#orthodontist #orthodonticspecialist #drsteffendecker #crookedteeth #aligners
📸 Meet Child 2
From an airway-aware lens, here’s what we see:
✅ Mouth open and mouth breather
✅ Buck teeth
✅ Long face shape
✅ Flat cheeks
✅ Lips don’t seal naturally
✅ (Likely) low tongue posture
✅ Head forward posture
✅ Tension in chin muscles
(even with mouth open)
✅ Outer corners of eyes lower than inside corners
💡 These are often signs of mouth breathing and poor jaw development.
⸻
Why does this happen?
👄 Mouth breathing
👃 Nasal obstruction
👅 Low tongue posture
🦷 Underdeveloped jaws
🧠 Sleep-disordered breathing
💤 Disrupted growth and development
These patterns don’t just appear — they develop silently over time if the root causes are missed.
⸻
👁 Red flags to watch for in your child’s face:
❌ Mouth open at rest
❌ Dry, cracked lips
❌ Snoring or noisy breathing
❌ Crooked teeth by age 6–7
❌ Delayed speech
❌ Tired look / dark under-eyes
❌ Long face or weak chin
❌ Frequent colds or sinus issues
❌ Daytime fatigue or hyperactivity
❌ Bedwetting past age 5
⸻
🛠️ How we help:
• Palatal expansion (RME, etc.)
• Aligners, braces or hybrid approach
• Myofunctional therapy (in-house or referral)
• Functional appliances
• Growth tracking (cephs, 3D scans, clinical exams)
• ENT collaboration where needed
⸻
👶 Your child’s face is full of clues.
Don’t ignore them.
🌱 Early intervention isn’t about rushing treatment — it’s about gently guiding growth in the right direction.
😍 Comment CHECKLIST:
🧠 Dentists & Orthos — comment ACADEMY to learn more
📥 Save this post
📤 Share with a parent
📩 DM us to book an airway-friendly ortho screening
#orthodonticspecialist #MouthBreathing #MyofunctionalTherapy #crookedteeth #drsteffendecker PediatricOrthodontics TongueTie SnoringInKids Orthotropics FaceClues orthodontist orthodonticspecialist InterceptiveOrthodontics MouthOpenAtRest CrookedTeeth AirwayHealth drsteffendecker mouthbreather tonsils
Is your child always like this? 👀
Tired eyes. Open mouth. Crooked teeth.
What if it’s not just “how they are” — but signs of something deeper?
📸 Meet Child 1
From an airway-aware lens, here’s what we see:
✅ Mouth open at rest
✅ Buck teeth & crowding
✅ Long face shape
✅ Flat cheeks
✅ Lips don’t seal naturally
✅ (Likely) low tongue posture
💡 These are often signs of mouth breathing and poor jaw development.
⸻
Why does this happen?
👄 Mouth breathing
👃 Nasal obstruction
👅 Low tongue posture
🦷 Underdeveloped jaws
🧠 Sleep-disordered breathing
💤 Disrupted growth and development
These patterns don’t just appear — they develop silently over time if the root causes are missed.
⸻
👁 Red flags to watch for in your child’s face:
❌ Mouth open at rest
❌ Dry, cracked lips
❌ Snoring or noisy breathing
❌ Crooked teeth by age 6–7
❌ Delayed speech
❌ Tired look / dark under-eyes
❌ Long face or weak chin
❌ Frequent colds or sinus issues
❌ Daytime fatigue or hyperactivity
❌ Bedwetting past age 5
⸻
🛠️ How we help:
• Palatal expansion (RME, etc.)
• Aligners, braces or hybrid approach
• Myofunctional therapy (in-house or referral)
• Functional appliances
• Growth tracking (cephs, 3D scans, clinical exams)
• ENT collaboration where needed
⸻
👶 Your child’s face is full of clues.
Don’t ignore them.
🌱 Early intervention isn’t about rushing treatment — it’s about gently guiding growth in the right direction.
📥 Save this post for reference
📤 Share with a parent who needs this
📩 DM us to book an airway-friendly orthodontic screening
#adenoidface #MouthBreathing #MyofunctionalTherapy #orthodonticspecialist #drsteffendecker
Orthodontics didn’t begin in the teenage years.
It began in infancy.
Teeth are the last domino to fall.
The earlier we notice breathing, the easier growth becomes.
If something feels off — trust that instinct.
🛠️ How we help:
• Palatal expansion (RME, MARPE, etc.)
• Aligners, braces or hybrid approach
• Myofunctional therapy
• Functional appliances to guide growth
• Cephs, 3D scans + clinical growth tracking
• ENT collaboration when needed
👶 Your child’s face is full of clues.
Don’t overlook them.
🌱 Early intervention isn’t about “doing braces early” — it’s about gently guiding growth while the body is still adaptable.
📥 Save this post to refer back to
📤 Share with a parent who needs to see this
🧠 Dentists & Orthos — comment ACADEMY to learn more
📩 DM us to book an orthodontic screening
Video credit to @lifeicle
#drsteffendecker #MouthBreathing #MyofunctionalTherapy #orthodonticspecialist #crookedteeth InterceptiveOrthodontics CrookedTeeth PediatricOrthodontics EarlyIntervention Orthotropics AirwayHealth drsteffendecker
orthodonticspecialist orthodontist airwaydentistry airwayorthodontics sleepdisorders orthodontist sleepdisorderedbreathing sleepapnea
On the left: A child with ideal facial growth.�On the right: A child with signs of disrupted development.
🧠 These aren’t just cosmetic differences — they tell a story.
Let’s look closer 👇
🔻 Retruded chin�💋 Lip incompetence (lips don’t seal naturally)�📏 Long face syndrome�🦷 Small, underdeveloped jaws�👃 Flattened midface�😬 Mentalis strain (chin muscle working hard to keep lips closed)�🌑 Dark circles under the eyes�📈 Vertical growth instead of forward growth
❓What causes this?
Most often, it’s not genetics.�It’s function — or lack of it:
👄 Mouth breathing�👃 Nasal obstruction�👅 Low tongue posture (possibly due to tongue tie)�🦷 Poor jaw development�💤 Sleep-disordered breathing�😮💨 Airway compensation patterns
These changes develop slowly, silently… over time.
👁 Red flags parents should never ignore:
❌ Mouth open at rest�❌ Crowded teeth by age 6–7�❌ Snoring or noisy breathing�❌ Flat cheeks, tired eyes�❌ Dry lips or cracked corners�❌ Long face or weak jawline�❌ Daytime fatigue or hyperactivity�❌ Bedwetting beyond age 5
🛠️ How we help:
• Palatal expansion (RME, MARPE, etc.)�• Aligners, braces or hybrid approach�• Myofunctional therapy�• Functional appliances to guide growth�• Cephs, 3D scans + clinical growth tracking�• ENT collaboration when needed
👶 Your child’s face is full of clues.�Don’t overlook them.
🌱 Early intervention isn’t about “doing braces early” — it’s about gently guiding growth while the body is still adaptable.
📥 Save this post to refer back to�📤 Share with a parent who needs to see this�📩 DM us to book an airway-friendly orthodontic screening
#drsteffendecker #MouthBreathing #MyofunctionalTherapy #TongueTie #orthodonticspecialist InterceptiveOrthodontics CrookedTeeth PediatricOrthodontics EarlyIntervention Orthotropics AirwayHealth drsteffendecker
orthodonticspecialist orthodontist airwaydentistry airwayorthodontics sleepdisorders orthodontist sleepdisorderedbreathing sleepapnea
Most parents are told to wait and see.
But in orthodontics…
👉 waiting often means missing the window where growth can be guided
We’re not just looking at teeth.
We’re looking at:
• how your child breathes
• how their jaws develop
• how they sleep
• how their face grows
Because crowded teeth are often just a symptom — not the cause.
👉 The best time to assess? ASAP!
If your child:
• mouth breathes
• snores
• has crowded teeth
• struggles with sleep
…it’s worth checking early.
✅Tag a parent who needs to see this
🤓 Comment CHECKLIST to get our free airway red flag guide
🧠 Dentists & Orthos — comment ACADEMY to learn more
📩 DM us to book your orthodontic screening
⚠️ Adult ortho @asura.longevity.dentistry
🧠 Dentists & Orthos — comment ACADEMY to learn more
Dr. Decker The Orthodontic Specialist 💜
#drsteffendecker #MouthBreathing #jawsurgery #marpe #palatalexpender InterceptiveOrthodontics CrookedTeeth PediatricOrthodontics EarlyIntervention Orthotropics AirwayHealth drsteffendecker
orthodonticspecialist orthodontist airwaydentistry airwayorthodontics sleepdisorders orthodontist sleepdisorderedbreathing sleepapnea
👁 Red flags to watch for in your child’s face:
❌ Mouth open at rest
❌ Dry, cracked lips
❌ Snoring or noisy breathing
❌ Crooked teeth by age 6–7
❌ Delayed speech
❌ Tired look / dark under-eyes
❌ Long face or weak chin
❌ Frequent colds or sinus issues
❌ Daytime fatigue or hyperactivity
❌ Bedwetting past age 5
⸻
🛠️ How we help:
• Palatal expansion (RME, etc.)
• Aligners, braces or hybrid approach
• Myofunctional therapy (in-house or referral)
• Functional appliances
• Growth tracking (cephs, 3D scans, clinical exams)
• ENT collaboration where needed
⸻
👶 Your child’s face is full of clues.
Don’t ignore them.
🌱 Early intervention isn’t about rushing treatment — it’s about gently guiding growth in the right direction.
🎹 Comment CHECKLIST to get access to our airway checklist
🧠 Dentists & Orthos — comment ACADEMY to learn more
📥 Save this post to refer back to
✅ Tag a parent who needs to see this
#newparents #breastfeeding #crookedteeth #mouthbreathing #orthodonticspecialist drsteffendecker
Orthodontics doesn’t “treat” the ear infection itself, but it can help with the underlying jaw and airway issues that sometimes make a child more prone to frequent ear infections.
When the jaw and upper palate are narrow or under‑developed, nasal airflow can be restricted and the Eustachian tubes (which connect the middle ear to the back of the nose/throat) may not drain or ventilate properly, raising the risk of fluid buildup and recurrent infections.
A narrow upper jaw can reduce nasal space, leading to mouth breathing and chronic congestion, which are linked with more ear infections and sinus issues.
Orthodontic‑driven widening (like early rapid maxillary expansion) can improve nasal airflow and jaw posture, which may help mouth breathing, snoring, and sometimes ear‑infection frequency in select children.
Orthodontists don’t replace ENTs, but they can screen for red‑flag signs (narrow palate, mouth breathing, snoring, bedwetting….) and help coordinate care when recurrent ear infections and facial growth seem linked.
👁 Red flags to watch for in your child’s face:
❌ Mouth open at rest
❌ Dry, cracked lips
❌ Snoring or noisy breathing
❌ Crooked teeth by age 6–7
❌ Delayed speech
❌ Tired look / dark under-eyes
❌ Long face or weak chin
❌ Frequent colds or sinus issues
❌ Daytime fatigue or hyperactivity
❌ Bedwetting past age 5
⸻
🛠️ How we help:
• Palatal expansion (RME, etc.)
• Aligners, braces or hybrid approach
• Myofunctional therapy (in-house or referral)
• Functional appliances
• Growth tracking (cephs, 3D scans, clinical exams)
• ENT collaboration where needed
⸻
👶 Your child’s face is full of clues.
Don’t ignore them.
🌱 Early intervention isn’t about rushing treatment — it’s about gently guiding growth in the right direction.
🎹 Comment CHECKLIST to get access to our airway checklist
🧠 Dentists & Orthos — comment ACADEMY to learn more
📥 Save this post to refer back to
✅ Tag a parent who needs to see this
For video credit, please DM 🙌
Dr Deckers and team
#earinfection #orthodonticspecialist #crookedteeth #mouthbreathing
👁 Red flags to watch for in your child’s face:
❌ Mouth open at rest
❌ Dry, cracked lips
❌ Snoring or noisy breathing
❌ Crooked teeth by age 6–7
❌ Delayed speech
❌ Tired look / dark under-eyes
❌ Long face or weak chin
❌ Frequent colds or sinus issues
❌ Daytime fatigue or hyperactivity
❌ Bedwetting past age 5
⸻
🛠️ How we help:
• Palatal expansion (RME, etc.)
• Aligners, braces or hybrid approach
• Myofunctional therapy (in-house or referral)
• Functional appliances
• Growth tracking (cephs, 3D scans, clinical exams)
• ENT collaboration where needed
⸻
👶 Your child’s face is full of clues.
Don’t ignore them.
🌱 Early intervention isn’t about rushing treatment — it’s about gently guiding growth in the right direction.
🧭 Adult orthodontics,sleep& airway health @asura.longevity.dentistry
🎹 Comment CHECKLIST to get access to our airway checklist
🧠 Dentists & Orthos — comment ACADEMY to learn more
📥 Save this post to refer back to
✅ Tag a parent who needs to see this
#dentaltrauma #MouthBreathing #biteproblem #EarlyIntervention #rootdamage PediatricOrthodontics TongueTie SnoringInKids Orthotropics FaceClues orthodontist orthodonticspecialist InterceptiveOrthodontics MouthOpenAtRest CrookedTeeth AirwayHealth drsteffendecker mouthbreather tonsils suture bonegrowth rme
💬 Got questions about expansion, sutures, healing or retention?
Drop them in the COMMENTS — I’ll answer everything.
👁 Red flags to watch for in your child’s face:
❌ Mouth open at rest
❌ Dry, cracked lips
❌ Snoring or noisy breathing
❌ Crooked teeth by age 6–7
❌ Delayed speech
❌ Tired look / dark under-eyes
❌ Long face or weak chin
❌ Frequent colds or sinus issues
❌ Daytime fatigue or hyperactivity
❌ Bedwetting past age 5
⸻
🛠️ How we help:
• Palatal expansion (RME, etc.)
• Aligners, braces or hybrid approach
• Myofunctional therapy (in-house or referral)
• Functional appliances
• Growth tracking (cephs, 3D scans, clinical exams)
• ENT collaboration where needed
⸻
👶 Your child’s face is full of clues.
Don’t ignore them.
🌱 Early intervention isn’t about rushing treatment — it’s about gently guiding growth in the right direction.
🎹 Comment CHECKLIST to get access to our airway checklist
🧠 Dentists & Orthos — comment ACADEMY to learn more
📥 Save this post to refer back to
✅ Tag a parent who needs to see this
#AirwayOrthodontics #MouthBreathing #MyofunctionalTherapy #EarlyIntervention #HolisticDentistry PediatricOrthodontics TongueTie SnoringInKids Orthotropics FaceClues orthodontist orthodonticspecialist InterceptiveOrthodontics MouthOpenAtRest CrookedTeeth AirwayHealth drsteffendecker mouthbreather tonsils suture bonegrowth rme
Palatal expansion is an orthodontic treatment that gently widens the upper jaw (maxilla).�It’s used when the palate is too narrow for the teeth, tongue, or airway.
Why it matters (beyond straight teeth)
The roof of the mouth is also the floor of the nose.
�When we widen the palate, we often also can improve:
* 🌬️ Nasal breathing
* 😴 Sleep quality
* 👅 Tongue posture (tongue fits up, not down/back)
* 📐 Facial growth & symmetry
* 🧠 Nervous system regulation (less airway stress)
Common reasons to expand
* Crowded or overlapping teeth
* Crossbite (upper teeth biting inside lower teeth)
* Mouth breathing or chronic nasal congestion
* Snoring / sleep-disordered breathing
* Narrow smile, high arched palate
* Relapse after braces
* Associated issues like retained primitive reflexes, poor posture, or low tongue tone
https://pubmed.ncbi.nlm.nih.gov/39954405/
https://pmc.ncbi.nlm.nih.gov/articles/PMC12840208/
✅ Tag a parent who needs to see this�🤓 Comment CHECKLIST to get our free airway red flag guide
🧠 Dentists & Orthos — comment ACADEMY to learn more
�📥 Save this post for later�📩 DM us to book your child’s airway-friendly orthodontic screening
– Dr. Decker & the holistic team 💜
#RME #crookedteeth #MyofunctionalTherapy #palatalexpansion #drsteffendecker InterceptiveOrthodontics CrookedTeeth PediatricOrthodontics EarlyIntervention Orthotropics AirwayHealth orthodontist highpalate braces orthodonticspecialist
Palatal expansion is an orthodontic treatment that gently widens the upper jaw (maxilla).�It’s used when the palate is too narrow for the teeth, tongue, or airway.
Why it matters (beyond straight teeth)
The roof of the mouth is also the floor of the nose.
�When we widen the palate, we often also can improve:
* 🌬️ Nasal breathing
* 😴 Sleep quality
* 👅 Tongue posture (tongue fits up, not down/back)
* 📐 Facial growth & symmetry
* 🧠 Nervous system regulation (less airway stress)
Common reasons to expand
* Crowded or overlapping teeth
* Crossbite (upper teeth biting inside lower teeth)
* Mouth breathing or chronic nasal congestion
* Snoring / sleep-disordered breathing
* Narrow smile, high arched palate
* Relapse after braces
* Associated issues like retained primitive reflexes, poor posture, or low tongue tone
https://pubmed.ncbi.nlm.nih.gov/39954405/
https://pmc.ncbi.nlm.nih.gov/articles/PMC12840208/
✅ Tag a parent who needs to see this�🤓 Comment CHECKLIST to get our free airway red flag guide
🧠 Dentists & Orthos — comment ACADEMY to learn more
�📥 Save this post for later�📩 DM us to book your child’s airway-friendly orthodontic screening
– Dr. Decker & the holistic team 💜
#palatalexpansion #crookedteeth #MyofunctionalTherapy #TongueTie #drsteffendecker InterceptiveOrthodontics CrookedTeeth PediatricOrthodontics EarlyIntervention Orthotropics AirwayHealth orthodontist highpalate braces orthodonticspecialist
Why choose The Orthodontic Specialist
- Top 1% Apex Invisalign Provider 2021-2023
- World No.1 Lingual Incognito Provider 2017
- Over 130 5* Google reviews
- International speaker and KOL
- Unrivalled specialist orthodontic expertise
- Competitively priced excellence
- 1st and only Kois Recognized Ortho Specialist
- 0% finance options available
- Superb state-of-the-art practice
- Family-friendly, welcoming environment
- Over 120 5* Google Reviews
- Unrivalled specialist orthodontic expertise
- Highly qualified and experienced team
- Superb state-of-the-art practice
- Exceptional level of treatment and care
- Competitevely priced excellence
- 0% finance options available
- Family-friendly, welcoming environment
Our philosophy
In this video, Dr Steffen Decker, gives an insight into the philosophy at the heart of our practice and all we do.
Patient Testimonial
See our fantastic range of treatments
At ASURA – Longevity Dentistry, through our collaboration with The Orthodontic Specialist, we support early, prevention-focused guidance for children to optimise growth and airway development, while delivering precise, restorative and corrective solutions for adults.
Together, we integrate prevention and correction within a longevity framework — protecting function, enhancing facial harmony, and supporting sustainable health at every stage of life.
Orthodontic referrals
We are more than happy to take referrals from our dental colleagues at other practices. Please get in touch to find out how we can benefit you and your patients with our specialist experience, knowledge and skills.
World-class expertise
Our Practice Principal, Dr Steffen Decker, is one of the world’s leading Clear Aligner and lingual orthodontists and is well-renowned figure in his field.
He has been awarded World No. 1 Lingual Incognito Provider 2017 and he belonged to the Top 1% Apex Invisalign Providers 2021-2023 in Europe, Middle East and North Africa and to the Align Global Faculty. He is the First and only Kois Recognized Specialist in the UK. He is KOL and teaching worldwide.
Our superb modern orthodontic clinic near you
Our stunning practice is as comfortable and welcoming as it looks. Throughout we are trying to tell a story, so that our patients feel comfortable. We have all the latest equipment and facilities available to offer you the very best in orthodontics and children’s dentistry.
