The diagnosis of pediatric sleep apnea is often missed due to lack of awareness, in association with micrognathia. While the dental specialist tends to focus on the facial especially in developing countries and is observed in patients with craniofacial anomalies, especially deformity and on the resultant malocclusion, attention must also be given to the associated respiratory and feeding problem. Proper and timely diagnosis with prompt intervention if not done tends to hamper the normal growth and development pattern of the child. In this case report two pediatric cases associated with sleep apnea are discussed, one having micrognathia secondary to temporomandibular joint ankylosis and the other with congenital micrognathia. The authors have discussed the management of these casesin different young age group patients with and without distraction osteogenesis along with the brief discussion of literature.
