The Smile Center, Virginia Beach

09/28/2026

Thank you for your patience today! We are all back up. Sorry for any inconvenience.

09/28/2026

Attention Patients! Our power is partially out. Including phones, internet and our compressors so we cannot work. We are trying to divert phone but please send texts if you need us.

08/30/2026

Happy Sunday! Parents!! Please read this and ask Dr. Frey how we can help

https://m.facebook.com/story.php?story_fbid=1717522853713750&id=100063681544796

What should a GP ask when a child presents with behavioural or attention problems?

Before assuming that every behavioural problem is purely behavioural, I think there is one simple area that deserves more attention:

Sleep.

Children with sleep-disordered breathing (SDB) can present with symptoms including:

• Inattention
• Hyperactivity
• Irritability
• Poor concentration
• Emotional dysregulation
• Learning difficulties
• Behavioural problems

These symptoms can overlap considerably with other childhood conditions.

So when I see a child with significant behavioural or attention difficulties, I think there are some simple questions worth asking.

1. Does the child regularly snore?

Not just occasionally during a cold.

Regular or habitual snoring deserves attention.

2. Does the child breathe through their mouth?

Especially during sleep.

Persistent mouth breathing may indicate nasal obstruction.

3. Is the child’s sleep restless?

Do they move constantly, change position frequently or sleep with their neck extended?

4. Has anyone noticed breathing difficulties during sleep?

Pauses, gasping, choking or obvious increased work of breathing are important clues.

5. Does the child have chronic nasal obstruction?

Think about:

allergic rhinitis + enlarged adenoids + turbinate hypertrophy + chronic congestion.

6. Does the child have significant daytime symptoms?

Poor concentration, hyperactivity, irritability, fatigue, morning headaches or declining school performance can all be relevant.

None of these questions diagnoses sleep-disordered breathing.

But they can identify children who deserve a more detailed assessment.

And importantly, I don’t think this should become:

“Every child with ADHD needs a sleep study.”

That’s not the message.

The message is:

Don’t forget sleep when assessing behaviour.

A child can have ADHD.

A child can have sleep-disordered breathing.

And a child can have both.

The important thing is to recognise when sleep may be contributing to the clinical picture.
To learn more, visit:

training.airwaybreathingacademy.com

Dr David McIntosh
ENT Surgeon
Paediatric ENT | Sleep-Disordered Breathing | Airway

08/13/2026

Wondering if Invisalign is right for you? Think your teeth are “too bad” for Invisalign? Check out this case Dr. Frey completed! Not only does it look great, but the patient can chew, brush and breathe better! Call today for a free consultation!!

08/11/2026

🚨 Technical Difficulties 🚨

We’re currently experiencing technical issues that have affected our phone system. If you’ve been trying to reach us, we promise we’re not ignoring you!

Our team is working to get everything back up and running as quickly as possible. We appreciate your patience and understanding while we get things resolved.

Thank you for hanging in there with us—we’ll post an update as soon as our phones are back online! 💙

— The Smile Center

07/31/2026

Such a fun time playing shuffleboard with the best dental team around!

07/30/2026

07/20/2026

What a weekend! Cant wait to come back and help our patients after learning from the best!

07/04/2026

Wishing everyone a happy Independence Day! 250 years and counting! 🎆🇺🇸

06/18/2026

A bold banner of celebration is tradition here at The Smile Center so please join me in congratulating Rebecca on 20 years of employment! She is THE Disney Princess of hygiene and an extremely valued member of our team. She always takes excellent care of our patients and makes even the most anxious patient comfortable. We are so grateful to Rebecca!!