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Kahn et al., BioScience, 2020

The Jaw Epidemic: Recognition, Origins, Cures, and Prevention

Dental Space
Published 2020

Researchers from Stanford make a compelling case in this paper: human jaws are shrinking, and it's not because of our genes. The change has happened far too quickly — over centuries, not millennia — to be driven by evolution. Something about how we live is causing it.

The culprits they identify are surprisingly everyday: soft, processed diets that don't require much chewing, bottle-feeding instead of breastfeeding, and chronic mouth breathing. All of these reduce the physical forces that help a child's jaw grow to its full size. Humans are designed to have room for 32 teeth. Most of us don't.

The consequences aren't just cosmetic. A jaw that's too small means crowded teeth, impacted wisdom teeth, and a narrower airway — all connected, all stemming from the same problem. The good news is that the authors believe early intervention — helping children develop proper tongue posture, nasal breathing, and chewing habits — could prevent much of this epidemic before it starts.

Key Findings

  • Jaw shrinkage is far too rapid to be genetic — environmental and behavioural causes are primary.

  • Crooked teeth, impacted wisdom teeth, and constricted airways all stem from the same structural deficit.

  • Orofacial posture interventions in children may offer both clinical remedy and prevention.

Source

Kahn et al., BioScience, 2020

DOI: 10.1093/biosci/biaa073

Added to the Evidence Hub: 20 October 2025