Obstructive sleep apnea in pediatric dentistry is increasingly recognized as a critical area for early intervention. This condition, marked by periodic airway obstruction during sleep, disrupts normal sleep cycles, impacting children's growth, cognitive function, and overall health. Pediatric dentists play an essential role in the multidisciplinary approach to OSA diagnosis and management, identifying craniofacial risk factors, assessing airway health, and coordinating with other healthcare providers. Key components include understanding the pathophysiology of OSA, exploring anatomical and behavioral contributors, and implementing dental appliances or therapies that can improve airway patency. Addressing OSA in early stages not only enhances sleep quality but also promotes better developmental outcomes, underscoring the significance of OSA-focused research and care within pediatric dental practices.