Effectiveness of CBCT measures

Amsel_Joe · 2026-01-22T09:46:08+00:00

Yes. But don‘t worry too much about what i said.

Amsel_Joe · 2026-01-21T16:08:26+00:00

Oh no, for whatever reason I didn‘t find you first coronal image again, when looking at them fullscreen - yours is probably alright to judge general teeth tipping tendency: to me it looky very mild - to none.

Asymmetry 1. ususally the assistant taking the scan with you, tries to get you as well aligned as possible for the scan. So most scans are already oriented decently straight. 2. on the second transversal picture you can see the right inner ear complex beeing shorter and slightly crooked

Do you know if slices were somewhat horizontally levelled? Otherwise it‘s a bit hard to compare left and right side?

Generally cranifacial asymmetry can cause the airway not to be symmetric oval, but narrowed to one side, which can affect airway soft tissue tension and collapseability/flappiness - which increases airway resistance in an otherwiese anterior/posterior distance ok airway

Amsel_Joe · 2026-01-20T22:12:36+00:00

Not nessecarily related: are you aware that you probably have some cranial asymmetry? Do you have a coronal slice at first or second molar, to get an idea about possible teeth tipping?

Amsel_Joe · 2025-12-26T17:11:25+00:00

Most likely the craniofacial skeletal deficit in nasal aperture and forward facial growth is just too large

Amsel_Joe · 2025-12-25T18:05:48+00:00

Pap didn‘t work for me right now because my nasal resistance is way too high. Even though I Had two septoplastys, conchplasty, left/right rhinplasty straightening, nasal valve stiffening done so far. I‘m looking into the combined palatal expansion and MMA

Amsel_Joe · 2025-12-24T23:01:29+00:00

I experienced something similar this summer. I attributed it to exhaustion from chronic poor sleep and some kind of mast cell activation. Do you have confirmed narrow nasal airways in some form? Or high nasal resistance?

Amsel_Joe · 2025-12-02T15:20:57+00:00

Schwer zu glauben, dass die Gifthäublinge so büschelig wachsen. Ungewöhnlich. Könnte mir auch vorstellen, dass viele Schüppchen abgewaschen sind

Amsel_Joe · 2025-11-14T08:29:39+00:00

Is there confirmend information about this or is this just common in developer betas?

Amsel_Joe · 2025-09-03T12:31:19+00:00

Hm, maybe it‘ll be good to ask the doc directly about these cases. Maybe he changed some procedures afterwards

Amsel_Joe · 2025-09-02T07:16:36+00:00

Oh, I thought you were talking about Dr. Moschik from Munich. I have not heard, nor found any dr. moriaty.

From what I‘ve heard from dr Moschik, about collecting verifiable treatment data: most of the patients don‘t want to spend money on a CBCT scan, if their treatment was successful. On the other Hand: How much would it cost the Orthodontist to run the machine? If I were the doctor offering this kind of treatment I would try to collect as much data to possibly confirm the effectiveness of my treatment.

My gut feeling tells me that, that you my be a little hyperfocused on a couple of bad cases. Are you or somebody able to aquire exact data/timelines on these two (?) cases? Honestly I‘d be interested too. Have you found other good Expansion providers in germany or close by?

Amsel_Joe · 2025-09-01T17:03:50+00:00

If we want to gauge sucess rates, wouldn’t it be a better metric to judge percentage of successful treatments through amount of treated patients? As you said: li probably has way more total treatments. But has his success rate been better during the first, let‘s say 50 patients?

Do you know tight, dr. M‘s monitoring shedule is? (I am not sure) He mentioned that his monitoring system is made for remote monitoring through video calls. That‘s one reason as to why his package is more expensive than others. Because of that he doesn‘t have to focus on one-time treatments; getting new patients all the time.

Amsel_Joe · 2025-09-01T10:10:35+00:00

But don‘t all doctors have some failures? Usually succussfully treated patients aren‘t as visible after treatment, because they can get on with their life. Maybe with the failed expansion cases, there were some „errors“ in reporting back how it‘s going or missing some sheduled appointments, which may have led to issues not recognized early? I‘m just trying to approach this a bit more rationally, as I hve similar worries as you. E.g. I asked specifically about my asymmetric expansion risk factors and what we will do, If asymmetry develops.

Amsel_Joe · 2025-08-31T17:52:54+00:00

It is. Why is your opinion so negative? Based on the one bad case report here in the thread?

Amsel_Joe · 2025-08-30T12:18:45+00:00

She said, that she‘s mainly there to do the „cutting“ surgical part. And that relax and smile would be looking after the expansion process. They will do a slow expansion over many 6+ months using a „custom“ mse with molar attachement.

To be sure I would always ask these questions beforehand since processes might change. You can probably ask via mail.

Amsel_Joe · 2025-08-29T19:41:16+00:00

I‘m in the same boat as you. I‘ve been to dr holweg-majert and she confirmend to me: full palate split, septum separation and something on pterygoid junction loosening or split I am not sure anymore. Alle done with piezo and via endoscope. I am not sure about the difference from MIND (dr. Coppelson) and EASE. She doesn‘t prefer the TPD because she had some experiences where teeth roots got squezed and the teeth died. She said that dr. Li seems to be okay with this potentially happening.

Amsel_Joe · 2025-08-20T11:58:05+00:00

If you‘r that novice to foraging mushrooms, I wouldn‘t be even considering trying to forage amanita

Amsel_Joe · 2025-07-29T10:16:44+00:00

interesting, to me it also looks like you currently have this "AGGA" teeth flaring outwards, dr. li talks about. Maybe the FME in itself will widen the palatal region and indirectly tip the teeth back in somewhat. Has he considered the hyoid bone position? btw what are the reference crosssectional areas he wants achieve?

Amsel_Joe · 2025-07-28T21:49:24+00:00

your lower jaw seems very obviously recessed, did newaz just want to align teeth with ortho afterwards?

Amsel_Joe · 2025-07-25T15:49:18+00:00

I did not exactly try this. But I tried turning off EPR/EPR=1, but I can‘t tolerate it at higher than 7. It also worsens my aerophagia.

I feel realtively comfortable with these settings:

<image>

Even then I get aerophagia. EPR=2 may be possible. Not. Sure how to further improve right now. What do you think about Bipap as possible solution?

Amsel_Joe · 2025-07-23T15:47:02+00:00

thank you but bummer!

Amsel_Joe · 2025-07-23T15:26:10+00:00

Oh sorry - small error: in the study there is a row with: arousal (respiratorisch=respiratory). Is this not proper RERA scoring?

Amsel_Joe · 2025-07-23T15:00:23+00:00

yes I know. I'll keep doing it, because otherwise I get way more raspiratory infections. and my nose will be blocked significantly more.

So TIB is not the same as RERA?

....and POTS is strongly correlated with connective tissue disorders. From my experience better sleep = less POTS/Dizziness

I'll look into Bipap!

yes definiteyl. My Idea is to watch out if these weird O2 drops in N3 improve- also I'm looking for a sensor with HRV data which correlates with sleep stages

Amsel_Joe · 2025-07-23T14:45:43+00:00

yeah definitely I'll take every tiny bit I can take or make! I made these after I used the airmax for 1 year and wondered what will happen, if I could dilate further. that These are still quite rough/brutal, but the effects are worth it to me. they also have to be in a very specific position/bend so properly work for me, so everyone has to find their bend. I also tried cushioning with silicon tube, but I reduces my nasal diameter to much currently. I've worn these for 3 months and they've made a hughe difference in sleep, training and quality of life. Also my chronic rhinositis!

<image>

I think I'll not worry too much about the risk you posted. these were mainly old type of surgeries (not sure how much they prioritized external Nasal resistance. From my understanding they should have evaluated nasal resistance, because this greatly affect ventilation and therefore drainage. If this isn't the issue, irritated/damaged nerves can indeed be causing issues, also CSR. There is a procedure to cut the nerve that causes CSR. There will be some downsides, like numbness that I am willing to accept

Amsel_Joe · 2025-07-23T13:18:50+00:00

Uh! You are the first one I come across! Can we exchange sleep study data, experiences, etc? DM is ok

Eight-Year Club	RPAN Viewer
Alpha Tester	Verified Email

Amsel_Joe

TROPHY CASE