26 Week AGGA X-Rays

Finally, some x-rays. In this post I will share radiographic images taken 26 weeks into my AGGA treatment.

AGGA has been hotly debated for the past several months and the People have demanded radiographic proof of its safety and efficaciousness. My own x-rays shared below are further evidence that should be considered in the ongoing AGGA discussions. 

Dr. Leonard Kundel took the "before" x-rays on October 5, 2017. At this appointment he also took a mold for my AGGA appliance, which would arrive from the lab about a month later.

Dr. Kundel took the "26 Weeks into Treatment" x-rays on May 10, 2018 at my most recent appointment. 

My AGGA X-Rays

The following two x-rays are unedited. The head position you see is exactly the way the conebeam x-ray machine recorded it. You will note a significant change in my head posture in the "26 weeks" photo.

The x-rays are juxtaposed with my before/after side profile photos just below them.

Below I have adjusted the tilt of the "26 Weeks into Treatment" photo in an effort to hold certain cranial landmarks constant in order to emphasize any changes that have occurred in the jaws and face. 

This following GIF is my best attempt to align the before/after x-rays in order to emphasize any facial growth and remodeling that has occurred.

And thanks to MigraineHacks community member "seii" who created the GIF of my side profile photos just below it. 



Dr. Kundel's brand new, high-tech conebeam x-ray machine (which he told me cost over $100,000!) has built in software which produced the following analysis of my airway. Already my airway has increased in volume from 56mm2 to 91mm2.

The multicolored columns in the above x-rays are airway indicators. The reddish kinks in the throat indicate restrictions. In my "before" x-ray the red kink is severe. In my "26 weeks" x-ray the kink is significantly improved but "still in the red," according to Dr. Kundel.

Dr. Mew's X-Ray Warning

In a message to me back in March Dr. John Mew warned that “in my experience X-rays are misleading as the bones remodel making the 'landmarks' unreliable so they disguise what actually happens.” 

He continued, adding that “it worries me that so many clinicians consider that X-rays will give them an idea of what is happening inside the skull [throughout the process of facial redevelopment]. When the inter-cranial bones move they also remodel and so the landmarks move too. This of course means that we don't really know what happens.”

Keep this in mind as you attempt to analyze these x-rays for yourself. 

My Analysis of the X-Rays

I will remind readers that I am a patient not a dentist (although I was recently admitted to dental school) and therefore am unable to provide an authoritative analysis of the above images.

Do they show bone growth? Teeth flaring? Some good changes? Some bad changes? All of the above? I don't know, but Dr. Kundel is confident enough in the results so far to post the x-rays to his Facebook page.

No doubt that the MigraineHacks readers will take analysis into their own hands! I invite you to do so in the comments section below.

Treatment Status Update

As you know, I have not had an AGGA adjustment since March 28th (and even that was just a partial adjustment). At that time Dr. Kundel decided to pump the brakes on my AGGA due to concerns that expansion was happening too quickly in my case.

Well, at my last appointment on May 10 Dr. Kundel decided it would be best to wait an additional 2 months before making another AGGA adjustment. That means my treatment will involve an almost 3-month "pause" period during which time I wear AGGA without it being tuned to stimulate growth. This period will be spent giving my body a chance to adjust to the rapid movement already caused by AGGA.

Specifically it is meant to give the bone around my front teeth a chance to catch up and rebuild in light of the tremendous change that has occurred in that area. It is a countermeasure to the tilting of the incisors highlighted in prior posts.

So it will be a while until I see any more changes in facial growth/remodeling. It is unlikely that during this downtime I will continue to do bimonthly photo updates as I have since the beginning of AGGA treatment. I may cut back to once a month until my next adjustment.

This may give me an opportunity to address other topics I've been meaning to get to such as my recent fronto-temporal migraine surgery which was a follow-up to my hugely successful occipital migraine surgery back in December. 



Ronald Ead28 Comments