@Lazlo Have you seen
to RAOB? I think you give us too much credit in giving him business. He's pretty old, isn't he? Anyway, after reading some more my current thought is that bony movements really are the best hope for solving these issues.
It's a shame that Kufner LeFort is so infrequently used, we don't really know the riskiness of it because there haven't been enough reported cases and there aren't any surgeons who have it refined to the point that it can be done in volume. Any surgeons reading this? THIS is how you set yourself aside from the competition! I'm thinking now that with some tweaks to make the cuts at the right angles and BMP2 it could be done with long term aesthetic value. I don't get the need for the coronal incision but seems to me that it shouldn't be much more risky than implants, especially if biodegradable plates can be used.
Speaking of which, those seem to suffer from the same problem. Dr Turvy seems to be the only one giving them a shot and recently published a large case report of about 1000 patients showing they're as strong as titanium but surgeons still won't touch them with a ten foot pole.