Gunson doesn't do SARPE because he thinks it's old-fashioned (Wolford either), so there's that. If money's no issue, I'd at least consult with Gunson so that you get a decent idea about your case and what you need.
Wtf? Are you sure?
How on earth do they handle >1 cm transverse upper jaw deficiencies? Multipiece Lefort is only safe up to a MAX of 1 cm and my surgeon told me he wouldn't advise it for my case, especially given that I am a revision, as segmental LF1 can relapse slightly as the connective and scar tissue around the jaw contracts during healing.
Additionally, the complexity of doing a 2 or 3 piece LF1 while also rotating the jaws CCW and tilting them to one side to fix a cant/asymmetry all at once would be ridiculous. Very easy to misalign something or have bad blood supply when you're juggling up to three pieces in 3D and you're not straight impacting the whole structure either.
Sure you could say "that's what they're paid for", and maybe that's true, but I'm skeptical.
I'd rather not get SARPE if I don't have to. But I've researched this subject thoroughly and I'm not familiar with anyone doing anything else for 1 cm or more. Technically I have an 8 mm transverse deficiency, so maybe I could get away with it.
That would be incredible. It would save me 9 months of braces, tooth gap, gum recession, etc.!
Waiting for Wolford's secretary to let me know their booking dates. I think their office is still on vacation since no one is picking up. Now I'm really curious what he'll have to say.
