so basically all surgeries that are done for the purpose of sleep apnea (most people have an ok bite) will destroy the bite. because braces are not common in that regard?
and any idea why the "surgery first approach" is so much more common in europe in comparison to the usa?
Are you are asking this question to GJ based on anything the OP (trandom) conveyed to you or GJ?
If so, trandom has reached the point where he is beyond help by the mods here. Posters reach the point where they are beyond help when they become over confident that that their thinking process is grounded on the right premise when the premise it's grounded on is actually faulty.
Note how GJ is having a hard time getting through to him about the need for braces. That's what happens when you get sucked into someones erroneous thinking process and let's face it, some people on this board would need a brain transplant to overcome the confusion they generate for themselves. From my perspective it's a futile endeavor if I see that type of pattern going on and being used to contend things based on belief systems that have nothing to do with how things work.
Trandom's premise here is that he actually BELIEVES he can take the visual proposal of one doctor and CHANGE it to apply to what A DIFFERENT doctor TOLD him.
https://imgur.com/a/2lnbao7"Right: 1st proposed plan
Left: I edited the photo in photoshop so that the bite stays the same, it's basically a simulation of how the plan is going to look if the bite is not being altered."
So, with that, he's basically PREDICTING that his photoshop change of what the PRIOR doctor did (correct his bite) reflects his outcome from ANOTHER doctor who told him he could do a surgery without changing his bite and without braces. Too hard to unbelieve that FOR someone. But his belief that his morph somehow predicted his outcome with an entirely different doctor (who told him he could do a surgery with no braces) was a faulty premise. Although the other doctor might be able to do a surgery that does not change his bite or require braces, the faulty premise is the expectation that altering one doctor's morph/plan is how the other doctor is going to make him look just because the other doctor told him he could do without braces. Like he's contending that in the total absence of a plan from the other doctor, running with it and butting horns with GJ where 'suddenly' after a period not to long ago of knowing little to nothing, he now knows enough to be countering GJ.
So, with that, we leave them to their own devices and thinking process when it just looks like it's going to be too hard to UNDO it or UNTHINK it FOR them which is what it's looking like with his interaction with GJ.
That said, GJ and I shall wait until the next doctor actually confirms that trandom's morph made from the prior doctor reflects what the next doctor can do without changing his bite and WITHOUT braces afterwards.
Surgery first is when the surgeon does the surgery and leaves it up to the ORTHO to decide what ortho work needs to be done after that and/or for the ortho to decide if they are candidate for surgery first. It's based on the teeth moving FASTER when the braces are put on right after a surgery where as when you put them on before a surgery, the braces take longer to position the teeth to where they want them to prepare for the surgery.