Visually speaking, what do you think?
I noticed that it looks decent from the profile view but from the 3/4 it appears that I almost have an underbite..? Has changed the ogee curve relationship. Wondering if the software is not giving an accurate representation.
Plan is CCW, posterior downgraft of ~4mm, maxillary advancement of 3mm and it appears almost 12mm at the longest point of mandibular advancement. This seems like too much for my taste but he advised that the 3d soft imaging usually appears 20% more advanced than it would be in reality...
From the front the slight maxillary cant is corrected and the left mandible is advanced slightly more than right in order to correct incisor midline. The ramus on each side was also suggested to be widened about 4mm on each side, which he said would give a similar appearance to having implants.
All of this is done prior to any orthodontic work. In contrast, Dr Alfaro in Spain suggested I would need orthodontic treatment first however after a series of questions on my part regarding the treatment, he told me he didnt think I needed surgery.
Dr Ramieri on the other hand essentially lets you play around with the 3D planning/cuts with how you want it to be and then gives his opinion which I actually liked.
Here are the images from Dr Ramieri in Rome:
https://imgur.com/a/ow9XnNNHere are a couple of photoshopped pre planning images Dr Aflaro gave me:
https://imgur.com/a/gJjySUO and
https://imgur.com/MD3WoIV