Sorry Kavan just seeing your reply now. Yes that may be the case since suregery first is not as prelevant in North America. I did ask Ramieri if he could provide a list of orthos in Canada that have worked with him but he said he doesn't know any orthos in Canada. How much does the choice of orthodontist usually matter in terms of the final results?
Also are there any Canadian jaw surgeons that you would recommend? I rarely see before/after photos from Canadian suregons and the ones that I have seen don't look aestethic at all.
Well, the orth and surgeon need to work as a team. So, an ortho might be good in his own right but there might not be the team work that's needed to stream line the communication between the ortho and the surgeon. So, you would need to ask the surgeon about any potential glitches with that prospect.
As a matter of course, I don't give recs for surgeons. So best to put out a separate 'feeler' for those on here who might give some suggestions.