I see. I guess I don't know enough about what qualifies someone for 'surgery first'.
From my understanding it's largely about the state of your teeth/how bad your current bite is. Truly bad bites that haven't had any orthodontic treatment, with crooked/crowded teeth aren't a candidate for surgery first.
I wonder why. In my head if you move your jaws forward by the same amount each then your bite is exactly as it was before, then you can get braces to fix your bite! I guess not though. And yeah, from what you say, it's basically a certainty that I wouldn't qualify either.
Tbh Idk though, different surgeons might say different things. Only way to know is by speaking to them and see what they say. This shit is stressful though.
The thing is that bimax movement are not 100% accurate, so the bite will not land exactly where its planned. If you go to insurance doctor he will say its a succes if its within 2-4 mm( i am not kidding, this is even a rule for a "failed bimax according to studies lol") if you go to a good surgeon he will be within 1-2 mm, peobably less then 1. But this small diffrence if you have crooked teeth then your bite might land weird on some teeth which creates a instability. many bimax cases needs bands or elastics to keep bite together for the first few weeks, but if it is terribly wrong occlusion this wouldnt work, especially crooked teeth. And without the bands and elastics the bite may shift and stay there
The only bad thing is that the orthos he is contact with is often international and not necessarily the best. And they usually more expensive. But you can allways find a prtho yourself and tell him to be in Contact with him, but the ortho need to have some experince in bimax cases and also know the technical tools
