TRIMAX HELP NEEDED (Severe class II case)

[snotdropper]

I'm hella confused where to even get started.

I got my cephs, and I'm confused on where to go from here.

I'm thinking of going with dr. valerio ramieri.

However, i need a CBCT for which i need a doctors note, and possibly sleep study?

I'm definitely qualifiable for a trimax, however my only good feature is a non-recessed maxilla.
I've heard mixed feedback on a BSSO + genio procedure, since I'd be doing almost no lefort advancement if done (as mentioned, my maxilla is fine, but my mandibula is fucked beyond all repair)

And then I need to orchestrate this with a local ortho that would do decompensation, yet I don't even know what the procedure is there. Who does the decomp. planning and when? Etc.

 

[2s2f]

bump

 

[czechpsl]

I'm thinking of going with dr. valerio ramieri.

bro knows the method

 

[Buterman]

nigga drop xrays or smt