The second consultation is scheduled 2 to 3 weeks after the first one. During this period the patient’s medical condition is analyzed and the treatment plan is compiled.
During this consultation an individual treatment plan is presented to the patient, and treatment specificity, risk, and possible complications are discussed in detail. In addition, an alternative non-surgical treatment plan is considered – once the treatment is started it may be impossible to make changes or reverse the procedure.
Single or Double Jaw Surgery?
This decision is based on the dental occlusion, the airway passage and the facial diagnosis. Patients with a distal bite and a normal position of the upper jaw often benefit from the lower jaw advancement surgery. Patients with mesial bite, in most cases, need double jaw surgery (the isolated advancement of the upper jaw would move the midface too far forward, whereas, an isolated setback of the lower jaw would cause a receding facial profile and reduce the airway). Open bite is most usually corrected with double jaw segmental surgery. During this operation both jaws are re-oriented so that the airway, occlusion and facial profile benefit from the surgery.
The decision for the number of jaws upon which to operate must be made before the onset of treatment because the orthodontic preparation is determined by this decision.
General Medical Condition
During the second consultation the patient is requested to disclose all health disorders and the results of recent medical examinations. In advance of the onset of treatment the surgeon must have knowledge of all the patient’s serious health disorders which may be contraindication for surgery.