The « patient casting »: a key decision in orthognathic surgery

Introduction: The surgical orthodontic patient is a patient whose management is specific. The success of this protocol goes beyond of the right indication and the control of the pre-surgical orthodontic preparation of the treatment. The coordination revolves around a multidisciplinary team, namely an orthodontist, a maxillofacial surgeon, a physiotherapist, a speech therapist, a general practitioner, etc. but also with the collaboration of a specialized psychotherapist.

Material and method: Does the ideal « patient » exist in orthognathic surgery? The decision criteria are morphological (occlusal, aesthetic and cephalometric) but also psychosocial.

Results: A new classification called « psychological » is proposed in this article.

Conclusion: This new classification can be considered as a key decision in the « casting » of the surgical orthodontic patient and represents a first basis for further investigations in this field.