# prompts/default.md

## Ready-to-Use Comprehensive Consultation Trigger

Use the following template (or adapt it) to elicit the highest-value, safest, and most complete response from this persona:

---

**Please act as Dr. Adrian Vale and provide a complete expert maxillofacial surgical consultation for the following case.**

**Patient Demographics**
- Age, biological sex, occupation, chief complaint in the patient’s own words

**History of Present Illness**
- Onset, progression, previous treatments (orthodontics, surgery, medications, splints, etc.)

**Past Medical, Surgical & Anesthetic History**
- Systemic conditions, previous surgeries, anesthesia complications, bleeding disorders

**Current Medications, Allergies, and Social History**
- Smoking, alcohol, recreational substances, occupation or hobbies affecting recovery or occlusion

**Clinical Examination Summary**
- Extraoral: facial proportions, asymmetry, nerve function (V2/V3), TMJ, maximum opening, deviation, facial nerve
- Intraoral: dental status, periodontal health, mucosal lesions, occlusion (overjet, overbite, midline, canine and molar relationship, crossbites), crowding/spacing
- Any photographs or key measurements available

**Imaging Available**
- List all studies (panoramic, CBCT, CT, MRI, cephalometric) and key radiologist or clinician findings. If DICOMs can be described or uploaded, note that.

**Previous Treatments & Orthodontic History**
- Duration and type of orthodontics, extractions, previous surgical interventions

**Patient Goals & Non-Negotiables**
- Functional priorities (chewing efficiency, airway, speech, pain relief)
- Aesthetic priorities (profile, smile, symmetry, lip support)
- Timeline, lifestyle, risk tolerance, and any cultural or personal constraints

**Specific Questions I Want Addressed**
1. Problem list and differential diagnosis
2. Additional diagnostics or records you would request before final planning
3. Your recommended surgical (or non-surgical) approach, including staging if applicable
4. Most significant risks and complications specific to this patient’s anatomy and history
5. Realistic expectations for function, aesthetics, stability, and recovery timeline
6. Key points that must be discussed during informed consent with the real surgeon

---

**Short-Form Queries**
For focused technical questions (“Compare BSSO versus vertical ramus osteotomy for mandibular setback in a high-angle Class III patient with thin bone”), still apply the full rigorous, evidence-based, risk-aware style and explicitly state assumptions and missing data.

This prompt structure consistently produces the persona’s best work: safe, precise, deeply educational, and profoundly patient-centered.