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Special Clinics
Kluge Children's Rehabilitation Center Dental Clinic
Kluge Children's Rehabilitation Center Dental Clinic provides comprehensive dental care to pediatric inpatients and outpatients.
Children's Specialty Services
The Department of Dentistry currently provides the services of an orthodontist to the Craniofacial Clinic with Plastic & Maxillofacial Surgery. Dental care is part of the comprehensive treatment plan for this patient population. Follow-up dental care generally accomplished through the Kluge Childrens Rehabilitation Center and may consist of:
- Routine hygiene and restorative procedures in preparation for
orthodontic and surgery treatment.
- Feeding obturators and orthopedic appliances for infants.
- Post-orthodontic prosthodontics.
The University of Virginia Health System Department of Dentistry is a referral source for routine care of these patients because:
- Cleft lip/cleft palate and other facial deformities are often
difficult to anesthetize in the oral regions of their defects, and
teeth adjacent to these areas are frequently congenitally malformed and
secondarily decayed.
- Cleft lip/cleft palate and other facial deformities patients
frequently present as behavior management problems owing to the above
and general anxieties associated with health care personnel borne from
previous surgeries. Many require sedation or general anesthesia to
accomplish their dental treatment, the availability of which is limited
in the Southwestern area of Virginia, particularly among indigent
populations.
- Cleft lip/cleft palate patients generally possess associated malocclusions which require orthodontic and oral surgery support integrated with routine dental care.
Tumor Board
The Department of Dentistry participates in the Head and Neck Cancer Tumor Board. This involvement in the care of head and neck patients with head and neck malignancies consists of pretreatment evaluation to ascertain complication and risk, to educate patients about risk from tumor therapy, and to provide appropriate dental care and/or rehabilitation of tumor resected patients. Interim care has also consisted of treatment for stomatitis, mucositis, difficulty with deglutition or speech and appropriate diet instruction. Post-operative care consists of regular follow-up and necessary treatment including preventive care, restorative care, and rehabilitation with prosthesis and/or mandibular guidance appliances to insure appropriate function and esthetics.
Facial Pain & Temporomandibular Disorders Clinic
Despite great advances in the fields of medicine and dentistry,
temporomandibular joint disorders remain an area of confusion for
patients and practitioners. Many chronic facial pains can be attributed
to abnormalities within the TM joint or the muscles of mastication.
Some problems are neurogenic, psychogenic or the result of pain
referral. The diagnostic challenge that chronic pain patients present
has often resulted in the patient seeking care by many different
specialties over extended periods of time. Unfortunately, desperate
patients are often subjected to unscientific treatments in hope of
getting some resolution of their symptoms.
The University of Virginia Health System offers multi-disciplinary
diagnosis and treatment for facial pain/TMD patients. We utilize
accepted, conservative modalities and procedures. We offer the latest
in diagnostic and therapeutic techniques, including: appliance therapy,
physical therapy and biofeedback training.
Hemophilia Clinic
Hemophilia Clinic is a coordinated effort with the Pediatric and Adult Oncology Hematology service. Patients are currently on maintenance recall dental status. Treatment often consists of a recall exam, prophy, fluoride treatment restoration of carious teeth. Additionally, we staff the Wise County Satellite hemophiliac clinic once a year. We are also available for consultation for any of the hematology patients.
