Patient Care Services

This clinic focuses on the comprehensive care of the patient seeking cosmetic surgery. A comprehensive treatment program is available to all patients that includes facial aesthetic surgery such as facelifts and collagen or fat injections, body contouring with traditional and ultrasonic liposuction, use of lasers, and many reconstructive procedures.

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The University of Virginia Hand Center is a comprehensive, multifaceted Medical Facility dedicated to the care of the hand and upper extremity.  We specialize in all disorders of the hand, wrist, and elbow and treat a wide spectrum of disorders from carpal tunnel syndrome and arthritis to complex fractures, sports injuries, neurovascular injuries, and congenital hand differences.

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This clinic offers a full range of oral & maxillofacial surgical services. Dentoalveolar surgery (wisdom teeth, preprosthetic and implant surgery) can be performed on-site using the latest techniques in intravenous sedation and pain control. Consultative services are also available for the surgical treatment of congenital and developmental jaw anomalies, jaw reconstruction, facial trauma, oral and jaw tumors, corrective and cosmetic jaw surgery and other related concerns. The clinic is directed by Martin A. Hoard, DDS, MD. Call (434) 924-5301 for inquiries or appointments. Further information of interest to patients of this clinic can be found from the American Association of Oral and Maxillofacial Surgeons’ web site.

UVA Comprehensive Wound Care Clinic

Helping Patients Heal

Management of non-healing wounds can be a challenge. At the University of Virginia Comprehensive Wound Care Clinic, we are committed to caring for non-healing wounds through a multidisciplinary approach. Our goal is to offer a high quality, cost-effective treatment to allow you to heal and return to a normal life. By bringing together specialists from all aspects of wound care into one location, you can conveniently receive the best therapy options for wound healing.

Our Multidisciplinary Team

A variety of wounds can be managed at the Comprehensive Wound Care Clinic, including pressure ulcers, leg or foot ulcers, non-healing surgical wounds, traumatic wounds and burn injuries, skin tears, cancer-associated wounds, radiation injuries, and wounds related to peripheral vascular disease or diabetes mellitus. Additionally, patients recently discharged from the hospital with a wound may benefit from follow up at our center.

We will work with your primary care physicians to coordinate care and keep them informed of your progress. It all starts with an evaluation and then treatment by one of more of our specialty providers and certified wound specialists.

Wound Care Services

Many services are offered for the management of non-healing wounds. These services include:

• Wound evaluation and monitoring
• Cleaning and bandaging
• Advanced dressing selection
• Pressure treatments, including compression wraps and negative-pressure wound therapy
• Medications
• Moisture treatments and tissue builders
• Biological dressing/Skin substitutes
• Hyperbaric oxygen therapy
• Surgical therapies, if necessary, including removing unhealthy or dead tissue that prohibits the healing of wounds, or would biopsies to detect abnormal tissues or infections
• Coordination of advanced surgical or medical care if indicated

Get an Appointment

Some insurance carriers require prior authorization for our services. If you have any questions specific to your insurance, please call the Wound Care Clinic at 434-243-7052. Our knowledgeable staff will guide you on the best way to set up an appointment.

UVA Hyperbaric Oxygen Treatment Center

Healing Through Oxygen and Pressure

The Hyperbaric Oxygen Treatment Center offers two state-of-the-art services to both inpatients and outpatients at the University: hyperbaric oxygen (HBO) therapy and transcutaneous oximetry (often referred to as TCOM). TCOM is a noninvasive way of measuring oxygen tension in the body tissues. HBO therapy is a way of delivering increased amounts of oxygen to the body tissues by breathing 100% oxygen in a chamber that has been pressurized to more than atmospheric pressure.

Approved HBO Treatment Indications

HBO has been proven to be beneficial for patients diagnosed with the following conditions:

• Chronic wounds
• Radiation tissue damage
• Compromised skin grafts or flaps
• Necrotizing soft tissue infection
• Gas gangrene
• Osteomyelitis
• Air or gas embolism
• Crush injuries

How Does HBO Therapy Work?

HBOT brings oxygen saturated blood to tissues that are lacking adequate oxygen. This may help your wound heal faster and avoid infection.

The HBO Evaluation and Approval Process

You will have an initial evaluation by one of our trained Hyperbaric Oxygen physicians, and together will determine if HBOT is right for you. If you meet the criteria for HBOT, you may be asked to have a few additional non-invasive tests the same day.

Our HBOT staff will start the process to see if your insurance will cover the cost of treatment and once you are approved we will schedule you for your treatments. Most patients who qualify will need several daily sessions for a few weeks in a row.

What happens during hyperbaric treatment?

You will be in the chamber for about 2 hours during each session. You will lie down in the chamber and watch TV/movies while our expert staff start the process. They will evaluate you before, during and after each treatment to make sure you are tolerating them well. We can even make housing arrangements for you to stay closer to UVA during your treatments if needed.

Get an appointment

If you are interested in learning more about how hyperbaric oxygen treatment may help, or to see if TCOM testing may be useful for your problem, please call the Hyperbaric Oxygen Service at (434) 982-3999

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Comprehensive breast reconstruction services are offered by Board Certified Plastic Surgeons at UVA Health locations. We specialize in immediate and delayed breast reconstruction. We also have interest and experience in addressing problems related to previous reconstructive procedures.  Immediate reconstruction is done in combination with a Breast Cancer Surgeon and occurs at the same time as a mastectomy. To learn more about Breast Cancer Care at UVA click the button below.

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If you have already had your cancer treatments and are looking to start your reconstruction or want to address problems related to previous reconstruction click the button below

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Comprehensive dental care is available to a patient under the classification of special care or medically necessary dental care.

The Federation of Special Care Organization in Dentistry defines special care as:

Provision of quality patient care at the interface of medicine and dentistry, involving principally the care of patients, who for reasons of medical diagnoses, handicaps or age require special care or special settings.

These patients present with particular medical, dental or social service considerations which make treatment within the Department of Dentistry a priority. The majority of special care patients have medical considerations such as head and neck malignancies, coagulopathies, immunosuppression or mental illness. Many of these individuals originally presented via the Dentistry Consultation Service for the purpose of treatment for oral sources of infection prior to medical care.

The Department of Dentistry provides services for pediatric patients at the Children’s Medical Center at the Battle Building.  Patients are referred to the Children’s Medical Center for dental evaluation and treatment from clinicians within the Medical Center and the greater community. The Pediatric Dentistry consult service is intended for significant handicapped and/or medically compromised pediatric patients being managed by UVA Physicians and Clinics, particularly where dental issues impact the medical therapies.   For non-handicapped/non medically compromised pediatric patients seeking comprehensive care or establishment of care it is requested  that you call 434-924-1774 to make an appointment.  While Dentistry is a limited access clinic, we will attempt to accommodate such patients as available space allows.

The most common medical diagnoses of our patients are autism, intellectual and developmental disabilities, ADAD, cerebral palsy, muscular dystrophy/neuromuscular disorders, spina bifida/myelomeningocele, trisomy 21, and medical complexity. Dental services are provided by attending faculty, residents and registered dental hygienists. Many of our patients cannot be treated elsewhere due to the physical limitations of their handicapping condition or medical indigence.

The services provided at the Children’s Medical Center include:

• Screening of all inpatients
• Preventive and hygiene services
• Restorative care
• Prosthetic and adaptive appliances
• Consultation and referral for complex oral surgery,
• comprehensive orthodontics, and treatment under general anesthesia

The Children’s Medical Center is also a training site for the UVA General Practice Dental Residency. Residents learn patient management skills and technical procedures to enable them to care for handicapped children in their dental practices. Externs from regional schools of dentistry and schools of dental hygiene have the opportunity to rotate through the Children’s Medical Center dental service and in so doing gain an appreciation of special care dental 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 Children’s Rehabilitation Center and may consist of:

Routine hygiene and restorative procedures in preparation for orthodontic and surgical 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.

Faculty and residents of the Department of Dentistry provide on-call consultation to the Department of Emergency Medicine for the care of patients with oral infection and dentoalveolar trauma.

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 pre-treatment 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 a prosthesis and/or mandibular guidance appliances to ensure appropriate function and aesthetics.

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.

The 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.