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A new Day Hospital of the Clinic of Oral and Maxillofacial Surgery has been opened

After the reconstruction of the premises in the area of 440 m2, a new, modern Day Hospital of Oral and Maxillofacial Surgery Clinic has started working at the RSU Institute of Dentistry.

Chief Physician of the Oral and Maxillofacial Surgery Clinic, Assoc. Prof. Ģirts Šalms explains that the creation of a new, much wider day hospital was necessary to provide appropriate pre- and post-operative care, while offering a high level of comfort to patients. The wards are modern and safe for patients.

The hospital has three operating tables and six wards with eight bed places. One intensive care unit has been equipped, as well as a ward for patients with mobility disorders. Each ward has all the equipment that is required for the safety of patients, as well as modern ventilation, individual shower room, facilities, TV.

The new facilities enable the performance of several complicated operations under general anaesthesia at the same time. Assoc. Prof. Ģ. Šalms says that all types of operations on the oral cavity are performed at the expanded day hospital, and that the patients already go home in the afternoon after the surgery. These include tooth extraction, implantation, and pre-prosthetic surgery of varying degrees of complexity, where the patient undergoes bone augmentation, bone expansion or contraction to enable the insertion of a dental implant and replacement of missing teeth. Dental transplant surgeries, root resection and removal of benign lesions are performed frequently, as well as the uncovering of retained teeth (teeth that have failed to erupt or have erupted partially) in order to perform orthodontic tooth adjustment.

One of the activity profiles of oral and maxillofacial surgeons includes plastic surgery in the facial area as well. The following plastic surgeries are performed at the hospital - plastic surgeries of the ear, eyelid correction surgeries, nose correction surgeries and reconstructions, as well as face and forehead skin tightening. Botulinum toxin and filler injections are also performed. A modern CO2 laser for facial skin rejuvenation is available at the hospital.

Orthognathic or bite correction operations are performed at the hospital, which involve the combination of the upper or lower jaw and osteotomies thereof (sawing and moving of the jawbone and fixation thereof in an anatomically correct position). 

Oral and maxillofacial surgeons also perform the endoscopic removal of stones from the salivary glands, according to indications.

In patients with various types of temporomandibular joint dysfunction or pain, lavage of jaw joints is performed, which involves flushing of the joint with saline solution and the administration of medications that remove inflammation and reduce pain. In more severe cases, endoscopic therapy of the temporomandibular joint is performed, either open or closed.

Assoc. Prof. Ģ. Šalms emphasises that the further development of several technologies is planned at the hospital, for instance, positioning of dental implants with the help of mouthguards, immediate implantation of teeth after extractions, followed by immediate loading of the teeth. In cooperation with the Baltic Biomaterials Centre of Excellence, the production of personalised implants for patients and their implantation after injuries, oncological diseases and congenital diseases will be performed. 

The Clinic of Oral and Maxillofacial Surgery of the Institute of Stomatology is the largest clinic of this type in Latvia, with a total of 16 certified oral and maxillofacial surgeons. The training of resident physicians specialising in oral and maxillofacial surgery is conducted at the clinic as well, residential physicians work here, and outpatient services are also provided by nine dentists.