Individuals
with lower spinal cord injury usually require no special preparation for
receiving dental care, other than barrier free access to treatment areas.
In general, patients with spinal cord injury experience a loss of bowel
and bladder control. These patients should void and carry out their bowel
program prior to the dental appointment.
When
it is necessary to place the patient in the dental chair, proper wheelchair
transfer technique is essential to prevent injury to patient or dental
staff. A physical therapist can demonstrate the proper technique to the
dental staff. In addition, paralyzed patients may develop ischemia in weight
bearing areas causing decubitus ulcers. The dental staff should not leave
the patient in the same position for extended periods.
People with spinal cord injuries may be receiving coumadin, aspirin,
or persantine to prevent thrombosis. The patient's physician must be consulted
prior to treatment.
Appropriate blood tests may include:
