London's Pulse: Medical Officer of Health reports 1848-1972

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Heston and Isleworth 1933

[Report of the Medical Officer of Health for Heston and Isleworth]

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Dentures for School Children.
In four cases where the extraction of permanent teeth was unavoidable and there was no
other course, dentures were provided for school children. These are charged for on the same
scale as for dentures supplied to mothers under the Maternity and Child Welfare Dental Scheme.

Other Operations.

The figure shown in the Table—2,543—is made up as follows, and is, of course, considerably augmented by the Orthodontic scheme, as this work in statistical form cannot be shown elsewhere in the Board's Table :—

Silver Nitrate Treatment249
Dressings181
Scaling and Polishing Teeth36
Treatment of Gums30
do. by Drugs1
Separating Teeth7
Destroying the Pulp10
Orthodontic Cases (Advice)337
Impressions taken—Upper 412—Lower 392804
Orthodontic—Appliances fitted117
do. do. adjustments317
do. Appliances repaired and progressive alterations23
do. Cases reviewed424
Dentures for School Children4
Bites and Tries in3
2543

Attendances made by Children for Treatment.
The figure 8,246 shown in the Board's Table is not the gross figure of school children's
attendances at the Dental Clinic, which was 10,043, all of which were nominally " attendances for
treatment,"but, although making such attendances, only 8,246 were treated physically, the
remainder being referred for gas, inspected, treatment postponed, etc., which latter classes of
attendances were counted as special inspections.
It will be seen that the number of attendances made by children for treatment was very
much larger than in 1932.
Emergency Cases.
This branch of the dental service has now been running for four years and is much
appreciated.
In order to save children from suffering pain, a scheme was devised whereby any urgent
dental case could be referred by any Head Teacher to the Clinic at 1.45 p.m. on any day when the
schools were open. On coming into the Clinic these cases are dealt with in addition to the normal
appointments, and take precedence over them.
During the year 1933, 695 cases were so referred by Head Teachers.
In connection with these emergency tickets it has happened not infrequently when the
children have appeared at the Clinic that the cases were not such as could be described as urgent,
but the Head Teachers' attention having been drawn to the necessity of limiting the issue of these
tickets to really urgent cases, the number has diminished somewhat.
Clinic Fees.
The Dental Clinic fee of 1s. payable by each patient, has again operated throughout the
year. It covers one year's ordinary treatment at the Dental Clinic, and includes a general
anaesthetic when this is necessary. Orthodontic fees are additional to this.

The fees taken at the Clinic during 1933 were as follows :—

From School Children treated (ordinary 1s. fee)£135100
From School Children (Orthodontic fees)£134156
From Maternity and Child Welfare cases treated—1s. fees£16160

I. COHEN, l.d.s., r.c.s., Eng.
School Dental Surgeon.
19