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

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London County Council 1952

[Report of the Medical Officer of Health for London County Council]

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Sodium
fluoride
treatment
and dental
hygienists
134
During the year the investigation on the efficacy of applying a 2 per cent. solution of
sodium fluoride to teeth was continued, but the resignations of two of the three dental
hygienists employed on the work caused difficulties in the planned investigation. The
remaining hygienist drew first part of the investigation to a close towards the end of
the year but an account of it was not available for inclusion in this report.

Dental hygienists—Attendances and treatments

195019511952
Sessions1,3701,4991,592
Number invited to attend for first treatment2,3894,1884,348
Number invited to attend tor subsequent treatment2,8514,2321,284
Attended—first treatment2,1093,3653,653
Attended—subsequent treatment2,6623,9361,237
Treated—first treatment2,1043,3593,652
Treated—subsequent treatment2,6604,0331,235
Discharged—treatment completed1,8343,1213,618
Discharged—failed to complete treatment*104†72
Gum treatments365395495
Scalings (cleanings)3,1223,9863,989
Polishings (of artificial restorations)1,8232,5531,695
Oral hygiene instruction2,5624,6554,137
Sodium Fluoride:
First application6581,220260
Second application5971,170270
Third application5591,102262
Fourth application4941,074215

* Figures not available.
†Figures for June-December.
Orthodontics
At the close of 1951, owing to the resignation of orthodontists, only three sessions
per week were expressly reserved for the urgently required service for the correction
of malocclusions. It was not possible throughout i952 to augment this service and only
50 patients could be completed by the part-time orthodontist, a reduction of 172 compared
with the preceding year. Clinicians, however, in addition to their routine treatments
treated a further 209 malocclusions and 47 additional patients were referred to
dental teaching hospitals.

The following table summarises the work done by the part-time orthodontist

195019511952
Sessions425245134
New cases26611785
Attendances5,3393,2471,816
Unsuitable for treatment845117
Still under treatment (at 31st December)491187205
Fixed appliances fitted199155122
Removable appliances fitted452127159
Discharged, treatment completed42422250

Such meagre figures, compared to the widespread clinical evidence of need for this
type of treatment, are disturbing and very many children who might have benefited
had perforce to be turned away untreated.