Hints from the Health Department. Leaflet from the archive of the Society of Medical Officers of Health. Credit: Wellcome Collection, London
[Report of the Medical Officer of Health for London County Council]
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The following table (IV) summarises his work in these special sessions :
1950 | 1951 | 1952 | 1953 | |
---|---|---|---|---|
Sessions | 425 | 245 | 134 | 138 |
New cases | 266 | 117 | 85 | 80 |
Attendances | 5,339 | 3,247 | 1,816 | 2,056 |
Unsuitable for treatment | 84 | 51 | 17 | 21 |
Still under treatment (at 31st December) | 491 | 187 | 205 | 195 |
Fixed appliances fitted | 199 | 155 | 122 | 93 |
Removable appliances fitted | 452 | 127 | 159 | 159 |
Discharged, treatment completed | 424 | 222 | 50 | 69 |
By pre-arrangement, London dental teaching hospitals accepted an additional
100 patients referred from treatment centres, selected on a geographical basis.
By these diverse means, a total of 528 cases were undertaken in the year, an increase
of 187 on 1952. It is a matter for regret that shortage of staff prevented a larger number
from being treated.
Discrimination on acceptance or rejection of patients rested mainly with the individual
dental officer but parents who pressed their demands strongly were interviewed by me
and, if possible, arrangements were made for treatment to be provided.
Maternity and child welfare dental service
In 1953 the main effort continued to be directed to strengthening the dental service
for children but due attention was given, within the facilities available, to building the
service to meet the demands of expectant and nursing mothers. Shortage of staff still
prevented instigation of routine inspections by dental officers of all new patients attending
maternity and child welfare centres, which is envisaged in the National Health Service
Act, and requests for dental attention continued to be made only by medical officers.
The resultant demand was not great and, as in the preceding year, only about 10 per
cent. of the total sessions worked were devoted to this branch of the services. Most
expectant and nursing mothers are believed to obtain dental treatment from local
practitioners or from hospitals, but there was some growth in demand to the Council
for treatment for pre-school children. Results are shown in Table V below.
Table V
1950 | 1951 | 1952 | 1953 | |
---|---|---|---|---|
Number of ordinary sessions | 2,238 | 1,980 | 2,031 | 2,505 |
Number of general anaesthetic sessions | 368 | 333 | 306 | 299 |
Number of appointments offered | 26,308 | 23,342 | 24,609 | 30,441 |
Failed to attend | 5,876 | 5,060 | 5,614 | 7,766 |
Attendances—by appointment | 20,432 | 18,282 | 18,995 | 22,675 |
—other | 3,891 | 3,313 | 2,162 | 2,122 |
Examinations | 8,579 | 7,661 | 7,362 | 8,522 |
Treated—first treatment | 5,116 | . 4,753 | 5,444 | 6,989 |
—others | 11,851 | 10,216 | 10,339 | 12,736 |
Silver nitrate treatment | 2,180 | 1,818 | 2,907 | 4,256 |
Scalings | 859 | 669 | 739 | 994 |
Prolonged gum treatment | 210 | 214 | 228 | 295 |
Fillings | 8,255 | 7,929 | 8,852 | 11,074 |
Inlays | 22 | 27 | 18 | 29 |
Crowns | 11 | 6 | 12 | 13 |
Number of teeth conserved | 7,841 | 7,507 | 8,388 | 10,446 |
Extractions | 11,257 | 9,289 | 8,463 | 9,565 |
Dressings | 2,077 | 1,687 | 2,090 | 2,763 |
Anaesthetics—local .. | 1,457 | 992 | 844 | 1,375 |
—general | 3,372 | 3,318 | 2,837 | 2,938 |
Number of patients prepared for dentures | 2,518 | 1,822 | 1,471 | 1,880 |
Number of patients supplied with dentures | 918 | 590 | 476 | 607 |
Dentures supplied—new full | 655 | 335 | 310 | 373 |
—new partial | 782 | 536 | 400 | 520 |
Remakes | 19 | 10 | 10 | 27 |
Repairs | 84 | 63 | 47 | 51 |
Number of patients X-rayed | 23 | 65 | 105 | 121 |
Number made dentally fit | 5,057 | 4,654 | 5,479 | 6,818 |