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

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London County Council 1956

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

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An increased number of surgeries were renovated and re-equipped with more
modern apparatus—an improvement aimed at better service resulting from better
working conditions and retention of staff.
Throughout the year recruitment of sufficient dental attendants proved almost
as difficult as engagement of dental officers and in consequence a number of untrained
girls were accepted and, following a brief period of instruction, were posted to duty.
I would like to record my appreciation of the excellent and valuable assistance given by
the dental attendants ; in particular in surgeries staffed by part-time dental officers.
Table I shows the numbers of dental officers at the end of the year with comparative
figures for the preceding two years.
The comparative figures given in Table II relate to the school dental service and
show increases under most headings. In spite of the increase in number of sessions, the
total cases treated fell slightly ; but total attendances rose—an indication that treatment
was, possibly, more thorough and that at least some children attended a greater number
of times to be rendered dentally fit. In attempting an accurate comparison of attendances
in 1956 with previous years' figures, there is some confusion as, for the first time,
attendances for orthodontic treatment are also included in total attendances. The rise in
the number of permanent teeth requiring extraction is to be deplored.

Table II

195419551956
Number of inspection sessions held at schools2,0562,0082,111
Number of children inspected at schools by dental officers199,041202,242213,957
Number found to require treatment139,955151,326163,414
Percentage requiring treatment70.3%74.8%76.4%
Additional number inspected at centres67,60450,88744,078
Total number found to require treatment207,559202,213207,492
Total cases treated129,712121,362115,587
Attendances300,912317,684332,785
Ordinary treatment sessions29,02229,69831,257
General anaesthetic sessions1,9391,5781,708
Temporary teeth extracted108,82583,53983,341
Permanent teeth extracted21,09516,52719,992
Temporary teeth restored by fillings46,25645,25643,474
Permanent teeth restored by fillings112,226122,097129,931
Fillings in temporary teeth49,14848,07546,088
Fillings in permanent teeth124,974135,384144,746
Other operations—
temporary teeth65,28062,49658,808
permanent teeth57,08665,81168,972
Local anaesthetics for extraction21,21617,34116,195
Local anaesthetics for conservative treatment8,3527,1309,494
General anaesthetics43,89936,09938,740
Cases for whom immediate treatment was completed17,47413,74411,614
Cases discharged as dentally fit86,95780,96479,994

Table III

Ratio of permanent teeth restored to permanent teeth extracted in schoolchildren
19484.58 to 1
19493.72 to 1
19503.29 to 1
19513.43 to 1
19523.86 to 1
19534.69 to 1
19545.32 to 1
19557.39 to 1
19566.50 to 1