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 Beckenham]
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and I have come across quite a number of parents who attend with
the younger members of the family, and are anxious that the older
ones should be treated, but cannot get them to attend.
In Group (b), on re-inspection, it is found that very few have
been treated privately, and if they have had any treatment, it has
usually consisted of an extraction and no attempt has been made
to remedy any fillings that should have been done.
In Group (c) these cases originally accept treatment, but owing
to various causes, such as illness of the child, or illness in the family,
they do not keep appointments. Each child in this group is given
two opportunities of attending.
Several cases of fracture of the upper incisors come under notice.
In those cases where the pulp (nerve) is not involved in the fracture,
treatment consists of reducing the inflammation of the surrounding
tissues and later of trimming up the rough edges of the fractured
teeth.
In one case, a boy aged 11, the blow had been so severe that
the only treatment was the extraction of three upper incisors. This
boy will be fitted with a plate in due course.
In seven cases treatment consisted of crowning. In these cases
the pulps (nerves) were exposed and had to be removed preparatory
to fixing the crowns.
In 13 cases plates were made for the regulation of one or more
teeth, and the parents have expressed their gratitude for the results
obtained.
Irregularities that can be corrected by the extraction of one or
more permanent teeth are undertaken in the routine work.
The arrangements I made last year of treating "casual" cases
at 11.30 a.m. daily, are greatly appreciated by the parents. 310
children attended as " casuals " during the year