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There is a considerable increase in the number of extractions,
but this is partly due to the fact that extensive conservative
treatment for these patients is out of the question. The majority
of these cases have swollen and spongy gums, but unfortunately
this condition will not respond very well to treatment as the month
breathing habit which is the cause of the congested gingivae, is
difficult to correct in this type of patient.
The Supervisor has arranged for the brushing of teeth after
the mid-day meal. This helps considerably not only in preventing
a certain amount of decay, but also in impressing on the minds of
these people the habit of oral cleanliness.

All the inmates were examined several times during the year,
and those referred for treatment were brought by the ambulance
to the Lodge Boaid Clinic. This, arrangement greatly facilitated
the work as it avoided taking the necessary equipment from Lodge
Road.
Many patients showed signs of varying degrees of gingivitis,
and one case of hypertrophic gingivitis was observed. Considering
these patients are mostly mouth breathers such a condition is to be
expected.
Matron and the staff have helped considerably in teaching
these children tl.e elementary principles of oral hygiene, and with
the aid of detergent foods, the condition of the teeth on the whole
remains comparatively good.