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159
In the case of large families, certain members may be
permanently in the care of an elderly relative, whose
"restricted outlook" precludes any interest being taken in
regular treatment.
The above and many other widely differing factors may
be said to be responsible for a very large number of nonacceptances
of treatment.
(iii) Lack of appreciation on the part of Parents as to the
value of early treatment.
The latter is more commonly manifest with reference to
the temporary dentition. After "refusing" at the time of the
school inspection, the child is later brought to the Clinic
when in pain, requesting " extractions " but " no fillings."
After a suitable explanation many parents show a favourable
reaction and accept the requisite treatment.
(iv) Fear of the Dentist's Chair.
Patients in this category are by far the most difficult to
deal with, as their condition is largely psychological and they
will often endure prolonged agony rather than present themselves
for treatment. In such cases contact can sometimes be
made through successful treatment for a friend, or a chance
meeting with the parent. Once confidence has been established
the sufferer may attend voluntarily and becomes
amenable to treatment. Should parental control be entirely
lacking very little success can be expected with these cases.
The foregoing investigations illustrate some of the difficulties
encountered in dealing with "recalcitrant" cases.
Treatment.
Of 9,006 children consenting to treatment (including
specials) 8,666 (96 per cent.) were treated and 7,830 (86.9 per cent.)
cured (completely), compared with 10,197 consenting," 9.043
(88.6 per cent.) treated, and 8.297 (81.3 per cent.) cured in 1946.
The above results not only indicate an appreciable rise in the
percentage treated, but also that a larger proportion than usual
had all necessary work carried out.
Clinical sessions fell from 1,934 to 1,795 and accordingly
output suffered a corresponding decline. Attendances during
the year rose from 10.3 to 10.6 patients per session.