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" Extractions are carried out under nitrous oxide or a local
anaesthetic. As is usual, many extractions of permanent teeth
were required in order to correct certain cases of irregularity of
the teeth. Severe forms of superior or inferior protrusion are
advised to attend one of the dental hospitals. Altogether 10,039
extractions were completed, a greater number than in the previous
year by 793. This figure seems very big in comparison with the
additional 338 children treated during the year, but as previously
mentioned the mouths of many of the newcomers to Ealing schools
were in an advanced state of decay and consequently required
a greater amount of treatment.
" In order to provide treatment for all children inspected
with a minimum of delay, it is necessary to appoint a third
dentist. The Greenford area is rapidly expanding and to enable
all children in the schools there to come into the scheme and be
treated within the year, the full time services of a dentist are
required. In Greenford alone, over one thousand children are
awaiting treatment. This is nearly half of the year's work. With
the present staff available it can only be assumed that this figure
will greatly increase during 1935 and the condition in which the
teeth of many of the children will be in 1936, unless help is provided,
will certainly cause some anxiety."
(e) Orthopaedic' Treatment.—The scheme for the treatment
of orthopaedic defects is very complete, and in addition to
dealing with school children provides for children under five years
of age who are referred from the child welfare department. It
is conducted in conjunction with the Royal National Orthopaedic
Hospital who are responsible for the arrangements made for the
visits made by Mr. Herbert J. Seddon, the Orthopaedic Surgeon,
and for the regular attendance of a trained masseuse. When
special physical exercises or massage are called for these are given
by the masseuse in a special building which has been provided at
the rear of the Mattock Lane Centre. Should operative treatment
be necessary, the child is admitted to the Royal National Orthopaedic
Hospital. The hospital also provides at the cost of the Education
Committee the special boots and appliances recommended for each
case.