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 Willesden]
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55
General Anaesthetics.
General anaesthetics continue to be used extensively for tooth extraction. Methods adopted
and apparatus used have been described in previous reports and there is no need to again refer to
them. The Anaesthetist attended on 185 sessions, and administered to 3,699 cases, an approximate
average of 20 cases per session. 7 patients were anaesthetised for pulp extirpation and cervical cavity
preparation in anterior teeth.
The total number of dental anaesthetic cases administered by the Anaesthetist during the
eight complete years of his appointment amount to 31,197.
ELEMENTARY, NURSERY AND SPECIAL SCHOOLS.
Inspection.
Routine.—16,070 children out of a total roll of approximately 18,708 were inspected at the
schools during the 284 visits, an average of 56 per session.
12,309 children or 76 per cent, were found defective and referred for treatment.
Complete recording of all defects found was done, and " Care of the Teeth " pamphlets were
issued to all scholars, which is the same procedure as in former years.
Special cases.—861 children were inspected at the Centres. Included in this figure are cases
of minor defect which had developed between the routine inspections, together with those children
leaving school and seeking a final treatment. Every effort was made for those children to complete
their treatment.
Treatment.
Out of a total of 12,309 referred as defective, 4,091, a decrease of 330 on last year's figure, were
treated at the Centres.
9,787 teeth were extracted of which 1,741 were permanent.
5,590 fillings were done on permanent teeth and 745 on temporary teeth, making a total of
6,335.
For this work, increasing use is being made of local anaesthesia. Also 2,043 sundry treatments
were performed. These include root fillings to anterior teeth, minor gum treatments, dressings of
zinc oxides and sedatives, together with silver nitrate applications.
3 patients received orthodontic treatment under the Council's scheme.
11,540 attendances were recorded.
Treatment sessions totalled 963, and the average work done is indicated in the following Table.
T able rso. 44.
| Attendances. | Fillings. | Extractions. | Sundries. | Total operations. |
|---|---|---|---|---|
| 12.0 | 6.6 | 10.2 | 2.1 | 18.9 |
Fillings per 100 children =154. Extractions per 100 children =239.
Tables Dealing with the Work on Elementary School Children During the Year.
Table 45, corresponding to Table IV of the Board of Education's Statistical Tables, Group V—
| Aged : | Children attending Public Elementary Schools. | Children attending Special Schools. | Children attending Nursery Schools. |
|---|---|---|---|
| 2 | — | — | 1 |
| 3 | — | — | 70 |
| 4 | — | — | 110 |
| 5 | 966 | 8 | 58 |
| 6 | 1,630 | 18 | — |
| 7 | 1,684 | 15 | — |
| 8 | 1,870 | 33 | — |
| 9 | 1,853 | 21 | — |
| 10 | 1,799 | 41 | — |
| 11 | 1,441 | 38 | — |
| 12 | 1,482 | 35 | — |
| 13 | 1,484 | 43 | — |
| 14 | 1,267 | 103 | — |
| 15 | — | — | — |
| 16 | — | — | — |
| Total | 15,476 | 355 | 239 |
| 827 | 9 | 25 | |
| 16,303 | 364 | 264 |