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39
However, as many of the cases referred have minor and
often temporary disabilities and sometimes are within normal
anatomical and physiological limits, which can show considerable
variation, I do not consider that permanent or serious disabilities
are being overlooked or caused by the sometimes
inevitable delay.
(Signed) J. H. CHOLMELEY, F.R.C.S.
DENTAL SERVICES.
Mr. James H. Glen, School Dental Surgeon, reports for
1943 as follows:—
I have much pleasure in submitting to you a report of the
work done by the staff of the Dental Department during the
year 1943.
In the appended tables I have given the customary comparison
with the figures for 1942; the comparison is mostly
favourable, but, after a somewhat alarming sequence of resignations,
new appointments and sickness, it was found to be
impossible both to start the new Higher Education Scheme with
the inspection of the County Schools and complete the inspection
of all the Elementary scholars after the appointment of Mr.
Birkhahn on 18th October. However, now that we have 2⅓
Dental Surgeons employed in the scheme, it is expected that
we will be able to carry out the programme of inspecting the
higher age groups (from 10 years to 16 years) of all classes of
schools twice during the coming year.
The Consultant Orthodontic Scheme, started early in the
year, has been very helpful, and we are indebted to Mr. L.
Russel-Marsh, of King's College Hospital, for his acceptance
of our difficult cases, his advice on the course of treatment to
adopt, and the type of appliance to be provided. The use of
appliances of a newer, if more complicated, type has considerably
reduced the number of attendances, although the 56 new
cases treated is more than last year. Moreover, as these
appliances are worn only at night, there is no interference with
the child's education.
The condition of the children's teeth remains good, and the
number of neglected mouths is extremely small. The majority
of the 76 per cent. of the children referred for treatment
provide mostly small cavities, or perhaps suspicious fissures,
which they are advised to have filled immediately. Others are
given appointments so that the parents can be advised of our