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orthodontic abnormalities. Fixed appliances are only used for the
most difficult conditions for which no effective removable appliances
have yet been developed.

Dental Anaesthesia.—Dr. H. J. Churchill, Consultant Anaesthetist,
reports as follows:—
"Since I came to work in Walthamstow in 1955, I have given
rather more than 8,000 gas and oxygen anaesthetics to Walthamstow
children and some 1,500 in another area. In that time Mr. Timmis
must have given at least 6,000, so that the grand total exceeds
15,000. I think the dental surgeons have found that in the cases in
which a general anaesthetic was indicated an administration of
plain gas and oxygen has been satisfactory.
"There is just one thing to bring to notice, namely that a firm
specialising in the production of such apparatus is working on a
new type of Walton apparatus, which will be a great improvement
on the model in use now, and when it becomes available I strongly
recommend that two of these be bought. In view of the amount of
work done in Walthamstow, the expense would be fully justified.
"I would like again to mention the very patient, skilful and
devoted work of all the nursing staff without which the measure of
success which we have, I think, achieved, would not have been
possible."
SPECIALIST CLINICS
( All Specialist Clinics are staffed as to Consultants by the Regional Hospital
Board. Day to day administration has continued unaltered).