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to the case being sent back to him for further consideration and
possible revision after a stated period of time, and for which no
extra fee is charged.
A point found very necessary to observe is to send for the
patient and explain the intended treatment, illustrating it with the
models and skiagrams, and above all to obtain the parent's signature
on the case card, certifying that they have had the report
explained to them and that they understand its purport.
How the Scheme works, and is worked in the Clinic.
When the Scheme was started it was assumed that about 50
cases in the year would pay the fee of 37/- and accept orthodontic
treatment. As soon as it was announced we were ready on 5th
May, 1930, we were rushed with applicants anxious to avail themselves
of the facilities offered; this entailed more sessions being
devoted to this work than was expected.
The number of cases on the Roll at the end of the year totalled
143. The total full-time sessions (2½ hours each) given for these
143 cases was 31.
It is now found that at the end of January, 1931, with over
160 cases on the roll, one session a week copes with the work and
keeps it in hand. The Dental Surgeon on these sessions has the
active assistance of the Dental Nurse, and Dental Mechanic who
attends only on these sessions.
Experience proves it is a most economical arrangement to have
the Dental Mechanic present to take verbal instructions, illustrated
in the mouth, and to see the patient and assist in making the progressive
adjustments found necessary.
Equipment.
At a later date a small electric bench lathe will be necessary
to polish cases that have become unhygienic. At first this is not
an absolutely essential expense.
Designs of the Appliances.
Most of the Consultants have left these to the Clinic Dental
Surgeon, contenting themselves with stating what had to be done.
Appliances.
These are all removable. (Fixed appliances are definitely
excluded from the Clinic work, partly on the grounds of expense,