London's Pulse: Medical Officer of Health reports 1848-1972

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Heston and Isleworth 1930

[Report of the Medical Officer of Health for Heston and Isleworth]

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65
Model No. 408. Male. Age g 9/12ths.
diagnosis:—
Supernumerary tooth between 1 | 1. Wide diastema 1 | 1.
| 2 Linguoversion. Unilateral distoclusion.
Report of the Royal Dental Hospital Orthodontic Specialist:—
Immediate extraction of supernumerary and the left deciduous
canine, also the right upper deciduous first molar and the left
lower deciduous first molar, followed by the expansion of the arch,
with apparatus to bring the central incisor over to its fellow and
to push out the lateral.
(Signed) F. St. J. STEADMAN.
Model No. 545. Female. Age 9 3/12ths.
Diagnosis:—
Linguoversion 2 | 2. Torsoversion 1 |.
Report of the Royal Dental Hospital Orthodontic Specialist:—
I recommend immediate extraction of ED |
ED | E.
pushing forwards of 2 ] 2 by means of a plate which opens the bite
and acts either by pegs actuated by the force of biting, or by
springs or screws: when 2 | 2 are in place, straightening 1 | by
means of a spring acting from inside the arch on the distal angles,
e.g., to move it, from to 0<=> or as near c=c=> as possible. To
free 1 | from | 1 it will probably be necessary to expand the whole
arch where the 543 | 345 are erupted, but this, from an aesthetic
point of view, may prove to be unnecessary.
(Signed) J. G. TURNER.
Model No. 633. Male. Age 9 years.
Diagnosis:—
Class 3. Not Hereditary.
Report of the Royal Dental Hospital Orthodontic Specialist:—
X-ray examination shows that all the teeth are present, but
badly misplaced. Any deciduous teeth that are infected should
be removed, but it would be advantageous if the upper deciduous
molars could be retained until their normal time for shedding. If
the patient will co-operate sufficiently, I should push the right upper
central incisor over the bite at once by means of a plate.
(Signed) A. C. PACKHAM.