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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66
Model No. 478. Male. Age 9 years.
Diagnosis:—
1 | Missing. No history of extraction. No room for | 2.
X-ray examination desirable.
Report of the Royal Dental Hospital Orthodontic Specialist:—
Radiograms show that 2 | is present: I | should be rotated,
and|1 should be pushed forward and slightly rotated and the
centrals then brought together; the laterals will then have sufficient
space. (Signed) pp. N. G. BENNETT.
H. R. EVANS.
Model No. 459. Female. Age 12 5/12ths.
Diagnosis:—
Class 1. Neutroclusion. Contracted maxilla. | 3 crowded
out labially. Proclination labially, and labioversion 2 1 | 1.
3 | not in occlusal contact. 6 | 6 considered unsaveable.
It should be noted that many teeth, which could be saved
in private work, cannot be done in Clinic work, due to the
parent being unable to give the necessary attendances, etc.
5 | will be displaced lingually.
Report of the Royal Dental Hospital Orthodontic Specialist:—
This case is somewhat complicated, and after careful consideration
I think that the wisest treatment will be to extract the
lower first permanent molars and the upper left lateral incisor.
The position of the upper left canine is favourable for a
movement towards the centre and with subsequent slight alteration
of the upper centrals there should be a complete closing up of the
space and a respectable arch formation in the incisor region.
(Signed) VIVIAN A. F. GREENISH.
Model No. 408. Female. Age 14 years.
Diagnosis : —
No room for | 3. | 3 suspicion that it is impacted. X-rays
desirable to clear up this point. Unable to get any history
of (a) Extraction of, or
(b) Eruption of 5 | 5.
After reading X-rays will the R.D.H. Surgeon indicate the
treatment, and if | 3 is impacted, state if this is a case
better treated as a R.D.H. in-patient at Charing ross
Hospital.
Report of the Royal Dental Hospital Orthodontic Specialist
Radiographs of this case show that the left upper canine is
badly impacted and is pressing hard up against the lateral on one
side and the first premolar on the other, and that the root is bent.
I think this tooth should be removed as soon as possible. In view
of the advanced caries of the lower six year old molars I would
recommend the extraction of these two teeth and the upper second
molar at the same time, and that no further treatment is required.
I shall be pleased to do this case as an In-Patient at Charing
Cross on Wednesday 16th. The patient should go in on Tuesday
1 cth and stay until Thursday or Friday.
(Signed) F. ST. J. STEADMAN.