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

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Heston and Isleworth 1931

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

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55
to be reviewed by the Consultant, before sending one up on what
might prove a fruitless visit. The most recent and successful
procedure, however, was to collect these cases at suitable intervals,
and Mr. H. R. Evans acted as Visiting Orthodontist from the
Royal Dental Hospital and saw the cases at the School Dental
Clinic.
This proved extremely advantageous, and it is to be hoped
that it may be possible in the near future to make permanent
arrangements on these lines.
For the year 1931 the following details of plates, etc., made
for patients may be interesting. One plate may of course have
several jobs to do in correcting different abnormalities in the
one patient's mouth.
Plates (all descriptions) 79
Progression, alterations to appliances 46
Replacing plates (entirely new) 23
Repairs 12
Oral Screens 6
Lip Exercisors 6
The special orthodontic fees received for patients during
1931 amounted to £151 : 16: 0.
The net cost of the scheme with the experience we have had
of its working for about one year and seven months, would
appear to be in the neighbourhood of £150 a year, after income
has been allowed for. This figure included a proportion of staff
costs, Royal Dental Hospital fees, payments to Mechanic for
models, attendances at Clinic and appliances made, and a
number of miscellaneous expenses; indeed all expenditure that
would not have been incurred had not the scheme come into being.
The probability is that this figure may increase to about
a net £200 a year.
In four cases where the extraction of permanent teeth was
unavoidable, and children were leaving school, dentures were
provided. These are charged for on the same scale as dentures
supplied to mothers.
Forty-two sessions were entirely devoted to this work, the
Dental Mechanic then being in attendance. Monday morning
is the established Orthodontic session.