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

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Hackney 1970

[Report of the Medical Officer of Health for Hackney]

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21
Unfortunately there were 667 failed appointments, which is equivalent to 20.9
per cent of all the appointments given. This is a great waste of everyone' s
time. If only parents would notify the clinic when they are unable to bring
their child, the appointment could be offered to someone else.
44.7 per cent of the children were made dentally fit (26.1 per cent in
1969). There was a large rise in the number of fillings completed, and the
ratio of teeth filled to teeth extracted rose from 10.4 to 1, to 14.4 to 1.
This quite clearly shows that the dental staff are doing much more to save teeth
rather than to remove them. It ispartially a reflection of thepolicy of sending
selected officers on post graduate courses and conferences, where they learn
about all the up-to-date techniques. They greatly appreciate this facility.
Mothers - The number of visits has more or less remained constant. The ratio
of teeth filled to extracted has increased from 2.4 to 1, to 4.8 to 1. Thirty
per cent of appointments were not kept.
This is an opportune moment to review the progress of the dental service
for pre-school children since the coming together of the three boroughs in 1965.

The following table shows the variation of attendance, fillings and extractions as well as the number of teeth filled for each one extracted.

YearAttendancesFi1IingsExtractionsRatio of teeth filled to extracted
19667621,2832244. 5 : 1
19671,4181,1441844.9 : 1
19681,8081,2291726.5 : 1
19691,8691,15410010.4 : 1
19702, 5221,94111214.1 : 1

Statistics

Children aged 0-4 yearsExpectant and Nursing Mothers
1969197019691970
1. Inspections
(a) Number of first inspections529545117115
(b) Number requiring treatment29645091108
(c) Percentages requiring treatment56.082.676.093.9
(d) Number offered treatment28744390106
2. Visits for Treatment
(a) First visits7851,079264261
(b) Subsequent visits1,0741, 443475498
(c) Total visits1,8692, 522739759
(d) Additional courses of treatment commenced284598
(e) Attendances for general anaesthetic (included in total)303261
(f) Emergencies (included in total)971145434
3. Patients made dentally fit2054828597
4. Analysis of General Treatment
(a) Fillings1,1541,941428542
(b) Teeth filled1,0361,615388482
(c) Teeth extracted100112163100
(d) Patients x-rayed853146
(e) Scaling, prophylaxis and gum treatment409287124139
(f) Teeth otherwise conserved21135-11
(g) Teeth root filledN. A.N. A.82
(h) Crowns and inlaysN. A.434
5. Prosthetics
(a) Patients supplied with full upper and/or lower dentures.--23
(b) Patients supplied with partial dentures-1118
(c) Number of dentures supplied-22414
6. Topical application of Fluoride7347N. A.N. A.
7. Appointments not kept296667372326
8. Sessions
(a) Treatment..*309.1310.8N. A.104.6
(b) Dental Health Education..*43.096.8N. A.2.5

N. A. - Not available *-Includes mothers' sessions in 1969